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All Journal Jurnal Layanan Masyarakat (Journal of Public Service) Narra J Jurnal Komplikasi Anestesi
Mutiar, Airi
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Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Social Sciences Other

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Preliminary Survey in preparation for the implementation of ERAS at Dr Soetomo Hospital Veterini, Anna; Firdaus, Khildan Miftahul; Semedi, Bambang Pujo; Putri, Herdiani Sulistyo; Fitritati, Mariza; Mutiar, Airi
Jurnal Komplikasi Anestesi Vol 11 No 1 (2023)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v11i1.9952

Abstract

Background Medical science has developed rapidly. One of them is ERAS (Enhanced Recovery After Surgery) which is a multidisciplinary team development pathway for perioperative methods that offer a variety of benefits. Some of the advantages of the ERAS method are speeding up the post-operative recovery period, economic benefits, and shortening the Length of Stay (LOS) by minimizing surgical stress so that the patient quickly returns to a normal physiological state. Objective This study aims to analyze the readiness of the team that will support the ERAS application at General Academic Hospital (RSUD) Dr Soetomo. Methods This is an observational analytic study with a cross-sectional design using a questionnaire. Patient baseline data were taken from the examination at the anesthesiology outpatient clinic. Assessment for patient understanding was carried out directly after a brief explanation of ERAS method by the researcher. The patient's level of understanding was assessed by two investigators and rated on a scale of 1 to 5. Primary data and assessment of understanding of doctors and medical personnel were filled in independently by research subjects on online forms and rated on a scale of 1 to 5. Data was collected from March 23 to April 14 2022, at RSUD Dr. Soetomo Surabaya. The analysis results are considered significant if the p-value is less than 0.05. The analysis was carried out using SPSS 19 software. Results Most patients planned to undergo surgery in the field of urology (82.9%), followed by caesarean section (14.6), and almost all patients or their families agreed to surgery using the ERAS method (95.1%). The medical team consists of 110 doctors from 4 areas of expertise, namely specialist doctors and residents in anesthesiology, urology surgery, obstetrics and gynecology, as well as orthopedics and traumatology. The health team consists of 56 personnel, namely anesthesiologists, surgeons, recovery room nurses, nutritionists and pharmacists. The majority (61%) of health workers had heard about ERAS and stated that ERAS was ready to be implemented at RSUD Dr. Soetomo (89%). Most doctors stated that ERAS was ready to be implemented at Dr. Soetomo and its human resources and facilities are considered qualified. Conclusion The ERAS method at RSUD Dr. Soetomo is considered quite ready to start, especially the Obsgyn study program, which is supposed to have an excellent level of understanding of ERAS and is enthusiastic to begin immediately. The patient group can be said to understand and accept the ERAS method well as a perioperative method for handling their cases.
Challenges in maritime evacuation during pre-hospital emergency anesthesia on a remote island in Indonesia: A case report Mutiar, Airi; Arifi Abbas, Kun
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narraj.v5i2.1643

Abstract

Preeclampsia and eclampsia remain significant contributors to maternal and perinatal mortality. Managing these conditions is particularly challenging in remote areas in many islands of Indonesia, where access to medical care is severely limited. The aim of this study was to analyze the pre-hospital anesthetic management of an eclampsia patient during maritime evacuation to a higher-level facility, highlighting the complexities of medical transport in resource-limited settings. A 38-year-old multiparous woman from a remote village on Pagerungan Island, Indonesia, at 37 weeks of gestation, presented with tonic-clonic seizures consistent with eclampsia. The absence of antenatal care necessitated urgent intervention. Upon presentation, the patient had a Glasgow Coma Scale (GCS) score of 5, tachycardia, and irregular breathing, requiring rapid-sequence intubation and magnesium sulfate administration. Given the geographic constraints, the patient was evacuated by sea under challenging conditions. Despite significant waves, a multidisciplinary team successfully performed an emergency cesarean section onboard, delivering a male infant who required neonatal resuscitation. Postoperatively, both mother and neonate were transferred to a higher-level facility. However, engine failure extended the journey to 18 hours, leading to depletion of oxygen and essential medications, necessitating critical decision-making. This case underscores the significant challenges of emergency eclampsia management in remote settings, particularly during maritime evacuation. Effective stabilization, anesthesia, monitoring, and timely transport are crucial. This case highlights the need for optimized evacuation protocols and increased healthcare resource allocation to enhance maternal and neonatal outcomes in maritime and other resource-limited settings.
EMERGENCY RESPONSE TRAINING FOR FLOOD TIDES: ENHANCING PREPAREDNESS OF THE KEDUNG COWEK COASTAL COMMUNITY, SURABAYA Pujo Semedi, Bambang; Kriswidiyatomo, Prihatma; Surgean Veterini, Anna; Sumartono Waloejo, Christrijogo; Abbas, Kun Arifi; Perdhana, Fajar; Mutiar, Airi; Rahmanto, Ilham; Rifqi, Muhammad Andika
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 9 No. 3 (2025): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/.v9i3.2025.495-506

Abstract

Tidal flooding is one of the hydrometeorological disasters caused by extreme weather that frequently affects the coastal area of Kampung Nelayan, Kedung Cowek Subdistrict, Surabaya City. Based on risk analysis, the community’s level of knowledge and attitude in responding to disasters plays a crucial role in mitigation efforts; thus, training and the initiation of a disaster response community are necessary. This community service program aimed to provide theoretical education and practical training on Basic Life Support (BLS), accompanied by the initiation of a fishermen disaster response community for 35 people of Kampung Nelayan, Kedung Cowek. The program was conducted at the Kedung Cowek Village Hall and included: (1) BLS education through presentations, (2) practical simulation of chest compressions using a mannequin and evacuation with a stretcher, (3) distribution of personal protective equipment for fishermen, and (4) the establishment of a disaster response community. Improvements in knowledge and attitude were measured using pre- and post-test questionnaires and analyzed with the Wilcoxon Signed-Rank test in SPSS with significance level at 0,05. The results showed a significant increase in knowledge (68.66 ± 21.68 vs 95.33 ± 2.61) and attitude (50.71 ± 14.24 vs 64.95 ± 3.27) (p < 0.01). The initiation of a disaster response coastal community is expected to strengthen the tidal flood management system through adequate BLS provision, so the capacity and resilience of coastal communities are sustainably maintained.
Co-Authors Abbas, Kun Arifi Anna Surgean Veterini Arifi Abbas, Kun Firdaus, Khildan Miftahul Fitritati, Mariza Herdiani Sulistyo Putri Kriswidiyatomo, Prihatma Perdhana, Fajar Rahmanto, Ilham Rifqi, Muhammad Andika Semedi, Bambang Pujo Sumartono Waloejo, Christrijogo Veterini, Anna