Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
I Putu Kurniyanta
Pediatric Ambulatory
Diagnostic Procedures
• Upper and lower endoscopy
• Flexible bronchoscopy
• Auditory evoked response
Indication
Urology
• Hernioraphy/Hydrocelectomy
• Hypospadius repair
• Orchiopexy
• Cystoscopy for stent change or deflux injection
• Circumcision
• Cordaee repair
• Meatotomy
Indication
Otorhinolaryngology
• Examination under anesthesia
• Myringotomy tubes
• Adenoidectomy
• Adentonsillectomy
• Direct laryngoscopy/bronchoscopy ± laser ablation, typically for
papillomatosis
Dental
• Extractions and restorations
Plastic Surgery
• Excision of superficial lesions
• Placement of tissue expanders for congenital nevus
• Otoplasty
Indication
Orthopedic Surgery
• Syndactyly Release/Polydactyly removal
• Hardware removal
• Anterior cruciate ligament repair
• Minor tendon releases
• Arthroscopy
Indication
General Surgery
• Hernioraphy/Hydrocelectomy
• Umbilical/Periumbilical hernia repair
• Excision of superficial lesions/masses
• Abscess incision and drainage
• Removal of hardware after pectus repair
Ophthalmology
• Examination under anesthesia
• Strabismus repair
• Cataract removal, placement of intraocular lens
• Lacrimal duct probing ± stenting
• Glaucoma procedures: goniotomy, trabeculotomy
• Excision of cysts
Pre Op
• Evaluasi ulang
Tanda Infeksi pernafasan
Puasa
Inform consent orang tua
Persiapan
• Pasien
Puasa Cairan jernih, air putih,
the, juice buah tanpa
2 jam
ampas
ASI 4 jam
Susu formula 6 jam
Makanan padat 6 jam
Inform consent
• Obat & alat anestesi
Anesthesia
• Stress/cemas/takut
• Sakit
• Lingkungan
• Peran orang tua
Post Op
• Monitoring
• Analgesia
Paracetamol 10-15 mg/kgbb
Ibuprofen 5-10 mg/kgbb
• Mual muntah
Ondancentron 0,1 mg/kgbb
Post Op
• Monitoring (telp,
distance to hospital,
pain, complication, ..)
Discharge
Discharge
0 1 2
• Monitoring
• Telp call/hospital/clinic
• Voiding?
TERIMA KASIH