A. Data pribadi : C.

Riwat Pekerjaan :
• Nama : dr.Tessar Lucky Respati,Sp.An-TI
1. Dokter Umum RSUD Banjat
CURICULUM VITAE • Tempat tanggal Lahir : Tasikmalaya,22 OKT 1980
• Agama : Islam 2. Dokter Umum Rs Mitra Idaman Kota banjar
• Status : Menikah 3. Dokter Spesialis Anastesi dan Terapi Intensif RSUD
• Alamat : Arcamanik - Bandung
Kota Agung,Lampung
B. Pendidikan Formal :
• SD Galuh Ciamis 4. Dokter Spesialis Anastesiologi dan Terapi Intensif

dr.Tessar Lucky Respati,Sp.An-TI • SDN 06 Padang RSUD Pringsewu,lampung

• SMPN 1 PADANG
5. Dokter Spesialis Anastesiologi dan Terapi Intensif
• SMAN 20 BANDUNG
• Fakultas Kedokteran Universitas Padjajaran Rs/Wismarini lampung

• Pendidikan Dokter Spesialis Anastesiologi dan Terapi Intensif 6. Dokter spesialis Anastesioalogi dan Terapi Intensif
FK Universitas Sriwijaya
RSIA Harapan Bunda,Lampung

7. Dokter Spesialis Anastesiologi dan Terapi Intensif di

Rs.Pamanukan Medical Center Pamanukan –Subang.

 RUMAH SAKIT
PAMANUKAN MEDICAL CENTER

ERAS
( Enhanced Recovery After Surgery )

#Mitra Sehat keluarga

dr. Tessar Lucky Respati, SpAn-TI priangan Utara
Dokter Spesialis Anastesi
Rs.Pamanukan Medical Center
There’s Time
Where….
Patients Feels..

 Starved & Dehydrated

 Cold
 Weak
 In Pain
 Nauseous
 Worried
 Surprised
 Unprepared
Time Passed
and Paradigm
has change….
Current Patients…

- Prepared
- Warm
- Stronger
- Hydrated
- Out of Bed
- Mobilize
- No IONV/PONV
- Minimal Pain
 Initiated by
Professor Henrik Kehlet
in the 1990s,
These programs attempt to modify the physiological and
psychological responses to major surgery, and have been
shown to lead to a reduction in complications and hospital
stay, improvements in cardiopulmonary function, earlier
return of bowel function and earlier resumption of normal
activities.

ERAS, enhanced recovery programs (ERPs) or

“fast-track” programs have become an important
focus of perioperative management after
colorectal surgery, vascular surgery, thoracic
surgery and more recently radical cystectomy.
 Europe and UK 2012
ERAS USA 2018
Indonesia 2019
Indonesia in 2019

Initiated by
dr. Susilo Chandra, SpAn ( K )
  ERAS : Also known as FAST Track surgery or
Enhanced Recovery Protocol (ERP) is a
multidisciplinary and multimodal evidence-
Definition based consept designed to reduce mobidity,
length of stay, increase postoperative recovery
time and minimize postoperative complications
  Optimizing Operation preparation
 Prevent/avoid intraoperative iatrogenic injury
 Minimize stress response aftersurgery
Goals of  Accelerate healing and return of normal function
Eras  Detect as early as possible any abnormal healing
process
 Intervene as early as possible if needed
 • Able to move faster, can provide better care for
babies
Benefit of • Minimize of pain
ERAS • Improve mother-baby bonding
• Reducing duration of hospitalization
Implementation policy of ERAS
 Management hospital approach
 Multidiciplinary Approach
 Doctor
 Nurse
 Patien
 Media/Marketing
 ERAS In SPECIFIC Procedure
( C-Sections )
( ERACS )

ERACS ERACS Recomendation

Pathway
Preoperative Intraoperative Postoperative
Elements
( 5 Elements ) ( 9 Elements ) ( 11 Elements )
2 4 5
Preoperative
  Limit Fasting Interval
 Nonparticulate liquid carbo Loading
 Patient Education
Preoperative
 Lactation/Breastfeeding preparation and
education
 Hemoglobin Optimization
Intraoperative
  Prevent Regional Anesthesia
 Maintain Normothermia
 Optimal Uterotonic administration
 Antibiotic Prophylaxis
 IONV/PONV
Intraoperative  Pain Management
 Promote Breasfeeding and maternal infant Bonding
 Intravena Fluid Optimization
 Delayed Umbilical Cord Clamping
Postoperative
  Early Oral Intake
 Early Mobilization
 Promoting of resting Periods
 Early Urinary catheter removal
Postoperative  Venous Thromboembolism Prophylaxis
 Facilitate Early Discharge
 Anemia Remediation
 Breastfeeding Support
 Pain Management
 Glycemic Control
 Promotion of Return of Bowl Function
  Eras : Multidiscplinary approach and Multimodal
perioperative care pathway designed to achieve
early recovery for patient undergoing major
surgery
 To implement ERAS protocol, team work of
Summary several profession are needed
 Implementation of ERAS protocol can start with
element or item of ERAS that have high level of
evidence
Medicine is a combination of science and art
RUMAH SAKIT
PAMANUKAN MEDICAL CENTER
Jl. Raya Rancasari Km.
4,35 Pamanukan Subang

Kp. Rancasari Rt/Rw

10/04 Ds. Rancasari Kec.
Pamanukan Subang
41254

TERIMAKASIH
Email Rumah Sakit
Rumah Sakit :
rumahsakitpmc@gmail.com
Marketing :
marketingrspmc9@gmail.com

Wa Service Center

087-828-566-545
0821-2478-5616

#Mitra Sehat Keluarga Priangan Utara