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All Journal Folia Medica Indonesiana MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan HEALTHY: Jurnal Inovasi Riset Ilmu Kesehatan Jurnal Medis Umum
Puspita, Eka Ari
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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The Role of Anesthetic Techniques and Drugs in Laparotomy Cases of Postoperative Ileus Puspita, Eka Ari; Nugroho, Yudhistiro Andri; Rahmasena, Naomi; Jamil, Ahmad Mochtar; Haniifah, Ulaa; Anas, Muhammad; Rahmah, Laila
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 11, No 1 (2024): February
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.11.1.2024.97-107

Abstract

Background: Ileus occurs when there is a non-mechanical decrease or stoppage of the flow of intestinal contents. The cause of ileus has yet to be clearly defined. Various factors influence the risk for an ileus, each affecting a small part of the complex neuroimmune system. The patient will present with bloating and abdominal distension. Plain abdominal films and computed tomography (CT) scans of the abdomen are usually the first diagnostic imaging obtained. The most important principle for treating ileus is treating the underlying cause. Treating the infection, electrolyte abnormalities, and decreasing opiate use can all potentially decrease the durability of an ileus. Anesthesia procedures must be performed to treat patients preoperatively, during surgery, and postoperatively. Enhanced recovery protocols, regional anesthesia, opioid-sparing analgesics, and laparoscopy have all improved the number of postoperative ileus cases.Case Presentation: The following is a 67-year-old male patient who presents with abdominal pain with a scale of 4 out of 10, diagnosed with ileus, which was planned for laparotomy surgery by general anesthesia with supine position.Conclusion:We conclude that anesthetic procedures are critical in ileus patients in performing laparotomy operations, both in selecting anesthetic techniques, anesthetic drugs, and supporting scores (Aldrete score). Before induction, anesthesiologists must carefully assess preoperative and monitor postoperative 
Incidence of Emergence Agitation in Pediatric Patient after General Anesthesia Andriyanto, Lucky; Utariani, Arie; Hanindito, Elizeus; Santoso, Kohar Hari Santoso Hari; Hamzah, Hamzah; Puspita, Eka Ari
Folia Medica Indonesiana Vol. 55 No. 1 (2019): March
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (151.507 KB) | DOI: 10.20473/fmi.v55i1.24340

Abstract

Post anesthesia agitation is common problem in pediatric post anesthesia care unit. The incidences range from 10 to 80%. EA has been described as a dissociated state of consciousness in which the child is inconsolable, irritable, and uncooperative typically thrashing, crying, moaning or incoherent. This study was done to determine the incidence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. This descriptive and analytic study was performed on 105 pediatric patient aged 1-12 years that underwent general anesthesia for various elective diagnostic and surgeries at Dr. Soetomo Hospital between January and February 2016. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium (PAED) scale. The factors that linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software with logistic regression. p - values less than 0.05 were considered as significant. Forty two (40%) children had Emergence Agitation. Preoperative anxiety (p = 0.006) and Pain (p=0.035) were associated with higher rates of post anesthetic emergence agitation. This study identified preoperative anxiety and pain as risk factors, which are associated with emergence agitation in children. To minimize the incidence of post anesthetic emergence agitation, these risk factors should be considered in the routine care by anesthetist.
SISTEMATIK REVIEW PERBANDINGAN ANTARA MRI DAN PET/CT DALAM MENDETEKSI METASTASIS KELENJAR GETAH BENING PADA KANKER SERVIKS Amaliya, Shafitri Firda; Puspita, Eka Ari; Pratiwi, Vivi Irma
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 2 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i2.5873

Abstract

ABSTRACT An estimated 660,000 new cases of cervical cancer are identified each year globally, with mortality rate of approximately 350,000 cases. Early detection and accurate detection of Lymph Node Metastasis (LNM) is important aspect on determining the appropriate stage, prognosis and choice of therapy in cervical cancer patients. Magnetic resonance imaging (MRI) and Positron Emission Tomography/Computed Tomography (PET/CT) are common imaging modalities to detect lymph node metastasis. The purpose of this study is to evaluate the diagnostic sensitivity and specificity of PET/CT and MRI in identifying lymph node metastases (LNM) in cervical cancer. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) was considered to be the guideline of this systematic review. A comprehensive literature search was performed in several database including PubMed, ScienceDirect, and Google Scholar. The current findings show that PET-CT had higher sensitivity and AUC values than MRI in diagnosing lymph node metastasis in cervical cancer patients. But MRI may have higher specificity. The advantage PET/CT is generally more effective than MRI in evaluating distant metastasis. While MRI offers several advantages including no radiation exposure, potential improved accessibility, and also superior ability to evaluate local structures. The combination of MRI and PET/CT are preferred for cervical cancer patients planning therapy, though in terms of, MRI is more accessible than PET/CT in developing countries, particularly Indonesia. ABSTRAK Angka insiden kanker serviks mencapai 660.000 kasus baru per tahun secara global, dengan tingkat mortalitas sekitar 350.000 kasus. Deteksi dini dan akurat terhadap metastasis kelenjar getah bening (KGB) merupakan aspek penting dalam menentukan staging, prognosis, dan pilihan terapi yang tepat pada pasien kanker serviks. Modalitas imaging yang sering digunakan untuk mendeteksi adanya metastasis Kelenjar Getah Bening (KGB) meliputi Magnetic Resonance Imaging (MRI) dan Positron Emission Tomography/Computed Tomography (PET/CT). Tujuan dari review ini untuk menilai sensitivitas dan spesifisitas diagnostik MRI dan PET/CT dalam mendeteksi metastasis Kelenjar Getah Bening (KGB) pada kanker serviks. Ulasan sistematis ini mengikuti pedoman PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Pencarian komprehensif dilakukan di beberapa database, termasuk PubMed, Science Direct, dan Google Scholar. Hasil menunjukkan bahwa PET-CT menunjukkan sensitivitas dan AUC yang lebih tinggi dibandingkan MRI dalam mendeteksi metastasis kelenjar getah bening pada pasien kanker serviks. Namun, MRI memiliki spesifisitas yang lebih tinggi. Kelebihan PET/CT lebih efektif untuk mengevaluasi metastasis lebih jauh dibandingkan MRI. Walaupun begitu MRI memiliki kelebihan tidak adanya paparan radiasi, akses lebih tersedia, dan lebih baik dalam mengevaluasi struktur lokal. Kombinasi keduanya lebih direkomendasikan untuk perencanaan terapi pasien kanker serviks, walaupun dari segi fasilitas MRI lebih tersedia dibandingkan PET/CT terutama di negara berkembang khususnya di Indonesia.
Serial Kasus : Manajemen General Anastesi pada Pasien Pediatri dengan Laparoskopi Kolesistektomi di Instalasi Bedah Sentral RSUD dr. Soegiri Lamongan Puspita, Eka Ari; Zamroni, Achmad; Nugroho, Yudistiro Andri; Ramadhani, Devi Eka
JurnalMU: Jurnal Medis Umum Vol 1 No 3 (2024): Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v1i3.24769

Abstract

Manajemen anestesi untuk prosedur laparoskopi kolesistektomi pada pasien pediatri menimbulkan tantangan unik karena perbedaan fisiologis anak-anak dibandingkan dengan dewasa. Operasi laparoskopi kolesistektomi semakin sering digunakan dalam penanganan kolelitiasis pada pasien pediatri karena keuntungannya yakni minimal invasif sehingga pemulihan lebih cepat dan nyeri minimal pascaoperasi dibandingkan metode konvensional. Namun, manajemen anestesi pada populasi ini memerlukan pendekatan yang spesifik mengingat karakteristik fisiologis unik pada anak-anak. Tujuan: mengetahui manajemen anestesi pada prosedur laparoskopi kolesistektomi pada pasien pediatri, dengan fokus pada pemilihan agen anestesi, pengaturan ventilasi, pemantauan hemodinamik, serta perioperative care. Metode : melalui analisis kasus, kami mengevaluasi 2 pasien pediatri melalui data rekam medis dan pemantauan prosedur serta kondisi klinis pasien baik preoperative maupun postoperative di RSUD Dr.Soegiri Lamongan. Parameter yang dinilai meliputi pilihan agen anestesi, durasi operasi, dan kejadian komplikasi intraoperatif serta postoperatif. Hasil : Manajemen anestesi yang disesuaikan untuk laparoskopi kolesistektomi pada pasien pediatrik memerlukan pemahaman mendalam tentang dinamika fisiologis anak. Dalam serial kasus ini, terdapat penyesuaian protokol anestesi yang meningkatkan keamanan dan efektivitas prosedur, dengan implikasi langsung pada pemulihan pasien dan pengurangan durasi rawat inap.
Hubungan Usia dan Jenis Kelamin dengan Stadium Kanker Kolorectal di RSUD Dr Soegiri Lamongan Sutrisno; Jennah , Ani Yatul; Puspita, Eka Ari
JurnalMU: Jurnal Medis Umum Vol 2 No 1 (2025): Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v2i1.25637

Abstract

Latar Belakang : Kanker kolorectal merupakan suatu jenis kanker pada mukosa kolon yang disebabkan oleh pertumbuhan sel yang tidak terkontrol. Menurut World Cancer Research Fund International (WCRF) tahun 2020, kanker kolorectal merupakan kanker terbanyak ketiga setelah kanker paru dan kanker payudara. Terdapat banyak faktor yang dapat meningkatkan atau menurunkan risiko terjadinya kanker kolorectal. Usia dan jenis kelamin adalah faktor risiko terpenting untuk kanker kolorektal pada sebagian besar populasi. Penentuan stadium kanker kolorectal didasari pada ukuran tumor , penyebaran ke kelenjar getah bening dan metastasis ke organ lain. Tujuan : Mengetahui hubungan Usia dan Jenis Kelamin dengan Stadium pada Kanker Kolorectal di RSUD dr Soegiri Lamongan pada tahun 2021 sampai 2023. Metode : Menggunakan metode cross sectional yang bersifat analitik observasional dengan teknik purposive Sampling yang dilaksanakan dibagian Laboratorium Patologi Anatomi RSUD dr Soegiri Lamongan. Sampel yang digunakan adalah pasien yang telah melakukan pemeriksaan Histopatologi sebanyak 39 pasien . Hasil : Dari hasil perhitungan menggunakan uji chi square dengan fisher’s Exact Test,hubungan anatara usia dan stadium kanker kolorectal didapatkan p value = 0,256 > taraf signifikansi (0,05) sedangkan hubungan jenis kelamin dengan stadium kanker kolorectal didapatkan p value = 0,01 < taraf signifikansi (0,05) Kesimpulan : Tidak terdapat hubungan antara Usia dengan Stadium pada Kanker Kolorectal di RSUD dr Soegiri Lamongan dan terdapat hubungan antara Jenis Kelamin dengan Stadium pada Kanker Kolorectal di RSUD dr Soegiri Lamongan. Kata kunci : Usia , Jenis Kelamin, Stadium , Kanker Kolorectal
Co-Authors Achmad Zamroni, Achmad Amaliya, Shafitri Firda Elizeus Hanindito Hamzah Hamzah Haniifah, Ulaa Jamil, Ahmad Mochtar Jennah , Ani Yatul Lucky Andriyanto Muhammad Anas Nugroho, Yudhistiro Andri Nugroho, Yudistiro Andri Pratiwi, Vivi Irma Rahmah Laila Rahmasena, Naomi Ramadhani, Devi Eka Santoso, Kohar Hari Santoso Hari SUTRISNO Utariani, Arie