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All Journal Medika Kartika : Jurnal Kedokteran dan Kesehatan Journal of Anaesthesia and Pain
Alami, Eqiel Navadz Akhtar
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Dentistry Health Professions Medicine & Pharmacology Veterinary

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One Lung Ventilation (OLV) on Needle Evacuation Thoracotomy in Pediatric Patient Hariyanto, Achmad; Hadi Pratama, Muhamad Rizal; Alami, Eqiel Navadz Akhtar
Journal of Anaesthesia and Pain Vol 4, No 3 (2023): September
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jap.2023.004.03.05

Abstract

Background: One lung ventilation (OLV) is a ventilation method that functions to facilitate surgery on one side of the lung to protect one of the lungs from exposure to fluids such as blood, secretions, or foreign bodies. Therefore, it is necessary to place the endrotracheal tube correctly so that complications do not occur. This case report aims to determine the success in surgery using OLV method with blind insertion in pediatric patient.Case: A 10 years old male patient came to the hospital with complaints of sore throat. Thorax X-Ray photo examination showed that there was a needle-shaped corpus alienum density in the right bronchus branch of the orificium of the right lung. The patient was planned for a needle evacuation thoracotomy using a Double lumen endotracheal-tube (DLT) size 26. The patient was induced using the total intravenous anaesthesia (TIVA) method, ventilation using OLV. The operation was carried out with an incision at the 8th posterolateral intercostal space (ICS) of the dextra deepened layer by layer, the pleura was bluntly penetrated. This surgery went success to extract needle and the patient's condition was stable (HR=104x/min, SpO2=95%). On a third day after surgery, the patient was stable and discharged.Conclusion: The OLV method using DLT in pediatric patient with blind insertion during thoracotomy showed good results with early mobilization on day 1 after surgery, 3 days of hospital stays, and did not show any serious complication after surgery.  
MANAJEMEN ANESTESI PADA PASIEN HIRSCHSPRUNG DISEASE DENGAN STENOSIS PULMONAL SEDANG DAN DOWN SYNDROME: LAPORAN KASUS Hadi Pratama, Muhamad Rizal; Hariyanto, Achmad; Alami, Eqiel Navadz Akhtar
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 8 No 1 (2025): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Penyakit bawaan yang dikenal sebagai penyakit Hirschsprung didefinisikan oleh tidak adanya sel ganglion di pleksus Meissner (submukosa) dan pleksus Auerbach (muscularis) dari rektum terminal, yang meluas arah proksimal. Penyakit Hirschsprung memiliki prevalensi laki-laki 4:1 secara keseluruhan dan mempengaruhi 1 dari 5000 kelahiran hidup. Mutasi RET (rearranged during Transfection), yang dapat terjadi pada salah satu dari 21 ekson gen yang biasanya terkait dengan Sindrom Down, adalah penyebab Penyakit Hirschsprung. Menurut penelitian yang dilakukan di RS Sardjito antara tahun 2013 dan 2016, hingga 45% bayi yang lahir dengan sindrom Down memiliki masalah jantung bawaan, 11% mengalami gangguan pencernaan, dan 9% mengalami keduanya. Salah satu penyakit jantung bawaan pada yang dapat diderita ialah stenosis pulmonal. Sebagian besar laporan kasus yang dapat diakses dari berbagai jurnal membahas terkait anestesi pada orang dewasa. Laporan kasus ini merinci manajemen anestesi dan pelaporan hemodinamik praanestesi, intraanestesi, dan pascaanastesi pada bayi berusia satu bulan dengan Sindrom Down dengan stenosis paru sedang dan penyakit Hirschsprung yang dijadwalkan menjalani kolostomi. Pasien diinduksi menggunakan Fentanyl, Midazolam, dan Atracurium. Sevofluran digunakan sebagai agen maintenance. Kondisi hemodinamik pasien praoperasi, intraoperasi, dan pascaoperasi relatif stabil. Selanjutnya pasien dirawat di dalam PICU (Pediatric Intensive Care Unit) guna dilakukan evaluasi dan monitoring hemodinamik selama 1 hari. Pasien lalu dirawat dibangsal dan pasien dipulangkan karena kondisi pasien sudah stabil. Dalam manajemen pasien pediatri yang akan direncanakan operasi nonkardiak secara elektif disertai dengan penyakit jantung bawaan, diperlukan evaluasi dan manajemen perioperatif yang tepat guna meningkatkan luaran yang baik bagi pasien. Kata Kunci: anastesi umum, hirschprung, pediatri, sindrom down, stenosis pulmonal DOI : 10.35990/mk.v8n1.p107-117
One Lung Ventilation (OLV) on Needle Evacuation Thoracotomy in Pediatric Patient Hariyanto, Achmad; Hadi Pratama, Muhamad Rizal; Alami, Eqiel Navadz Akhtar
Journal of Anaesthesia and Pain Vol. 4 No. 3 (2023): September
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jap.2023.004.03.05

Abstract

Background: One lung ventilation (OLV) is a ventilation method that functions to facilitate surgery on one side of the lung to protect one of the lungs from exposure to fluids such as blood, secretions, or foreign bodies. Therefore, it is necessary to place the endrotracheal tube correctly so that complications do not occur. This case report aims to determine the success in surgery using OLV method with blind insertion in pediatric patient.Case: A 10 years old male patient came to the hospital with complaints of sore throat. Thorax X-Ray photo examination showed that there was a needle-shaped corpus alienum density in the right bronchus branch of the orificium of the right lung. The patient was planned for a needle evacuation thoracotomy using a Double lumen endotracheal-tube (DLT) size 26. The patient was induced using the total intravenous anaesthesia (TIVA) method, ventilation using OLV. The operation was carried out with an incision at the 8th posterolateral intercostal space (ICS) of the dextra deepened layer by layer, the pleura was bluntly penetrated. This surgery went success to extract needle and the patient's condition was stable (HR=104x/min, SpO2=95%). On a third day after surgery, the patient was stable and discharged.Conclusion: The OLV method using DLT in pediatric patient with blind insertion during thoracotomy showed good results with early mobilization on day 1 after surgery, 3 days of hospital stays, and did not show any serious complication after surgery.  
Co-Authors Hadi Pratama, Muhamad Rizal Hariyanto, Achmad