Morning Report

Friday, 15 September
2023
 OR Kiara Pediatric
dr. Jane Elvina Sentosa, Sp.An / Devani - Faishal - Daniel - Jevon - Didhar
1. Boy 4 Y / BW 16 kg / 4742179
Diagnosis : Penoscrotal hypospadia
Procedure : Staged urethroplasty
Patient has not arrived, HIS cannot be accessed
Status : ASA

Plan :
Post-op : PICU
 OR Kiara Pediatric
dr. Jane Elvina Sentosa, Sp.An / Devani - Faishal - Daniel - Jevon - Didhar
2. Boy 9 Y / BW 41.3 kg / 4713503
Diagnosis : Buried penis post circumcision
Procedure : Reconstruction of buried penis
Status : ASA 1
• Without airway difficulty
Plan : GA - Spinal
Post-op : Ward
 OR Kiara Pediatric
dr. Jane Elvina Sentosa, Sp.An / Devani - Faishal - Daniel - Jevon - Didhar
3. Boy 8 Y / BW 21 kg / 4712009
Diagnosis : Right palpable undescended testis
Procedure : Right orchidopexy
Status : ASA 2
Chromosome 46XY, clinically with right palpable undescended testis, penoscrotal hypospadias,
micropenis, without history of hormonal therapy
• Without airway difficulty
Plan : GA - Caudal
Post-op : Ward
 OR Kiara Pediatric
dr. Jane Elvina Sentosa, Sp.An / Devani - Faishal - Daniel - Jevon - Didhar
4. Boy 3 Y/ BW 23 kg / 4733566
Diagnosis : Sensorineural hearing loss, autism spectrum disorder
Procedure : Brainstem evoked response audiometry dan distortion-product otoacoustic emissions dalam sedasi
Status : ASA 2
Autism spectrum disorder, clinically with speech delay, not look up when called
• Without airway difficulty
Plan : Sedasi
Post-op : Ward
 OR Kiara Pediatric
dr. Jane Elvina Sentosa, Sp.An / Devani - Faishal - Daniel - Jevon - Didhar
5. Boy 8 Y / BW 29 kg / 4047276
Diagnosis : Bilateral neurogenic congenital talipes equinovarus flexion contracture of right knee cerebral palsy gross motor
function classification System 4
Procedure : Bilateral achilles tendon lengthening using White and Hoke postero medial release split posterior tibial tendon
transfer (SPOTT) / split tibialis anterior tendon transfer long leg cast
Status : ASA 3
History of hydrocephalus on ventriculoperitoneal shunt, clinically active child with epilepsy, with leg rigidity
seizure, last 2 years ago, on Topiramate 50-25 mg PO, Valproic acid 2 x 5 ml PO, Phenytoin 2 x 75 mg PO
Recurrent pneumonia, clinically without dyspnea/cough/fever, able to lie supine, without rhonchi/wheezing, RR
24x/minute, SpO2 99% room air, on Salbutamol/Ipratropium bromide with NaCl 2x/week
Global development delay, clinically active, only able to sit.
• Without airway difficulty
Plan : GA - Caudal

Post-op : Ward
 OR Kiara Pediatric
dr. Jane Elvina Sentosa, Sp.An / Devani - Faishal - Daniel - Jevon - Didhar
6. Boy 4 M / BW 3,4 kg / 4663746
Diagnosis : On loop jejunostomy on history of transverse colon perforation post laparotomy resection of transverse colocolic anastomosis
and jejunum perforation post laparotomy resection of jejuno-jejunal anastomosis, post rectal biopsy all layer
Procedure : Resection of jejunojejunal anastomosis and sigmoid colostomy, frozen section

Status : ASA 2
History of intra-abdominal infection due to jejunojejunal anastomosis leakage, clinically active child, HR 144 x/minute, RR 35-
40x/minute, SpO2 98% room air, normal temperature, without intra-abdominal distension and on colostomy vital and
productive impression, Leukocytes 5960, currently without antibiotic therapy
Malnutrition: very short stature, BW 3.4 kg, body length 53 cm
Anemia Hb 10.9
Hyponatremia 128
Hypokalemia 3.0
Elevated transaminase enzymes AST/ALT 122/140, without jaundice, without therapy
• Without airway difficulty
Plan : GA - CVC (already inserted) - Caudal

Post-op : PICU