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Tanpomas, Irvan
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Manajemen Anestesi Perioperatif Operasi Bypass Jantung pada Pasien dengan Fraksi Ejeksi 26 % dan Regurgitasi Aorta Berat Tanpomas, Irvan; Boom, Cindy Elfira
Jurnal Anestesi Perioperatif Vol 13, No 2 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n2.4452

Abstract

Penyakit jantung koroner (PJK) merupakan kondisi ketika suplai darah ke miokardium tidak optimal akibat pengerasan dan penyempitan arteri koroner, dan menjadi penyebab 26,4% kematian di Indonesia. Regurgitasi aorta adalah aliran balik darah pada fase diastole dari aorta ke ventrikel kiri yang terjadi akibat kegagalan koaptasi katup aorta, baik karena kelainan pada daun katup aorta maupun akar aorta. Kondisi ini menyebabkan beban volume berlebih pada atrium dan ventrikel kiri, meningkatkan tekanan ventrikel kiri, menimbulkan disfungsi ventrikel, serta mengurangi perfusi koroner. Laporan kasus ini membahas manajemen anestesi pada pasien laki-laki berusia 65 tahun dengan PJK dan regurgitasi aorta berat yang menjalani operasi bypass arteri koroner dan penggantian katup aorta di Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita pada Maret 2025. Pasien dengan fraksi ejeksi rendah dan regurgitasi aorta memerlukan strategi anestesi yang cermat karena berisiko mengalami penurunan curah jantung, berkurangnya perfusi sistemik, serta perburukan kondisi hemodinamik. Operasi berlangsung selama 5,5 jam, pasien dipindahkan ke unit perawatan intensif, dilakukan ekstubasi 24 jam pascaoperasi, dan dirawat selama 4 hari di ruang intensif. 
Faktor Risiko Mortalitas Pneumonia di ICU RS Universitas Kristen Krida Wacana 2021–2024 Tan, Henny Tannady; Suparto, Suparto; Tanpomas, Irvan; Alfasada, Caesarvio
Jurnal MedScientiae Vol. 4 No. 3 (2025): Desember
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v4i3.4018

Abstract

Pneumonia is an acute infection of the respiratory tract and lung tissue caused by bacteria, viruses, or fungi. Pneumonia can occur at any age and has a high health concern due to its mortality rate and complications. Mortality in pneumonia is influenced by several factors. This study was conducted to determine the risk factors for pneumonia mortality specifically in the intensive care unit of Krida Wacana University Hospital (UKRIDA). A retrospective cohort study was conducted at UKRIDA Hospital using medical records as the data source. The analysis was conducted using the chi-square test. This study involved 122 participants. The results of the analysis showed that there was an association between history of heart disease and mortality of pneumonia patients (p-value 0.014) but age, gender, smoking history, history of type 2 diabetes mellitus, and history of cancer were not associated with mortality of pneumonia patients (p-value > 0.05). Screening and close monitoring need to be done in community pneumonia patients with a history of heart disease for proper management and lower mortality rates.
Co-Authors Alfasada, Caesarvio Cindy Elfira Boom Henny Tannady Tan Suparto Suparto