Nama :T ASA PS :1

Usia/JK : 25 / L Diagnosa : Closed fracture 1/3 medial right clavicle

RM : 223368 Tindakan : Remove of implant
BB/TB : 55 / 165 VAS Pre-op : 0/10
BMI : 20,20 Opioid Pre-op :0
Jam mulai anestesi : 14:00 Jam selesai anestesi : 16:10
Jam mulai operasi : 14:20 Jam selesai operasi : 16:00

Contoh pengisian
Fentanyl Keterangan
Jam Menit HR TD MAP BIS PPI Isofluran
(Rescue) Insisi Kulit
10 10 72 130/72 86 46 5 1.2 ×
15 101 152/89 95 50 8 30
20 78 90/60 70 32 4 1

TD Alat bantu monitor

Jam Menit HR MAP Isofluran Fentanyl
Sistole Diastole BIS PPI
14:00 15 78 121 78 92.3333 42 1 1.2
20 76 128 68 88 46 1
25 75 124 72 89.3333 42
30 76 122 68 86 44 1
35 76 120 79 92.6667 43
40 80 118 72 87.3333 49 2
45 75 119 69 85.6667 54
50 78 120 68 85.3333 55
55 80 121 72 88.3333 58
15:00 0 76 122 68 86 50
5 74 112 60 77.3333 35 2 1
10 68 120 68 85.3333 44
15 67 119 72 87.6667 48
20 66 116 72 86.6667 45
25 68 118 68 84.6667 44
30 68 121 72 88.3333 42
35 70 114 80 91.3333 43
40 66 110 68 82 42
45 68 112 72 85.3333 46
50 69 108 64 78.6667 36 2 0.8
55 70 112 68 82.6667 41
16:00 0 72 118 72 87.3333 44 1
/3 medial right clavicle + Post ORIF

Keterangan
Periosteum

Keterangan Jam NRS Rescue Fentanyl

Insisi Kulit Periosteum Diam Gerak
2 1/10 2/10
× 4 1/10 2/10
6 2/10 3/10
12 2/10 3/10
24 1/10 2/10
× Jumlah