PENGANTAR

INTRO TO ANESTHESIA

ANESTESIOLOGI & REANIMASI

RSUD JAYAPURA
PAPUA
 ANESTHESIA
ANESTHESIA - Partial or complete
loss of sensation with or with out loss
of consciousness as result of disease,
injury, or administration of an
anesthetic agent, usually by injection
or inhalation.
 HISTORY OF ANESTHESIA
PRIMITIVE TECHNIQUES

Club
Strangulation
Alcohol
Mesmerism
Plants
 HISTORY OF ANESTHESIA
INHALATION AGENTS
Nitrous Oxide
1799 Davy

1824 Hickman

1844 Wells

Ether

1842 Long

1847 Snow
 HISTORY OF ANESTHESIA
INHALATION AGENTS
Modern Agents
Halothane 1956
Enflurane 1972
Isoflurane 1981
Sevoflurane and Desflurane
 HISTORY OF ANESTHESIA
LOCAL/REGIONAL

1836 needle trochar

1844 hollow needle
1851 syringe
1884 Koller opthalmic anesthesia
1885 Hallstead/Hall local/regional
blocks
1898 Bier spinal
CARA PEMBERIAN ANESTESI :

MASKER

INHALASI ORAL
UMUM INTUBASI
NASAL
ANESTESI UMUM

REGIONAL : - LOKAL (INFILTRASI)

- BLOCK SARAF
- PERIDURAL
- SPINAL (SAB)
(Sub Arachnoid Block)
- DLL
ANESTESIOLOGI & REANIMASI
 VISI PERAN ANESTESIOLOGI & REANIMASI
1. Mempertahankan hidup Ilmu Kedokteran 2. Mengurangi penderitaan

Hakekat anestesiologi &

reanimasi

OK / Kamar Bedah
Nyeri Peri Operatif

Nyeri Cronic
Transportasi

Nyeri Acute

Palliatif /
Bencana

Cancer
On site Wilayah penerapan

IRD
ICU
RR
Physiologi
Farmakologi Landasan ilmu dasar
Patologi
Pengembangan SDM seutuhnya,
IPTEK
teknis-professional, manajerial,
komunikasi - interpersonal
Team building multi disiplin/profesi/sektor
System development Landasan organisasi &
SPGDT/B/P manajerial
Transportasi-komunikasi (Ramed)
Iman & taqwa
IMTAQ Etika : Saya senantiasa mengutamakan Landasan spiritual
kesehatan penderita
EKBIS Ekonomi & Bisnis Landasan ekonomi
Dalam KONAS di Yogyakarta 1998
Sudah diterima nama menjadi Anestesiologi & Reanimasi
 VISI PERAN ANESTESIOLOGI & REANIMASI
Ilmu Kedokteran
1. Mempertahankan hidup 2. Mengurangi penderitaan

Hakekat
anestesiologi
&
reanimasi

OK / Kamar Bedah

Nyeri Peri Operatif

Nyeri Cronic
Transportasi

Nyeri Acute
Bencana

Palliatif /
Wilayah

Cancer
On site

penerapan
IRD
ICU
RR

KPPIA IDSAI/Jogja,16-17 Des05/Koes

 Advance General Emergency Life Support (AGELS)

PTC Advance General Emergency

Life Support (A. GELS) for
Anesthesiologist
ATLS
High risk
High frequency
BLS High success
ALS Procedure
- Primary prevention
- Secondary prevention

Local specific
- Malaria
Pathophysiology - DHF
& pharmacology - GE
BLS : Basic life support (A, B, C, BRAIN)
ALS : Advance life support
ATLS : Advance trauma life support (Trauma oriented L.S)
ACLS : Advance cardiac life support (Cardiac oriented L.S.) PTC : Primary trauma care
NLS : Neonatal life support A : Airway
PLS : Pediatric life support B : Breathing
OLS : Obstetric life support C : Circulation
LANDASAN IDEAL UNTUK TEAM BUILDING

Saya senantiasa mengutamakan kesehatan

(keselamatan) penderita

WHAT IS THE BEST FOR MY PATIENT

NOT
WHAT IS THE BEST FOR ME
( Do it my way)
 Apa peran Dokter ?

1. To protect and save life

2. To alleviate suffering
 Tujuan Umum
Better patient care
Through better team work
Based on better knowledge
and better understanding
 ANESTESIOLOGI
BEDAH &
REANIMASI

Sharing common knowledge

Better understanding

Mutual respect and mutual need satisfaction

Better teamwork

Better patient care

STRATEGI DASAR PENANGGULANGAN
PASIEN GAWAT DARURAT DI IRD

1.Tahap Life Support (Resusitasi Stabilisasi)

Leading sector : Anesthesiologi Reanimasi
Supporting sector : Bedah

2. Tahap Definitif Diagnosis Definitif Treatment

Leading sector : Bedah
Supporting sector : Anesthesiology Reanimasi

(Konsep diatas dikenal dengan nama Shifting Leadership)

 Hak hak pasien
1. The right to be respected
2. The right for safety
3. The right for information
4. The right to choose
5. The right to be heard
 Landasan Etik Dasar

Saya senantiasa mengutamakan

kesehatan ( keselamatan )
penderita.
Be FRIENDLIER
Be SAFER
Be FASTER
In a Team of
PROFESSIONALISM
07.00 datang pasien laki laki 58
tahun / 65 Kg, turun dari mobil,
didorong diatas kursi roda menuju ke
triage.
Bagaimana sikap anda......