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  • Central Ot 6

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    Vilarx Masengi
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    The document describes 3 operative procedures taking place in the hospital's central OT (operating theater). The first procedure is a laparoscopic VC (visualized closure?) join op on a 72 year old female patient with ovarian cysts. The second is a HTSOB (hysterectomy with bilateral salpingo-oophorectomy?) on a 43 year old female with uterine myomas. The third is a DnC (dilation and curettage?) on a 43 year old female with multiple uterine myomas. For each case, the document provides patient details, diagnosis, procedure, anesthesia details, and postoperative care plan.

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    CENTRAL OT 6

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    The document describes 3 operative procedures taking place in the hospital's central OT (operating theater). The first procedure is a laparoscopic VC (visualized closure?) join op on a 72 year old female patient with ovarian cysts. The second is a HTSOB (hysterectomy with bilateral salpingo-oophorectomy?) on a 43 year old female with uterine myomas. The third is a DnC (dilation and curettage?) on a 43 year old female with multiple uterine myomas. For each case, the document provides patient details, diagnosis, procedure, anesthesia details, and postoperative care plan.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    14 views15 pages

    Central Ot 6

    Uploaded by

    Vilarx Masengi
    The document describes 3 operative procedures taking place in the hospital's central OT (operating theater). The first procedure is a laparoscopic VC (visualized closure?) join op on a 72 year old female patient with ovarian cysts. The second is a HTSOB (hysterectomy with bilateral salpingo-oophorectomy?) on a 43 year old female with uterine myomas. The third is a DnC (dilation and curettage?) on a 43 year old female with multiple uterine myomas. For each case, the document provides patient details, diagnosis, procedure, anesthesia details, and postoperative care plan.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 15

    CENTRAL OT 6.

    1
    Anesthesiologist : dr. Garry D. C. Kumaat, SpAn-TI
    Resident : KEI
    Operator : dr. Linda M. Mamengko, SpOG(K) + dr. Frank M. M. Wagey, SpOG(K) + dr. Toar Mambu, SpB-KBD + dr. Frendy
    Wihono, SpU

    Patient’s Identity : MD / F / 72 y.o / 00786491/ Upper D ward

    BW : 60 kg
    Diagnosis : P6A0 72 yo with cystic ovarian neoplasm BH : 155 cm
    EBV : 3900 ml
    Procedure : Lap VC join op with oncologist, digestive surgeon, and EBL : 400-750 ml
    urologist
    ABL : 780 ml
    TV : 360-480 ml
    Duration : 2-3 Hours

    Position : Lithotomy - Supine


    CENTRAL OT 6.1
    Anesthesiologist : dr. Garry D. C. Kumaat, SpAn-TI
    Resident : KEI
    Operator : dr. Linda M. Mamengko, SpOG(K) + dr. Frank M. M. Wagey, SpOG(K) + dr. Toar Mambu, SpB-KBD + dr.
    Frendy Wihono, SpU

    ASA Physical Status : 3

    Actual : Distended abdomen (AC 116 cm, Venectation +), Well controlled
    hypertension (133/85mmHg on amlodipin 10mg), Geriatric (CFS 3),
    CxR: Bilateral Pneumonia + Cardiomegaly (Pulmonary Tolerance with
    moderate risk), ECG Bradycardia 54 bpm, LVH (Cardiac Tolerance
    with low risk, Echo: LVH, LVEF 63%)
    Potential : Post decompression hypotension, hemodynamic instability, PONV
    (Apfel Score 3)
    Anesthesia Technique : GA-ETT, CVC
    Post Anesthesia care : ICU preparation
    CENTRAL OT 6.2
    Anesthesiologist : dr. Garry D. C. Kumaat, SpAn-TI
    Resident : KEI
    Operator : dr. Dislih Panelewen, SpOG

    Patient’s Identity : AS /43yo/F/00734884/ Upper D ward

    Diagnosis : P4A1 with Myoma Uteri


    BW : 55 kg
    BH : 160 cm

    Procedure : HTSOB EBV : 3575 ml


    EBL : 100-300 ml
    Duration : 2 Hours ABL : 669 ml
    TV : 330-440 ml
    Position : Supine
    CENTRAL OT 6.2
    Anesthesiologist : dr. Garry D. C. Kumaat, SpAn-TI
    Resident : KEI
    Operator : dr. Dislih Panelewen, SpOG

    ASA Physical Status : 3

    Actual : Poor controlled type II DM (RBS 276mg/dL on Levemir 10 iu,


    Metformin 500mg), Well controlled hypertension (130/75mmHg on
    amlodipin 10mg), CxR Old Pulmonary TB with susp active lesion,
    without clinical coughing and short of breathness, negative result
    genexpert), Anemia (Hb10.8), Leukocytosis (12.700)
    Potential : PONV (Apfel score 3)

    Anesthesia Technique : RA-CSE

    Post Anesthesia care : Ward


    CENTRAL OT 6.3
    Anesthesiologist : dr. Garry D. C. Kumaat, SpAn-TI
    Resident : KEI
    Operator : Prof. Dr. dr. Freddy Wagey, Sp.OG(K)

    Patient’s Identity : TD /F /43 y.o/00790868/Upper D ward


    BW : 54kg
    Diagnosis : P0A0 with multiple myoma uteri BH : 157 cm
    EBV : 3510 ml
    EBL : Minimal
    Prosedur : DnC ABL : 625 ml
    TV : 320-430 ml
    Duration : 1 hour

    Position : Lithotomy
    CENTRAL OT 6.3
    Anesthesiologist : dr. Garry D. C. Kumaat, SpAn-TI
    Resident : KEI
    Operator : Prof. Dr. dr. Freddy Wagey, Sp.OG(K)

    ASA Physical Status : 2

    Actual : Anemia (Hb 9.8)

    Potensial : PONV

    Anesthesia : GA-TIVA
    Technique

    Post Anesthesia : Ward

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