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Post-Anesthesia recovery time in children undergoing hypospadias correction with general anesthesia in bandung Siagian, Alexander; Rochmah, Elly N; Seciora, Raiza D
ACTA Medical Health Sciences Vol. 4 No. 1 (2025): Acta Medical and Health Sciences
Publisher : ACTA Medical Health Sciences

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Abstract

Anesthesia is defined as the loss of pain sensation, with or without the loss of consciousness. After the anesthetic is discontinued and surgery is completed, the patient is routinely managed in the recovery room, also known as the Post Anesthesia Care Unit (PACU). One of the primary goals of PACU is to monitor and document the recovery time before the patient is transferred to a general ward or an intensive care unit. One of the post-operative complications in pediatric patients is delayed emergence from anesthesia. This is defined as the failure to regain consciousness within 30–60 minutes after discontinuation of anesthesia. Delayed emergence is often a residual effect of anesthetic, sedative, and analgesic drugs. Hypospadias is one of the various surgical conditions among pediatric patients. Indonesia reports a relatively high incidence of hypospadias. This study aimed to determine the postoperative anesthesia recovery time following hypospadias correction in children with ASA physical status I and II at Bandung City Hospital from 2017 to 2020. This cross-sectional study utilized secondary data from medical records, with a sample of 69 people meeting the inclusion criteria. The results showed a mean recovery time of 59.70 minutes, with the shortest recovery time being 45 minutes and the longest 135 minutes. Regarding operative duration, 89.9% of cases (62 people) were completed within ≤ 75 minutes, while 10.1% (7 people) required > 75 minutes. DOI : 10.35990/amhs.v4n1.p35-40 REFERENCES Elysabeth ZD. Central nervous system drugs. In: Gunawan S, Setiabudy R, Nafrialdi E, editors. 5th ed. Jakarta: Balai Penerbit FKUI; 2009. p. 122–37. Tanra ARN. Chapter 19: Anesthesia. In: Sjamsuhidayat R, Karnadiharja W, Prasetyono T, Rudiman R, editors. Textbook of surgery. 3rd ed. Jakarta: ECG; 2013. p. 314–30. Neal MJ. At-a-glance medical pharmacology. 5th ed. Jakarta: Erlangga; 2013. p. 52. Latief SA, Suryadi KA, Dachlan MR. Practical guide to anesthesiology. 4th ed. Jakarta: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Indonesia; 2009. p. 29–33, 97, 105, 107–8, 112–3, 117. Sommeng F. Relationship between pre-general anesthesia physical status and recovery time in post-mastectomy patients at RS Ibnu Sina, February–March 2017. UMI Med J. 2019;3(1):47–58. Staroverov D, Ismailova R. Recovery room: Safety island in the operating theatre. Med J Zambia. 2010;36(3):132–5. Krisna DM, AM. Hypospadias: What are its characteristics in Indonesia? Sci Med J Duta Wacana. 2017;2(2):325. Lu W, Tao Y, Wisniewski AB, Frimberger D, Kropp BP. Different outcomes of hypospadias surgery between North America, Europe and China: Is patient age a factor? Nephrourol Mon. 2012;4(4):609–12. Indonesian Urological Association. Pediatric urology in Indonesia. Jakarta: Indonesian Urological Association; 2016. p. 1–74. Dinata DA, Fuadi I, Redjeki IS. Recovery time in pediatric patients undergoing general anesthesia at Dr. Hasan Sadikin Hospital, Bandung. J Anestesi Perioper. 2015;3(2):100–9. Indonesia DKR. Age categories [Internet]. 2009 [cited 2025 Sep 4]. Available from: http://kategori-umur-menurut-depkes.html Fenny AS. Description of recovery time post-general anesthesia with ASA II physical status in minor surgery at RS Dustira, 2017 [Undergraduate thesis]. Cimahi: Universitas Jenderal Achmad Yani; 2017.
Pelatihan Bantuan Hidup Dasar dan Kesiapsiagaan Bencana Gempa pada Komunitas Teman Tuli Sari, Sylvia Mustika; Prakasa, Glen Glady; Fahruzi, Odih; Sejati, Fitriardi; Lubis, Alfathah Bania; Siagian, Alexander; Purawaamidjaja, Dis Bima; Pratiwi, Cindy Bella; Salsabillah, Feby; Keizha, Gadizha
Jurnal Abdimas Kartika Wijayakusuma Vol 6 No 4 (2025): Jurnal Abdimas Kartika Wijayakusuma
Publisher : LPPM Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jakw.v6i4.1252

Abstract

Komunitas teman tuli merupakan kelompok yang sangat rentan dalam menghadapi situasi darurat akibat keterbatasan akses informasi dan media edukatif yang tidak inklusif. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pemahaman dan keterampilan dasar kesiapsiagaan bencana serta bantuan hidup dasar (BHD) melalui pelatihan berbasis media visual dan bahasa isyarat. Metode yang digunakan adalah gabungan Community-Based Research dan Service Learning, dengan melibatkan GERKATIN Cimahi sebagai mitra komunitas serta mahasiswa Fakultas Kedokteran Unjani sebagai fasilitator. Rangkaian kegiatan mencakup asesmen kebutuhan, pelatihan bahasa isyarat untuk mahasiswa, pembuatan video edukatif inklusif, dan pelatihan simulatif tanggap darurat. Sebanyak 30 peserta menunjukkan keterlibatan aktif dan pemahaman yang baik. Kuesioner kualitatif mencerminkan respons positif terhadap metode penyampaian, terutama penggunaan visual dan pendampingan bahasa isyarat. Bagi mahasiswa, kegiatan ini menjadi sarana pembelajaran kontekstual dalam hal empati, komunikasi inklusif, dan edukasi berbasis nilai. Kegiatan ini membuktikan bahwa edukasi darurat berbasis media visual dan komunikasi inklusif dapat meningkatkan ketangguhan komunitas teman tuli sekaligus memperkaya proses belajar mahasiswa kedokteran.