ALGORITMA TATALAKSANA CEDERA KEPALA PADA ANAK

GCS ≤ 8

Bag/ mask ventilation, O2 – prepare for rapid sequence intubation, establish IV access, place RAPID SEQUENCE INTUBATION Atropine 0.01 mg/kg IV ANESTHETIC / SEDATIVE CHOICES Norvolemia : Thiopental 1-2 mg/kg IV Potential Hypovolemia : Lidocaine 1 mg/kg IV Midazolam 0.05 mg/kg IV Fentanyl 2 μg/kg IV

MUSCLE RELAXANT CHOICES Rocuronium 0.6-1.0 mg/kg IV Vecuronium 0.2 mg/kg IV Pancuronium 0.15 mg/kg IV Succinylcholine 1 mg/kg IV INTUBATION – Check endotracheal tube placement Maintain CIRCULATION and BLOOD PRESSURE Stable normocapnea Impending Herniation : Hyperventilation Thiopental 1 mg/kg IV Mannitol 0.25 mg/kg IV Furosemide 1 mg/kg IV

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