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All Journal Jurnal Anestesiologi Indonesia Jurnal PAJAR (Pendidikan dan Pengajaran) Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Teknik Informatika (JUTIF) Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC)

Firdaus, Riyadh

Unknown Affiliation

Author-ID : 2131754

Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Other

Published : 23 Documents Claim Missing Document

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The Effect of Integrative Learning on Improving Understanding of Science Concepts of Grade V Elementary Students Public School 40 Negeri Katon Firdaus, Riyadh; Herpratiwi; Fitriawan, Helmy; Firdaus, Rangga
Jurnal PAJAR (Pendidikan dan Pengajaran) Vol. 8 No. 5 (2024): September
Publisher : Laboratorium Program Studi Pendidikan Guru Sekolah Dasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33578/pjr.v8i5.10012

The problem in this study is the low learning outcomes of fifth grade students of SD Negeri 40 Negeri Katon Pesaaran. The purpose of this study was to determine the effect of integrative learning on increasing the understanding of science concepts of Class V Students of Elementary School Negeri 40 Negeri Katon. The research method used in this research is Quasi Experiment can be interpreted as research that is close to experiments or pseudo experiments. This research design uses a "non-equivalent control-group design", then the two groups are both given a pre-test and post-test, but only the experimental group is given treatment in this study taken using Purposive Sampling technique. Data collection techniques using concept understanding tests, observation and documentation with data analysis using simple linear regression tests the results showed that r count 0 with N = 20 for α = 0.05 obtained r table 0.444; so that r count> r table (0>0.444). Then R square = the magnitude of the termination coefficient (carrying capacity) of the independent variable (Integrative Learning model) in predicting the magnitude of the dependent variable (understanding of the science concept of students) of 0. So it can be concluded that there is an effect of Integrative Learning on increasing the understanding of science concepts of Class V Students of State Elementary School 40 Negeri Katon in the 2023/2024 school year.

Penerapan Enhanced Recovery after Surgery (ERAS) pada Bedah Saraf Firdaus, Riyadh; Permana, Affan Priyambodo; Sugianto, Astrid Indrafebrina; Theresia, Sandy
Jurnal Neuroanestesi Indonesia Vol 10, No 2 (2021)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Enhanced recovery after surgery atau ERAS adalah suatu protokol perawatan perioperasi terstandar multidisiplin pada pasien bedah yang bertujuan untuk meminimalkan stres perioperasi sehingga menghasilkan luaran yang lebih baik. Protokol ERAS tersusun dari berbagai komponen perawatan yang terbukti mendukung pemulihan dan/atau menghindari komplikasi pascaoperasi. Komponen-komponen tersebut mengikutsertakan ahli bedah, ahli anestesi, perawat, farmasi, ahli gizi yang terlibat dalam perawatan pasien sehingga memberikan perbaikan yang lebih baik. Protokol ERAS tersusun dari berbagai komponen perawatan dari mulai praoperasi (konseling, pemberian nutrisi, pengelolaan kebiasaan, trombofilaksis, persiapan daerah operasi dan profilaksis antimikroba), intraoperasi (teknik anestesi, manajemen anestesi, analgesia, manajemen cairan, pengaturan suhu, teknik pembedahan) hingga pascaoperasi (kejadian post-operative nausea and vomiting (PONV), drainase urin, asupan nutrisi, mobilisasi dini). Penerapan ERAS menunjukkan hasil yang baik, dapat diterapkan, dan memberikan keuntungan bagi pasien bedah saraf. Walau demikian, protokol ERAS dalam bedah saraf masih sangat terbatas dan memerlukan penelitian lebih lanjut mengikuti berbagai jenis tindakan/operasi dan keadaan pasien yang berbeda-beda.Implementation of Enhanced Recovery after Surgery (ERAS) in NeurosurgeryAbstractEnhanced recovery after surgery (ERAS) is a multidisciplinary standardized perioperative treatment protocol in surgical patients that aims to minimize perioperative stress and result in better outcomes. The ERAS protocol is composed of various components of care that have been shown to support recovery and/or avoid postoperative complications. These components include surgeons, anesthesiologists, nurses, pharmacists, nutritionists who are involved in patient care to provide better improvements. The ERAS protocol is composed of various components of preoperative care (counseling, nutrition, lifestyle management, thromboprophylaxis, preparation of the surgical area and antimicrobial prophylaxis), intraoperative care (anesthetic technique, anesthesia management, analgesia, fluid management, temperature regulation, surgical technique) and postoperative care (PONV management, urinary drainage, nutritional intake, early mobilization). Implementation of ERAS is applicable and shows good results along with the benefits for patients undergoing neurosurgery. However, ERAS in neurosurgery is still very limited and requires further research following different types of procedures / operations and different patient conditions.

Oxygenation and Hemodynamic Changes in Traumatic Brain Injury: A Literature Review Firdaus, Riyadh; Aida Rosita Tantri
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 4 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i4.480

Traumatic brain injury (TBI) is a major public health problem and the main cause of death and disability worldwide. TBI can causing primary and secondary injury. Primary brain injury occurs within a moment after a collision and worsen by acute systemic damage such as hypoxia, bleeding, and neurotoxic pathway activation. Under normal conditions, brain has several mechanisms for regulating pressure and volume to prevent ischemia. The purpose of these mechanisms is to maintain a continuous cerebral blood flow (CBF) and adequate oxygen supply.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i4.480

Penatalaksanaan Anestesi pada Ruptur Aneurisma Firdaus, Riyadh; Suarjaya, I Putu Pramana; Rahardjo, Sri
Jurnal Neuroanestesi Indonesia Vol 5, No 1 (2016)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Ruptur aneurisma adalah salah satu kejadian vaskular yang devastated dengan tingginya angka mortalitas. Namun dengan penanganan yang cepat dan tepat maka angka kematiannya hanya mencapai 10%, dan morbiditasnya ringan. Selain dari efek pecahnya pembuluh darah, banyak komplikasi lain yang perlu diperhatikan seperti perdarahan ulang, vasospasme, hidrosefalus, gangguan elektrolit sampai gangguan respirasi. Dilaporkan pasien perempuan 47 tahun dengan sakit kepala, mual dan muntah yang memberat sejak 2 minggu sebelum masuk rumah sakit. Keluhan seperti ini sudah dirasakan 7 tahun sebelumnya, dan didiagnosa sebagai ruptur aneurisma spontan, sekarang tanpa gejala sisa. Pada pemeriksaan fisik, pasien sadar penuh dengan kaku kuduk, tanpa tanda neurologis fokal. Dari pemeriksaan penunjang didapatkan terdapat vasospasme pada a. Karotis Interna setinggi segmen suprasinoid, serta perdarahan tipis intraventrikel dan ventrikulomegali. Pasien direncanakan untuk dilakukan clipping aneurisma dalam anastesi umum. Pasien kemudian di rawat di ruang perawatan intensif dengan target penyapihan cepat dan ekstubasi. Tantangan dalam proses anestesi kasus aneurisma adalah mempertahankan antara tekanan dalam aneurisma dan cerebral perfusion preassure (CPP), proteksi otak pada periode iskemi, serta menyediakan lapang operasi seluas mungkin. Pasca-operasi harus diperhatikan tanda tanda komplikasi berupa iskemia.Anesthetic Management in Patient with Rupture Intracranial AneursymAneurysm rupture is a devastated vascular injury with high mortality rate. But in expert hands, it has lower mortality only about 10%. Aneurysm has other complication such as rebleeding, vasospasm, hydrocephalus, and electrolyte also cardio-pulmonary disturbance. The patient is 47 years old women with progressive headache, nausea and vomiting since 2 weeks before admission. She already experienced the same symptoms at 7 years ago, and was been diagnosed with spontaneous rupture aneurysm. She is fully alert, only with nunchal rigidity and no neurologic deficit. There were vasospasm at A.Carotis Interna as high as supracinoid segment and intraventricular hemorrhage from CT dan CT-Angiography. Patient went to clipping procedure under general anesthesia. Post-operatively patient was admitted to intensive care unit with fast liberation of ventilator and extubation. Anesthetical challenge of rupture aneurysm are to maintain aneurysm pressure and cerebral perfusion rate, brain protection, and provide enough space for surgery. Post-op monitoring should include routine neurological examination to early detect ischemia.

Opioid-Free Anesthesia in Ophthalmic Surgeries Tantri, Aida Rosita; Angkasa, Hansen; Firdaus, Riyadh; Claudia, Tasya; Tantri, Ignatia Novianti
Indonesian Journal of Anesthesiology and Reanimation Vol. 5 No. 2 (2023): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V5I22023.81-87

Introduction: Opioid-free anesthesia (OFA) is an alternative to Opioid based anesthesia (OBA) which uses multimodal analgesia to replace opioids. However, its feasibility, safety, and exact recommended combination remain debatable. Case Series: We administered OFA in 5 types of elective ophthalmic surgeries under general anesthesia in ASA 1-2 adult patients (evisceration, ocular exenteration, periosteal graft, scleral buckling, vitrectomy, and dacryocystorhinostomy) to assess the feasibility of OFA. We gave preoperative Paracetamol and Pregabalin with Dexmedetomidine as a loading dose (1 mcg/kg in 10 minutes) and maintenance at 0.7 mcg kg-1 per hour. Induction was performed using Propofol 1-2 mg kg-1, Lidocaine 1-1.5 mg kg-1 IV, and Rocuronium. Before the incision, Dexamethasone and Ranitidine were given. Maintenance was done using Dexmedetomidine and Sevoflurane. Fentanyl was used as rescue analgesia if required. Dexmedetomidine was stopped 15-30 minutes before the procedure ended. Metoclopramide and Ketorolac were given as postoperative management. Throughout the procedure, our patients had stable hemodynamics, did not experience life-threatening bradycardia, and did not require rescue analgesia. All patients regained full consciousness and did not experience postoperative nausea and vomiting, emergency delirium, or coughing. Conclusion: Multimodal analgesia was an excellent intraoperative OFA regimen as an alternative to OBA and provided controlled hypotension in ocular surgery. Safe OFA is possible with combined analgesia regimens, strict intraoperative monitoring, and adequate anesthesia depth.

IMPLEMENTATION OF THE ADDIE MODEL FOR DEVELOPING MULTIMEDIA LEARNING MEDIA AND GAMIFICATION ON SPACE OBJECTS MATERIAL IN ELEMENTARY SCHOOL Firdaus, Rangga; Firdaus, Riyadh
Jurnal Teknik Informatika (Jutif) Vol. 5 No. 4 (2024): JUTIF Volume 5, Number 4, August 2024 - SENIKO
Publisher : Informatika, Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52436/1.jutif.2024.5.4.2307

Teaching material in learning outer space objects (PBLA) is an interesting and important topic for elementary school students to master. However, traditional methods in PBLA learning are often ineffective in increasing students' awareness and interest. Interactive multimedia learning uses a variety of technologies such as video images, and animation, as well as gamification elements such as points, levels, and rewards. Therefore, this research focuses on developing interactive multimedia learning and gamification to increase elementary school students' awareness and interest in PBLA. This research is research into the development of learning media using the 4D Method (Define, Design, Develop and Disseminate) type Research and Development (R&D) and conducting field tests in class VI UPTD SDN 40 Negeri Katon. The research results showed that the validity of interactive PowerPoint learning media based on a scientific approach in learning material at UPTD SDN 40 Negeri Katon elementary school was based on the results of an assessment from media experts of 94.45% and an assessment of material experts of 97.45% in the very appropriate/very valid category. The practicality of learning media is stated to be practical based on the suitability of the material provided. This is proven by the teacher response results being 98% and the student response results being 100%. This research produces gamification learning media using interactive PowerPoint based on a scientific approach that is valid and practical to use. It is hoped that the results of this research can contribute to the development of more effective and interactive curriculum and learning methods to increase students' awareness and interest in PBLA material.

Penggunaan FOUR Skor dalam Manajemen Anestesi untuk Evakuasi Hematoma Epidural pada Pasien dengan Intoksikasi Alkohol Firdaus, Riyadh; Lalenoh, Diana C.; Rahardjo, Sri; Bisri, Tatang
Jurnal Neuroanestesi Indonesia Vol 6, No 3 (2017)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Manajemen neuroanestesia untuk cedera kepala bertujuan untuk mengoptimalkan perfusi otak, memfasilitasi pembedahan dan mencegah cedera otak sekunder. Bagi pasien cedera kepala yang mengalami toksisitas alkohol, diperlukan perhatian khusus dalam mengevaluasi dan menentukan dosis obat anestesia. Walaupun GCS dapat digunakan sebagai modalitas penilaian pasien dengan intoksikasi alkohol, penilaian menggunakan FOUR adalah alternatif yang lebih baik. FOUR lebih spesifik dalam menilai penurunan kesadaran bila ada defek neurologi, bahkan bagi pasien yang terintubasi. Selama pembiusan, dosis perlu diperhatikan karena konsumsi alkohol jangka panjang dapat meningkatkan kebutuhan dosis obat anestesia. Sebaliknya, intoksikasi alkohol memerlukan dosis obat induksi yang lebih kecil. Seorang laki-laki usia 38 tahun dibawa ke IGD dengan penurunan kesadaran pasca trauma kepala sejak 3 jam sebelum masuk rumah sakit. Pasien memiliki riwayat konsumsi alkohol. Berdasarkan anamnesis, pemeriksaan fisis dan pemeriksaan penunjang, ditegakkan diagnosis Hematom Epidural. Pasien menjalani kraniotomi evakuasi Hematom Epidural selama 4 jam. Pascaoperasi pasien tidak dilakukan ekstubasi dan dirawat di perawatan ICU selama 7 hari.Use of Four Score in Anesthesia Management for Epidural Hematoma Evacuation in Patient with Alcohol IntoxicationNeuroanesthetic management for brain trauma aims to maintain optimal cerebral perfusion and facilitate surgery while preventing secondary brain injury. For patients with brain trauma under alcohol toxicity, careful monitoring is needed to assess and determine drug dosing. Although GCS is reliable for assessing conciousness in patients with alcohol intoxication, evaluation using FOUR is a reasonable alternative. FOUR is more spesific in identifying level of conciousness in neurologic defects, even in intubated condition. Throughout anesthesia, special attention should be given, as long term alcohol consumption may increase the dose needed for general anesthesia. However, a smaller dose of induction agent is needed in alcohol intoxication. We describe a case of a 38 years old male, who was admitted to emergency department with loss of conciousness following head trauma for 3 hours prior to admission. There was history of alcohol consumption. History and physical findings were consistent with epidural hematoma. Patient underwent craniotomy for epidural hematoma evacuation. The surgery took four hours. Post surgery, patient remained intubated and stayed in ICU for seven days.

Pemantauan Neurofisiologis Intraoperatif selama Anestesia untuk Operasi Meningioma Foramen Magnum Firdaus, Riyadh; Suryono, Bambang; Saleh, Siti Chasnak
Jurnal Neuroanestesi Indonesia Vol 3, No 3 (2014)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Pemantauan neurofisiologis intraoperatif (Intraoperative neurophysiological monitoring/IONM) pada operasi yang rentan mencederai saraf sangat penting untuk menunjang proses keputusan medis intraoperatif dan pada akhirnya mengurangi angka morbiditas. Operasi meningioma foramen magnum sangat berisiko cedera saraf dan morbiditas sehingga menjadi kandidat yang cocok untuk penggunaan IONM. Cakupan manajemen anesthesia pada operasi yang menggunakan IONM adalah pertimbangan tentang pilihan dan dosis obat anestesia yang digunakan serta perhatian terhadap kestabilan homeostasis pasien. Pemahaman yang baik oleh dokter bedah, anestesi dan neurologi akan membuat tindakan operasi berjalan dengan lancar dan mencegah terjadinya komplikasi intra dan pascaoperasi. Seorang wanita umur 39 tahun dengan keluhan utama nyeri kepala belakang sejak 2 bulan yang lalu. Berdasarkan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang pasien di diagnosis tumor meningioma pada regio foramen magnum. Pasien dilakukan operasi kraniotomi removal tumor dengan panduan IONM dalam posisi park bench. Lama operasi kurang lebih 14 jam. Pascaoperasi pasien tidak dilakukan ekstubasi dan dirawat di ICU sehari.Intraoperative Neurophysiological Monitoring (IONM) during Anesthesia for Meningioma Foramen Magnum SurgeryIntraoperative neurophysiological monitoring (IONM) in a surgery that is prone to neuronal injury is very useful to guide intraoperative decision makings and to reduce morbidity. Foramen magnum tumor surgerycarries a very high risk for neuronal injury, and thereforeapplication of IONM would be advantageous. The termsof anesthetic management in IONM-guided-surgery are the selection of anesthetic agents with limitation of the dosageswhileremain focusingon stability of patients homeostasis. A thorough understanding and communication among surgeon, neurologist and anesthesiologist are important to createan uneventful procedure and to reduce intra and postoperative complications.A 39 years old female with severe headache for 2 months was diagnosed with meningioma at foramen magnum based on history, physical examination, and advanced examination procedures. The patient was underwent tumor removal guided by IONM on park bench position. The duration of surgery was 14 hours. The patient was not extubatedpostoperatively and admitted to ICU for a day.

Penatalaksanaan Perioperatif pada Bedah Dekompresi Mikrovaskular: Sajian Kasus Serial Firdaus, Riyadh; Suarjaya, I Putu Pramana; Rahardjo, Sri
Jurnal Neuroanestesi Indonesia Vol 5, No 1 (2016)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Dekompresi mikrovaskular (microvascular decompression/MVD) adalah terapi definitif dari spasme hemifasial, yakni suatu gangguan gerakan neuromuskular wajah. Spasme ini ditandai dengan kontraksi involunter berulang pada otat yang diinervasi oleh N. fasialis (N.VII) akibat penekanan oleh arteri, tumor atau kelainan vaskular lainnya. Prevalensinya mencapai 911 kasus per 100.000 populasi sehat, dan paling sering terjadi pada usia 4060 tahun. Meskipun bukaan operasi MVD kecil yaitu di sekitar retroaurikula tetapi teknik anestesi-nya menggunakan prinsip-prinsip pembedahan fossa posterior. Bukaan lapangan operasi yang baik, kewaspadaan terhadap rangsangan ke batang otak maupun nervus kranialis dan kewaspadaan terhadap penurunan perfusi otak merupakan pilar-pilar utama tatalaksana anestesia pada MVD. Disajikan empat kasus spasme hemifasial dengan keadaan khusus. Kasus pertama operasi dilakukan pada pasien geriatri, pasien kedua dengan riwayat hipertensi, pasien ketiga dengan leher pendek dan asma, pasien terakhir dengan diabetes mellitus serta hipertensi. Pemantauan kestabilan hemodinamik, kedalaman anestesia dan relaksasi otot merupakan aspek penting yang menyertai tata laksana anestesi pada kasus ini.Perioperative Management in Microvascular Decompression Surgery: Case Series ReportMicrovascular decompression (MVD) is the definitive surgery for hemifacial spasm. The symptoms is described as a repetitive involuntary muscle contraction which innervated by N.fascialis caused by compression of the nervus by enlarged artery, tumor or vascular malformation. Its happened to 9-11 people from 100.000 population, especially in 4th to 6th decades. Although MVD operation only need small opening in retroauricula area but it still use posterior fossa operation principles. They are sufficient work field, awareness of impulse to brain stem and cranial nerves, and decrease of cerebral perfusion pressure. We present four cases of hemifacial spasm, with variety of considerations. The first case was a geriatric patient, the second was with history of hypertension, the third patient has short neck and also history of hypetension and asthma and the last is with diabetes mellitus and history of hypertension. Hemodynamic monitoring, deepness of anesthesia and adequate muscle relaxation is important parameter of anasthetical management of these cases.

Co-Authors Agusta, Laksmi Senja Anakotta, Vircha Anisa, Beryliana Maya Arief Cahyadi Auerkari, Aino Nindya Bambang Suryono, Bambang Claudia, Tasya Cresma, Avisa Cetta Dahlan, M. Sopiyudin Devani, Krissa Devina, Yoan Dewi Yulianti Bisri Diana C. Lalenoh, Diana C. Dita Aditianingsih Fadhila, Fulki Gunanta, Yohanes Hafidz, Noor Hansen Angkasa Hasna Ibadurrahmi, Hasna Helmy Fitriawan herpratiwi Herpratiwi Herpratiw Indonesia Emergency Knowledge and Attitude Evaluator Team Kartika, Gloria Kurniawan, Teddy Lantang, Anastasia Magdalena Lutfiana, Nela Manggala, Sidharta Kusuma Mujono, Aivi Natanegara, Ahmad Pasha Omega, Andy Parasian, Luther Holan Perdana, Aries Permana, Affan Priyambodo Putu Pramana Suarjaya Rachmah, Indah Nur Ramlan, Andi Ade Wijaya Rangga Firdaus Reza, Harris Putra Rinal Effendi Saleh, Siti Chasnak Sari, Lintang Sekar Setiani, Dea Britta Hilda Sri Rahardjo Sudirman, Adrian Reynaldo Sugianto, Astrid Indrafebrina Sugiarto, Adhrie Sukoco, Gunawan Surbakti, Caren Andika Sutaniyasa, I Gede Sutedja, Anasthasia D. Talitaputri, Clarissa Emiko Tantri, Aida Rosita Tantri, Ignatia Novianti Tatang Bisri Theresia, Sandy Vito Filbert Jayalie, Vito Filbert Wicaksana, Daffa Abhista Yunda, Girhanif Amri Yustisia, Fitria Isnarsandhi Zahra, Rania

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