terapi ventilasi non-invasif pada neonatus
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Transcript of terapi ventilasi non-invasif pada neonatus
7/23/2019 terapi ventilasi non-invasif pada neonatus
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Nanda Soraya
030.10.202
REFERAT
TERAPI VENTILASINON-INVASIF
PADA NEONATUS
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PENDAHULUAN
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Ventia!i "e#ani#
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$eni!-%eni! &entia!i "e#ani#
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Para"eter &entiator
Singkatan
Kepanjangan
PIP Peak inspiratory pressure
PEEP Positive end-expiratory
pressure
DP Delta pressure
VT
Tidal volume
IT Inspiratory time
ET Expiratory time
'AP Mean airway pressure
R Rate
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Pe"(erian (ant)an &entia!i "ea)i%aan na*a! +a!ien tan+a "en,,)na#an%aan na*a! ()atan "ea)i interface
NIV
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Respiratory Distress
Respiratory Failure
Tida# (i!a +ertaan#an +aten!i+erna*a!an !aat tertid)r
ini! +enin,#atan )!aa (erna*a!
Weanin
Aternati* /do-not-intu!ate order
Indi#a!i
7/23/2019 terapi ventilasi non-invasif pada neonatus
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Se#re!i (ere(ian di!*)n,!i "eneanInterface tida# ")at "irway a(nor"a
Hernia dia*ra,"a yan, tida# ditan,anietida#!ta(ian #ardio&a!#)er (eratE+i!ode a+noe (er)an,Pa!ien yan, ter)!-ter)!an ")nta upper IT !leedin
Post-op upper resp tract # upper IT
ontraindi#a!i
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$ENIS
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'enyedia#an te#anan #on!tan !ea"ain!+ira!i e#!+ira!i )nt)# "e"(ant)na*a! !+ontan
T)%)an4 "en,at)r #a+a!ita! re!id)*)n,!iona +ar) dan "e"(ant)+ert)#aran ,a! )nt)# "en,)ran,i
a+noe5 6O75 )n, in%)ry7)((e 8PAP5 7iPAPSiPAP
9 ")ra5 9 ")da
$asal continuous positive airway pressure
:N8PAP;
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7/23/2019 terapi ventilasi non-invasif pada neonatus
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7)((e 8PAP
SiPAP
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7/23/2019 terapi ventilasi non-invasif pada neonatus
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o"(ina!i N8PAP < &entiatorinter"iten
Le(i )n,,) +ada (ayi 77L e#!tri"
renda9 "enin,#at#an VT5 9 "en)r)n#an=an=e reint)(a!i di(andin, 8PAP
$asal intermittent positive pressure ventilation :ni++&;
7/23/2019 terapi ventilasi non-invasif pada neonatus
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Aternati* N8PAP
La%) airan 91 L"enit
Tra)"a #rn interface >>
%eated& 'umidified& 'i'-flow nasalcannulas :HHHFN8;
'enin,#at#an #iren! 8O2 dan FiO2 di
a&eoi
'en)r)n#an re!i!ten!i in!+ira!i
'e"+er(ai#i #o"+ian! +ar)
'en,)ran,i #er%a "eta(oi!"e
%i'-flow nasal cannulas:HFN8;
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7/23/2019 terapi ventilasi non-invasif pada neonatus
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#o"+i#a!i
Interface irita!i tra)"a o#a
ee"(a(an tida# !e!)ai
")#o!a id)n, r)!a#
PIP VT 99
dindin, a&eoi ra+)
Di!ten!i a(do"en
e(o=oran )dara
7/23/2019 terapi ventilasi non-invasif pada neonatus
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Pen,,)naan NIV di RS7A !)da !e%a#200? di R)an, Perinatoo,i
'en,,)na#an 7)((e 8PAP dan HFN8
Se%a# A+ri 201@5 < SiPAP
7)an $an)ari 'aret 201@ ada tota1B neonat)! yan, "e"a#ai NIV
PENUNAAN NIV +ada neonat)!di r!)d ()di a!i %a#arta
%an)ari "aret 201@
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$ENIS NIV
1@ C B3533
3 C 15
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$ENIS ELA'IN
13 C 2522
@ C 25B
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TOTAL LA'A PENUNAAN
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USIA A6AL PENUNAAN
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USIA ESTASI
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7ERAT 7ADAN LAHIR
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INDIASI
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Ventia!i "e#ani#4 in&a!i* non-in&a!i*
NIV tida# ()t) (ant)an %aan na*a!
()atanNIV e(i "en,)nt)n,#an
$eni! NIV4 N8PAP5 NIPPV5 HFN8
E&o)!i te#ni# +eren,#a+an NIV a#anter)! (eran%)t
Da+at "en,,anti#an &entia!i "e#ani#in&a!i*
#e!i"+)an
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Pen)ea! O5 Fr)to!-Vi&ar F5 E!te(an A. Nonin&a!i&e Po!iti&e-Pre!!)re Ventiation in A=)te Re!+iratory Fai)re. 8'A$200G1:10;41211-B.
)+ta P5 Pend)rti '5 'odry#a"ien A'. Etended Utiiation o* Nonin&a!i&e Ventiation *or A=)te Re!+iratory Fai)reand It! 8ini=a O)t=o"e!. Re!+ 8are 2013G@B:@;4B-BJ.
'=Nei 7S5 o!!o+ A$. 8ini=a A++i=ation! o* Non-In&a!i&e Ventiation in 8riti=a 8are. 8riti=a 8are Pain 2011.doi410.10?3(%a=ea==+"#r0J
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Soe"a#er 'T5 Pier=e 'R5 oder 7A5 Dieroni"o R$. Hi, Fo Na!a 8ann)a Ver!)! N!a 8PAP *or Neonata Re!+iratoryDi!ea!e4 A Re!tro!+e=ti&e St)dy. $ Perinat 200424B@-?1.
Hi NS. Ventiator 'ana,e"ent *or Ne)ro")!=)ar Di!ea!e. Se"in Re!+ir 8rit 8are 'ed 2002G23:3;.
Di7a!i R'. Na!a 8ontin)o)! Po!iti&e Airay Pre!!)re :8PAP; *or te Re!+iratory 8are o* te Ne(orn In*ant. Re!+ir8are 200?G@J:?;41220.
Ra"anatan R5 Pa Pedro5 7iniae '. Non-In&a!i&e Ventiation and S)r*a=tant Tera+y. $ P)"on Re!+ 'ed 2013G 0041-.
Ro(ert! 8T5 Da&i! P5 Oen LS. Neonata Non-In&a!i* Re!+iratory S)++ort4 Syn=ronied NIPPV5 Non-Syn=ronied NIPPV or7i-Le&e 8PAP4 6at I! te E&iden=e in 2013Q. Neonat 2013G10J4203-?.
6ard $$. Hi,-Fo Oy,en Ad"ini!tration (y Na!a 8ann)a *or Ad)t and Perinata Patient!. Re!+ir =are 2013G@B:1;410?.
Da*tar +)!ta#a