Nama :J ASA PS :2

Usia/JK : 64 / L Diagnosa : Closed fracture middle right clavicle

RM : 232462 Tindakan : ORIF Plate and Screw
BB/TB : 50 / 160 VAS Pre-op : 2/10
BMI : 19,53 Opioid Pre-op : tidak ada
Jam mulai anestesi : 10:00 Jam selesai anestesi : 11:40
Jam mulai operasi : 10:15 Jam selesai operasi : 11:30

Contoh pengisian
Fentanyl Keterangan
Jam Menit HR TD MAP BIS PPI Isofluran
(Rescue) Insisi Kulit
10 10 72 130/72 86 46 5 1.2 ×
15 101 152/89 95 50 8 30
20 78 90/60 70 32 4 1

TD Alat bantu monitor

Jam Menit HR MAP Isofluran Fentanyl
Sistole Diastole BIS PPI
10:00 0 74 117 74 88.3333 45 1 1.2
5 74 115 72 86.3333 48
10 75 114 69 84 47
15 72 116 68 84 46
20 70 116 72 86.6667 43
25 75 121 70 87 46
30 72 114 72 86 66 1
35 76 113 74 87 47
40 86 119 69 85.6667 45 1
45 92 132 78 96 67 1 1.5
50 90 121 76 91 52
55 89 120 74 89.3333 50
11:00 0 88 118 70 86 49
5 78 116 71 86 51
10 84 121 75 90.3333 53
15 87 124 76 92 51
20 88 123 78 93 54
25 86 122 72 88.6667 48
30 88 126 74 91.3333 44 1
middle right clavicle

Keterangan
Periosteum

Keterangan Jam NRS Rescue Fentanyl

Insisi Kulit Periosteum Diam Gerak
2 4/10 6/10 25
4 3/10 4/10
6 3/10 4/10
× 12 2/10 3/10
24 2/10 3/10
Jumlah 25