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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) JOURNAL LA MEDIHEALTICO Eduvest - Journal of Universal Studies
Muharrami, Vera
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Aerospace Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Pola Penggunaan Obat pada Pasien Rawat Intensif di RSUD Arifin Achmad Provinsi Riau Oktadiani, Dela; Fauzia, Dina; Muharrami, Vera
Jurnal Ilmu Kedokteran Vol 18, No 2 (2024): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v18i2.2024.121-129

Abstract

Critically ill patients in the ICU have organ dysfunction, so they are dependent on sophisticated equipment, monitoring, and therapy. One of the types of treatment in the ICU is medication. The aim is to observe the pattern of drugs in patients in ICU Arifin Achmad General Hospital. This study is a descriptive retrospective with secondary data from medical records. One hundred fifty samples fulfilled the inclusion criteria. Profiled patients in the ICU are male, comparable to female patients (48,7%: 51,3%). The common groupage that is hospitalized in the ICU is 56-65 years old (22,6%). Length of stay is 1-7 days (68%). JKN is the most widely used for payment (72.7%). Eighty-five patients were improved and moved to other rooms (56.7%). The primary cause of admission in ICU is post-surgery (22%). Anti-infection was the most prescribed category of medication (18.8%). The number of prescriptions is 6-10 drugs (40.7%). Parenteral administration is the most common route for administration (85.74%). Duration of therapy is 1-7 days with the number of 1289 drugs (94%).
Anesthesia Management of Patients with Esophageal Atresia/Traceoesophageal Fistula undergoing Thoracostomy and Esophagostomy Procedures Marthendro, Triade; Irawan, Dino; Muharrami, Vera; Hidayat, Nopian; Ananda, Pratama
Journal La Medihealtico Vol. 5 No. 5 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i5.1597

Abstract

Esophageal atresia is a congenital disorder characterized by a disruption in the continuity of the esophageal lumen. Esophageal atresia may be accompanied by tracheoesophageal fistula, which is a lumen connection between the proximal and or distal part of the esophagus and the airway (trachea). Type C atresia is the most prevalent, which is approximately 88.5% to 90% of cases, where there is proximal esophageal atresia with distal tracheoesophageal fistula. In this case, a 9-day-old infant was admitted to Arifin Ahmad Hospital for thoracostomy and esophagostomy surgery due to continuous mucus discharge. The patient underwent awake intubation and was positioned intraoperatively, with a tilt to the right when an orogastric tube was placed. During surgery, the patient maintained stable hemodynamic and was subsequently admitted to the NICU using a ventilator. Infants with esophageal atresia often show symptoms of hypersalivation and shortness of breath caused by aspiration pneumonia. When the nasogastric tube cannot pass through the esophagus, atresia can be suspected. Radiology studies play an important role in diagnosing esophageal atresia, confirming esophageal atresia with or without fistula and diagnosing other anomalies associated with VACTERL.
Anesthesia Management For Brain Abcess And Hidrocephalus In Children During External Ventrikel Drainage With Tetralogy Of Fallot Antoni, Recky; Muharrami, Vera
Eduvest - Journal of Universal Studies Vol. 4 No. 12 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i12.3776

Abstract

Background: Congenital heart defects occur due to abnormal changes in the structure of the heart that occur early in pregnancy and are present at birth. This defect is the most common congenital anomaly, occurring in approximately 1 in 125 births. Tetralogy of Fallot (TOF) is a defect in which there is an obstruction of blood flow from the heart to the lungs, resulting in low blood oxygen levels. Brain abscess is a rare, fatal complication, accounting for 5%–18.7% of the population with cyanotic congenital heart disease. This condition is often accompanied by headache, fever, seizures, altered mental status, focal neurologic deficits, nausea, and vomiting. Case: A 10 year old girl with brain abcess and hydrocephalus who will undergo external ventrikel drainage with tetralogy of fallot. Disscussion: The Anaesthetic goals for a case of uncorrected Tetralogy of Fallot posted for a non-cardiac surgery are to avoid hypoxemia, ensure adequate hydration, maintain systemic arterial blood pressure (SVR), minimise additional resistance to pulmonary blood flow (pulmonary vascular resistance) and avoiding sudden increase in systemic oxygen demand (cry, inadequate depth of an aesthesia, seizure, pain, etc). Conclution: Anesthesia management of children with TOF presenting for non-cardiac surgery requires a thorough understanding of the pathophysiology of this condition and the altered haemodynamics.
Co-Authors Ananda, Pratama Antoni, Recky Dina Fauzia Dino Irawan Hidayat, Nopian Marthendro, Triade Oktadiani, Dela