prinsip dasardrains, biopsi &balutanvlm.ub.ac.id/pluginfile.php/45574/mod_resource...fakultas...
TRANSCRIPT
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PRINSIP DASAR DRAINS, BIOPSI & BALUTAN
TIM ILMU BEDAHFakultas Kedokteran Hewan
Universitas Brawijaya2020
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DRAINS
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DEFINISI
• Evakuasi cairan &/ udara pada jaringan atau rongga tubuh à profilaksis / terapeutik
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FUNGSI1.Menghilangkan akumulasi serum & darah
2. Mengurangi tekanan
3.Evakuasi mediator inflamasi, bakteri, jar nekrotik, benda asing
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METODE
AKTIF
PASIF
Tekanan negatif Ex : vacutainer +butterfly cathether, suction
Gravitasi, gerakan tubuh, perbedaan tekanan & aliran Ex : penrose drain
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DRAINASE AKTIF
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DRAINASE PASIF
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HAL YANG HARUS DIPERHATIKAN:
•Menyebabkan iritasi / inflamasi jaringan•Bekuan darah, jaringan, eksudat kental, fibrin, benda asing à hambat drainase•Cek Balutan sekitar drainase jika basah segera ganti•Batasi aktivitas pasien•Dapat dilepas 2-5 hari• Jangan gunakan Penrose drain utk drainase thorax
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KOMPLIKASI
1.Hernia2. Trauma jar3.Gangguan metabolik : kehilangan cairan,
protein, elektrolit4.Resiko Infeksi bakteri multi resistant5.Kesembuhan luka tertunda6.Obtstruksi pada drains à akumulasi
cairan, bakteri mudah tumbuh
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BIOPSI
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•Pengambilan sampel untuk diagnosis lesi kulit, gangguan dermatologi, tumor• Short acting anestesi/injeksi lidocain sekitar lesi (0,5-1 ml/lokasi)•Anestesi umum diperlukan untuk biopsi organ viseral
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METODE
1. NEEDLE COREBIOPSY
2. PUNCHBIOPSY
3. INCISIONALBIOPSY
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1.NEEDLE CORE BIOPSY
• Sampel berasal dari Lesi Cutaneus, subcutaneus, lesi yg dalam tetapi masih bisa dipalpasi• Jarum 14-18 G• Lesi pada struktur yg dalam à laparoskopi atau USG•Mudah & cepat, pasien bisa dengan sedasi / tidak
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•Resiko hemorhagi• Sampel tdp artifak, sampel tidak akurat•Kondisi pasien sadar, tersedasi / anestesi umum
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A, If superficially located, incise the skin over the lesion. For masses sampled in an open technique, this may not be required. Insert the needle in the closed position and penetrate the capsule or pseudocapsuleof the mass.
B, Maintain the outer cutting sheath in its current position and further insert the inner sampling chamber into the lesion.
C, Maintain the inner sampling chamber in a stable position and thrust the outer cutting sheath to obtain the sample.
D, Withdraw the entire needle from the mass without changing the relative positions of the inner and outer portions of the device.
E, Hold the outer cutting sheath stable and extend the inner sampling chamber to remove the sample.(From Erhart NP,Withrow SJ: Biopsy principles. In Withrow SJ, MacEwen EG[eds]: Withrow & MacEwen’s small animal clinical veterinary
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2.PUNCH. BIOPSY
•Banyak digunakan pada lesi kulit• Sampel berbentuk silindris•Pengambilan sampel dg cara diputar•Gunting metzenbeum dimasukkan ke bagian bawah biopsi utk memotong jaringan
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Disposable Punch Biopsy
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3.INCISIONAL. BIOPSY
•Pengambilan jaringan cukup besar• Sampling pd limfonodus, GI tract,ginjal, massa lesi•massa Lesi umumnya tdk ada inervasi àpasien sadar/disedasi/ anestesi lokal
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BIOPSI PADA JARINGAN SPESIFIK
1. HEPAR•Ultrasound-guided needle biopsy•Dorsal recumbency à ultrasound exam utk evaluasi sebaran lesi à memanduneedle• Laparoskopi, hati2 A/V hepatik yg besar•Punch biopsy : ligasi pembuluh darah, kontrol hemorhagi dg elektrocauter
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2. GI TRACT• Fleksibel endoskop à ambil massa pada mukosa GI tract•Kasus limfosarkoma pd kucing tidak bisa mengambil sampel dg endoskopià tidak bisa membedakan kondisi
inflamasi•Kondisi limfosarkoma pd kucing à full thickness biopsy
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3. RENAL• Target sampling renal cortex•Pasien posisi lateral recumbency•Needle biopsyà 16-18 G
• Ultrasound-guided, percutaneous needle biopsy à for dogs less than 5 kg and for cats
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BALUTAN
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FUNGSIAid in wound healing• Cegah kontaminasi• Wound debridement• Melembabkan area luka
Support body part• Memberikan sedikit tekanan• Mengurangi pembengkakan dan hemohagi• Immobilisasi jaringan• Bantalan
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BANDAGE LAYER
Primary layer
Secondary layer
Tertiery Layer
• Absorption of wound exudate/ fluid
• Deliver medication Support
• Compression
• Protect from environtment• Hold bandage in place• Immobilizes
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Pemilihan Contact Layers
Fase kesembuhan
lukaJumlah eksudat
Lokasi & kedalaman
luka
Ada/tidak eschar Infeksi nekrosis
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1. PRIMARY LAYERS• Mechanical debridement• Jar. Nekrotik, eksudat ++++
• jar. granulasi• Lembab, absorbtif, tidak perlu
sering diganti (3-7 hr)
• Kedap air dan udara• Tipe luka dg sedikit eksudat
• Udara & eksudat dpt keluar
Adherent
Non Adherent
Occlusive
Semiocclusive
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Bandage Material1. MESH GAUZE
vTipe adherent dressingvAplikasi kering atau
basahvBahan : cotton,
polyester or rayon.
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v digunakan pd fase awal à granulationv nonadherentv hambat bakteriv hambat epitelisasi
Petrolatum-impregnated gauze
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vTransparent adhesive film dressing
vMenutup luka bergranulasi
vPenguapan air, tetapi air dari luar tidak dapat masuk
vocclusive terhadap bakteri
2. ADHESIVE DRESSING
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vBanyak diaplikasikan pada kedokteran hewanv Jenis :
1. Hypertonic saline2. Calcium alginate3. Polyurethane foam4. Hydrogel5. Hydrocolloid6. Medikasi topikal
3. HIDROFILIK
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HIPERTONIK SALINE
•20 % Sodium chloride• Luka dg infeksi, eschar, eksudat +++• Fase inflamasi•Adherent, semioklusif
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•CMC Na, hydoxyethylcellulose dengan pectin dan gelatin•Non adherent, semioklusif•Meningkatkan epitelisasi• Luka bakar ringan, eksudat sedikit
HIDROKOLOID
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•Non oklusif, non adhesive•Alginic acid dari algae Phaeophyceae pada rumput laut•Agen Hemostatik, stimulasi granulasi pada fase inflamasi
CALCIUM ALGINATE
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vefektif untuk debridement jaringan nekrotik, menahan air
v hambat bakterivmembutuhkan secondary layer utk menutup
HYDROGELS
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vPolyurethane foamvhighly absorptive,
multilayered dressingsvEpitelisasi, autolitik
debridementvkombinasi dgn hydrogels
untuk moderately exudative wounds sangat bagus
FOAM
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2. INTERMEDIATE LAYERS
• Lapisan penyerap•Menghilangkan dan menyimpan agen yang
merusak (mis., darah, serum, eksudat, debris,bakteri, dan enzim) dari permukaan luka.• Pertumbuhan bakteri terhambat jika
memungkinkan penguapan cairan dan eksudat• Harus memiliki kapilaritas untuk penyerapan dan
cukup tebal untuk menampung cairan.• Ex : Cotton Roll, cast padding
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Cotton roll
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Cast padding
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2. TERTIARY LAYERS
•Melindungi lapisan sekunder•Menjaga balutan agar tidak bergeser• Ex : elastic roll bandage, stockinette, elatic adhesive tape
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Teknik Aplikasi
PAW� Wounds à ventral or dorsal, or between the digits� Small pads of cotton wool should be placed
between the digits to reduce rubbing and moisture scalding
� A padding layer (cotton wool) à wrapped around the paw
� Wrapped spirally around the paw, enclosing all digits and finishing 4-5 cm proximal to the tarsus or carpus
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•Proximal limb wounds are especially difficult• Elizabeth collars may be helpful•Robert-John Bandageà For fractures of the humerus or femur the
distal edge
LIMBS
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LIMBS
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ROBERT JONES BANDAGE
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EHMER SLING
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•A little surgical tape zinc Oxide tape may be used•Placed In the ventral and dorsal surfaces of the pinna•ventral tapes are made longer than the dorsal tapes à flapped back
EARS
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� Little surgical tapeà hold a dressing in place
Mark the orientation of the ear to avoid accidents when removing the bandage
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HEAD
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• Elizabeth collar may be used•non-adherent dressing should be applied to the wound•cotton wool is used to pad out the area between the dressing and the outer bandage layer•carefully wrapped around the head
EYES
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•non-adherent dressings• The tertiary layers should be snug but not tight to prevent a tourniquet effect• trap some hair in the proximal part of the bandage to reduce slip-page
TAIL
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TAIL
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� body-stockingettes or tubebandage
� cotton wool may be wrappedaround the chest, followed bya conforming layer
� The bandage should start at the withers and progress àround the front of the right shoulder à left axilla à back up to the withers and down to the right axilla, round the front of the left shoulder
CHEST
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CHEST
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