Professional Documents
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Moh. Supriatna TS
RESUSITASI :
Reanimasi
menghidupkan kembali yi :
cegah kematian
TERLAMBAT ?
Upaya resusitasi lebih sulit
Meningkatkan kemungkinan kerusakan otak dan
organ tubuh lainnya
Fear
Function
Controls ventilation
Respiratory muscles
Lung tissue
Tachypnea, tachycardia
Retractions
Nasal flaring
Grunting
Stridor or wheezing
Mottled color
Change in responsiveness
Hypoxemia, hypercarbia, decreased Hgb saturations
LATE: Poor air entry, weak cry
Apnea or gasping
Deterioration in systemic perfusion
Bradycardia
Anatomic Differences
1.
2.
3.
4.
5.
6.
7.
8.
9.
Clinical Significance
Increases neck flexion and obstruction
SAFE APPROACH
in
Gambar 31.A. Sudut antara oral (O), pharyngeal (P) dan trachea (T), pada anak 2
tahun. Bila anak terbaring datar A dengan melakukan ganjal pada oksiput S dan T
menjadi hampir segaris. C. dengan mengekstensikan sendi atlanto osipital ketiga
sumbu hampir segaris.
Mouth to
mouth
Airway opening
maneuver
Back blows x 5
Check mouth
Chest thrusts
x5
Alternative
cycles except
in infants
Abdominal thrusts x5
o Equipment
Anesthesia bag
o Seni (sungkup)
o Rate & pressure
AIRWAY
Looking for chest and/or abdominal movement
Listening for breath sound
Feeling for breath
Positioning: non traumatic / traumatic
Airway obstruction : suctioning
No finger sweep technique !!
BREATHING
If AIRWAY do not result in adequate breathing
within 10 second
exhaled air resuscitation should be
commenced
CIRCULATION
Inadequacy of the circulation is recognized by the
absence of a central pulse for up to 10 second
start chest compression if :
No pulse
Slow pulse
No sign of circulation
HENTI JANTUNG
JARANG AKIBAT PRIMER PENYAKIT
JANTUNG
PADA ANAK : SEKUNDER
(HIPOKSIA,DLL), TERBANYAK
KARENA GAGAL SIRKULASI (SYOK)
FLUID
LOSS
FLUID
MALDISTRIBUTION
RESPIRATORY
RESPIRATORY
DISTRESS
DEPRESSION
Septic shock
Convulsion
Cardiac disease
Raised ICP
Anaphylaxis
Poisoning
Blood loss
Gastroente
ritis
Burns
Septic shock
Cardiac disease
Anaphylaxis
CIRCULATORY
FAILURE
RESPIRATORY
FAILURE
CARDIAC ARREST
Small Child
Larger Child
Airway
Head tilt position
Neutral
Sniffing
Sniffing
Breathing
Brachial/femoral
One finger
Breath below
Nipple line
Carotid
One finger
Breadth above
Xiphi-sternum
Carotid
Two finger
Breadth above
Xiphi-sternum
2 fingers or 2
thumbs
5:1
One hand
2 hand
5:1
15 : 2
Circulation
Pulse check
Landmark
Technique
CPR ratio
SEKIAN
DAN
TERIMAKASIH