Tatalaksana Bronkospasme selama Anestesi Umum

Amalia Rahmadinie, Rudy Vitraludyono

Abstract


Bronkospasme selama prosedur anestesi umum merupakan salah satu kejadian yang tidak diharapkan. Menurut beberapa literatur, etiologinya dapat disebabkan oleh proses anafilaksis, faktor mekanis, maupun farmakologis. Karakteristik utama dari bronkospasme  adalah pemanjangan waktu ekspirasi, mengi, dan peningkatan peak airway pressure. Identifikasi dan penatalaksanaan segera dari bronkospasme selama anestesi umum harus dapat segera diketahui agar tidak menyebabkan hipoksia berkepanjangan, hipotensi, dan peningkatan angka morbiditas dan mortalitas. Penyebab utama dari bronkospasme harus diketahui segera selama penatalaksanaan yang dilakukan.


Keywords


bronkospasme; anestesi umum;

Full Text:

PDF

References


Looseley A. Management of bronchospasm during general anaesthesia. Updat Anaesth. 2011;27(1):17-21.

Westhorpe RN, Ludbrook GL, Helps SC. Crisis management during anaesthesia: bronchospasm. Qual Saf Health Care. 2005;14(3):1-6. doi:10.1136/qshc.2002.004457

MR A, Mojibuddin, S A, R K, KR K, D P. Bronchospasm during general anaesthesia-an alarming. KYAMC J. 2018;8(2):27-30.

Sethi C, Kumar R, Shambhavi. Crisis Management of Perioperative Bronchospasm in a Neonate with Sepsis. Sch J Appl Med Sci. 2017;5(7A):2552-2554. doi:10.21276/sjams

Davis P, Cladis F. Smith’s Anesthesia for Infants and Children. 9th ed. Philadelphia: Elsevier; 2016.

Stergiouda Z, Gkiouliava A, Koraki E. A case of persistent bronchospasm after anesthesia induction. Greek E-Journal Perioper Med. 2017;16(b):61-74.

Kocaturk O, Oguz E. The effect of preoperative anxiety on the incidence of perioperative bronchospasm: a prospective observational study. Med Sci | Int Med J. 2017:1. doi:10.5455/medscience.2017.06.8654

De La Cruz I, Errando C, Calaforra S. Treatment of anaphylaxis to rocuronium with Sugammadex: A case report with bronchospasm as the only symptom. Turkish J Anaesthesiol Reanim. 2019;47(1):69-72. doi:10.5152/TJAR.2019.21298

Tassoudis V, Ieropoulos H, Karanikolas M, et al. Bronchospasm in obese patients undergoing elective laparoscopic surgery under general anesthesia. Springerplus. 2016;5(1). doi:10.1186/s40064-016-2054-3

Dewachter P, Mouton-Faivre C, Emala CW, Beloucif S. Case scenario: Bronchospasm during anesthetic induction. Anesthesiology. 2011;114(5):1200-1210. doi:10.1097/ALN.0b013e3182172cd3

Turner DA, Heitz D, Cooper MK, Smith PB, Arnold JH, Bateman ST. Isoflurane for life-threatening bronchospasm: A 15-year single-center experience. Respir Care. 2012;57(11):1857-1864. doi:10.4187/respcare.01605




DOI: http://dx.doi.org/10.21776/ub.jap.2020.001.03.02

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.