Emboli Air Ketuban
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Emboli Air Ketuban(EAK)
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Definisi
Emboli Air Ketuban (EAK) adalah masuknya cairan ketuban ke dalam sirkulasi maternal dan menyebabkan kolaps yang hanya dapat dipastikan dengan autopsi (Tanjung, 2010)
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Patofisiologi
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Diagnosis
• ECG• Oksimeter• Lab darah (STN, THK-2, dll)• Foto Thoraks• Autopsi (gold standart)
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Diagnosis Banding
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Terapi
ACLS = advanced cardiac life suport; CPR = cardio pulmonary resuscitation; TEE = transesophageal echocardiography;ECMO = extrscorporeal membrane oxygenation; ICU = itesive care unit; TD = tekanan darah;DIC = disseminated intravascular coagulation.(Dean et al., 2012)
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PEEP = positive end expiratory pressure; FFP = fresh frozen plasma; BP = blood pressure; SpO2 = partial oxygen saturation; ECG = electrocardiography(Rath et al., 2014)
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Penatalaksanaan Suportif General Pada Emboli Air Ketuban
1. Tangani hipoksia dengan oxigen 100%2. Tangani darah rendah dengan cairan resusitasi isotonik dan vasopresor3. Tangani DIC dan coagulopathy dengan FFP, cryoprecipitate, fibrinogen dan faktor repacement4. Tangani perdarahan dengan tranfusi RBC dan platelets
DIC: Disseminated Intravascular Coagulation; FFP: Fresh Frozen Plasma; RBC: Red Blood Cells
(Harun, 2009)
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Prognosis
Prognosis maternal yang mengalami EAK pada umumnya berakhir dengan kematian namun dapat membaik dengan diagnosis dini dan pengobatan yang cepat dan agresif