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Anesthesia for Heart Puncture Wounds (Anestesia pada Luka Tusuk Jantung)
Heart puncture wounds are almost always fatal as these wounds lead to massive hemorrhage, dysrythmia, and tamponade or submerges the heart. Management of anesthesia of these cases consist of the standard cardiopulmonary resuciation, the maintenance of airway, adequate ventilation, and circulation by ensuring adequate fluids. Premedications is not always needed as intubation has usually been performed in the emergency unit. Ventilation and circulation parameters should cautiously be monitored during anesthesia. Vasoactive agent may be supplemental to increase cardiac output. Postoperative measures may include postoperative pain hadling and the management of hypothermia induced by massive hemorrhage.
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