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All Journal Jurnal Anestesiologi Indonesia Community Empowerment
Satyagraha, Muhammad Thifan
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Arts Humanities Education Health Professions Medicine & Pharmacology Public Health Social Sciences

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Enhancing knowledge and worship quality in Muslim patients with diabetic foot ulcer through DiabetEasy Sadyah, Nur Anna Chalimah; Mulyono, Sri; Satyagraha, Muhammad Thifan
Community Empowerment Vol 10 No 3 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.12642

Abstract

Diabetic foot ulcers are a complication of diabetes mellitus that can reduce the quality of life, particularly in terms of religious practices for Muslim patients in Indonesia. This program aims to improve knowledge and worship quality in Muslim patients with diabetic foot ulcers through the DiabetEasy program. This program consists of digital health education based on an application and practical worship training for relevant participants at Sultan Agung Islamic Hospital, Semarang, Indonesia. This activity showed increased understanding and worship quality after the intervention, from 60% to 90%. This indicates that this program can improve understanding and worship quality for Muslim patients with diabetic foot ulcers. This program can be an alternative option as a simple non-pharmacological therapy in promotive, preventive, and rehabilitative efforts for the management of diabetic foot ulcers.
Successful High-Risk Pulseless-Balloon Aortic Valvuloplasty Procedure in Uncorrected Pulmonary Atresia with Severe Congenital Aortic Stenosis and Low Left Ventricular Function Sofia, Sefri Noventi; Bahrudin, Bahrudin; Riwanto, Ignatius; Susanto, Hardhono; Soetadji, Anindita; Baskoro, Adhi Gunawan; Prawara, Ananta Sidhi; Satyagraha, Muhammad Thifan; Kurniawati, Yovie; Prakoso, Radityo
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 3 (2025): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.72347

Abstract

Background: Pulmonary atresia with ventricular septal defect (PA-VSD) and severe bicuspid aortic stenosis is an uncommon condition that presents significant surgical challenges. The dual obstruction leads to chronic pressure overload, resulting in ventricular hypertrophy and decreased systolic function. A low left ventricular ejection fraction (LVEF) increases the risk of mortality during surgical interventions. Percutaneous balloon aortic valvuloplasty (PBAV) poses additional risks due to the intentional induction of pulselessness during balloon inflation. This case report aims to detail the perioperative management strategies employed during PBAV in a patient with PA-VSD, severe aortic stenosis, and low LVEF.Case: We present a 19-year-old female patient weighing 45 kg with shortness of breath and fatigue. Her oxygen saturation was measured at 90% across all extremities. Electrocardiogram (ECG) findings indicated sinus rhythm with biventricular hypertrophy and incomplete left bundle branch block (LBBB). Chest X-ray revealed cardiomegaly and pulmonary artery dilation, while echocardiography confirmed PA-VSD, severe aortic stenosis with a mean pressure gradient (mPG) of 55 mmHg, and an LVEF of 41.3%. A percutaneous pulseless-BAV was performed using a Tyshak balloon via an antegrade transvenous femoral approach under fluoroscopy and transesophageal echocardiography guidance.Discussion: Anesthesia management focused on gradual medication titration, minimizing patient movement during the procedure, and ensuring comfort due to transesophageal echocardiogram (TEE) probe insertion. A temporary pacemaker was placed in the right ventricular apex for pacing at 220 beats per minute until cardiac arrest occurred post-balloon inflation, and defibrillation successfully restored spontaneous circulation.Conclusion: This case illustrates that PBAV in uncorrected PA-VSD with severe aortic stenosis and low LVEF is feasible despite its inherent risks when conducted by a skilled team utilizing careful judgment throughout the procedure.
Co-Authors Anindita Soetadji Bahrudin Bahrudin Baskoro, Adhi Gunawan Hardhono Susanto Ignatius Riwanto, Ignatius Kurniawati, Yovie Nur Anna Chalimah Sadyah Prawara, Ananta Sidhi Radityo Prakoso Sefri Noventi Sofia Sri Mulyono