PREMEDIKASI

ANESTESI
Maizola Putri,S.Ked
Pembimbing : dr. Isrun ,Sp.An
Pendahuluan
 ANESTESI
LOKAL TRIAS ANESTESI
-Hilang rasa sakit
- Tidak hilang kesadaran Hipnotik
01

02 Analgesik
UMUM
-Hilang rasa sakit 03
- Hilang kesadaran Relaksasi
Tinjauan Pustaka
 Definisi

An : tidak Anestesi Aisthesis :

perasaan

kehilangan perasaan nyeri yang diinduksi untuk

memungkinkan dilakukannya pembedahan atau
prosedur lain yang menimbulkan rasa nyeri
Evaluasi Preoperatif

1 Anamnesis

2 Pemeriksaan Fisik

3 Pemeriksaan Penunjang

4 Puasa

5 Surat persetujuan tindakan medis

Anamnesis

RPS
Jenis Anestesi yg
digunakan RPD

Riw. Operasi Anamnesa RPK

Riw. Sosial
Riw. Obat-obatan
Riw. Alergi
Pemeriksaan Fisik

03
02
01 Status
Status
Lokalis
TTV generalis
Pemeriksaan Fisik (Px GA + intubasi)
LOOK MALLAMPATI NECK
Lihat karakter yg Periksa lidah, Mobilitas
dapat menyulitkan palatum, ovula dan
intubasi tonsil

L E M O N

EVALUASI OBSTRUKSI
Evaluasi aturan Evaluasi stridor/
benda asing dan
3-3-2
bentuk lain dari
obstruksi
 Darah
Urin
-Hb
-Pemeriksaan fisik
-Hct
- Kimiawi
-Eritrosit
Pemeriksaan - Sedimen urin
-Leukosit
Penunjang
-Hitung jenis
-Trombosit
-CT
-BT
 ASA
ASA I
Tidak ada gangguan fungsi organis,
fisiologis, biokimia, atau psikiatri

ASA VI ASA II
Pasien yang sudah dinyatakan mati batang Gangguan sistemik ringan hingga sedang,
otak dan organnya akan digunakan untuk bisa/tidak berpengaruh terhadap alasan
tujuan donor. dilakukannya operasi

ASA V ASA III

Pasien dengan kemungkinan hidup yang Gangguan sistemik berat yang bisa/tidak
kecil namun tetap dioperasi sebagai berpengaruh terhadap alasan dilakukan-
upaya terakhir (usaha resusitasi). nya operasi.

ASA IV
Gangguan Sistemik berat yang membahayakan
nyawa, dengan/tanpa operasi.
Stadium Anestesi
Stadium Respirasi Pupil Depresi Refle
ks
Ritme Volume Ukuran Letak

I. Analgesik-Tidak sadar Tdk teratur Kecil Kecil Divergen Tidak ada

II. Sampai pernafasan teratur Tdk teratur Besar Lebar Divergen Bulu & Kelopa
k mata
III. P1: sampai gerakan bola Teratur Besar Kecil Divergen Kulit
mata hilang konjungtiva

P2: sampai awal parase otot lurik Teratur Sedang ½ lebar Menetap Kornea
ditengah
P3: sampai otot nafas lumpuh Teratur pause Sedang ¾ lebar Menetap Faring
ditengah peritoneum
P4: sampai diafragma lumpuh Tdk teratur, Kecil Lebar ma Menetap Sfingter ani &
nafas cepat& x ditengah karina
panjang
IV. Henti nafas- henti jantung - - - - -
Mallampati

1 Pilar faring, uvula, dan palatum mole terlihat jelas

2 Uvula dan palatum mole terlihat sedangkan pilar

faring tidak terlihat

3 Hanya palatum mole yang terlihat

4 Pilar faring, uvula, dan palatum mole tidak terlihat

Stadium Anestesi

I II III IV

pemberian zat anestetik hilangnya kesadaran dimulai dengan teratur dimulai dengan melemah
sampai hilangnya kesad dan refleks bulu nya pernapasan nya pernapasan perut di
aran mata sampai sampai pernapasan sp banding stadium
pernapasan kembali ontan hilang III plana IV
teratur
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