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All Journal Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran
Eka Yudha Lantang
Universitas Sam Ratulangi
Dentistry Health Professions Nursing Physics Public Health

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Manajemen Terpadu Sengatan Ikan Pari: Dari Penanganan Prarumah Sakit hingga Perawatan Intensif Marthin Fredrik Mitaart; Eka Yudha Lantang
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 3 (2026): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i3.6929

Abstract

Stingray envenomation is a form of aquatic injury resulting from a combination of mechanical trauma caused by barb penetration and venom inoculation into the tissue. This injury may produce clinical manifestations ranging from localized pain, edema, and tissue necrosis to infection, neurovascular injury, rhabdomyolysis, sepsis, and organ dysfunction requiring intensive care. This article aims to review current evidence regarding the clinical manifestations and integrated management of patients with stingray envenomation. A narrative literature review was conducted using international open-access articles published between 2021 and 2026 that addressed epidemiology, mechanisms of injury, clinical manifestations, prehospital management, emergency department care, antimicrobial therapy, complications, and intensive care. The review findings indicate that most injuries involve the lower extremities and generally have a favorable prognosis when appropriate initial management is provided. Hot-water immersion is effective as an initial approach for pain relief, accompanied by wound irrigation, exploration, foreign-body assessment, and debridement when indicated. Routine antibiotic prophylaxis is not required for all patients but may be considered for high-risk wounds. Severe injuries may require advanced imaging, surgical intervention, and intensive care. These findings emphasize the need for an integrated, severity-based approach to reduce morbidity and prevent serious complications.
Terapi Cairan Volume Rendah untuk Pasien Rhabdomyolisis di Unit Perawatan Intensif: Laporan Kasus Mordekhai L. Laihad; Eka Yudha Lantang; Brahma Tama Unsandy
Jurnal Anestesi Vol. 4 No. 4 (2026): Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v4i4.2669

Abstract

Introduction: Rhabdomyolysis is the breakdown of skeletal muscle that releases intracellular contents, including creatine kinase, myoglobin, and potassium, into the circulation. It is commonly associated with trauma and may lead to acute kidney injury (AKI). Although high-volume fluid therapy is the standard treatment, management should be individualized according to the patient's condition. Case Report: A male patient presented with persistent pain in the left arm and leg after a motorcycle accident. Radiological examination showed fractures of the left radius and tibia accompanied by rhabdomyolysis. The patient underwent fasciotomy and backslab procedures, followed by intensive care monitoring with maintenance (low-volume) fluid therapy. His clinical condition improved, and he was discharged without further complications. Discussion: Rhabdomyolysis is a medical emergency with nonspecific clinical manifestations, making diagnosis challenging. It is confirmed by elevated creatine kinase levels and myoglobinuria. While aggressive fluid resuscitation is generally recommended, excessive fluid administration in patients with AKI may worsen fluid overload. Therefore, treatment should balance the benefits and risks based on individual clinical status. Conclusion: Low-volume fluid therapy may be considered in selected rhabdomyolysis patients with acute kidney injury when tailored to the patient's clinical condition.
Co-Authors Brahma Tama Unsandy Marthin Fredrik Mitaart Mordekhai L. Laihad