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All Journal Jurnal Komplikasi Anestesi
Gunawan, Fanny
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Medicine & Pharmacology

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Penggunaan Rumus Holliday Segar pada Pasien Pediatrik yang Dilakukan Anestesi Sari, Djayanti; Widyastuti, Yunita; Gunawan, Fanny
Jurnal Komplikasi Anestesi Vol 7 No 2 (2020): Volume 7 Number 2 (2020)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v7i2.7459

Abstract

Intravenous fluid theraphy in acute ill patient has been the subject of health practices for more than 50 years. The development of knowledge in dealing with patients and illness has raised questions about the validity of Holliday Segar formula. Many researchers found hyponatremia in pediatric patient who were hospitalized and received intravenous fluid theraphy using the Holliday Segar formula. This thread tries to review the use of the Holliday Segar formula based on research studies that have been conducted.
Seksio Sesarea pada Wanita G3P2A0 Hamil 34 minggu dengan Preeklamsia Berat dan Perdarahan Intraserebral Spontan Apsari, Ratih Kumala Fajar; Rahardjo, Sri; Gunawan, Fanny
Jurnal Komplikasi Anestesi Vol 8 No 1 (2021): Volume 8 Number 1 (2021)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v8i1.7492

Abstract

A 32-year-old woman, G3P2A0, at 34 weeks of gestation came to Sardjito hospital emergency department with complaints of not being able to speak and right limb weakness since 8 hours before entering the hospital. Patient have hypertension since before pregnancy. CT-scan result obtain bleeding in the parietal lobes sinistra and basal nuclei with a bleeding volume 60 cc accompanied by midline shifting. Patient was diagnosed with superimposed severe preeklamsia, coma cum dekstra lateralization, and spontaneous intracerebral hemmorhage. Section cesarean and craniectomy hematoma evacuation then was performed. Postoperatively, patient was treated in the ICU and then transferred to the stroke unit.
Angka Kematian Terkait Anestesi RSUP Dr. Sardjito 2017-2021 Gunawan, Fanny; Sudadi; Mahmud
Jurnal Komplikasi Anestesi Vol 9 No 2 (2022): Volume 9 Number 2 (2022)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v9i2.8344

Abstract

Background: Anesthesia service is a complex part of health care and has the potential to be dangerous. Anesthesia services can be improved by knowing the death rate related to anesthesia. This study aims to determine the death rate related to anesthesia in RSUP Dr. Sardjito. Methods: A retrospective review of the patient database under anesthesia from January 2017 to May 2021 was carried out by taking data from the medical record installation of RSUP Dr. Sardjito. Data on patients who died related to anesthesia were determined by 3 anesthesiologists. We assessed the patient's preoperative, intraoperative, and postoperative variables such as age, sex, ASA physical status, anesthetic technique, type of surgery, size of surgery, and patient comorbidities associated with anesthesia-related death and place of death. Results: There were 39,965 patients undergoing anesthesia. Thirty patients died related to anesthesia. Characteristics of patients who died related to anesthesia in January 2017 to May 2021 at Dr. Sardjito was a patient with male gender (n=14 (46.6%)), ASA III physical status (n=20 (66.7%)), type of emergency surgery (n=12 (40%)), general anesthetic technique (n=25 (83.3%)), and underwent major surgery (n=25 (83.3%)). The mean age of patients who died related to anesthesia was 46.53 with a standard deviation SD of ±26.31. There were 9 patients (30%) who died with comorbid hypertension. There were twenty six patients (86.6%) died outside the operating room. Conclusion: The death rate related to anesthesia within 24 hours at RSUP Dr. Sardjito is 7.5 per 10,000 anesthetic actions.
Co-Authors Djayanti Sari Ratih Kumala Fajar Apsari Siti Helmyati Sri Rahardjo Sudadi Yunita Widyastuti