Ryan Pra man a V

€ f Al
cervical hndakannya
I
bs sampai
→
C -
L

dam spinal > bain

→ erek
Kvnya
even
antinyennya sangat lama pas ca op
→

↳
.

(
nyeri kronihl cancer
pd psn
↳
nyeri post operator
↳
pd psn Sdh dgn tolerant obateaeh

belt block -
b
pd psn operasi masteatomi
blok Servi Cal 7 -
t 12
↳ di sunt Kan tf -
to

spray obatnya
anti
heat as the bawah .

Epidural space =
berfelcanan -0 antara leg .
flavum 2 Dara
besar
Ukurannya 18g b semakin ang ka
-

seemakin weal
jarumnya .

Blokadle iblohade stimulus nyerithilanghan tonus de ( TJ 4)

Moka
somatic vasomotor
-

Oton om blokade simpatis CT C )

i -
↳
vasodilatationa , pooling
blohade daran , preload I
parasrm (c -
S )
Blokade 67 i
t peristaltic
1310k Th - b b) oh Kenya adrenal
→

hiperglikemia
Kaneria tetgadi pooling
darah →

Cai ran
to -20
my kg
to Pakal Tuohy needle
Teknik loss of resistance Palle spait for Mei spuitnya mengempislmendoroag
=
-
= -
r

hanging drop pd teh

-0
Gloat anes Conal =
isobars Nb Mandvi dile pas men yen heh
stfh lig .

Volume 7
ga spinosa m , kshcairan di
↳ doses garum ,
stchitu arakan
ujung
ketankgk
. I -

2mi
( Seg men Sdh sampai epidural

↳ bupivauain
ropivaucuih
-
Derek anestetinya sampe ggam I
Epidural digunahan al op .

gang ka panjang .

lndikasi i bs TIX 6- A
Opera ti abdomen bawah ,
inguinal sun , rectal . @ Usbwa
operas gaming
.
 Pedoman dogs I -2mL
( segmen
=

if duragi
Epi netrin
to absorbsi di p d -
.

F sceealotar
Opioid
-
.

Dons t e
Una hea

1-Darn hebocoreen LCS

b um -
ferlcauedlm nusuusmpe Kena
✓ omplihah PDPH t LCS ( H 150 500Mt ) ( teal CS H2O) Sdb
Mang
'

5- 15cm OF
-
i
i -

arachnoid
↳ nyeri

(
ke pala
berkurang Saat bemoaning
disunite duduk duke frs
baring →
Sanaga nyerinya
-
-

↳ Shada PDPH -

blakeman management / berbeda

↳ 78% Sembah dear I -

cmgg

Creegan , um
.

Mengoni ↳ ' htadaperbaikan →

Finds:L!aatfaegea.ie ,
hrraabanngkk,
shivering Zobatisimphsmatih
Henri janning ↳ Ik x membaik
terapi Oral scar Fein 300mg / Kopi
↳ . minum

POHV nm opioid IV

}
r
-
.

perempaab Spinal ( Epic ga

↳
tiipotengr
Rew : motion sickness

muntahzmual