RESUME ANESTESI OK SENTRAL RSUD DR SAIFUL ANWAR MALANG, SENIN 17 SEPTEMBER 2018

Konsulen 1 dr. Wiwi Jaya Sp.An KIC; Konsulen 2 dr. Taufiq Agus Sp.An; Konsulen 3 dr. Ruddi Hartono Sp.An; Konsulen 4 Dr dr A Andyk Asmoro Sp.An FIPM; Konsulen PJT/TKV dr. Djudjuk R Basuki Sp.An KAKV KAR

OK JAM NAMA BILLING JK UMUR RUANG DIAGNOSIS RENCANA TINDAKAN DPJP RESIDEN ASA ANESTESI KET

dr. Ruddi
OK 1 LT 5 MAY/HAR/PR
1 Risda Dwi 11398930 P 18 th 18 Hisrchsprung disease Duhamel procedure Hartono ASA 1 GA Epidural
DIGESTIVE O/PRA
Sp.An

OK 2 LT 5
1
DIGESTIVE

Penoscrotal Hypospadias post

dr. Ruddi
Ventral Corporectomy
1 Alif Restu 11240469 L 14th 20 TIP Urethroplasty Hartono NDI/YES/PRA ASA 2 Congenital anomali GA intubasi
Chordectomy + Dorsal Plication +
Sp.An
Dorsal Inlay Preputial Graft

Clot retension ec bladder dr. Ruddi ASA 3 malignancy, dengan metastase

2 Kusnadi L 34th 19 carcinoma T4NxM1 (lung)+ cystoscopy + Clot evacuation Hartono NDI/YES/PRA paru, anemia 10.4,HT St I, AKI St Risk RA SAB
OK 3 LT 5 hyponatremia + AKI st Risk Sp.An (Ur/cr 26/1.78), Hiponatremi 116
UROLOGI

ASA 3, CKD St V (Ur/cr : 104.3/5.15)

Right Renal Stone + Right DJ Stent dr. Ruddi (ur/cr tertinggi 196.8/25.26 tgl 9-3-
3 Sumiati P 62 th 17 Neglected Insitu + Hepatitis B + Right PCNL I.N. Open right extended pyelolithotomy Hartono NDI/YES/PRA 2017), anemia 10.4, Trombositopeni GA intubasi
CKD St. V + trombositopenia Sp.An 86.000, Hepatitis B, HF St C Fc II, HT st
I, obesitas Class I BMI 31

dr. Ruddi
ASA 3 Geriatri, Susp keganasan,
1 Mat Soepardi 11229984 L 71 th 19 Susp. Bladder Cancer cTxNxMx Cystoscopy + TURB Staging Hartono NDI/YES/PRA RA SAB
Azotemia (Ur/creat : 54.7/1.11)
Sp.An

dr. Ruddi
Right Staghorn Stone + Left Renal
OK 4 LT 5 2 Edi Wiyono L 55th Mawar PCNL + Bilateral DJ Stent Insertion Hartono PAV
Stone + HT. St. II
UROLOGI Sp.An

ASA 3 Sepsis perbaikan, geriatri,

Right Testicular Abscess Post dr. Ruddi
anemia 10,7, AKI stage III (Ur/cr Ur/cr
3 Risman 11405658 L 73th 14 Debridement-Necrothomy + AKI + Cystoscopy + Secondary Closure Hartono NDI/YES/PRA GA LMA
89.3/2.47), Hf stage B fc I, underweight
Bilateral Mild Hydronephrosis Sp.An
BMI 17

Left Middle Pole Renal Stone +

4 Saifudin Anwar 11394908 L 44th 19 Right DJ Stent Insitu + Left Mild Left ESWL + Right DJ Stent Removal LA
Hydronephrosis

Right Renal Stone + Right DJ Stent

5 Sudibyo L 60 th 19 Mini Right PCNL + Right DJ Stent Removal LA
Neglected Insitu + Vitiligo

dr. Ruddi
1 Sobarun 11398708 L 54th Bogenvile Obstructive of Bile Duct ERCP + Laparoscopic Cholecystectomy Hartono PAV
Sp.An
OK 5 LT 5
EKSTIRPASI
Partial Bowel Obstruction dt Tumor
2 Ngatinar 11400934 P 60 th 17 Recti 1/3 Tengah susp Ganas Colonoscopy LA
TxNxMx

dr. Ruddi
septum nasi deviasi + konka MAY/HAR/PR
OK 6 LT 5 THT 1 Ikrom L 18 pro septoplasty + turbinoplasty Hartono ASA 1 GA Intubasi
hipertrofi O/PRA
Sp.An

Ca Cervix IIB+post kemo NACT

dr. Ruddi
carbo brexel seri 3+ ca ovarium ASA 2 keganasan, post kemoterapi
1 Sri Wahyu Barokah P 47th Radical histerectomy Hartono NIA/HAR/PRO CSE
post kemo NACT carbo brexel seri
Sp.An
3 good respon + efusi pleura
OK 7 LT 5
OBG

P5005 Ab000 PP Lovset Mauriceao dr. Ruddi

ASA 2 Alergi makanan telur
2 Fitri Nur Hayati P 38 th H-0 MOW Hartono NIA/HAR/PRO RA SAB
Sp.An

dr. Ruddi
1 siti sobriyah P 60th prolaps uteri grade III TVH+KPR Hartono NIA/HAR/PRO ASA 2 HT stage 1 on terapi RA SAB
Sp.An

OK 8 LT OBG
dr. Ruddi
2 Fidia Awiningsih P 51th ca endometrium surgical staging Hartono NIA/HAR/PRO ASA 2 Keganasan CSE
Sp.An

low level bowel obstruction ec

hirschprung disease dd redundant dr. Ruddi Asa 3, neonatus, distended abdomen,
OK 9 LT 5 By. Ny. Ana
1 11405893 L 9hr Perina sigmoid dd meconeal plug Sigmoidostomy Hartono LIA/PRA hiperbilirubinemia (Bilirubin T/D/I GA intubasi
PEDIATRI Novitasari
syndrome Sp.An 12.71/0.44/12.27)

Asa 3,
Suspek keganasan, Meningioma sella
dr. Wiwi Jaya Penurunan visus mata kiri 1/300
OK I LT 6 NS 1 Sumarti 11405893 P 51 th 64kg Meningioma sella Transendonasal Eksisi Tumor LIL GA Intubasi Post Op ICU
Sp.An KIC Penurunan perimetry hemianopia
lateral mata kanan

Pelvic ring injury LC type II + CF L dr. Wiwi Jaya ONY/BAY/NOF

1 Iskandar 11400397 L 40th 17 P-S acetabulum ASA 2 smooker Epidural
acetabulum Sp.An KIC /LIL

OK II LT 6
ORTHO

dr. Wiwi Jaya ONY/BAY/NOF supraclavicular

2 Suroso L 56th 19 Union left radus post ex fix Removal of ex fixator ASA 1
Sp.An KIC /LIL block

ASA 3 geriatri 67 th
Obesity claas 1 BMI 31
dr. Wiwi Jaya ONY/BAY/NOF Hf stage B fc 1 cardiomegaly 57%
1 Sri Rahmiati 11357734 P 67th 21 CF Intercondylar L Femur P-S Intercondylar Epidural
Sp.An KIC /LIL kemungkinan sulit intubasi ( leher
pendek)
OK III LT 6
ORTHO

dr. Wiwi Jaya ONY/BAY/NOF Asa 3 malignancy ( osteosarcoma)

2 M. Imam Suhaimi 11395727 L 17 th 19 osteosarcoma L proximal tibia Transfemoral Amputatio RA SAB
Sp.An KIC /LIL Anemia 9.7 on koreksi

OD rhegmatogenous retinal ASA 2 HT terkontrol TD 130/80 on terapi

OK IV LT 6 dr. Wiwi Jaya HAM/MIA/NO
1 Djumiati P 47th detachment OD pars plana vitrectomy+endodrainage+endolaser Amlodipine, captopril, bisoprolol, HF st GA Intubasi
MATA Sp.An KIC F/VID
ODS high myopia B FC 1, obesitas kelas 1 bmi 33.

ASA 3,susp keganasan, susp metastase

kgb, susp metastase paru tipe efusi,
Tumor mamma S susp ganas dr. Wiwi Jaya HAM/MIA/NO
1 Konik Atu 11400863 P 47th 14 Pro open biopsy efusi pleura kiri masif, efusi pleura PVB.
T4cN1M1 (paru, kontra lateral) Sp.An KIC F/VID
kanan, mild ards pf ratio 241,
OK V LT 6 hipoalbuminemia 2.64
ONKOLOGI

dr. Wiwi Jaya HAM/MIA/NO ASA 2 susp keganasan, HT st 1 on

2 Susiati 11405673 P 43 th 17 Phyloides tumor S wide eksisi k/p skin graft GA Intubasi
Sp.An KIC F/VID terapi captopril

Sunardi Total Paroidectomy dr. Wiwi Jaya HAM/MIA/NO ASA 2 Susp Keganasan
1 11405673 L 59th 19 NHL parotis D GA Intubasi
Sp.An KIC F/VID

OK VI LT 6