Format Parade Baku

Parade Pagi Selasa 01 Januari’
2018
OKA 2
DPJP: dr. Kulsum, Sp. An
3 Rencana Anestesi
OKA II
DPJP : dr. Kulsum, Sp. An
Tim: dr. Riswandi/ dr. Elizar/ Rizki/ Baqir
Operator: dr. Yusra, Sp.OG
2.1. Ny F. 27 thn
Diagnosis : G1 hamil 38 minggu + JPBTH + Infertil sekunder 3 thn
Prosedur : Sectio Caesarea
Status Fisik : ASA II Kehamilan
-Anemia (Hb: 9,6 gr/dl)
Rencana : Spinal Anestesi

Post Op : Ruangan
OKA II
2.2. Ny. R. 49 thn
Diagnosis : NOK susp. Malignancy
Prosedur : Debulking Tumor
Status Fisik : ASA III
-Distensi Abdomen, Lk perut 75 cm, Venektasi +, RR: 25
x/mnt, SPO2: 99% Room Air
Rencana : GA
Post Op : HCU
OKA II
2.3. Ny. S. 61 thn
Diagnosis : NOK susp. Malignancy
Prosedur : Debulking Tumor
- Distensi Abdomen, Lk perut 92 cm, Venektasi +, RR:
28x/ mnt, SPO2: 98%
- HT stage I, TD: 151/87 mmHg, Mets 5-6, murmur-,
gallop-, EKG: NSR 91 bpm, CXR: Cardiomegali (+), CTR:
54%, terapi-
- Anemia, HB: 10,1 gr/dl
Rencana : GA + Persiapan CVC

Post Op : HCU
OKA 3
DPJP: dr. T. Yasir, Sp. An KIC
4 Rencana Anestesi
OKA 3
DPJP : dr. T. Yasir A, Sp. An KIC/Tim: dr. Iqbal/dr.Aulia/
dr.Anggie/dr.Ida
Operator: dr. Iskandar, Sp. THT
3. 1. Tn MR, 30 Thn (TS)
Diagnosis : Tonsilitis Kronis
Prosedur : Tonsilectomy
Status Fisik : ASA 1
- Tanpa penyulit airway
Rencana : GA
Post OP : Ruangan
OKA 3
dr. Anggie/dr. Ida
Operator: dr. Novia, Sp. THT
3. 2. An MK, Lk 12 Thn BB 66kg
Diagnosis : Tonsilitis Kronis
Prosedur : Tonsilectomy
- Peningkatan Enzim Hati SGOT: 76, SGPT: 115
- Obesitas Class 1 ( BB: 66kg TB: 140 BMI: 33) Stopbang
Score 2 Low Risk
Rencana : GA
Post OP : Ruangan
OKA 3
dr. Anggie/dr. Ida
Operator: dr. Benny, Sp. THT
3. 3. SZ, Lk 56 Thn
Diagnosis : Non Hodgkin Limfoma
Prosedur : Open Biopsi
- PPOK ec Perokok Kronis ( RR: 18 SpO2: 96% Room Air)
CXR: Massa Mediastinum ( Klinis Tenang)
- EKG: Brugada Syndrom ( V1 V2, Klinis Pingsan -, Nyeri
Dada -, Cepat lelah -, murmur -, gallop -)
- DM Tipe 2 ( GDS 204 g/dl) Lantus 0-0-0-8 IU
Rencana : GA
Post OP : Persiapan ICCU
OKA 3
dr. Anggie/dr. Ida
Operator: drg. Rusli, Sp.BM
3. 4. Ny M, 54 Thn
Diagnosis : Osteomilitis + Fraktur Mandibula + Nekrose Pulpa
Prosedur : Ekskoreasi + Squesterectomy + Ekstraksi gigi +
Debridemen
- Anemia 10,3 g/dl
- Riw. Kemoterapi 5 kali 3 tahun yang lalu
- Kemungkinan sulit Airway
Rencana : GA
Post OP : Ruangan
OKA 4
DPJP: : dr. T. Yasir, Sp.An
9 Rencana Anestesi
OKA 4
DPJP : dr. T. Yasir, Sp.An.
Operator : dr. Munthadar, Sp.B
Tim : dr. Iqbal/dr. Aulia/Ida/Anggie
4.1. By MM, L, 1 Bulan, BB 10 Kg
Diagnosis : Atresia Ani Post PSARP + Wound Dehisence
Prosedur : Redo PSARP
Status Fisik : ASA II
- Anemia, Hb 9,5 gr/dl,
- Leukosit, 11.600/mm3,
- Trombositosis, 537.000/mm3.
Rencana : General Anestesi-Caudal
Post Op : Ruangan
OKA 4
Operator : dr. Munthadar, Sp.B
4.2. YM, L, 1 Bulan, BB 3,8 Kg
Diagnosis : Kista Choleducus
Prosedur : Laparatomi + Eksisi CBD + Rouxen Y Anastomosis
- Distensi Abdomen, LP 48 cm, Venektasis (+) ec Obstruksi
Bilier ec Kista Choleducus,
- Ikterik ec Obstruksi Bilier ec Kista Choleducus,
SGOT/SGPT, 139/142, Bilirubin Direct 8,63, Bilirubin Total
11,59,
- Anemia, Hb 10 gr/dl.
Rencana : General Anestesi
Post Op : ICU+ Ventilator
OKA 4
Operator : dr. Dia Adi, Sp.BA
4.3. MT, L, 6 Thn, BB 18,8 Kg
Diagnosis : CKD Stage V
Prosedur : Redo CAPD
- CKD on HD Reguler, Hd terakhir Tgl 15/8/2018, ur/cr Post
HD 59/2,98, UO : 2cc/Kgbb/Jam,
- Anemia Hb 6,6 gr/dl, Klinis Tidak Pucat,
- Hipokalemia Ringan 3,0 on Terapi Ksr 2x600mg.
Post Op : Ruangan
OKA 4
Operator : dr. T. Yusriadi, Sp.BA
4.4 MS, L, 2 Tahun, BB 10 Kg
Diagnosis : Wound Dehisence Post Laparatomi ec Appendisitis
Perforasi
Prosedur : Debridement + Sekunder Hecting
- Anemia, Hb 9,1 gr/dl,
- Leukositosis 35.200/mm3.
Post Op : Ruangan
OKA 4
Operator : dr. T. Yusriadi, Sp.BA
4.5. CH, L, 11 Tahun, BB 25 Kg
Diagnosis : Infected Wound + Wound Dehisence Post Laparotomi
Eksplorasi
Prosedur : Debridement + Sekunder Hecting
Status Fisik : ASA I (Tanpa Penyulit Airway)

Post op : Ruangan
OKA 4
Operator : dr. Yopie, Sp.BTKV
4.6. MH, L, 15 Tahun BB 40kg
Diagnosis : Abses ar Femur Dex + Sin
Prosedur : Tutup Defect + Sekunder Hecting
- Anemia, Hb 8.9 gr/dl.
Saran : Koreksi Hb Target 10 gr/dl

Post Op : Ruangan
OKA 4
Operator : dr. Yopie, Sp.BTKV
4.7. MN, L, 47 Tahun
Diagnosis : Abses ar Cruris Sin
Prosedur : Tutup Defect + Sekunder Hecting
- Dm Tipe 2, GDS 182mg/dl, Th : Humalog
10-10-10 ui, Lantus 0-0-0-18 ui.(Pagi ini GDS 198g/dl)

Post Op : Ruangan
OKA 4
Operator : dr. Suhardi, Sp.B
4.8. Ef, L, 42 Tahun
Diagnosis : Ulcus Diabeticum ar Pedis Sin + Dex
Prosedur : Debridement
- Dm Tipe 2 Terkontrol, GDS 181 mg/dl, Terapi Novorapid
8-8-8 ui, Lantus 0-0-0-12 ui, (KGDS: 131g/dl)
- AKI Stg 2, ur/cr (114/2,75 mg/dl), OU > 0,5cc/Kgbb/Jam,
- Diare Akut Dehidrasi Sedang.
Saran : - Periksa EKG Konsul Kardiologi,
- Tatalaksana Diare Terlebih Dahulu.
Post Op : Ruangan
OKA 4
Operator : dr. Suhardi, Sp.B
4.9. Sa, L, 56 Tahun
Diagnosis : Selulitis ar Pedis Dextra
Prosedur : Debridment
- Dm Tipe 2 Terkontrol, Kgd 177mg/dl, Terapi Apidra 10-
10-10 iu, Lantus 0-0-0-12 ui,( Pagi ini GDS: 217 g/dl)
- Anemia, Hb 10.3 gr/dl.
Post op : Ruangan
OKA 5
DPJP: dr. Teuku Yasir, Sp. An, KIC
11 Rencana Anestesi
OKA 5
DPJP : dr. Teuku Yasir, Sp. An, KIC
Operator: dr. Mirna, Sp.BP
Tim: dr. Iqbal/ dr. Aulia/ Anggie
5. 1. Tn IR, 14 thn, BB: 42 kg
Diagnosis : Fracture zygoma
Prosedur : Rekonstruksi + ORIF
- Riwayat penurunan kesadaran (+) 1 minggu yll GCS
saat ini 15
- Anemia Hb: 10,2 gr/dl
- Leukositosis 18.600/mm3
- Kemungkinan sulit airway, buka mulut 2 jari
Rencana : General anestesi

Post OP : Ruangan
OKA 5
Operator: dr. Yosrizal, Sp.BM
5. 2. Ny HK, 34 thn
Diagnosis : Fracture nasal
Prosedur : Elevasi dan Rekonstruksi
-Riwayat penurunan kesadaran (+) 1 minggu yll, GCS saat
ini 15 thn, muntah (+)
-Kemungkinan sulit airway, buka mulut 2 jari

Post OP : Ruangan
OKA 5
5.3. Tn Rj, 13 thn, BB: 32 kg
Diagnosis : Hipertrophy scar ar abdomen
Prosedur : Eksisi skar
Status Fisik : ASA I

Post OP : Ruangan
OKA 5
Operator: dr. Samsul Rizal, Sp.BP-RE
5.4. Tn RH, 47 thn
Diagnosis : Defect ar Abdomen (post operasi Laparotomi Explorasi
mechanical bowel obstruksi)
Prosedur : Tutup defect
- Auskultasi : Murmur 4/6 (TD: 130/89 mmHg)
- Anemia Hb: 11,8 g/dl
- Leukositosis 12.300 /mm3

Post OP : Ruangan
OKA 5
5.5. R, lk, 6 thn, BB: 20 kg
Diagnosis : Flame burn injury grade IIa- IIb 72% (Badan, Tangan
Kanan kiri, Badan depan belakang, Kaki kanan kiri)
Prosedur : redebridement
-Anemia Hb: 7,5 g/dL
-Hipokaliemia 2,7 mmol/L
- Hiponatremia 127 mmol/L
Saran : Koreksi Hb target>10 g/dL
Koreksi Kalium sampai >3,5 mmol/L
Post OP : Ruangan
OKA 5
5.6. MH,lk 3thn, BB: 15 kg
Diagnosis : Scalding injury grade II a ( Wajah, Tangan Kanan kiri)
Prosedur : Redebridement
-Leukositosis 23.800/mm3

Post OP : Ruangan
OKA 5
5.7. KA, lk, 14 thn , BB: 45 kg pedis
Diagnosis : Defect ar pedis dextra
Prosedur : tutup defect
-Riwayat penuruan kesadaran(+) 2 minggu yg lalu, GCS
saat ini 15
-Anemia Hb: 11,4 gr/dl

Post OP : Ruangan
OKA 5
5.8. Ny SA, 22 thn
Diagnosis : Luka bakar grade IIa IIb 16 %
Prosedur : Redebridement
-Epilepsy : kejang terkhir 5 hari yang lalu, kejang tonik
klonik, th: phenitoin 3x100,
-ISPA 2 bln batuk(+)dahak (-) Wh (+/+), RR 20 x/i nebul
ventolin 1rsp
-Leuksitosis 14.200/mm3

Post OP : Ruangan
OKA 5
Operator: dr. samsul rizal, Sp.BP-RE
5.9. Tn Sy, 62 thn
Diagnosis : Defect ar cruris dextra
Prosedur : debridement
-Anemia 10,6 g/dl
-Geriatri 62 thn

Post OP : Ruangan
OKA 5
5.10. Ny S, 48 thn
Diagnosis : Ulkus diabetikum ar pedis dextra
Prosedur : Debridement
-DM tipe 2 (GDS: 285) apidral 8-8-8, lantus 0-0-12 ( GDS
pagi :247)
-HT stg I (140/90 mmHg) METs 4-5 EKG: nrs 94 bpm,
CXR: Cardiomegali (-) th – ( TD Pagi: 145/90mmHg)
-Riwaya CVD non haemorhagik (+)4 thn yg Lalu
-Anemia 10,2 gr/dl
-Trombositosis 674.000
Post OP : Ruangan
OKA 5
5.11. Tn AA, 45thn
Diagnosis : Post debridement ai defect, th (-)
Prosedur : redebridement
Status Fisik : ASA III,
-Schizofrenia, th: risperidon 3x2 mg, diazepam 1x2 mg
-Anemia Hb: 9,3 g/dl

Post OP : Ruangan
OKA 7
DPJP: dr. Azwar Risyad, Sp. An
7 Rencana Anestesi
OKA 7
DPJP : dr. Azwar Risyad, Sp. An/Tim: dr. Wandi/
dr. Rian/Anwar
Operator: dr. Dahril, Sp.U
7. 1. Ny E , 56 thn
Diagnosis : Hidronefrosa Grade 1 sin ec batu pyelum sin
Prosedur : PCNL sin persiapan open
Status Fisik : Kesan Asa II
- Obesitas Gr II (TB 165 cm, 105kg) BMI
38,6.Intermediate risk,OSA (stop bang 3)
- CTR : Cardiomegali (+)CXR 58 %, TD 132/81 mmHg

Post OP : Ruangan
OKA 7
dr. Rian/Anwar
Operator: dr. Dahril, Sp.U
7. 2. Tn R 60 thn
Diagnosis : Ca buli+Hidronefrosa sin
Prosedur : TURBT + Biopsi
Status Fisik : Kesan Asa II
- HT stage 1 (TD 144/97mmhg), METs >6 , EKG Nsr
67bpm, CXR : cardiomegali (-)CTR 46% th -

Post OP : Ruangan
OKA 7
dr. Rian/Anwar
Operator: dr. Safrizal R, Sp.OT
7. 3. Mr A, 19 th
Diagnosis : Union Fracture Femur Dext
Prosedur : ROI
Status Fisik : Kesan ASA I
- tanpa penyulit airway

Post OP : Ruangan
OKA 7
dr. Rian/Anwar
7. 4. Mrs S, 18 th
Diagnosis : Fracture femur sin
Prosedur : ROI
Status Fisik : Kesan ASA II
- Riwayat penurunan kesadaran 1 th yll post op SDH.
GCS 15, sequele -

Post OP : Ruangan
OKA 7
dr. Rian/Anwar
7. 5. Mr B, 18 thn
Diagnosis : Fracture Ulna Prox Sin, dislokasi radio ulnar joint sin
Prosedur : Rekonstruksi ORIF
- tanpa penyulit airway
Rencana : GA+LMA
Post OP : Ruangan
OKA 7
dr. Rian/Anwar
7. 6. Mr P, 9 thn BB 26 kg
Diagnosis : Malignancy primer tumor cruris sin
Prosedur : Open biopsi
Rencana : GA+LMA
Post OP : Ruangan
OKA 7
dr. Rian/Anwar
7. 7. Mr A, 8 th BB 24 kg
Diagnosis : Primary Bone Tumor Cruris Dext
Prosedur : Open biopsi
Status Fisik : Kesan ASA II
- Leukositosis 11.100/mm3
Rencana : GA + LMA
Post OP : Ruangan
OKA 8
DPJP: dr. Azwar Risyad, Sp.An.
4 Rencana Anestesi
OKA VIII
dr. Rian/Anwar
8.1. Ny H , 42 thn
Diagnosis : OA knee dext
Prosedur : TKR dext
- HT Stage 1 (TD 140/90 mmhg) METs >6 EKG ST 92
bpm CXR cardiomegali (+) 54% th amlodipin 1x10 mg,
valsartan 1x160 mg
- Obesitas Class 2, BMI 33 (BB 86 kg, TB 168 cm)
intermediate Risk OSA (stop bang score 3).

Post Op : Ruangan
OKA VIII
dr. Rian/Anwar
8.2. Tn R, 31 th
Diagnosis : Union Fraktur Femur dext
Prosedur : Rekonstruksi ORIF
Status Fisik : ASA I

Post Op : Ruangan
OKA VIII
dr. Rian/Anwar
8.3. Tn S 48 th
Diagnosis : Post debridementec Open Fr tibia fibula 1/3 medial
Prosedur : OREF
- anemia 10 g/dl
- hipoalbumin 3,14 g/dL

Post Op : Ruangan
OKA VIII
dr. Rian/Anwar
8.4. P, 32 Tahun
Diagnosis : Post remove implant ec Osteomielitis a.r femur dext +
non union Fr Femur
Prosedur : OREF
Status Fisik : Kesan ASA II dengan
Anemia 11 g/dl
Leukositosis 12.900

Post Op : Ruangan
OKA HYBRID
DPJP: dr. Kulsum, SpAn
2 Rencana Anestesi
OKA HYBRID
DPJP : dr. Kulsum, SpAn
Operator: dr. Yopie SpBTKV
Tim: dr.Iqbal/dr.Elizar/dr.Rizki/dr.Baqir
1. N. Pr, 15 tahun
Diagnosis : Loculated Efusi Pluera dex
Prosedur : Uniportal VATS
- CXR: Perselubungan Paru Kanan, Efusi Pluera Kanan,
VES Kanan Menurun, RR: 19 x/mnt, SPO2: 99% RA

Post Op : HCU
OKA HYBRID
DPJP : dr. Kulsum, SpAn
Operator: dr. Yopie SpBTKV
Tim: dr.Iqbal/dr.Elizar/dr.Rizki/dr.Baqir
2.Tn MJ.55 tahun
Diagnosis : Hematopneumothorax sin
Prosedur : Video Assisted Thoracic Surgery+decorticasi
- DM type II (KGDS 88 mg/dl) terapi apidra 6-6-6,lantus 0-0-0-12
- Ht stage II TD 153/83 mmHg, METs<6, EKG : SR 62 bpm, CXR:
Cardiomegali (+) 54%, th –
- AKI Stage III Ur/Cr =168/2,65, UOP>0,5cc/kgBB/jam
- Riw. Penurunan kesadaran sequele + (vertigo), Klinis GCS 15,
- Hiperkalemia(5,8 mmol/L)
- Lekositosis (14900/mm3)
Saran : Koreksi hiperkalemia. Target K<5 mmol/L

Post Op : HCU
OKA Bronchos
DPJP: dr. Kulsum, Sp. An
8 Rencana Anestesi
OKA BRONCHOS
Tim: dr. dr. Iqbal/ dr. Elizar/ Rizki/ Baqir
Operator: dr. Zulfikar, Sp. P
1.Tn MJ 46 thn
Diagnosis : Tumor paru
Prosedur : Bronchoscopy
- severe Pneumonia, Batuk+, ves +/+,RH+/+, Wh-/-,
destabitas Suhu+, leukositosis 26.800/ mm3, SPO2
96%RA, RR: 25 x/mnt
- CXR: Atelektasis Paru sin, Susp. Massa Paru sin
- Anemia HB: 9,08 gr/dl
- Hipoalbumin 2,4 gr/dl
Post Op : Back up ICU
OKA BRONCHOS
2.Tn AB 52 thn
-DM tipe 2, KGDS 332 gr/dl, terapi: Apidra 3x8 iU, Lantus
1x16 iU
-Obesity Class 1, BMI: 31, OSA Intmdiate risk, Stopbang 3
- Riw TB Paru, OAT tuntas thn 2005
- CXR: Cavitas Di Apex Paru bilateral
- Hemoptysis 14 hr yll, Batuk+, SPO2: 99%, RR: 19x/mnt
Rencana : Sedasi
Post Op : Ruangan
OKA BRONCHOS
3.Tn M 46 thn
-Usg thyroid: nodule thyroid Dex + kista thyroid sin, klinis
Eutiroid, T3,T4, TSH(-)
-Paraparese extremitas bawah, kekuatan otot
1111/1111, inkontenensia +
-Cxr: Nodule soliter di Apex Paru Kiri, RR: 24x/mnt, SPO2
97% RA, Ves+/+( Kiri menurun), Rh-/-, Wh-/-
Saran: Cek Fungsi Thyroid
Post Op : Back Up ICU
OKA BRONCHOS
4.Tn U 76 thn
- CXR: Tumor Paru sinistra, RR: 24x/mnt, Ves +/+
(Kanan menurun), Rh-/-, Wh-/-, SPO2: 97% RA
- Echo: Fungsi Sistolik LV menurun, EF 47%, Hipokinetik
anteroseptal Wall, Diastolik dysfunction, Gangguan
Relaksasi
- Geriatri

Post Op : ICU
ECHO (TnUs)
OKA BRONCHOS
5. Tn T. 75 thn
Diagnosis : Tumor paru kanan
-Tumor paru kanan (RR: 26x/i) SpO2 96%

OKA BRONCHOS
6. Ny A. 52 thn
Diagnosis : Efusi Pleura
-TB paru on terapi 4 bulan Klinis :Batuk (+) RR 28x/I
Rh (+/+) basal paru kanan , SpO2 98% Room air, METS
3-6, CXR Cardiomegali (+) CTR 52% EKG NSR 98 bpm
-Leukositosis 12.500 gr/dl
-Hypoalbumin 2,68 gr/dl

OKA BRONCHOS
7. Tn T. 61 thn
-Riwayat hemoptoe 10 hr yll (RR: 22x/i, SpO2 99%)
-EKG LVH (+), Iskemik septal, mets>6
-Hipokalemia 3,2 mmol
-Anemia 11,9 gr/dl
Rencana : General Anestesi Sedasi

OKA BRONCHOS
Operator: dr. Fauzi Yusuf, Sp. PD
8.Tn Z. 64 thn
Diagnosis : Perdarahan saluran makan bagian atas
Prosedur : Esophagogastroduodenoscopy
-CKD stage V on HD Reg (Ur 93, Cr 6,71 mg/dL)
-HT stage I (TD 140/80 mmHg), METS>6, EKG NSR 88
bpm, CXR (-)Th/ amlodipin 1x10 mg
-Pre obesitas BMI 27,6 (BB 80kg, TB 173 cm)
Intermediete risk OSA (Stop bang score 3)
-Anemia (Hb 10,8 gr/dl)
-Leukositosis 10.700 gr/dl
Rencana : General Anestesi Sedasi
Post Op : Ruangan

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Parade Pagi Selasa 01 Januari’

Rencana : Spinal Anestesi

Rencana : GA + Persiapan CVC

Rencana : General Anestesi

Rencana : Spinal Anestesi

Rencana : Spinal Anestesi

Rencana : General anestesi

Rencana : General anestesi

Rencana : General Anestesi

Rencana : General Anestesi

Rencana : General Anestesi

Rencana : General Anestesi

Rencana : General Anestesi

Rencana : General Anestesi

Rencana : General Anestesi

Rencana : General Anestesi

Rencana : Spinal Anestesi

Rencana : Spinal Anestesi

Rencana : Spinal Anestesi

Rencana : Spinal Anestesi

Rencana : General Anestesi

Rencana : Spinal Anestesi

Rencana : Spinal Anestesi

Rencana : General anestesi

Saran : Koreksi hiperkalemia. Target K<5 mmol/L

Rencana : General Anestesi

Rencana : General Anestesi

Rencana : General Anestesi

Rencana : General Anestesi Sedasi

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