MONITORING PERIANESTESI :

CLINIC AND ELECTRONIC

Depi Prasastyo

ANESTESI
An act of relieving pain while
performing surgery and various other
procedures that cause pain in the
body

STAGES OF ANESTHESIA
1. Analgesia
2. Delirium / excitation, hiperrefleksi
3. Surgery
4. Paralysis of the medulla oblongata

PREPARATION TOOLS ANESTHESIA

Mask
Laryngoscope
Endotracheal
stylet
Goedel

Jackson Rees
Jelly
Cotton alcohol
Plaster
Xilocain pump
Naso

GENERAL ANESTHESIA DRUGS

1. Sulfas atropine
2. Pethidin
3. Propofol / Recofol
4. Succinil Cholin
5. Tramus
6. Ephedrine

EMERGENCY MEDICINE
1. Atropine
2. Ephedrine
3. Ranitidine
4. Ketorolac
5. Metoklorpamid
6. Aminofilin
7. Tranexamic acid
8. Adrenaline
9. Kalmethason
10. Furosemide (a must have for urology patients)
11. Lidocaine
12. Gentamicyn eye ointment
13. Oxitocyn (for patients obsgyn)
14. Methergin (for patients obsgyn)

COMPLETENESS OF OPERATING
ROOM
1. Machines Anesthesia
Checking whether halothane / isoflurane in
a fully charged state
Install cable and turn on the machine
Install pipe oxygen and N2O
Checking the oxygen pump, whether
functioning or not
Check whether exhaust pipe is plugged and
abandoned in the right place

Important things in mind to do :

- The flow of oxygen there are two paths, not to
choose the wrong path. There are paths for masks
and there is a path for nasal.
- Disposal of air going through sodalime (stones)
that functions bind CO2. (Report sodalime have
changed color when the very old)
- Monitoring the state of the machine is important
to know the patient's airway. Ask the stylist to
teach how to read it.
- Tools of spontaneous respiration regulator to
control

2. Anesthesia Monitors
Ensure a minimum of tension and saturation
attached
3. Suction
Check whether the suction works well or not.
4.'Hands table
5. Pillows

PREPARATION PERIANESTESI
1. Collecting Data
2. Determine the existing problems in
patients for which data
3. Preparing for the worst that will happen
4. Doing preparation to prevent the worst
that will happen
5. Determining the physical status of the
patient
6. Determining anesthesia

HISTORY
- Previous anesthesia and surgery.
- Systemic disease (DM, HT, cardiovascular, TB,
asthma)
- Use of certain medications
- Diets
- Use of false teeth in a patient
- The habits of patients
- Family history of disease

PHYSICAL EXAMINATION
breath
blood
brain
bladder
bowel
bone

LABORATORY STUDIES AND RADIOLOGI

a. Standard examination of the test blood (hemoglobin
levels, leukocyte, bleeding time, clothing time or APTT &
PPT)
b. The level of fasting blood sugar
c. Liver function tests
d. Renal function test
e. Radiographic examinations
f. Examination as a supplement to the indication of blood
sugar 2 hours post prandial, an EKG for patients> 40
years
g. In major surgery and may also be problematic check the
levels of albumin, globulin, blood electrolytes, CT scans,
pulmonary function, and physiology of hemostasis.

COMPLICATIONS PREPARATION WOULD

HAPPEN

1. Cardiovascular
Disease

2. Respiratory
Diseases

3. Diabetes
Mellitus

4. Liver Disease

SEQUENCE OF GENERAL ANESTHESIA

patient lay
lay on
on the
the

Bring
Bring the
the patient
patient to
to
the
operation
the operation
completes
completes RR.
RR.

operating
operating table.
table.

Attach tension,
saturation,
precordial.

Turn on the
monitor and the
anesthesia
machine.

Set
Set the
the speed of
of
infusion.
infusion.

report to the
consultant, and the
operator

eyelash
eyelash reflex.
reflex.

pairs
pairs of
of masks
masks

Inject Recofol

Raise oxygen to 610 l

When
When the
the operation
operation
is
is nearing
nearing
completion
completion reduce
reduce
the
the dose
dose gradually
gradually
until
until then
then stay
stay
oxygen
oxygen alone.
alone.

Inject premedication

reduce oxygen to 3
l

Next live art

anesthetic.

pray

increase N2O into

3l.

Note infusion,
pulse, blood
pressure,
saturation, pump
or monitor
machine

anesthesia already
be done.
open isoflurane /
halothane

do pumping when
needed.

And
And wait
wait until
until the
the
patient
is
patient is awake
awake

MONITORING PERIANESTESI
1. Depth of anesthesia
2. Cardiovascular
3. Ventilation respiration
4. Temperature
5. Production of urine
6. Therapy Fluid
7. Circuit anesthesia

CONCLUSIONS

General anesthesia is a central act of negating pain,

accompanied by loss of consciousness and is
reversible consisting of hypnotic analgesia and
relaxation. Prior to general anesthesia, the patient
should be assessed which includes some things that a
patient's health status, physical examination,
laboratory tests and to determine the physical status
classification according to the American Society of
Anaesthesiologist (ASA). During anesthesia,
performed monitoring the general state of
consciousness, blood pressure, pulse, respiration,
temperature and bleeding. If there are difficulties
for implementing general anesthesia, such as airway
and intubation, should be treated with care

TERIMA KASIH
THANK YOU
MATUR SUWUN