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All Journal E-Jurnal Medika Udayana Jurnal Respirasi (JR)
Candrawati, Ni Wayan
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Health Professions Medicine & Pharmacology Public Health

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KEAMANAN DAN EFEKTIVITAS E-CIGARETTE SEBAGAI ALTERNATIF ROKOK KONVENSIONAL TERHADAP PARU BERDASARKAN PERBANDINGAN TES SPIROMETRI: A SYSTEMATIC REVIEW Elkurnia, Raymond Timothy; Rai, Ida Bagus Ngurah; Candrawati, Ni Wayan; Sajinadiyasa, I Gede Ketut
E-Jurnal Medika Udayana Vol 11 No 8 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i8.P11

Abstract

E-cigarette kerap dijadikan alternatif bagi orang yang ingin berhenti merokok, namun e-cigarette tidak dapat dipastikan kemananan serta efektivitasnya. Systematic review ini dibuat dengan tujuan untuk mengetahui keamanan penggunaan e-cigarette dibandingkan dengan rokok konvensional terhadap fungsi paru, serta efektivitas penggunaanya. Pencarian studi dengan karakteristik randomized controlled trial/RCT dilakukan sesuai dengan kaidah PRISMA dengan menggunakan kata kunci‘ electronic nicotine delivery system’, ‘e-cigarette’, ‘e-cig’, ‘lung function’, ‘spirometry’, ‘FEV1/FVC’. Dari 110 studi, didapatkan 5 studi RCT yang memiliki hasil yang bervariasi.
Needle Aspiration in Tuberculosis-Associated Secondary Spontaneous Pneumothorax Candrawati, Ni Wayan; Indraswari, Putu Gita; Komalasari, Ni Luh Gede Yoni
Jurnal Respirasi Vol. 10 No. 1 (2024): January 2024
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v10-I.1.2024.50-54

Abstract

Introduction: The management of tuberculosis-associated secondary spontaneous pneumothorax mostly requires chest tube insertion for complete drainage and resolution. We reported a case of tuberculosis-associated secondary spontaneous pneumothorax that improved with needle aspiration. Case: A 29-year-old female with pulmonary tuberculosis presented with sudden onset shortness of breath. Chest examination revealed asymmetry, decreased vocal fremitus, hypersonor, and decreased vesicular sound in the right lung field. Chest radiograph showed right pneumothorax with a 2 cm intrapleural distance. Needle aspiration was performed because the patient refused chest tube insertion. The first needle aspiration evacuated approximately 615 cc of air. The second needle aspiration was repeated 24 hours later due to clinical deterioration, and 610 cc of air was evacuated. Chest radiograph evaluation on the 6th day of treatment showed no pneumothorax. During hospitalization, the patient received oxygen therapy, anti-tuberculosis drugs, chest physiotherapy, and other symptomatic therapies such as mucolytics. The patient's condition improved, and she was discharged on the 9th day of hospitalization. Tuberculosis-associated secondary pneumothorax occurs in 1-3% of cases. Conclusion: Needle aspiration is a therapeutic modality for tuberculosis-associated secondary spontaneous pneumothorax. This modality has several advantages, including shorter length of stay, less cost and pain, and fewer complications. Needle aspiration combined with oxygen therapy, anti-tuberculosis drugs, and chest physiotherapy should be the modality of treatment for tuberculosis-associated secondary pneumothorax.
Co-Authors Elkurnia, Raymond Timothy I Gede Ketut Sajinadiyasa Ni Luh Gede Yoni Komalasari, Ni Luh Gede Yoni Putu Gita Indraswari, Putu Gita Rai, Ida Bagus Ngurah