terapi ventilasi non-invasif pada neonatus

7/23/2019 terapi ventilasi non-invasif pada neonatus

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Nanda Soraya

030.10.202

REFERAT

TERAPI VENTILASINON-INVASIF

PADA NEONATUS



PENDAHULUAN



Ventia!i "e#ani#



$eni!-%eni! &entia!i "e#ani#



Para"eter &entiator

Singkatan

Kepanjangan

PIP Peak inspiratory pressure

PEEP Positive end-expiratory

pressure

DP Delta pressure

VT

Tidal volume

IT Inspiratory time

ET Expiratory time

'AP Mean airway pressure

R Rate



Pe"(erian (ant)an &entia!i "ea)i%aan na*a! +a!ien tan+a "en,,)na#an%aan na*a! ()atan "ea)i interface

NIV



Respiratory Distress

Respiratory Failure

Tida# (i!a +ertaan#an +aten!i+erna*a!an !aat tertid)r

ini! +enin,#atan )!aa (erna*a!

Weanin

Aternati* /do-not-intu!ate order

Indi#a!i



Se#re!i (ere(ian di!*)n,!i "eneanInterface tida# ")at "irway a(nor"a

Hernia dia*ra,"a yan, tida# ditan,anietida#!ta(ian #ardio&a!#)er (eratE+i!ode a+noe (er)an,Pa!ien yan, ter)!-ter)!an ")nta upper IT !leedin

Post-op upper resp tract # upper IT

ontraindi#a!i



$ENIS



'enyedia#an te#anan #on!tan !ea"ain!+ira!i e#!+ira!i )nt)# "e"(ant)na*a! !+ontan

T)%)an4 "en,at)r #a+a!ita! re!id)*)n,!iona +ar) dan "e"(ant)+ert)#aran ,a! )nt)# "en,)ran,i

a+noe5 6O75 )n, in%)ry7)((e 8PAP5 7iPAPSiPAP

9 ")ra5 9 ")da

$asal continuous positive airway pressure

:N8PAP;





7)((e 8PAP

SiPAP





o"(ina!i N8PAP < &entiatorinter"iten

Le(i )n,,) +ada (ayi 77L e#!tri"

renda9 "enin,#at#an VT5 9 "en)r)n#an=an=e reint)(a!i di(andin, 8PAP

$asal intermittent positive pressure ventilation :ni++&;



Aternati* N8PAP

La%) airan 91 L"enit

Tra)"a #rn interface >>

%eated& 'umidified& 'i'-flow nasalcannulas :HHHFN8;

'enin,#at#an #iren! 8O2 dan FiO2 di

a&eoi

'en)r)n#an re!i!ten!i in!+ira!i

'e"+er(ai#i #o"+ian! +ar)

'en,)ran,i #er%a "eta(oi!"e

%i'-flow nasal cannulas:HFN8;





#o"+i#a!i

Interface irita!i tra)"a o#a

ee"(a(an tida# !e!)ai

")#o!a id)n, r)!a#

PIP VT 99

dindin, a&eoi ra+)

Di!ten!i a(do"en

e(o=oran )dara



Pen,,)naan NIV di RS7A !)da !e%a#200? di R)an, Perinatoo,i

'en,,)na#an 7)((e 8PAP dan HFN8

Se%a# A+ri 201@5 < SiPAP

7)an $an)ari 'aret 201@ ada tota1B neonat)! yan, "e"a#ai NIV

PENUNAAN NIV +ada neonat)!di r!)d ()di a!i %a#arta

%an)ari "aret 201@



$ENIS NIV

1@ C B3533

3 C 15



$ENIS ELA'IN

13 C 2522

@ C 25B



TOTAL LA'A PENUNAAN



USIA A6AL PENUNAAN



USIA ESTASI



7ERAT 7ADAN LAHIR



INDIASI



Ventia!i "e#ani#4 in&a!i* non-in&a!i*

NIV tida# ()t) (ant)an %aan na*a!

()atanNIV e(i "en,)nt)n,#an

$eni! NIV4 N8PAP5 NIPPV5 HFN8

E&o)!i te#ni# +eren,#a+an NIV a#anter)! (eran%)t

Da+at "en,,anti#an &entia!i "e#ani#in&a!i*

#e!i"+)an



Pen)ea! O5 Fr)to!-Vi&ar F5 E!te(an A. Nonin&a!i&e Po!iti&e-Pre!!)re Ventiation in A=)te Re!+iratory Fai)re. 8'A$200G1:10;41211-B.

)+ta P5 Pend)rti '5 'odry#a"ien A'. Etended Utiiation o* Nonin&a!i&e Ventiation *or A=)te Re!+iratory Fai)reand It! 8ini=a O)t=o"e!. Re!+ 8are 2013G@B:@;4B-BJ.

'=Nei 7S5 o!!o+ A$. 8ini=a A++i=ation! o* Non-In&a!i&e Ventiation in 8riti=a 8are. 8riti=a 8are Pain 2011.doi410.10?3(%a=ea==+"#r0J

DKa Lo(ato S5 'ayoraa! Ai!e! S. La &entia=in "e=Mni=a no in&a!i&a "oderna =)"+e 2@ ao!. Ar= 7ron=one)"o2013GJ?4J@?.

Hi"an N5 $o(e AH. Nonin&a!i&e Strate,ie! *or 'ana,e"ent o* Re!+iratory Pro(e"! in Neonate!. Neore&ie! 2013G

1J:@;4e22-3J. Sarnai# AP5 'a!tro+ietro 8. 'e=ani=a Ventiation. In4 Ne!on Tet(oo# o* Pediatri=!. ie,"an R'5 Stanton 7F5 S=or

NF5 St e"e III $65 7er"an RE5 editor!. 1? t Ed. PA5 USA4 E!e&ier Sa)nder!5 20114321-33.

o!i" 'S5 )nanto A5 Dei R5 Saro!a I5 U!"an A. 7)#) A%ar Neonatoo,i. 1!t ed. $a#arta4 7adan Pener(it IDAI5 200B4121-25 13B-J0.

A"(ro!ino N5 Va,e,,ini . Nonin&a!i&e Po!iti&e Pre!!)re Ventiation in te A=)te 8are Settin,4 6ere are 6eQ. E)rRe!+ir $ 200BG314BJ-B.

Fran#e LR5 a=e!. 'e=ani=a Ventiation. In4 Ne!on Tet(oo# o* Pediatri=!. ie,"an R'5 7er"an RE5 $en!on H75Stanton 7F5 editor!. 1Bt Ed. PA5 USA4 E!e&ier Sa)nder!5 20042-.

8ordo&a F5 $i"ene '. F) 'a!# Ventiation. In4 Nonin&a!i&e 'e=ani=a Ventiation. E!)ina! A'5 editor. 7erin4S+rin,er5 201043-@.

Soe"a#er 'T5 Pier=e 'R5 oder 7A5 Dieroni"o R$. Hi, Fo Na!a 8ann)a Ver!)! N!a 8PAP *or Neonata Re!+iratoryDi!ea!e4 A Re!tro!+e=ti&e St)dy. $ Perinat 200424B@-?1.

Hi NS. Ventiator 'ana,e"ent *or Ne)ro")!=)ar Di!ea!e. Se"in Re!+ir 8rit 8are 'ed 2002G23:3;.

Di7a!i R'. Na!a 8ontin)o)! Po!iti&e Airay Pre!!)re :8PAP; *or te Re!+iratory 8are o* te Ne(orn In*ant. Re!+ir8are 200?G@J:?;41220.

Ra"anatan R5 Pa Pedro5 7iniae '. Non-In&a!i&e Ventiation and S)r*a=tant Tera+y. $ P)"on Re!+ 'ed 2013G 0041-.

Ro(ert! 8T5 Da&i! P5 Oen LS. Neonata Non-In&a!i* Re!+iratory S)++ort4 Syn=ronied NIPPV5 Non-Syn=ronied NIPPV or7i-Le&e 8PAP4 6at I! te E&iden=e in 2013Q. Neonat 2013G10J4203-?.

6ard $$. Hi,-Fo Oy,en Ad"ini!tration (y Na!a 8ann)a *or Ad)t and Perinata Patient!. Re!+ir =are 2013G@B:1;410?.

Da*tar +)!ta#a

terapi ventilasi non-invasif pada neonatus

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