CARDIAC ARREST

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CARDIAC ARREST

DJUDJUK RAHMAD BASUKI Lab.Anestesiologi & Reanimasi FK Unibraw/ RS Dr.Saiful Anwar Malang

Definisi :
Efektifitas gerakan mekanik jantung (-), gerakan elektrik (+)/(-).  Meliputi : * Asistol * Ventrikular takhiaritmia ( VT/VF ). * Pulseles elektrical activity (PEA) : © EMD © Idioventrikular rhythms © Bradyasistole rhytms


Pasien yg beresiko :
Aritmia yg tdk diket penyebabnya.  Hipovolemi & schock.  Iskemik miokard / infark.  Trauma besar :


©Tamponade jantung. © Tension pneumo thorak. © Ruptur pemb darah besar.

© © © ©

Hipoksemia dan hiperkarbia. Keracunan obat, mis digitalis. Ggn elektrolit, Hiperkalemia. Total spinal

Pencegahan :
  




Obati aritmia khronis. Hindari operasi elektif sth MI. Pace maker utk Blok atrio ventrikular. Resusitasi cairan pd hipovolemia. Terapi total spinal.

Penanganan :
1.

2.

Cek monitor: Tensi, EKG Karotis, femoral dll. Minta bantuan. Beri tahu operator, stop operasi. Minta bantuan asisten,anestesi lain. Minta troley resusitasi. Masukkan obat: SA, adrenalin, Na Bik

3. Matikan gas anestesi, Beri O2 100%. 4. Mulai BLS : AIRWAY : © Jaga airway dan intubasi secepatnya.
BREATHING : © Ventilasi mekanik. CIRCULATION : © Minta tolong operator PJL. 5. Diagnosa & terapi aritmia

Ventricular aritmia ( VT/VF ) :
1. 2.

DC SCHOCK 200,300,360 j. Cek irama : Jika tetap/kembali VF/VT : © Adrenalin 1 mg iv,ulangi tiap 3-5 mnt © Ulangi DC 360 J.

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