Download - AIRWAY & VENTILASI.pptx
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IRW Y & VENTIL SI
EM – K4
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TRAUMA
Airway Obstruction
Ventilasi, Oksigenasi
Defnitie Airway
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Trau!a
• Airway Obstruction
• Ventilasi , Oksigenasi
• "y#ercarbia, "y#okse!ia
• D E A T "
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$engenalan Masala%
• Trauma cedera otak peningkatan ICP penurunan kesadaran
• Trauma ggn airway ggn ventilasi &
oksigenasi
hypoksemia, hyperkarbia
• Peningkatan ICP + Hypoksemia, Hyperkarbia
• D E A T "
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trau!a
$asien turun kesa&aran
'si la!bung #enu%
Risiko regurgitasi, !unta%
S P I R S I
D E T H
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trau!a trau!a, %ig% riskuntuk ter(a&inya ggn airway
• Trauma Maksiloasial• !raktur dislokasi ggn nasoaring dan oroaring
• "ekresi yg meningkat, gigi tercabut
• !raktur korpus mandibula bilateral
• Trauma #eher• #uka tembus , kena vaskular, hematoma
• Trauma tumpul atau ta$am bisa mencederai trakheaatau laring
• Perdarahan menyumbat sistem trakheobronkhial• %enitive airway dipasang untuk mencegah
keterlambatan ter$adinya obstruksi airway total '
• "urgical airway kadang dibutuhkan pada keadaan akut'
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trau!a trau!a, %ig% riskuntuk ter(a&inya ggn airway
• Trauma laring• (arang ter$adi
• !raktur laring ditandai dengan trias )
» "uara parau» *msema subkutan
» Teraba raktur
• ila obstruksi total resp' distress – intubasi dgn -e.ible/endoscop0,
– trakheostomi emergensi
– krikotiroidotomi
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Airway
menilai jalan nafas
• )isa bicara *
• +ook, listen, an& eel
• -erak &a&a
• -erak otot naas ta!ba%an
• .arna kulit, !ukosa, kuku
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air way
•
+ook /li%at0• +isten / &engar0
• 1eel /rasakan0
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Airway
waspada
• Tdk bernaas, apnea
• 1bstruksi $alan naas, partial, total
• Cedera dada dengan gangguan
ventilasi
• Cedera tulang leher ggn ventilasi
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a#nea
• +ook /20
• +isten /20
•
1eel
/20
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Obstruksi
total
Obstruksi
#artial+ook / li%at0
( + )
see-saw
resp.
( + )
+isten/&engar0
( - ) ( + 0 suara
ta!ba%an
1eel
/ rasakan0
( - ) ( + )
"uara tambahan )"noring pangkal lidah $atuh2argling cairan dalam pharyn.Crowing spasme laryn.3hee4ing bronchospasm
3u!batan alan 5aas
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Pasien tia! saar
"umbatan $alan naas palingsering oleh karena $atuhnya
pangkal lidah
1bstruksi Partial, Total
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V E 5 T ' + A 3 '
• 2angguan 5irway
• 6entilatory Mechanic – trauma dada, nyeri
– pneumo, hematotoraks
– elderly dengan penyakit paru sebelumnya
– brain in$ury
– trauma cervical, transeksi cervical
– 6olume tidal kecil, M6 kecil, 77
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6entilasi # o o k
• %ada turun naik asymetris, -ail chest
• 2erak otot naas tambahan
•
Tracheal tug• Cuping hidung
• Cekungan sela iga
•
77 yang cepat , takhipnea• Pulseoksimeter "p18 rendah
• sianosis
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6entilasi listen
• Penurunan suara naas, pada satuatau kedua sisi hemothoraks
• Hilangnya suara naas pada satuatau kedua sisi hemothoraks
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6entilasi e e l
• Penurunan atau tdk ada hembusannaas
• Palpasi getaran naas asymetris
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#engelolaan
• 9eep the airway clear, segera danpertahankan
• 5irway/a$unct sementara0, denitive airway
• Hati hati trauma cervical, colar/brace• Inline immobilisation
• 1ksigen terapi nasal canula, mask0
• Monitoring dengan #ook, #isten, !eel
• 2unakan Pulse 1ksimeter
• 7igid suction terutama pada traumamaksiloasial0
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Me!#erta%ankan Airwayse!entara
• Chin lit
• (aw thrust
•
1ropharyngeal tube• :asopharyngeal tube
• Multilumen airway device
• #M5
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Defnitie Airway
• Intubasi 1rotrakheal
• Intubasi :asotrakheal
•
5danya C18 dalam udara ekhalasimemastikan pipa 1TT atau :TTberada dalam airway yang benar
• :eedle crycothyroidotomy
• "urgical/airway krikotiroidotomi;<8 th0 trakheostomi
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'n&ikasi Defnitie airway
• 5pnea
• Cara sementara tidak adekwat
•
Mencegah aspirasi• Potensial sumbat total $alan naas
• 2C" = >, ICP tinggi
• 1ksigenasi inadekwat
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'n&ikasi #e!asangan Defnitie Airway
$erlin&ungan Airway Ventilasi
• 9orban tidak sadar • 5pnea• paralisis :euromuskular• korban tdk sadar
• !raktur maksiloasial • :aas inadekwat• takhipnea• hipoksemia, hipoksia• hiperkarbia• sianosis
• ahaya aspirasi• perdarahan $alan naas•
muntah
• rain in$ury, kenaikan ICP
• ahaya "umbatan• hematoma leher• cedera laring, trakhea• stridor
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Curiga Cedera Cervikal
1ksigenasi / 6entilasi
5pneic
:aas
Intubasi 1rotrakhealdgn inlineimmobilisasi
Intubasi:asotrakheal
atau 1rotrakheal
dgn inlineimmobilisasi
Trauma
maksiloasial berat
Tdk dapat intubasi
Tdk dapat intubasi Tdk dapat intubasi
Tambahan armakologik
Intubasi orotrakheal
Tdk dapat intubasi
5irway "urgical
ebutu%an Defnitie Airway
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oksigenasi
• Tight/tting o.ygen reservoir acemask
• :on rebreathing ace mask
• :asal canula
• Monitoring dgn pulse oksimeter
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entilasi
• 5M?, bag/valve/ace/mask
• "at atau dua orang
•
6entilator• Hati hati tension pneumothora.
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#itall
• Tidak mampu men$aga airway,melakukan bantuan dan men$agaairway
• Muntah, aspirasi suction machineet al
• 2astric distention
• 5lat tdk siap
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8@
6 tenkyu7
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