aspirasi benda asing (amanda g0003042)
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ASPIRASIBENDA ASING
ASPIRASIBENDA ASING
OlehAmanda Sekar A
G 0003042
OlehAmanda Sekar A
G 0003042
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PENDAHULUAN
Aspirasi benda asing
Obstruksi yg melewati carina gejala > ringan
EMERGENCY
UkBesar
CompleteObstruction
Asfiksia Kematian
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Benda-benda yg dpt timbulkan obstruksi :
gigikoinmainan
Potongantulangkacang makanan
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PATOFISIOLOGI
Obstruksi total pada laring / trakea asfiksia & kematian
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PATOFISIOLOGI
< 15 th sudut yg dibtk trakea & bronkus Dx et Sn sama
Dewasa obstruksi lebih sering di Dx (> lurus)
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Efek Obstruksi Pada Jaringan
Efek
Inflamasi lokalInfiltrasi sel radang
Edema
Ulserasi/jar. granulasi
Perdarahan
Mediastinitis/Fistula tracheoesofageal
FIGURE 3. Histology. Histologic examination reveals plant tissue strips with thick cell walls admixed with bacterial colonies, inflammatory debris, mucin and respiratory epithelial cells.
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Distal daerah obstruksi: air trapping emphysema atelektasis hypokxic vasoconstriction pneumonia post obstructiv necrotizing pneumonia supurative pneumonia / abses bronchiectasis
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Bronkoskopi benda tampak seperti tumor
Meskipun benda sudah disingkirkan, perubahan yg terjadi pada jaringan akibat inflamasi tidak reversibel dg sempurna bisa timbulkan scar carcinoma.
Komplikasi makin meningkat setelah 24-48 jam post obstruksi
Fiberoptic bronchoscopy Bronchoscopic examination reveals a
mucoid impaction with surrounding erythema and edema.
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Sering terjadi pada anak < 16 th, t.u 1-3 th karena:
1
Fase oral
2Proses
mengunyah belum
sempurna
3
Reflek Inhalasi
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MANIFESTASI KLINIS
ANAMNESIS Trias klasik : batuk, wheezing, pe
suara nafas Respiratory distress Afonia Sianosis Pe kesadaran
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MANIFESTASI KLINIS
PEMERIKSAAN FISIK Stridor Whezing terlokalisir pe suara nafas Obstruksi berat : sianosis
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PEMERIKSAAN PENUNJANG
AGD identifikasi gagal nafas akut
Foto thorak Gambaran benda asing Air traping
(unilateral hiperinflation)
Atelektasis Mediastinal shift Pneumomediastinum
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PEMERIKSAAN PENUNJANG
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CT scan
Computed tomographic scan of the chest. Arrows designate a soft tissue density in the right lower lobe bronchus, indicating a foreign body.
PEMERIKSAAN PENUNJANG
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Bronkoskopi utk Dx maupun Tx
PEMERIKSAAN PENUNJANG
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Universal FBAO Algorithm
PENATALAKSANAAN
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Abdominal thrust, chest thrust, back blows
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PENATALAKSANAAN
BronkoskopiTindakan bedah :
bronchotomy / segmental resection
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KOMPLIKASI
Berat ringannya komplikasi tergantung dari ukuran, bentuk, komposisi, dan lokasi objek yang teraspirasi. Komplikasi yang terjadi meliputi :
Cough Dyspnea Wheeze Stridor Hemoptysis Asphyxia Laryngeal edema Pneumothorax Pneumomediastinum Tracheobronchial rupture Cardiac arrest
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Keterlambatan penatalaksanaan dapat menyebabkan hal-hal sebagai berikut : Obstructive emphysema Atelectasis Tracheoesophageal fistula Bronchial stricture Pneumonia Persistent cough Hemoptysis Polyp formation Localized bronchiectasis Chronic postobstructive pneumonia Lung abscess Bronchopleural fistula Decreased lung perfusion
Komplikasi kronik yang terjadi tergantung dari benda asing itu sendiri dan trauma yang disebabkan saat pengambilan benda asing tersebut. Komplikasi akan meningkat seiring dengan keterlambatan ekstraksi.
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