REALISASI INSTALASI BEDAH SENTRAL

Jumat 17.1.2020

OK PASIEN USIA RUANG Diagnosa / Tindakan ASA PLAN REALISASI ANALGETIK POST OP KETERANGAN RESIDEN-LRH

G2P1A0 37+2 minggu BDP + polihidramnion + riw SC 6 th Paracetamol +

1. Ny. Partiyem 34 th mlt1 lalu + susp janin atresia esofagus + susp makrosomia II RA-SAB RA-SAB Fentanyl Bangsal IE*/MQ/EN/PS
Pro: SCTP elektif

Perdarahan post partus lambat ec retensi sisa plasenta post Paracetamol +

Ny. Suyarti 34 th mlt1 kuretase H+15 + riw SC 14 th lalu + anemia II GA-TIVA GA-TIVA Bangsal
Pro: Kuretase elektif Fentanyl

Nn. Tazkia Mutia Y 19 th c2 Susp. Ca Ovari dr. Hermawan/

Pro: USO + Fz bila ganas CSS jam 08.00

Tumor Mediastinum Paracetamol +

2. Ny. Elly 55 th fl6 Pro: Sternotomy Debulking Tumor II GA-DLT Invasif GA-DLT Invasif Morfin ICU RU*/MQ/RS

Tn. Ismiyono 57 th m2 Ruptur AV shunt, CKD on HD dr. Darmawan/

Pro: Explore dan repair AV shunt jam 13.00

Ca buli post kemoradiasi Paracetamol +

3 Ny. Sugiyarti 49 th fl9 Pro: Re-TURB hingga otot III RA-SAB RA-SAB Fentanyl Bangsal MQ/VW

Tn. Bambang Batu buli dr. Agung/

Suseno 70 th c2 Pro: Sitoskopi litotripsi k/p sectio alta k/p bladder neck jam 07.30
insicion
Batu uteter proximal sinistra dr. Agung/
Tn. Waras Rahardjo 58 th c2 Pro: Open ureterolitotomi + DJ Stent (S) jam 10.00
Tn. Fx Sudjatmiko Hidronefrosis bilateral dr. Bima/
Iwan 50 th c3 Pro: Open nefrostomi kiri jam 12.00

Hidrochepalus comunicans
4 Ny. Sri Wahyuti 50 th agg2 Pro: vp shunt III GA-ET GA-ET Paracetamol HCU BT*/WY/TW

Ny. Nur Asih 34 th agg2 Limfoma talamus S III GA-ET GA-ET Paracetamol + HCU
Pro: Stereotactic biopsi Fentanyl

Disfagia motorik dd mekanik

5 Tn. Sunarno 61 th agg2 Pro: Esofagoskopi diagnostik II GA-ET GA-ET Paracetamol Bangsal PA/IH*/WY/DP/HG/ZQ

Tn. Dasi 23 th fl10 OMSK AS dengan Kolesteatoma III GA-ET GA-ET Paracetamol + HCU
Pro: Tymphanomastoidektomi + Timpanoplasti AS Fentanyl
Laringomalasia ec trauma post trakeostomy
An. Yazid Izz 2 th mlt2 Pro: FOL Evaluasi ESBL ACC Pendampingan

6 PA/IH*/WY/DP/HG/ZQ

7 Tn. Sugiman 64 th fl10 SNNT II GA-Awake GA-Awake Paracetamol + Bangsal BM/KY/DR

Pro: ismolobektomy Fentanyl

Multiple litic lession fibula (S) Susp MBD

8 Tn. Naryo Widodo 72 th fl10 Pro: Core Biopsy II GA-Cuf GA-Cuf Paracetamol Bangsal BM/JI/LS

Tn. Tukiran 65 th fl10 MBD Vertebra Lumbal 3 ec KNF II GA-ET GA-ET Paracetamol + HCU
Pro: Laminotomi + stabilisasi paliatif Morfin

Tn. Riski Azhari 18 th fl10 CF proximal humers (D) Neer two part II Interscalene Block Interscalene Block Block Bangsal
Pro: ORIF humerus

CF Distal radius (D/S), CF base metacarpal 3,4,5 manus (D)

Ny. Siti Umbar 31 th fl10 Pro: ORIF II GA-ET GA-ET Paracetamol Bangsal

Union fr patella S post ORIF dengan broken wire

Tn. Nanda Sri 27 th fl10 Pro: Removal of Implan I RA-SAB Unilateral RA-SAB Unilateral Paracetamol Bangsal

Fraktur dislocation VT 11-12 Denis mayor type C Frankel E Paracetamol +

Tn. Suyanto 45 th fl9 Pro: Posterior stabilisasi fusi II GA-ET GA-ET Fentanyl HCU

Hemoroid
9 Tn. Priyanto 56 th fl9 Pro: Hemoridektomi II Saddle Block Saddle Block Block Bangsal BM/CR/GA

Cholelitiasis + Cholesistitis
Tn. Katiman 60 th fl10 Pro: Cholesistectomi II CE-GA CE-GA Epidural Bangsal

Ny. Diah Ayu K 54 th c2 Adhesi post Op appendectomi dr. IBB/

Pro: Laparotomy Explorasi jam 07.00

Tn. Widadi 51 th c2 Ca recti dr. Agus/

Pro: Laparotomi + reseksi rectum jam 07.00
Choledocolithiasis dr. IBB/
Tn. Y.Y.Sulitsyo 58 th m2 Pro: Laparotomi Eksplorasi CBD jam 08.00

11 Susp. Atresia duodenum dd duodenal web dd pankreas

10 By. Ny. Juwarti hari HCU Neo anulare III GA-ET GA-ET Caudal Block NICU FF*/HE/UB
Pro: Laparotomy explorasi

Fr Maxilla (D) + Fr zigomaticum (S) + Fr Rima orbita inferior Paracetamol +

11 Tn. Nugroho Gozali 34 th fl10 (S) + Fr Zygomaticum Frontal (S) + Maloklusi II GA-NET GA-NET Fentanyl Bangsal HE/PH/LA
Pro: ORIF

Ny. Ragil Ambarwati 47 th fl9 Combustio kuah bakso 43% gr II A-B II GA-ET GA-ET Paracetamol + Bangsal
Pro: Medikasi + STSG Fentanyl

An. Ainayya Fitriatul 2 th fl9 Combustio kuah santan gr. IIA-B 22% post Debridement II GA-LMA GA-LMA Metamizole Bangsal
H Pro: Medikasi + Evaluasi STSG

Combustio api post STSG dan Debridement

An. M. Sigit Wibowo 1 th fl9 Pro: Medikasi + evaluasi STSG II GA-LMA GA-LMA Metamizole Bangsal

Combustio Kuah Sayur Grade II AB 11 %

An. Fathan 2 th mlt3 Pro: Debridement II GA-LMA GA-LMA Metamizole Bangsal

12 RY*/HE/ZF/RT

13 Ny. Kristyaningsih 35 th m2 Kista Coklat Kiri dr. Uki/ ZD*/HE/RZ/BU

Pro: Laparoskopi jam 07.00

14 Tn. Edy Ruwanto 50 th ast5 Gingiva Bleeding susp Massa Gingiva II GA-ET GA-ET Ketorolac Bangsal PA/IH*/WY/DP/HG/ZQ
Pro: Eksisi + hecting dengan GA
cath-
lab RY/RU

Paviliun 9
Cathlab 0
Bangsal 23