Open Lung Recruitment untuk Pasien Udem Paru Akut Pasca Operasi Sesar

  • Dwiana Sulistyanti Faculty of Medicine Universitas Mulawarman Samarinda
  • Yusmein Uyun Faculty of Medicine Universitas Gadjah Mada Yogyakarta
Keywords: open lung recruitment, udem paru akut, acute pulmonary oedema

Abstract

Udem paru akut pada wanita hamil merupakan kejadian yang jarang tetapi merupakan kejadian yang dapat mengancam jiwa. Meskipun merupakan kejadian yang jarang terjadi tetapi berhubungan dengan meningkatnya resiko pada ibu juga meningkatkan morbiditas dan mortalitas janin. Beberapa faktor resiko yang diidentifikasikan dapat menyebabkan udem paru: preeklamsi atau eklamsi, infeksi yang berat, penggunaan obat tokolitik, kelebihan cairan dan kehamilan ganda. Selain itu, perubahan fisiologi yang berhubungan dengan kehamilan mungkin bisa menjadi penyebab udem paru pada wanita hamil. Ventilasi mekanik efektif meningkatkan kandungan oksigen dan menurunkan trauma pada paru. Open lung recruitment dapat meningkatkan oksigenasi pada pasien dengan udem paru akut, dapat menurunkan indeks cairan ekstravaskuler paru, meningkatkan pengembangan paru dan menurunkan tekanan pada jalan nafas. Laporan kasus ini menjelaskan tentang penanganan udem paru akut pada wanita muda pasca operasi sesar atas indikasi preeklamsi, dimana dilakukan open lung recruitment saat pasien dirawat di ruang ICU, pasien dirawat selama hampir 2 minggu dan pulang dalam keadaan baik.

Open Lung Recruitment for Patient Acute Pulmonary Edema Post Caesarean Section

Abstract

Acute pulmonary edema in pregnant women is a rare but life-threatening event. Although it is a rare event, but it is associated with an increased risk for the mother as well as increasinh fetal morbidity and mortality. Several indentified risk factors can cause pulmonary edema : preeclampsia or eclamsia, severe infections, use of tocolytic drugs, fluid overload, and multiple pregnancies. In adition, physiological changes related to pregnancy may be a cause of pulmonary edema in pregnant women. Mechanical ventilation effectively increases oxygen content and reduces trauma to the lungs. Open lung recruitment can increase oxygenation in patient with acute pulmonary edema, can reduce the pulmonary extravascular fluid index, increase lung development, and reduce pressure on the airway. This case report describes the management of acute pulmonary edema in young women post-operative cesarean section for indications of preeclampsia, where open lung recruitment is performed when the patient is treatedin the ICU, the patient is treated for almost two weeks and return home in good condition.

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Author Biographies

Dwiana Sulistyanti, Faculty of Medicine Universitas Mulawarman Samarinda

Department Anesthesiology and Intensive care AW Syahranie Samarinda General Hospital Samarinda

Yusmein Uyun, Faculty of Medicine Universitas Gadjah Mada Yogyakarta

Department of Anesthesiology and Intensive Care  Dr. Sardjito General Hospital Yogyakarta

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CROSSMARK
Published
2020-03-17
DIMENSIONS
Section
Case Report

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