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RESUME ANESTESI OK SENTRAL RSUD DR SAIFUL ANWAR MALANG

Konsulen 1 dr. Karmini Y, SpAn, KAP Konsulen 2 dr. Arie Zainul F, SpAn Konsulen 3 dr. Taufiq Agus S, SpAn Konsulen 4 dr. Arie Zainul F, SpAn Konsulen PJT/TKV dr. Ruddi Hartono, SpAn

OK JAM NAMA BILLING JK UMUR RUANG DIAGNOSIS RENCANA TINDAKAN DPJP RESIDEN ASA 3, HT stage ASAII (150/100), ANESTESI KET
CKD stage V (Ur/creat :
70,7/9,19), anemia (7,3),
dr. Taufiq KIN/YES/PR
1 bahron 11392234 L 11th R27 CKd stage V CAPD hiperbilirubinemia (Bil T/D/I : GA LMA -
Agus S, SpAn A/NAB
1,27/1,02/0,25), transaminitis
OK 1
ASA: 4,
(OT/PT CKD stage
84/91), V C
HF stage
DIGESTIF
(ur/creat
FC II,: pneumonia
149,2/11,25) on
dr. Taufiq KIN/LIA/PR
2 Dwi 11394332 p 50th R28 CKd stage V CAPD routine HD, uremic GA
Agus S, SpAn A/NAB
syndrome, suspek efusi
pleura dextra, anemia (7,1)
dr. Taufiq
1 Zaki 11390754 L 11th melati susp polip recti colonoscopy PAV
Agus S, SpAn

OK 2 partial bowel obstruction ec susp


2 kastumiati 11397732 P 50th R17 colonoscopy LA
DIGESTIF adhes

colitis ulseratif+ adeno Ca recti


1/3 distal T4N0M0 post
3 supriyati 11396678 p 57th R17 colonoscopy LA
sigmoidostomy + post kemoterapi
simplified weekly 12

Susp Bladder Cancer cTxNxMx + dr. Taufiq ASA 2, hypertension stage I


1 Muhyi 11396232 P 56yo R.ER Clot Evacuation BIM/LIA/PR RA SAB -
Clot Retention Agus S, SpAn (BP 140/63 mmHg
A/NAB
Left Proximal Ureteral Stone + Left
OK 3 Lower Pole Renal Stone + Right Pyelum
UROLOGI Stone + HT St I + HF St C FC III +
Hyperuricemia + Right Mild
Soemarno 11397479 L 74yo R.25 Bilateral PNS LA
Hydronephrosis + Left Severe
Hydronephrosis + Urosepsis + CKD St V
+ Anemia + Metabolic Acidosis +
Olyguria
dr. Taufiq Agus
1 Lies partini 11397935 62th melati right renal stone Right PCNL
S, SpAn
PAV
OK 4
UROLOGI 2 Ahmad I 10248452 L
Susp. Bladder Cancer TxNxMx + Left
Clot Evacuation + TURB Staging
dr. Taufiq Agus ASA 3, geriatric, susp malignancy,
BIM/LIA/PR azotemia renal (Ur/cr 37,0/1,3) RA SAB
Renal Cyst + Clot Retention S, SpAn
A/NAB
OK 5
1
EKSTIRPASI

GA
Tumor laring post trakeotomi + Ca dr. Taufiq MIA/YES/JU
OK 6 THT 1 Dukut L Pro LD-BLM ASA 2 keganasan pertrakeosto -
colli S Agus S, SpAn N
mi

Ca cervix IIB + Post kemoterapi MIA/YES/JU ASA 2 Keganasan, struma


NACT carbo platin fancopage 5 dr. Taufiq N euthyroid (T3/fT4/TSH
OK 7 OBG 1 Suryati p 59th R 10 Radikal histerektomi GA Intubasi -
seri good response + struma Agus S, SpAn 0,99/1,24/2,07) wayne index
nodusa non toxic 3.

dr. Taufiq MIA/YES/JU


1 Istatik p 29th R9 Hematocele Laparotomi eksplorasi ASA 1 GA Intubasi -
Agus S, SpAn N
OK 8 OBG
P1001Ab000 PP SCTP hari ke-12 + dr. Taufiq Agus
2 Tri Oktafiani P 17TH
wound dehiscence
secondary hecting
S, SpAn
MIA/YES/JUN ASA 2 riw epilepsi. RA SAB

ASA 2 Neonatus, Hipokalemia


OK 9 BEDAH dr. Taufiq
1 kavin 113966679 L R11 hirsprung disease Sigmoidostomy FON/JUN 2,84; Pemanjangan FH aPTT GA Caudal -
ANAK Agus S, SpAn
2,3x
Asa 3 pediatrik, peningkatan
TIK, infected VP shunt,
expose vp shunt keen point d + aff vp shunt keen n point d+ dr. Karmini Y, makrosefali, anemi 9.7, Back up
OK I NS 1 aysila kamania 11392106 p 5bln R15 DIA GA intubasi
hidrocephalus insersi vp shunt keen point s SpAn, KAP hipercloremi 122, picu
hipoalbumin 2.18, prolong fh
aptt 2.38x, PCA 56mggu
OK II ORTHO 1
Patological Fracture R Neck femur
ASA 2,Susp keganasan
DT Primary bone Tumor Curretage+Depomedrol dr. Karmini Y, PRO/VID/D epidural
OK III ORTHO 1 subur 11394341 L 23th R19 primary bone tumor proximal -
suggestive benign susp inj+screw insertion SpAn, KAP IA anesthesi
Femur D.
aneurysma bone cyst DD GCT
OS trauma okuli non perforans ASA 2, CKR 456 tanpa
Pro OS Rerekonstruksi dr. Karmini Y, NDI/PRO/V
OK IV MATA 1 Ny.Sumilah p 48 thn R. 17 dgn komplikasi ruptur palpebra perdarahan intracranial. GA intubasi -
palpebra+ Graft SpAn, KAP ID/DIA
superior

dr. Karmini Y,
1 Thoriqun ni'am 11398031 L 8th mawar Supernumerary teeth ekstraksi gigi PAV
SpAn, KAP
OK V ONKO
dr. Karmini Y,
2 Sumihadi 11387602 L 74th Melati Infected atheroma regio Punggung ekstirpasi PAV
SpAn, KAP

dr. Karmini Y,
OK VI ONKO 1 Maulana 11389075 L 13th BOV tumor maksila hemimaksilectomy PAV
SpAn, KAP

OK VII dr. Karmini Y,


1 Afif Fadilatul 11337369 L 12 th R20 Hemangioma regio Inguinak Injeksi Bleomicyn ke IX ZII/VID/CID ASA 1 GA Facemask -
PLASTIK SpAn, KAP
#NAME?

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
#NAME?

bahron

CKd stage V

CAPD
ASA 3, HT stage II (150/100), CKD stage V (Ur/creat
: 70,7/9,19), anemia (7,3), hiperbilirubinemia (Bil
T/D/I : 1,27/1,02/0,25), transaminitis (OT/PT :
84/91), HF stage C FC II, pneumonia
GA LMA

-
#NAME?

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
#NAME?

#REF!

CKd stage V

CAPD

ASA 4, CKD stage V (ur/creat : 149,2/11,25) on


routine HD, uremic syndrome, suspek efusi pleura
dextra, anemia (7,1)

GA

0
Err:509

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Anestesi

Keterangan
Err:509

Zaki

susp polip recti

colonoscopy

0
#NAME?

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Anestesi

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#NAME?

kastumiati

partial bowel obstruction ec susp adhes

colonoscopy

0
#NAME?

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Keterangan
#NAME?

supriyati
colitis ulseratif+ adeno Ca recti 1/3 distal T4N0M0
post sigmoidostomy + post kemoterapi simplified
weekly 12

colonoscopy

0
0

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Anestesi

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0

Susp Bladder Cancer cTxNxMx + Clot Retention

Clot Evacuation

ASA 2, hypertension stage I (BP 140/63 mmHg

RA SAB

-
#NAME?

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
#NAME?

Muhyi
Left Proximal Ureteral Stone + Left Lower Pole
Renal Stone + Right Pyelum Stone + HT St I + HF
St C FC III + Hyperuricemia + Right Mild
Hydronephrosis + Left Severe Hydronephrosis +
Urosepsis + CKD St V + Anemia + Metabolic
Acidosis + Olyguria
Bilateral PNS

0
0

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Anestesi

Keterangan
0

right renal stone

Right PCNL

0
Err:509

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Anestesi

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Err:509

Lies partini

Susp. Bladder Cancer TxNxMx + Left Renal Cyst +


Clot Retention

Clot Evacuation + TURB Staging

ASA 3, geriatric, susp malignancy, azotemia renal


(Ur/cr 37,0/1,3)

RA SAB

0
Err:509

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
Err:509

#REF!

0
#NAME?

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#NAME?

Dukut

Tumor laring post trakeotomi + Ca colli S

Pro LD-BLM

ASA 2 keganasan

GA pertrakeostomi

-
#NAME?

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
#NAME?

Suryati
Ca cervix IIB + Post kemoterapi NACT carbo platin
fancopage 5 seri good response + struma nodusa
non toxic

Radikal histerektomi

ASA 2 Keganasan, struma euthyroid (T3/fT4/TSH


0,99/1,24/2,07) wayne index 3.

GA Intubasi

-
Err:509

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
Err:509

#REF!

Hematocele

Laparotomi eksplorasi

ASA 1

GA Intubasi

-
Err:509

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
Err:509

#REF!

P1001Ab000 PP SCTP hari ke-12 + wound


dehiscence

secondary hecting

ASA 2 riw epilepsi.

RA SAB

0
Err:509

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
Err:509

#REF!

hirsprung disease

Sigmoidostomy
ASA 2 Neonatus, Hipokalemia 2,84; Pemanjangan
FH aPTT 2,3x

GA Caudal

-
#NAME?

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
#NAME?

kavin

expose vp shunt keen point d + hidrocephalus

aff vp shunt keen n point d+ insersi vp shunt keen


point3spediatrik, peningkatan TIK, infected VP shunt,
Asa
makrosefali, anemi 9.7, hipercloremi 122,
hipoalbumin 2.18, prolong fh aptt 2.38x, PCA
56mggu
GA intubasi

Back up picu
0

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Anestesi

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0

0
0

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0

0
Patological Fracture R Neck femur DT Primary bone
Tumor suggestive benign susp aneurysma bone
cyst DD GCT
Curretage+Depomedrol inj+screw insertion
ASA 2,Susp keganasan primary bone tumor
proximal Femur D.

epidural anesthesi

-
0

Identitas

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Status Fisik
Manajemen
Anestesi

Keterangan
0

OS trauma okuli non perforans dgn komplikasi


ruptur palpebra superior

Pro OS Rerekonstruksi palpebra+ Graft


ASA 2, CKR 456 tanpa perdarahan intracranial.

GA intubasi

-
0

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Anestesi

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0

Supernumerary teeth

ekstraksi gigi

0
#NAME?

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Status Fisik
Manajemen
Anestesi

Keterangan
#NAME?

subur

Infected atheroma regio Punggung

ekstirpasi

0
Err:509

Identitas

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Status Fisik
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Anestesi

Keterangan
Err:509

#REF!

tumor maksila

hemimaksilectomy

0
Err:509

Identitas

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Status Fisik
Manajemen
Anestesi

Keterangan
Err:509

#REF!

Hemangioma regio Inguinak

Injeksi Bleomicyn ke IX

ASA 1

GA Facemask

-
#NAME?

Identitas

Diagnosis

Tindakan

Status Fisik
Manajemen
Anestesi

Keterangan
#NAME?

Ny.Sumilah

dependence on ventilator

temporary tracheostomi

0
Err:509

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Status Fisik
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Anestesi

Keterangan
Err:509

#REF!

0
Err:509

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Err:509

#REF!

0
Err:509

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Err:509

Sumihadi

0
Err:509

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Err:509

#REF!

0
Err:509

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Err:509

Maulana

0
Err:509

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Keterangan
Err:509

#REF!

0
#NAME?

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#REF!

0
Err:509

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Err:509

Afif Fadilatul

0
Err:509

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Err:509

#REF!

0
#NAME?

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Rahmawati

0
Err:509

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Err:509

#REF!

0
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