Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
P-Index
This Author published in this journals
All Journal Jurnal Pustaka Keperawatan
Dwi Darmawan Dani
Unknown Affiliation
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Pengaruh Mobilisasi Dini ROM Pasif terhadap Waktu Pulih Sadar pada Pasien Lansia Pasca General Anestesi di RSD Gunung Jati Kota Cirebon Dwi Darmawan Dani; Dwi Novitasari; Feti Kumala Dewi
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakakeperawatan.v4i2.1267

Abstract

As people age, physiological changes significantly impact the cardiovascular, respiratory, renal, and central nervous systems, as well as drug elimination processes. These changes make elderly individuals more vulnerable to the side effects of general anesthesia, potentially prolonging recovery time and increasing the risk of postoperative complications. This study aims to assess the effect of early passive Range of Motion (ROM) mobilization on the recovery time of consciousness in elderly patients post-general anesthesia at RSD Gunung Jati, Cirebon. The study used a quasi-experimental design with a posttest-only non-equivalent control group. A total of 42 elderly patients participated, divided into two groups: 21 patients in the intervention group who received 10 minutes of passive ROM mobilization, and 21 patients in the control group who received standard postoperative care. Recovery of consciousness was assessed using the Modified Aldrete Score, monitored every 5 minutes until a score of ?9 was achieved. Data were analyzed using the Shapiro-Wilk test for normality and the Mann-Whitney test to examine the effect of ROM mobilization on recovery time. The results showed the intervention group had a mean recovery time of 22.86 minutes (SD 2.28), compared to 27.14 minutes (SD 6.90) in the control group. Statistical analysis revealed a significant effect (p < 0.000). These findings support the claim that early passive ROM mobilization effectively accelerates recovery of consciousness in elderly patients after general anesthesia and should be considered as an adjunct strategy in the Post Anesthesia Care Unit (PACU).
Manajemen Perianestesi dengan Subarachnoid Block dan Sedasi pada Pasien Sectio Caesarea Emergency dengan Plasenta Previa dan Hipertiroid: Studi Kasus Dwi Darmawan Dani; Al Farouk Ozan Agepho; Ratu Laraswati Sekar Wibowo; Magenda Bisma Yudha; Refa Teja Muti
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Emergency cesarean section in patients with placenta previa and hyperthyroidism presents significant anesthetic challenges due to the risk of massive hemorrhage and thyroid crisis. This case report describes the perioperative anesthetic management of a 31-year-old woman, G3P2A0, with complete placenta previa and uncontrolled hyperthyroidism who underwent emergency cesarean section. The patient presented with active vaginal bleeding at 39 weeks gestation. Laboratory findings revealed anemia (Hb 11.6 g/dL) and hyperthyroid state (TSH 0.10 mIU/L, FT4 3.24 ng/dL). Subarachnoid block was performed at L4-L5 level using levobupivacaine 12.5 mg combined with intrathecal morphine 70 mcg, achieving sensory block up to T6 dermatome. Light sedation with midazolam 3 mg and propofol 4 mg was administered intravenously after delivery. Intraoperative hypotension (90/61 mmHg) was managed with fluid resuscitation and ephedrine 10 mg IV, resulting in stable hemodynamics. The procedure was completed successfully without major complications. Postoperatively, the patient recovered well with Bromage score improving from 3 to 2 and Aldrete score reaching 9. This case demonstrates that subarachnoid block combined with light sedation provides safe and effective anesthetic management for emergency cesarean section in patients with placenta previa and uncontrolled hyperthyroidism, avoiding the risk of thyroid storm associated with general anesthesia
Co-Authors Al Farouk Ozan Agepho Dwi Novitasari Feti Kumala Dewi Magenda Bisma Yudha Ratu Laraswati Sekar Wibowo Refa Teja Muti