Managemen Anestesi pada Congenital Diapragmatic Hernia dengan Ventrikel Septal Defek dan Atrium Septal Defek pada Pasien Pediatrik : Laporan Kasus
DOI:
https://doi.org/10.24843/JATI.2025.v01.i02.p06Keywords:
Congenital Hernia Diaphragmatica, asd, vsd, dobutamine, SevofluraneAbstract
Congenital diaphragmatic hernia (CDH) merupakan kelainan kongenital pada diafragma yang terjadi pada pediatri. Insiden terjadinya hernia tipe Borchdalek lebih sering terjadi pada sisi kiri dari pada sisi kanan. Penyulit lain pada CDH adalah hipoplasia paru, hipertensi paru dan kelainan pada jantung. Pada kasus ini kami mendiskusikan bayi 12 hari dengan kelainan CDH sisi kanan dengan kelainan jantung berupa ventrikel septal defek (VSD) dan atrium septal defek (ASD) yang dilakukan operasi laparotomi hernia. Manajemen anestesi pada pasien ini menggunakan inhalasi sevoflurane, fentanil, volume tidal rendah, obat inotropik dengan kondisi hemodinamik yang stabil selama pembedahan. Kami melaporkan management anestesi dengan sevoflurane yang dikombinasi dengan volume tidal rendah dan inotropik dobutamine pada operasi congenital diaphragmatic herdia dengan VSD dan ASD membantu dalam keberhasilan intraoperatif. Setelah operasi, pasien dilakukan perawatan di NICU untuk perawatan secara ketat.
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1. Chatterjee D, Ing RJ, Gien J. Update on Congenital Diaphragmatic Hernia. Anesthesia & Analgesia [Internet]. September 2020 [dikutip 2 Juni 2025];131(3):808–21. Tersedia pada: https://journals.lww.com/10.1213/ANE.0000000000004324
2. Noorrahman MI, Ananda P, Anggraeni N. Perioperative Anesthetic Management in Repair Diaphragmatic Hernia with Atrial Septal Defect and Pulmonary Hypertension. IJAR [Internet]. 29 Juli 2024 [dikutip 3 Juni 2025];6(2):106–15. Tersedia pada: https://e-journal.unair.ac.id/IJAR/article/view/55703
3. Department of Anesthesiology, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, Guangdong, China., Liang X, Liu D, Department of Anesthesiology, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, Guangdong, China., Gao Y, Department of Anesthesiology, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, Guangdong, China., dkk. Anaesthetic management of fetal congenital diaphragmatic hernia by EXIT: A case report. J Clin Images Med Case Rep [Internet]. 21 Januari 2022 [dikutip 2 Juni 2025];3(1). Tersedia pada: https://jcimcr.org/articles/JCIMCR-v3-1603.html
4. Pranata H, Kurniyanta P. Anesthesia Management of Congenital Diaphragmatic Hernia in Neonates. Bali Journal of Anesthesiology [Internet]. Januari 2021 [dikutip 2 Juni 2025];5(1):53–6. Tersedia pada: https://journals.lww.com/10.4103/BJOA.BJOA_192_20
5. Mottaghi Moghaddam Shahri H, Ghiasi SS, Abbasi Shaye Z, Zegheibizadeh F. CONGENITAL HEART DEFECTS IN INFANTS WITH A CONGENITAL DIAPHRAGMATIC HERNIA: A SINGLE-CENTER EXPERIENCE. Pak Heart J [Internet]. 31 Desember 2022 [dikutip 6 Juli 2025];55(4):408–12. Tersedia pada: https://pakheartjournal.com/index.php/pk/article/view/2343
6. Poerwosusanta H. Optimal early surgery timing for congenital diaphragmatic hernia: A systematic review. 2024;79.
7. Omar MA, Ghoneim T, Khaleel H. A Delicate Balance: Anesthetic Management for Neonatal Congenital Diaphragmatic Hernia Repair. Cureus [Internet]. 10 Desember 2024 [dikutip 6 Juni 2025]; Tersedia pada: https://www.cureus.com/articles/320769-a-delicate-balance-anesthetic-management-for-neonatal-congenital-diaphragmatic-hernia-repair
8. Snoek KG, Reiss IKM, Greenough A, Capolupo I, Urlesberger B, Wessel L, dkk. Standardized Postnatal Management of Infants with Congenital Diaphragmatic Hernia in Europe: The CDH EURO Consortium Consensus - 2015 Update. Neonatology [Internet]. 2016 [dikutip 3 Juni 2025];110(1):66–74. Tersedia pada: https://karger.com/article/doi/10.1159/000444210
9. Costerus SA, Hendrikx D, IJsselmuiden J, Zahn K, Perez-Ortiz A, Van Huffel S, dkk. Cerebral Oxygenation and Activity During Surgical Repair of Neonates With Congenital Diaphragmatic Hernia: A Center Comparison Analysis. Front Pediatr [Internet]. 17 Desember 2021 [dikutip 2 Juni 2025];9:798952. Tersedia pada: https://www.frontiersin.org/articles/10.3389/fped.2021.798952/full
10. Unegbu C. Perioperative Considerations in Pediatric Patients With Pulmonary Hypertension. International Anesthesiology Clinics [Internet]. 2019 [dikutip 6 Juli 2025];57(4):25–41. Tersedia pada: https://journals.lww.com/10.1097/AIA.0000000000000253
11. Kirby E, Keijzer R. Congenital diaphragmatic hernia: current management strategies from antenatal diagnosis to long-term follow-up. Pediatr Surg Int [Internet]. April 2020 [dikutip 6 Juni 2025];36(4):415–29. Tersedia pada: http://link.springer.com/10.1007/s00383-020-04625-z
12. McGovern R, McGovern V, Healy M. Congenital Diaphragmatic Hernias – Part 2 [Internet]. World Federation of Societies of Anaesthesiologists; 2024 Jul [dikutip 2 Juni 2025]. Tersedia pada: https://resources.wfsahq.org/atotw/congenital-diaphragmatic-hernias-part-2/
13. McGovern R, McGovern V, Healy M. Congenital Diaphragmatic Hernias – Part 1 [Internet]. World Federation of Societies of Anaesthesiologists; 2024 Feb [dikutip 2 Juni 2025]. Tersedia pada: https://resources.wfsahq.org/atotw/congenital-diaphragmatic-hernias-part-1/
14. Patrini D, Panagiotopoulos N, Bedetti B, Lawrence D, Scarci M. Diaphragmatic plication for eventration or paralysis. Shanghai Chest [Internet]. 2017 [dikutip 2 Juni 2025];1:25–25. Tersedia pada: http://shc.amegroups.com/article/view/3829/4611
15. Ahmad T, Manohar SA, Stencel JD, Le Jemtel TH. Dobutamine in the Management of Advanced Heart Failure. JCM [Internet]. 27 Juni 2024 [dikutip 18 Juni 2025];13(13):3782. Tersedia pada: https://www.mdpi.com/2077-0383/13/13/3782
16. Eerdekens GJ, Van Beersel D, Rex S, Gewillig M, Schrijvers A, Al Tmimi L. The patient with congenital heart disease in ambulatory surgery. Best Practice & Research Clinical Anaesthesiology [Internet]. September 2023 [dikutip 3 Juni 2025];37(3):421–36. Tersedia pada: https://linkinghub.elsevier.com/retrieve/pii/S1521689622000556
17. Xu B, Hu Y, Zhang F, Huang S, Tian J, Wu F. Enhanced Recovery After Surgery Management for Neonatal Congenital Malformations to Accelerate the Postoperative Recovery of Children. ALTERNATIVE THERAPIES.
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Copyright (c) 2025 Mauritius Septa Kristiawan, Adinda Putra Pradhana, I Putu Kurniyanta, Ketut Wibawa Nada, Novandi Kurniawan, Tjokorda Gde Agung Senapathi (Author)
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