arterial pressure

monitoring
Saptadi Yuliarto

Emergensi dan Rawat Intensif Anak

Lab/SMF Ilmu Kesehatan Anak
Fakultas Kedokteran Universitas Brawijaya
RSUD dr. Saiful Anwar Malang

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 indikasi arterial line

Pemeriksaan BGA
Pemantauan tekanan darah kontinu
Penentuan fluid responsiveness

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 kontraindikasi relatif

Peripheral vascular disease

Hemorrhagic disorder
Anticoagulant or thrombolytic agent
Infection in puncture area

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 komplikasi

Emboli
Vascular insufficiency or occlusion
Ischemic necrosis
Infection
Hemorrhage

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 tempat insersi

A. radialis (#20-24; 1,5-2)

A. ulnaris (#20-24; 1,5-2)
A. brachialis (#20-24; 1,5-2)
A. aksilaris (#18-20; 15 cm)
A. dorsalis pedis (#20-24; 1,5-2)
A. tibialis posterior (#20-24;
1,5-2)
A. temporalis superfisialis (#20-24;
1,5-2)

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 perawatan

heparin 1 U / ml drip dengan kecepatan 1

ml/jam (untuk mencegah aliran balik darah
arteri)

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 pengambilan sampel

ambil 3-5 ml darah sebelum mengambil

sampel untuk menghindari kontaminasi
heparin/salin

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 pressure wave

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 pressure wave

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 pressure wave

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 pressure wave in PVC

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 pressure wave in SVT

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 pressure wave in hypotension

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 pressure wave in hypertension

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 pressure wave before fluid resuscitation

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 pressure wave after fluid resuscitation

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 pengukuran fluid responsiveness

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 pengukuran fluid responsiveness

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 systolic pressure variation

SPV% = [(SPmax - SPmin) / (SPmax + SPmin) / 2] x 100%

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 pulse pressure variation

PPV% = [(PPmax - PPmin) / (PPmax + PPmin) / 2] x 100%

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 fluid responsiveness

PPV% or SPV% 13%= fluid refractory

PPV% or SPV% >13%= fluid responsive

In children
PPV% 11.4%= normal cardiac output
SPV%9.45%= normal cardiac output

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