Manajemen Preoperatif Kehamilan Ektopik Terganggu dengan Syok Hipovolemia

  • Nugrahaeni Budianti Fakultas Kedokteran UGM
  • Sri Rahardjo RSUP Dr. Sardjito Yogyakarta
  • Yusmein Uyun RSUP Dr. Sardjito Yogyakarta
Keywords: ruptured ectopic pregnancy, hypovolemia shock, emergency relaparatomy, preoperative management

Abstract

Had been reported a case of preoperative management for a woman 36 years old, G1P0A0, pregnant 11 weeks with ruptured ectopic pregnancy and run into hypovolemia shock. We assessed physic status patient as ASA (American Society of Anesthesia) 4E (emergency) with hypovolemia shock et causa internal bleeding and patient had been done relaparotomy. Patient had been refered from RSUD Wonosari and when she came to RSUP Sardjito, she feel pain and pale suspicious hypovolemia shock with internal bleeding then had been done laparatomy emergency surgery, dextra salphingectomy et causa ruptured ectopic pregnancy in IGD operation room for 2 hours and then she was observated in resusitation room for 6 hours and then she was transported to PACU. When in PACU, her condition compos mentis, she feel pain and the hemodynamic is blood pressure 90/ 60 mmHg, pulse 165 times/ minutes, respiration rate 32 times/ minutes on NRM 8 liters/ minutes, spO2 99 – 100 %, temperature 36,8 °C and VAS 3 – 4. In abdominal assessment, we found decreased of peristaltic, distended (+), tenderness (+), wound dressing blood seeped (-) and capilarry refill over 2 second and also radialis artery was not detected. We did evaluation to know internal bleeding, we did positive challange test with kristaloid 20 cc/ kg BB in 15 minutes and then in USG, we found free liquid intraabdomen and we planned emergency laparatomy in IGD operation room. Anesthetic technique that we used was general anesthesia. After surgery, patient was transported to ICU in sedation condition and was intubated.

Author Biographies

Nugrahaeni Budianti, Fakultas Kedokteran UGM

Peserta program pendidikan dokter spesialis I Anestesiologi dan Terapi Intensif FK UGM / RSUP Dr. Sardjito Yogyakarta

Sri Rahardjo, RSUP Dr. Sardjito Yogyakarta

Dokter anestesi dan staff pengajar program pendidikan dokter spesialis I Anestesiologi dan Terapi Intensif FK UGM / RSUP Dr. Sardjito Yogyakarta

Yusmein Uyun, RSUP Dr. Sardjito Yogyakarta

Dokter anestesi dan staff pengajar program pendidikan dokter spesialis I Anestesiologi dan Terapi Intensif FK UGM / RSUP Dr. Sardjito Yogyakarta

Published
2023-05-27
How to Cite
Budianti, N., Rahardjo, S., & Uyun, Y. (2023). Manajemen Preoperatif Kehamilan Ektopik Terganggu dengan Syok Hipovolemia. Jurnal Komplikasi Anestesi, 5(1), 31-42. https://doi.org/10.22146/jka.v5i1.7320

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