OR VI (Eye Surgery)

Anesthesiologist : dr. Mujahidin, SpAn-KAKV, MSc, FIPM

2 Anesthesia Plans
 OR VI (Eye Surgery)
Anesthesiologist: dr. Mujahidin, SpAn-KAKV, MSc, FIPM
PPDS: dr. Ryan/Chalis/Emil
2 Anesthesia Plans
No Name Diagnosis Procedure Physical Status Management Post Op
ASA III
- Increase ICP cronis ec hydrocephalus
communican, clinical Headache (-),
vomitus (-) nausea (-), history seizure
Trabeculectomy 27&28 December 2022, pupil isocore 2
OA, F, 7 mo, Glukoma mm/2mm , ct scan hydrocephalus General
1 Ward
BW: 2,9 kg Kongenital ODS dr.Eva, SpM communican with VP shunt Anesthesia
- Possible difficult intubation
macrochepali head circumference 41
cm
- Possible difficult ventilation
(palatoscezia)
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 OR VI (Eye Surgery)
Anesthesiologist: dr. Mujahidin, SpAn-KAKV, MSc, FIPM
PPDS: dr. Ryan/Chalis/Emil
2 Anesthesia Plan
No Name Diagnosis Procedure Physical Status Management Post Op

ASA II
- Hypertension stg I BP 148/75 mmhg
mmhg, METs 5, clinical Short of breath
Triple Procedures -, chest pain-, murmur-, gallop-, ECG: General
2 Sy, M, 62 yo Cataract SR QRS 78 BPM, normoaxis, CXR: Ward
Anesthesia
dr.Eva, SpM cardiomegali-,th/-
- Hipokalemia 3.1 mmol/L
- Geriatri age 68 year old
- Possible difficult ventilation no teeth
 OR IX (Urology Surgery)

Anesthesiologist : dr. Teuku Yasir, SpAn-KIC, FIPM

3 Anesthesia Plans
 OR IX (Urology Surgery)
Anesthesiologist: dr. Teuku Yasir, SpAn-KIC, FIPM
PPDS: dr. Huzaival/Aoelia/Arshad
3 Anesthesia Plans
No Name Diagnosis Procedure Physical Status Management Post Op
ASA III
- AKI Stage III, history of HD 7x, Last
HD 15/1/22, Ur/Cr 50/1,0 mg/dl,
UOP>0,5cc/kgBM/Hr, history of
nefrostomy (+)
URS sinistra on - Controlled Hypertension , BP
evaluating DJ stent 121/73mmHg, METs 5, clinical
sinistra + APG manifestation : chest pain (-),
(anterograde Murmur (-), Gallop(-), ECG: Synus
Stenosis ureter
pielography) sinistra + Tachicardia, QRS Rate 110x/i,
1 MJ, M, 51 yo 1/3 distal post preparing for explorate normoaxis, CXR: Cardiomegaly (-), Epidural Ward
exploration in Anesthesia
ureter sinistra ureter sinistra + re- Th/ Amlodipine 1x10mg,
implant ureter sinistra Valsartan 1x160mg
- CXR (28/12/2021): Pleura efusion
dr. Muhammad Ridha, Sinistra, with history of chest tube
SpU 2x, last treatment of chest tube
8/1/22, pleural fluid ±200cc
- Anemia 9,4 gr/dl
- Leukocytosis 12.000 / mm³
- Trombocytosis 621.000/mm³
- Underweight BMI 16,6 Kg/m³
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 OR IX (Urology Surgery)
Anesthesiologist: dr. Teuku Yasir, SpAn-KIC, FIPM

1
3 Anesthesia Plans
PPDS: dr. Huzaival/Aoelia/Arshad

No Name Diagnosis Procedure Physical Status Management Post Op

ASA III
- HHD, BP 104/57 mmHg, METs <4,
clinical manifestation : chest pain
(-), easily tired (+), Murmur (-),
Lower Urinary Gallop (-), ECG: Synus rhythm
Biopsy Prostate QRS Rate 67 bpm, Q Pathological
Track Syndrome Transrectal Inferior, CXR: Cardiomegaly (+),
(LUTS) ec Susp. Spinal
2 Wa, M, 76yo Carcinoma CTR: 52%, Th/ Nitroglycerin Anesthesia Ward
dr. Muhammad Ridha, 1x2,5mg, Carvedilol 1x6,25mg
Prostate (PSA
SpU - CXR: Linier Atelectasis, Fibrosis at
59) left Paracardial , clinical
manifestation : dypsnue (-), cough
(-), RR: 20x/mnt, SpO2 98%RA,
ves (+/+) rh(-/-) wh (-/-)
- Anemia Hb 10,0 gr/dl
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 OR IX (Urology Surgery)
Anesthesiologist: dr. Teuku Yasir, SpAn-KIC, FIPM
PPDS: dr. Huzaival/Aoelia/Arshad
3 Anesthesia Plans
No Name Diagnosis Procedure Physical Status Management Post Op
ASA III
- DM type 2 , randomized blood glucose
342 mg/dl, Th/ Lantus 1x12 iu,
novorapid 3x8 iu
- Hypertension stage 1 , BP 154/75
mmhg, METs 4, clinical manifestation :
chest pain (-) murmur (-) gallop (-),
ECG : synus rhythm , QRS rate 66 BPM,
normoaxis, Q Path at lead III , aVF: OMI
inferior, CTR : Cardiomegaly (-), Th/ -
Cystoscopy + Transurethral - COPD stable , clinical manifestation :
Resection of a Bladder dypsnue (-), cough (-) RR: 20x/i , spo2
3 MS, M, 83 yo Gross hematuria ec Tumor (TURBT) 95% RA, ves (+/+) Rh (-/-) Wh (-/-), Spinal Anesthesia HCU
susp.Tumor Bulli
CXR : impression normal CXR , th/
dr. Muhammad Ridha, SpU seretide
- Overweight BMI: 28,9 kg/m²
- Geriatrics 83 yo
- Possible difficult of ventilate ( no teeth )

Advice:
- Regulation of blood sugar , level of target
at 140-180mg/dl
- Based on pulmonologist advice, Nebule
Ventolin 1 respule and pulmicort 1
respule, 1 hour before operation begin
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 OR X (Pediatric Surgery)

Anesthesiologist : dr. Azwar Risyad, SpAn

2 Anesthesia Plans
 OR X (Pediatric Surgery)
Anesthesiologist: dr. Azwar Risyad, SpAn
PPDS: dr. Baqir/Aoelia/Ardi
2 Anesthesia Plans
No Name Diagnosis Procedure Physical Status Management Post Op

ASA II
- Anemia Hb 9,8 g/dl
Herniorhaphy - Trombocytosis 806.000/mm³
1 MS, M, 3 Mo, Hernia Inguinal - Temperature instability, T: 38 C
BW: 5 kg Sinistra
dr. T. Yusriadi, SpBA Advice:
- Regulation of temperature,
T<36,5 C

Zi, M, 7 Yo, Hirschprung Full Thickness Biospy ASA I General

2 - Lab on normal range Ward
BW: 22 Kg Disease anesthesia
dr. T. Yusriadi, SpBA - Without airway difficulty
 OR XI (Obsgyn)

Anesthesiologist : dr. Azwar Risyad, SpAn

3 Anesthesia Plans
 OR XI (Obsgyn)
Anesthesiologist: dr. Azwar Risyad, SpAn
PPDS: dr. Baqir/Aoelia/Satria
3 Anesthesia Plans
No Name Diagnosis Procedure Physical Status Management Post Op

G4P3 pregnancy
36-37 week + Sectio Ceasaria ASA II
1 Pu, F, 31 Yo history of sectio - Pregnancy with Hb 10,7 gr/dl, Spinal Ward
dr. Niken Asri Utami, Anesthesia
ceasrea 3rd SpOG Leukositosis 12.000/mm³
times

Susp Malignancy Debulking tumor ASA II General

2 Nu, F, 43 Yo Ovarium Tumor Ward
-Leucocytosis 12.000/mm3 Anesthesia
size 9x7x8 cm dr. Sarah Ika, SpOG
 OR XI (Obsgyn)
Anesthesiologist: dr. Azwar Risyad, SpAn
PPDS: dr. Baqir/Aoelia/Satria
3 Anesthesia Plans
No Name Diagnosis Procedure Physical Status Management Post Op
ASA II
- Intra Abdominal Mass, abdominal
circumference 72 cm, venectasi
(-), andominal distension (-),
Cystic Ovarium
Neoplasma clinically dyspnoea (-), RR: 20x/I,
Debulking tumor SpO2: 97%RA, Ves(+/+), Rh(-/-),
3 Nr, F, 66 Yo (NOK) Susp Wh(-/-), Ca125 16,3 General Ward
Malignancy size Anesthesia
10x10x10 cm + dr. Munizar, SpOG - Hypoalbumin 2,4 g/dl
HBsAg reaktif - HBsAg reactive, Icteric (-)
Advice:
- Correction of albumine with target >
3,0 gr/dl
 OR XII (Neuro Surgery)

Anesthesiologist : dr. Azwar Risyad, SpAn

1 Anesthesia Plan
 OR XII (Neuro Surgery)
Anesthesiologist: dr. Azwar Risyad, SpAn
PPDS: dr. Baqir/Fadhillah/Abrar/Wira
1 Anesthesia Plan
No Name Diagnosis Procedure Physical Status Management Post Op
ASA III
- Chronic Elevated intracranial
pressure, current GCS E4M6V5,
clinical manifestations headache (+)
Vomiting (-) Seizure (-), pupil isochor
3mm/3mm, Light Reflex +/+,
impaired of Optikus nervus, VOD
1/~, VOS 6/60, motoric sup
5555/5555, inf 5555/5555, sensorik
normal, autonom norm. CT Scan:
Hydrochepalus non
communican + VP Shunt Hipodens mass, size 7.65x6.72x6.49 General
1 Em, F, 40 Yo with perifocal oedem, Ward
Ganglia Basalis dr. Iskandar, Sp. BS Hidrocephalus comunican. Th/ Anesthesia
Dextra Tumor
citicolin 500mg/12jam
- CXR : Pneumonia, Occasional cough
(+), fever (-), dyspnoea (-), RR 20x/i,
SpO2 97%RA, ves(+/+) rh(-/-) wh
(-/-)
- ECG : Sinus Bradikardi QRS rate 56
bpm NA, CXR Cardiomegali CTR 60%,
Chest pain (-), dyspnoea (-), murmur
(-), gallop (-)
- Leukocytosis 11.100/mm3
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