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All Journal Jurnal Anestesiologi Indonesia Medical Journal of Indonesia Majalah Anestesia dan Critical Care Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia World Nutrition Journal The New Ropanasuri Journal of Surgery Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute Jurnal Komplikasi Anestesi
Dita Aditianingsih
Departemen Anestesi Dan Terapi Intensif; Fakultas Kedokteran; Universitas Indonesia/ Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo; Jakarta
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Journal : Majalah Anestesia

 1 
Kejadain Hiponatremia Berat Akibat Syndrome of Inappropriate Antidiuretic Hormone dan Pneumonia Aspirasi pada Makroadenoma Hipofisis Bob Firman; Dita Aditianingsih; Indro Mulyono
Majalah Anestesia & Critical Care Vol 37 No 1 (2019): Februari
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.871 KB)

Abstract

Adenoma hipofisis merupakan tumor jinak yang paling sering ditemukan pada kasus tumor intrakranial. Pembesaran tumor pada daerah sella tursica yang sempit dapat menyebabkan tekanan pada jaringan sekitar, sehingga terjadi ganggan sekresi hormon, salah satunya adalah sindrom sekresi hormon antidiuretik yang tidak tepat. Seorang laki-laki berusia 70 tahun datang ke instalasi gawat darurat Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo dengan keluhan utama penurunan kesadaran sejak 12 jam sebelum masuk rumah sakit. Pasien telah didiagnosa makroadenoma hipofisis. Pada saat di instalasi gawat darurat pasien muntah dan tersedak sehingga terjadi desaturasi dan kemudian dilakukan intubasi dan masuk ruang rawat intensif. Pasien mengalami hiponatremia berat dan pneumonia aspirasi. Pada hari keenam dapat dilakukan ekstubasi dan hiponatremia berat dapat dikoreksi.
Olive Oil and Vegetable Extract in Modified Hospital Enteral Formula Improves Glycemic Variability in Critically-Ill Diabetic Ketoacidosis Obese Patient: A Case Report Anindhita, Bintari; Singal, Anna Maurina; Wardhani, Wahyu Ika; Manikam, Nurul Ratna Mutu; Aditianingsih, Dita
Majalah Anestesia & Critical Care Vol 42 No 1 (2024): Februari
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v42i1.315

Abstract

Background: Severe hyperglycemia in diabetic ketoacidosis may elevate pro inflammatory cytokines, oxidative stress, and metabolic disruptions, impacting the nutritional status of critically ill patients. Diabetes-specific formula (DSF) administration is linked to favorable glycemic control, but research on the role of modified hospital enteral formulas in diabetic critical illness is lacking. Case Description: An obese 29-year-old male at risk of malnutrition, presented to the emergency room with decreased level of consciousness due to metabolic encephalopathy, diabetic ketoacidosis due to suspected type 1 diabetes mellitus, hypertension, and acute kidney injury. Medical nutritional therapy was provided via enteral route according to recent ESPEN, ASPEN and ADA recommendation. The administered enteral formula was a modified hospital-based enteral formula, consisting of a special kidney hospital-based enteral formula mixed with olive oil as source of monounsaturated fatty acid (MUFA) and vegetables as source of fibers. During the first week of hospitalization, the patient’s coefficient of variation (%CoV) of glycemic variability ranged between 17–61%, in addition, at the beginning of the second week of treatment there was also an increase in glycemic variability to 53%. This could be influenced by several factors. However, improvement in glycemic variability was observed in the following days. This improvement was in line with the gradual increase in MUFA and fiber intake, which reached its highest intake during the second week of hospitalization. Conclusion: Hospital-based enteral formula modified with olive oil and vegetable extract can be made to resemble the nutrients composition of diabetes specific formula and has a favorable effect on glycemic variability.
Co-Authors Achmad Noerkhaerin Putra Ahmad Imron Anindhita, Bintari Anne Suwan Djaja Ardiyan Ardiyan Baktiar, Yoshua Baktiar, Yoshua Bob Firman Djaja, Anne S. George Yohannes George, Yohanes W.H. George, Yohanes WH Hafidz, Noor Indro Mulyono Jefferson, Jefferson Kwa, Melvin D.B. Luciana Budiati Sutanto Luki Sumaratih Mandagi, Michael Manggala, Sidharta Kusuma Nurul Ratna Mutu Manikam Palu, Raphael Putra Pittara Pansawira Putra, Muhammad A Ramdhani, Aris Rudyanto Sedono, Rudyanto Rudyanto Soedono Sania, Nina Singal, Anna Maurina Soeharto, Wuryantoro Sudarsono Sugiarto, Adhrie Wahyu Ika Wardhani Yohanes W George Yulia Rosa Saharman Zahra, Raihanita