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All Journal International Journal of Public Health Science (IJPHS) International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Jurnal Anestesi Perioperatif Althea Medical Journal Global Medical and Health Communication MNJ (Malang Neurology Journal) Journal of Medicine and Health Journal of Indonesian Dental Association Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Majalah Anestesia dan Critical Care Majalah Kedokteran Neurosains Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Cermin Dunia Kedokteran Jurnal Neuroanestesi Indonesia Acta Medical and Health Sciences (AMHS) LOGIC : Jurnal Ilmu Komputer dan Pendidikan Biner : Jurnal Ilmu Komputer, Teknik dan Multimedia OKTAL : Jurnal Ilmu Komputer dan Sains AMMA : Jurnal Pengabdian Masyarakat Buletin Ilmiah Ilmu Komputer dan Multimedia (BIIKMA) Neurona Journal of Medicine and Health
Lisda Amalia
Universitas Padjadjaran
Humanities Astronomy Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Control & Systems Engineering Dentistry Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Transportation Other

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Sindrom Burnout pada Peserta Program Pendidikan Dokter Spesialis Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran Sutoyo, Dessy; Kadarsah, Rudi Kurniadi; Fuadi, Iwan
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (912.559 KB) | DOI: 10.15851/jap.v6n3.1360

Abstract

Sindrom burnout didefinisikan sebagai kelelahan kronik yang mencakup tiga komponen, yaitu kelelahan emosional, depersonalisasi, dan berkurangnya kepuasan terhadap pencapaian pribadi. Peserta Program Pendidikan Dokter Spesialis (PPDS) berisiko tinggi mengalami kelelahan dan sindrom burnout akibat beban kerja yang tinggi yang dihadapi baik dalam hal melakukan pelayanan dalam bidang anestesi dan beban dalam pendidikannya. Penelitian ini bertujuan mengetahui angka kejadian sindrom burnout pada peserta PPDS Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran (FK Unpad). Penelitian ini menggunakan metode deskriptif dan pendekatan kuesioner yang dilakukan pada peserta PPDS Anestesiologi dan Terapi Intensif FK Unpad yang masih aktif dan memberikan pelayanan di Rumah Sakit Umum Pusat (RSUP) Dr. Hasan Sadikin Bandung pada bulan April 2018 sebanyak 89 orang. Dilakukan penilaian menggunakan kuesioner yang mencakup data demografik, pendidikan dan pekerjaan, pencapaian prestasi pribadi, serta maslach burnout inventory yang sudah diterjemahkan. Hasil penelitian didapatkan angka kejadian sindrom burnout pada peserta PPDS Anestesiologi dan Terapi Intensif FK Unpad adalah 44%. Simpulan penelitian ini adalah angka kejadian sindrom burnout pada peserta PPDS Anestesiologi dan Terapi Intensif FK Unpad cukup tinggi, yaitu 44%.  Kata kunci: Depersonalisasi, kelelahan emosional, maslach burnout inventory, peserta PPDS Anestesiologi dan Terapi Intensif, sindrom burnoutBurnout Syndrome among Anesthesiology Residents in Universitas PadjadjaranBurnout syndrome is defined as chronic exhaustion that is characterized by emotional exhaustion, depersonalization, and a sense of low professional accomplishment. The main component of this syndrome is emotional exhaustion. Residents who are being trained in anesthesiology and intensive therapy  department have s high risk to exhaustion that will lead to burnout syndrome due to stressful environment and high work load in both medical service and medical education. The purpose of this study was to assess the incidence of burnout syndrome among residents in Anesthesiology and Intensive Therapy Department, Faculty of Medicine, Universitas Padjadjaran. This was a cross-sectional descriptive study on 89 residents that was performed in April 2018. Assessment was performed using a questionnaire on demographic, education, personal achievement, and medical service data as well as the translated Maslach Burnout Inventory to reveal the incidence of burnout syndrome among residents of Anesthesiology and Intensive therapy department, faculty of medicine, Universitas Padjadjaran. From the analysis, it was discovered that 44% of the residents experienced burned out syndrom. In conclusion, the incident of burn out syndrome among residents of Anesthesiology and Intensive Therapy Department, Faculty of Medicine, Universitas Padjadjaran is high. Key words: Anesthesiology and intensive care residents, burnout syndrome, depersonalization, emotional exhaustion, Maslach burnout inventory
Gambaran Acute Physiologic and Chronic Health Evaluation (APACHE) II, Lama Perawatan, dan Luaran Pasien di Ruang Perawatan Intensif Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung pada Tahun 2017 Pamugar, Bramantyo; Pradian, Erwin; Fuadi, Iwan
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (850.734 KB) | DOI: 10.15851/jap.v6n3.1344

Abstract

Skor acute physiologic and chronic health evaluation (APACHE) II, lama perawatan, dan luaran pasien merupakan indikator penting di Intensive Care Unit (ICU). Ketiga indikator ini dapat berbeda dari satu dengan tempat lain. Ketiga indikator ini dapat dibandingkan di tempat lain untuk meningkatkan pelayanan ICU. Tujuan penelitian ini adalah mengetahui gambaran skor APACHE II, lama perawatan, dan angka mortalitas pada pasien yang dirawat di ICU RSUP Dr. Hasan Sadikin Bandung pada tahun 2017. Metode yang digunakan adalah deskriptif observasional yang dilakukan secara retrospektif terhadap 303 objek penelitian. Objek penelitian diambil di bagian rekam medis pada bulan April 2018. Penelitian ini memperoleh hasil skor APACHE II berkisar 0−56  dengan rerata 16,68, angka mortalitas sebesar 130 (42,3%), dan lama perawatan berkisar 2−79 hari dengan rerata 9,89 hari. Data skor APACHE II terhadap angka kematian berbeda dengan Amerika Serikat yang dapat dikarenakan perbedaan acuan prediksi mortalitas, underestimation derajat keparahan pasien cedera kepala, bias yang disebabkan oleh penatalaksanaan pasien pre-ICU, dan satu waktu pemeriksaan skor APACHE II.Kata kunci: APACHE II, ICU, lama perawatan, luaran pasienOverview of Acute Physiologic and Chronic Health Evaluation (APACHE) II, Length of Stay, and Patient Outcome in the Intensive Care Unit of Dr. Hasan Sadikin General Hospital in 2017The APACHE II score, length of stay, and patient outcome are important indicators in Intensive Care Unit (ICU). Those indicators could be different from one place to another and can be compared to increase the quality of health services in ICU. The purpose of this study was to describe acute physiologic and chronic health evaluation (APACHE) II, length of stay, and mortality rate of patients at the ICU of Dr. Hasan Sadikin General Hospital Bandung from January 1 to December 31, 2017. This was a retrospective descriptive observational study on 303 patient medical records. It was revealed that the APACHE score was ranging from 0−56 (mean =16.68); the mortality rate was 42.9% (n=130); and the length of stay was 2−79 days (mean 9.89 days). This suggests a gap in these indicators between Dr. Hasan Sadikin General Hospital and hospitals in the United States of America which may be due to differences in the the standard that is used to predict the mortality rate, underestimation of severity of head injury, treatment before admission to ICU, and single time assessment of APACHE II.Key words: APACHE II, ICU, length of stay, outcome
Perbandingan Ketepatan Ukuran Classic Laryngeal Mask Airway antara Metode Berat Badan dan Lebar Lidah Rahman, Abdul; Fuadi, Iwan; Rachman, Iwan Abdul
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (590.958 KB) | DOI: 10.15851/jap.v6n3.1338

Abstract

Classic laryngeal mask airway (CLMA) merupakan alat yang digunakan untuk manajemen jalan napas, baik  untuk pengganti ventilasi sungkup wajah maupun intubasi endotrakeal. Pemilihan ukuran yang tepat penting untuk efektivitas penggunaan CLMA. Saat ini pemilihan ukuran berdasar atas metode berat badan. Menurut sebuah studi terbaru metode pengukuran lebar lidah lebik baik daripada metode berat badan. Tujuan penelitian ini adalah mengetahui ketepatan ukuran CLMA antara metode berat badan dan lebar lidah yang dinilai dengan skor fiberoptik dan oropharyngeal leak pressure di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini dilakukan pada bulan Februari 2018 menggunakan uji eksperimental analitik crossection setiap subjek mendapat dua perlakuan yang berbeda antara kedua metode. Uji statistik menggunakan uji chi-square untuk skor fiberoptik dan uji t berpasangan untuk oropharyngeal leak pressure. Hasil penelitian skor fiberoptik lebih optimal daripada metode lebar lidah. Oropharyngeal leak pressure pada metode berat badan rerata 23,00±1,732 CmH20 sedangkan metode lebar lidah rerata 19,13±1,684 CmH20. Secara statistik diperoleh nilai p<0,05. Simpulan, metode pengukuran lebar lidah adalah alternatif yang mudah dan baik dalam pemilihan ukuran CLMA pasien dewasa.Kata kunci: Classic laryngeal mask airway, pemilihan ukuran CLMA, metode berat badan, metode lebar lidahComparison of Classic Laryngeal Mask Airway Size Accuracy between Body Weight Method and Tongue width MethodClassic laryngeal mask airway (CLMA) is an airway management device that can be used to replace bag valve mask ventilation or endotracheal intubation. Choosing the right size of CLMA is important for the effectiveness of CLMA. Currently, the size of CLMA is selected based on the body weight. However, a recent study suggested that tongue width is a better indicator for size selection than the body weight. The purpose of this study was to assess the accuracy of CLMA size selection using the body weight method and tongue-width method. The assessment was performed using the fiberoptic score and oropharyngeal leak pressure. This was an experimental analytic cross-sectional study conducted in Dr. Hasan Sadikin General Hospital Bandung in February 2018. Each subject in this study received two different treatments using the two methods. The results were analyzed using chi-square for the fiberoptic score and paired t test for the oropharyngeal leak pressure. The fiberoptic score was more optimum when tongue width method was used when compared to the weight method. The oropharyngeal leak pressure in the weight method group was 23.00±1.732 CmH20 while the pressure in the tongue-width method was 19.13±1.684 CmH20 (p value <0.05). In conclusion, the tongue width measurement is an easy and good alternative in the selecting the CLMA size in adult patients.Key words: Classic laryngeal mask airway, size selection CLMA, body weight method, tongue width method
Perbandingan Pemberian Kombinasi Haloperidol 0,5 mg dan Deksametason 5 mg dengan Ondansetron 4 mg terhadap Kejadian Mual Muntah Pascaoperasi Modified Radical Mastectomy dengan Anestesi Umum Rahmadsyah, Teuku; Fuadi, Iwan; Bisri, Tatang
Majalah Anestesia dan Critical Care Vol 34 No 1 (2016): Februari
Publisher : Perdatin Pusat

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Mual muntah pascaoperasi dapat meningkatkan morbiditas dan memperpanjang masa rawat pascaoperasi.Haloperidol adalah obat tranquilizer major golongan dari butirofenon yang mempunyai efek reseptor D2 antagonis.Penggunaan kombinasi haloperidol dan deksametason sebagai antiemetik profilaksis dapat menguntungkan.Penelitian ini bertujuan untuk membandingkan kombinasi haloperidol 0,5 mg dan deksametason 5 mg denganondansetron 4 mg terhadap kejadian mual muntah pascaoperasi pada operasi modified radical mastectomy.Penelitian dilakukan terhadap 42 wanita (kurang dari 50 tahun) status fisik ASA I-II yang menjalani operasimodifikasi mastektomi radikal secara uji acak terkontrol buta ganda dalam anestesi umum. Pasien dibagi menjadidua kelompok yaitu 21 orang menerima haloperidol 0,5 mg ditambah deksametason 5 mg dan 21 orang menerimaondansetron 4 mg yang diberikan setelah intubasi dilakukan. Pasien diberikan analgetik ketorolak dan petidinintravena secara kontinu pascaoperatif. Evaluasi yang dinilai adalah tekanan darah, laju nadi, dan saturasioksigen. Hasil dari penelitian menunjukan terdapat kecenderungan keluhan mual muntah pascaoperasi lebihbanyak terjadi pada kelompok ondansetron 4 mg (38,1%) dibanding dengan kelompok kombinasi haloperidol0,5 mg dan deksametason 5 mg (4,8%). Pada analisis statistik yang dilakukan dengan uji Chi-Square didapatkanhasil perbedaan yang bermakna (p kurang dari 0,05). Simpulan dari penelitian ini adalah pemberian kombinasihaloperidol 0,5 mg dan deksametason 5 mg intravena lebih baik dibandingkan dengan ondansetron 4 mg intravenadalam menurunkan kejadian mual muntah pascaoperasi modified radical mastectomy. Kata kunci: deksametason, haloperidol, modified radical mastectomy, mual muntah, ondansetron Postoperative nausea and vomiting can lead to increase morbidity and lengthened postoperative hospital stay.Haloperidol is a major tranquilizer with a D2 receptor antagonist effect. A combination of haloperidol anddexamethasone is also effective to prevent postoperative nausea and vomiting, which offers beneficial effectssuch as lower cost, longer duration and are easy to find. The aim of this study is to compare a combination ofhaloperidol 0,5 mg and dexamethasone 5 mg with ondansetron 4 mg in managing postoperative nausea andvomiting following modified radical mastectomy. The study was done by conducting a double blind randomizedcontrolled trial of 42 subjects, women aged under 50 years old, who underwent modified radical mastectomy undergeneral anesthesia, with physical status ASA I-II. Patients were divided into two groups: 21 patients receivedcombination of haloperidol 0,5 mg and dexamethasone 5 mg, and 21 patients received ondansetron 4 mg, afterintubation. Intravenous ketorolac and pethidine were given as postoperative analgesia. Blood pressure, heartrate, oxygen saturation and length of surgery was recorded.The result of this study was postoperative nausea andvomiting occurs more frequent in the ondansetron 4 mg group (38,1%) compared to combination of haloperidol0,5 mg and dexamethasone 5 mg group (4,8%). In statistical analysis performed with Chi-Square test showedthere was significant difference between the two groups (p&lt;0,05). As a conclusion of this study is intravenouscombination of haloperidol 0,5 mg and dexamethasone 5 mg better than ondansetron 4 mg in lowering theincidence of postoperative nausea and vomiting after modified radical mastectomy. Key words: Dexamethasone, haloperidol, modified radical mastectomy, nausea and vomiting, ondansetron Reference Daabiss MA. Ephedrine-dexamethasone combination reduces postoperative nauseaand vomiting in patients undergoing laparoscopic cholecystectomy. Internet Anesthesiol. 2008;18(1):1092 ̶ 100. Habib AS, Gan TJ. Evidence-based management of postoperative nausea and vomiting. Can J Anesth. 2004;51:326 ̶ 41. Watcha MF, White PF. Postoperative Nausea and Vomiting, lts Etiology, Treatment, and Prevention. Anesthesiology. 1992;77:162–84. Gan TJ. Risk factors of postoperative nausea and vomiting. Anaesth Analg. 2006;102:1884 ̶ 98. Islam S, Jain PN. Postoperative nausea and vomiting (PONV): a review article. Indian J Anesth. 2004;48:253 ̶ 8. Sinclair DR, Chung F, Mezei G. Can postoperative nausea and vomiting be predicted? Anesthesiology. 1999;91:109 ̶ 18. Ho KY, Chiu JW. Multimodal antiemetic therapy and emetic risk profiling. Ann Acad Med Singapore. 2005;34:196 ̶ 205. Matthew TV, Chan, Chui PT, Ho WS, King WK. Single dose tropisetron for preventing post operative nausea and vomiying after breast surgery. Anesth Analg. 1998;87:931 ̶ 5. McQuaid KR. Drugs used in the treatment of gastrointestinal diseases. Dalam: Basic &amp; clinical pharmacology. Edisi ke-9. Boston: The McGraw-Hill Companies. 2004. hlm. 1045 ̶ 60. Raman S, Kaul TK, Anju G, Aprajita S. Postoperative nausea and vomiting. Anesth Clin Pharmacology. 2007;23:341 ̶ 56. Ku CM, Ong BC. Postoperative nausea and vomiting: a review of current literature. Singapore Med J. 2003;44(7):366 ̶ 74. Splinter WM, Roberts DJ. Dexamethasone decreases vomiting by children after tonsillectomy. Anesth Analg. 1996;83:913 ̶ 6. O’Brien C. Nausea and vomiting. J Can Family Physician. 2008;54:861 ̶ 3. Zarate E, et.al. A Comparison of The Cost and Efficacy of Ondansetron versus Dolasetron for Antiemetic Prophylaxis. Anaesth Analg. 2000;90:1352 ̶ 8. Rosow CE, et.al. Haloperidol versus Ondansetron for Prophylaxis of Post operative Nausea and Vomiting. Anesth Analg. 2008; 106:1407 ̶ 9. Azwar. Pencegahan mual dan muntah pascaoperasi pada anestesi umum: Perbandingan haloperidol 1mg iv dengan ondansetron 4 mg iv [Jakarta: Universitas Indonesia. 2009. Adipraja K, Himendra A, Bisri T. Pengaruh premedikasi haloperidol (serenace®) terhadap efek samping ketamine pada penderita rawat Intensif Fakultas Kedokteran UNPAD/RSHS Bandung. 1992; hlm. 1 ̶ 9. Smith JC, Wright EL. Haloperidol: An Alternative Butyrophenon for Nausea and’ Vomiting Prophylaxis in Anesthesia. AANA journal. 2005;75:273 ̶ 5. Digregio GJ. Anti Psichotic Drugs and Lithium. Dalam: Basic Pharmacology in Medicine. Edisi ke-3. New York: Mc Graw-Hill. 1990. hlm. 261 ̶ 2. Moorselli PL. Haloperidol: Clinical Pharmacokinetics and Significance of Theurapeutic Drug Monitoring. Dalam: Theurapeutic Drug Monitoring. Churchill Livingstone. 1981. hlm. 296 ̶ 301. Khan MP, Singh V, Kumar M, Singh B, Kapoor R, Bhatia VK. Prophylactic antiemetic therapy using combinations of granisetron, dexamethasone and droperidol in patients undergoing laparoscopic cholecystectomy. The Internet Journal of Anesthesiology. 2009;21(1):1092 ̶ 102.
Angka Kejadian dan Karakteristik Menggigil Pascaoperasi di Ruang Pemulihan COT RSHS Periode Bulan Agustus–Oktober 2015 Tantarto, Tamara; Fuadi, Iwan; Setiawan, Setiawan
Majalah Anestesia dan Critical Care Vol 34 No 3 (2016): Oktober
Publisher : Perdatin Pusat

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Menggigil pascaoperasi merupakan komplikasi dari efek anestesi yang cukup sering dijumpai. Menggigil ini dapat menimbulkan rasa tidak nyaman dan risiko yang tidak baik bagi pasien. Penelitian ini dilakukan untuk mengetahui angka kejadian dan karakteristik pasien menggigil pascaoperasi. Studi deskriptif ini melibatkan seluruh pasien pascaoperasi di ruang pemulihan COT RSUP Dr. Hasan Sadikin pada periode bulan Agustus-Oktober 2015 yang memenuhi kriteria inklusi. Data penelitian ini adalah data sekunder dari rekam medis yang berupa data lengkap mengenai pasien pascaoperasi. Dari 639 pasien, angka kejadian menggigil adalah 169 kasus (26,45%).&nbsp; Menggigil pascaoperasi lebih banyak terjadi pada pria yaitu sebanyak 28,57% dan kategori usia lansia awal. Proporsi pasien menggigil yang diberikan teknis anestesi umum saat operasi hampir sama dibandingkan anestesi regional. Presentase paling tinggi 43,75% pada pasien yang menjalani operasi &gt;2 jam dengan 44,69% diberikan cairan infus sebanyak ≥1500 mL. Menggigil pascaoperasi paling banyak terjadi pada pasien yang menjalani operasi bedah saraf dengan presentase 66,67%. Angka kejadian menggigil pascaoperasi cukup tinggi terutama pada pria, kategori usia lansia awal, operasi yang lama, pemberian cairan infus yang banyak, serta operasi bedah saraf. Kata kunci: Angka kejadian, karakteristik, menggigil pascaoperasi, ruang pemulihan Prevalence and Characteristics of Post-anesthetic Shivering in Recovery Room COT RSHS from August to October 2015Post-anesthetic shivering is a common complication of anesthetic effect. Shivering may cause discomfort and unfavorable risks towards patients.This research aims to reveal the incidence and patient characteristics of post anesthetic shivering. This descriptive study involved post-operative patients in recovery room COT Dr. Hasan Sadikin General Hospital from August to October 2015 who fulfilled the inclusion criteria. Medical records comprising complete post-operative patients’ data were used as secondary data source for this study. Among 639 patients, shivering omLurred in 169 cases (26.45%). Post-anestheric shivering omLurred more in males (28.57%) and in pre elderly age. Proportion of post-anesthetic shivering patients was relatively same in patients who weregiven general anesthesia technique compared to regional anesthesia. Highest percentage omLurred in patients who underwent &gt;2 hours of surgery (43.75%) and administered ≥1500 mL of intravenous (IV) fluids (44.69%). Postanesthetic shivering omLurred the most to neurosurgery patients (66.67%). Post-anesthetic shivering incidence in this study is relatively high, particularly in males, pre elderly age, general, longer operation duration, more administration of (IV) fluids and neurosurgery patients. Key words: Characteristics, postanesthetic shivering, prevalence, recovery room
Fluid Management in Pediatric Craniotomy Fuadi, Iwan; Pison, Osmond Muvtilof; Redjeki, Ike Sri
Majalah Anestesia dan Critical Care Vol 33 No 1 (2015): Februari
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Advances in pediatric neurosurgery techniques have dramatically improved the outcome in infants and children with surgical lesions of the central nervous system. However, the physiologic and developmental differences inherent in pediatric patients present challenges to neurosurgeons and anesthesiologists alike. Fluid management is critically important in pediatric craniotomy. Hemodynamic stability during intracranial surgery requires the careful maintenance of intravascular volume and electrolytes. It is imperative to secure excellent intravenous access for fluid and blood replacement and drug delivery before the start of the operation. Lack of intake or active vomiting because of changes in the ICP, preoperative fluid restriction and diuretic therapy may lead to blood pressure instability and even cardiovascular collapse if sudden blood loss occurs. Normovolemia should be maintained throughout the procedure. Normal saline used as the maintenance fluid during neurosurgery because it’s mildly hyperosmolar and should minimize cerebral edema. Maintenance rate of fluid administration depends on the weight of the patient. The maximum allowable blood loss should be determined in advance. Hyperglycemia is always best avoided because it may exacerbate neurologic injury. Fluid management in neurosurgical cases is extremely important and requires good communication between the surgeon and anesthesiologist. Especially for infants and children because of the difference in the anatomy and physiology at various stages of growth and development. The anesthesiologist must be fully cognizant of these differences in order to conduct a safe anesthetic plan.
Correction Hypocalemic Patients with Potassium Chloride in ICU of Dr. Hasan Sadikin Hospital Bandung in Januari–Februari 2014 Hidayat, Dede A; Fuadi, Iwan; Sitanggang, Ruli H.
Majalah Anestesia dan Critical Care Vol 33 No 2 (2015): Juni
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Hypokalemia (Potassium plasma level &lt;3.5 mEq/L) is the most common electrolyte imbalance found in the intensive care unit (ICU). Major etiologies of hypokalemia in ICU setting were related to low intake, gastro intestinal tract (GIT) disturbance, renal impairment, diuretic administration, insulin therapy and severe infection, which ranging from asymptomatic to the most severe symptom and causing death.This prospective observational study was conducted in the ICU of Dr. Hasan Sadikin Hospital Bandung from January to February 2014 with result 33 out of 105 admitted patients (31.4%) suffered from hypokalemia.From our observation, there was 17 patients (51.5%) with mild hypokalemia, 13 patients (39.4%) with moderate hypokalemia and 3 patients (9.1%) with severe hypokalemia. Correction with intravenous potassium chloride was given with improvement in 9 patients (53%) in mild hypokalemia group, 3 patients (23.1%) in moderate hypokalemia group but unfortunately no significant change was found in severe hypokalemia group after the correction. Complications were found mostly in geriatric patients with severe hypokalemia.The conclusion of this study is that from all patients admitted to the ICU of Dr. Hasan Sadikin Hospital Bandung from January ̶ February 2014, the incidence of hypokalemia was 31.3% (33 patients) with improvement occurred in 12 patients (36.4%) but 21 patients (63%) revealed no improvement after potassium chloride correction with worsening condition.
Glasgow Coma Scale dalam Memprediksi Outcome pada Pasien dengan Penurunan Kesadaran di Instalasi Gawat Darurat Rumah Sakit Cipto Mangunkusumo S, Achmad Afif; Fuadi, Iwan; Maskoen, Tinni T.
Majalah Anestesia dan Critical Care Vol 32 No 1 (2014): Februari
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Abstract

Ventilator associated pneumonia (VAP) merupakan Hospital associated pneumonia (HAP) yang paling sering terjadi di intensive care unit (ICU). Salah satu strategi pencegahan terjadinya VAP yang termasuk dalam VAP bundle adalah penghisapan sekret subglotis dengan menggunakan pipa endotrakea dengan drainase sekret subglotis. Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh penggunaan pipa endotrakea dengan drainase sekret subglotis terhadap angka kejadian VAP di ICU Rumah Sakit Hasan Sadikin (RSHS) Bandung. Penelitian dilakukan dengan uji acak tersamar tunggal terhadap 26 subjek yang menggunakan ventilator lebih dari 48 jam di ICU RSHS Bandung. Setelah dilakukan randomisasi secara blok permutasi, subjek penelitian dikelompokan menjadi dua, yaitu 13 subjek kelompok kontrol menggunakan pipa endotrakea standar dan 13 subjek kelompok perlakuan menggunakan pipa endotrakea dengan drainase sekret subglotis. Sekret subglotis dihisap setiap 2 jam dan tekanan balon pipa endotrakea diperiksa setiap 4 jam. Data hasil penelitian dianalisis dengan uji statistik yaitu uji independent t, Uji Mann Whitney dan uji chi kuadrat, di mana nilai p&lt;0,05 dianggap bermakna. Analisis statistik menunjukkan bahwa terdapat perbedaan yang bermakna antara kedua kelompok perlakuan terhadap kejadian VAP (p=0,033), dimana kejadian VAP lebih sedikit pada kelompok yang menggunakan pipa endotrakea dengan drainase subglotis (0%) dibandingkan dengan kelompok yang menggunakan pipa endotrakea standar (23,1%). Simpulan dari penelitian ini adalah penggunaan pipa endotrakea dengan drainase sekret subglotis dapat menurunkan kejadian VAP di ICU RSHS Bandung. Kata kunci: Drainase sekret subglotis, pipa endotrakea, ventilator associated pneumonia The Influence of Endotracheal Tube with Subglottic Secretion Drainage on Ventilator Associated Pneumonia In Intensive Care Unit Dr. Hasan Sadikin Hospital Bandung Ventilator associated pneumonia (VAP) is the most common Hospital associated pneumonia in Intensive Care Unit (ICU). One of the strategies to prevent occurence of VAP that is part of the VAP bundle is suctioning of subglottic secretion using special endotracheal tube with subglotic secretion drainage. The aim of this study is to know the influence of using endotracheal tube with subglottic secretion drainage to the incidence of VAP in ICU RSHS Bandung. This is a single-blind randomized study involving 26 patients who use ventilator for more than 48 hours in ICU RSHS Bandung. After permuted block randomization, the subjects were divided into two groups, 13 subjects in the control group whom are using standard endotracheal tube and 13 subjects in the group whom are using endotracheal tube with subglottic secretion drainage. Subglottic secretion is drained every two hours and the pressure of the endotracheal tube cuff is checked every four hours. The result of this study is analyzed using various statistical tests, including independent t test, Mann Whitney and Chi Square test, where p value &lt;0.05 is considered significant. Statistical analysis shows that there is a significant difference between two groups in the incidence of VAP (p=0.033) where incidence of VAP is less in the group using endotracheal tube with subglotic drainage (0%) in comparison to the group using standard endotracheal tube (23.1%). The conclusion of this study is that endotracheal tube with subglottic secretion drainage can decrease incidence of VAP in ICU RSHS Bandung. Key words: Endotracheal tube, subglotic secretion drainage, ventilator associated pneumonia&nbsp;
HUBUNGAN ANTARA DERAJAT KEPARAHAN STROKE DENGAN KEJADIAN STROKEASSOCIATED PNEUMONIA Rega Dwi Wandira,* Lisda Amalia,** Iwan Fuadi***
NEURONA Vol. 35 No. 2 Maret 2018
Publisher : Neurona Majalah Kedokteran Neuro Sains

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Abstract

INTRODUCTION STROKEASSOCIATED PNEUMONIA SAP OCCURS IN 526 AND DECREASES THE QUALITY OF LIFE AND CLINICAL OUTCOMES OF STROKE PATIENTS ONE OF THE FACTORS THAT AFFECT THE INCIDENCE OF SAP IS THE STROKE SEVERITY
COGNITIVE IMPAIRMENT DETECTION IN ADULT THALASSEMIA PATIENT USING MOCA-INA Wardoyo, Chandra Calista; Gamayani, Uni; Ong, Anam; Rizal, Ahmad; Wibisono, Yusuf; Amalia, Lisda; Panigoro, Ramdan
MNJ (Malang Neurology Journal) Vol. 7 No. 1 (2021): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2021.007.01.6

Abstract

Background: Cognitive impairment in thalassemia patients are prevalent, therefore early detection of cognitive impairment in adult thalassemia patients is crucial for prevention. Montreal Cognitive Assessment (MoCA) is a public domain cognition screening tools that covers all cognitive domains in detecting mild cognitive impairments.Objective: To compare cognitive function between adult thalassemia patients and healty control by using Indonesia version of MoCA test (MoCA-Ina)Methods: This prospective observational analytic with case control study, compared the total scores and scores of each domain of cognition between adult thalassemia patients and healthy subjects at the Medical Hematology Oncology Clinic of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia using MoCA-Ina from August to October 2018.Results: A total of 32 thalassemia subjects and 50 healthy subjects were conducted. A total of 16(50%) subjects in the case group had a value of MoCA-Ina <26, while only 1(2%) healthy control had a value of MoCA-Ina <26. The median total MoCA-Ina score in case and control groups were 25.5 and 27.50 (p <0.001). The median score of memory domains, executive functions and visuospatial of the case and control groups were 3 versus 4 (p <0.001), 3 versus 3.5 (p <0.001) and 3.53 ± 0.671 versus 3.88 ± 0.385 (p <0.003), respectively.Conclusion: Adults thalassemia patients have lower score in total MoCA-Ina, domains of memory, executive function and visuospatial score compared to healthy control.
Co-Authors - Elvidiansyah - Elvidiansyah A Himendra Wargahadibrata A Himendra Wargahadibrata A. Muthalib Nawawi A.A. Ketut Agung Cahyawan W Abdul Muthalib Nawawi Abdul Muthalib Nawawi Abdul rachman, Iwan Abdul Rahman Adnin Nugroho Adriana Damayanti Afdi Arahim Putra Agnes Rengga Indrati Agus Susanto Agusti Setiabudi Pramata Ahmad Doni ahmad doni Ahmad Rizal Ahmad Rizal Ahmad Rizal ahmad rizal Ahmad Rizal Ganiem Ahmad Rizal Ganiem, Ahmad Rizal Aih Cahyani Aisyah Ummu Fahma Al Rasyid Amanda Diannisa Azzahra Amany Khansa Amaylia Oehadian Aminuyati Anam Ong Anam Ong Ananda Pratama Kesumaningtyas Gunawan Andi Basuki Prima Birawa Andi Basuki Prima Birawa Andi Basuki Prima Birawa Andre Aditya Andre Tanuwijaya, Andre Andy Hutariyus Anindyta Murfia Khairunnisa Ardhana Risworo Anom Yuswono Ardhana Risworo Anom Yuswono Ardi Zulfariansyah Ardi Zulfariansyah Ardi Zulfariansyah Ardiana Ari Saptadi Ari Saptadi Aries Saifudin Ariestian, Erick Army Zaka Anwary, Army Zaka Arna Fransisca Arsy Felisita Dausawati Arsy Felisita Dausawati Arviana Adamantina Putri Asep Nugraha Hermawan Asep Nugraha Hermawan Asep Nugraha Hermawan Asyer Asyer Ayu, Auliya Putri Badriyah, Nur’aini Jamilatul Berliana, Sobaryati Biben, Vitriana Bisri, Tatang https://scholar.google.co.id/citations?u Bramantyo Pamugar Calista, Chandra Cep Juli Chandra Calista Citra Windani Mambang Sari Dedi Fitri Yadi Defri Aryu Dinata Defri Aryu Dinata, Defri Aryu Dessy Sutoyo Dewi Ramadani Dewi Ramadani Dewi Yulianti Bisri Dian Novitasari Doddy Tavianto Dzulfikar D. L. Hakim Eka Damayanti Eko Nofiyanto Eppy Buchori Eppy Buchori Aristiady Eri Surahman Eri Surahman Erick Ariestian Erwin Pradian Eva Srigita Tari Ezra Oktaliansah Fadila Arsanti Fahma, Aisyah Ummu Fauzan Musyaffa Fifi Veronica Firdaus, Riyadh Fithrah, Bona Akhmad Fithrah, Bona Akhmad Fitri Sepviyanti Sumardi Fitri Yanti Gaga Irawan Nugraha Galuh Saputri Ginna Megawati Glenn Mark Togu Gloria Kartika Gunadharma, Suryani Guntur Darmawan Hamzah Hamzah Hanna Goenawan Hanna Goenawan Hansen Wangsa Herman Haqun Baitika Harahap, M Sofyan Harry Galuh Nugraha Hartiah Haroen Hermawan, Asep Nugraha Hidayat, Dede A Hidayat, Faqih Hidayat, Shaffana Hilman Hilman Hunter D. Nainggolan Hunter D. Nainggolan Ida Parwati Ike Sri Redjeki Ike Sri Redjeki Indra Wijaya Indriasari Indriasari Islami, Aditya Iwan Abdul Rachman Jerico Franciscus Pardosi Jimmy Setiadinata Jimmy Setiadinata, Jimmy Jonathan Jeremi Siagian Kartapraja, Roni D. Kartika, Gloria Khairunnisa, Shafa Ayu Khofifah Nurfaisah Lailiyya, Nushrotul Laniyati Hamijoyo, Laniyati Lee Shok Chen Lee Shok Chen, Lee Shok Leni Lismayanti Liunardo Bintang Pratama Lukman Hidayat Lulu Eva Rakhmilla, Lulu Eva M Andy Prihartono M. Erias Erlangga M. Erias Erlangga, M. Erias Maharani, Nurmala Dewi Mariko Gunadi Mariko Gunadi Marina A. Moeliono Marina A. Moeliono, Marina A. Martaria, Nency Martinus, Fardian Martinus, Fardian Maulana Muhammad Maulana Muhammad, Maulana Mayasari, Ferra Mayasari, Ferra Millata Azma Basmala Muhammad Adjie Pratama Muhammad Mustofa Ramadhan Nadya, Siti Fairuz Nandina Oktavia Nani Kurniani Nesyia Tara Restikasari Neti Juniarti Nur Atiik Nurmin, Rahmawati Nurohman Nushrotul Lailiyya Nushrotul Lailiyya Nushrotul Lailiyya Dahlan Oktivia, Wenny Ong, Paulus Anam Pamugar, Bramantyo Pandji Irani Fianza Paranita Utama Paulus Anam Ong Paulus Anam Ong Paulus Anam Ong Pison, Osmond Muvtilof Pramodana, Bintang Prihatno, M. Mukhlis Rudi Putri, Dini Handayani R, Tubagus Yuli R, Tubagus Yuli Radian Ahmad Halimi Rahmadsyah, Teuku Rahmatisa, Dimas Rahordjo, Sri Ramdan Panigoro Reihan Achmad Reza Reza W. Sudjud Ria Bandiara Richard Pahala Sitorus Rico Defryantho,* Lisda Amalia,* Ahmad Rizal,** Suryani Gunadharma,* Siti Aminah,* Nushrotul Lailiyya* Rini Rustini Rita Arsika Fauziah Riyadh Firdaus Rizkia, Fildza Intan Rizky Gimnastiar Roni D. Kartapraja Rudi Kurniadi Kadarsah Ruli Herman Sitanggang S, Achmad Afif Saleh, Siti Chasnak Saleh, Siti Chasnak Saprudin Saprudin Saputra, Gilang Nispu Sari, Kartika Indah Setiawan Setiawan Shenny Dianathasari Santoso Sidabutar, Berliana Sitanggang, Ruli H. Siti Aminah Siti Aminah Siti Aminah Siti Aminah Siti Aminah Siti Aminah Sobana Siti Nur Fatimah Sitorus, Richard Pahala Siuliyanty, Siuliyanty Sobaryati Sobaryati Sobaryati Sobaryati Sobaryati, Sobaryati Sofiati Dian Sri Rahardjo Sri Rahardjo Sudadi Sudadi Sukmawati, Rani Suryadi Suryadi Suryani Gunadharma Suryani Gunadharma Suryani Gunadharma Sutoyo, Dessy Suwarman, S Suwarman, S Syifa, Nadia Syifa, Nadia Tantarto, Tamara Tatang Bisri Tatang Bisri Theresia C. Sipahutar Theresia C. Sipahutar Theresia Monica Rahardjo Thomas Thomas Tiara Pramaesya Tiene Rostini, Tiene Tinni T. Maskoen Tinni T. Maskoen Tinni T. Maskoen Trislawati, Cristina Trully Deti Rose Sitorus Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani, Uni Vania Angeline Bachtiar Verolia Yunita Putri Wandira, Rega Dwi Wardhani, Ildzamar Haifa Wardoyo, Chandra Calista Wargahadibrata, A. Hmendra Wargahadibrata, A. Hmendra Widiastuti, Monika - Wildan Firdaus Wirayuga Rizkia Suwahyo Yovita Stevina Yunita Susanto Putri Yunita Susanto Putri Yusuf Wibisono Yusuf Wibisono Zamzami, Nyiemas Moya Zamzami, Nyiemas Moya