Article Per Year (5 Year)
p-Index From 2021 - 2026
0.562
P-Index
This Author published in this journals
All Journal Medula
Khadafi Indrawan
Unknown Affiliation
Education Medicine & Pharmacology Neuroscience Public Health

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
Pencegahan Hipotensi Pasca Anestesi Spinal pada Operasi Sectio Caesarea: Literature Review Verra Rachma Indahsari; Khadafi Indrawan
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1766

Abstract

Spinal anesthesia is widely used for cesarean section, but it often causes hypotension due to sympathetic blockade, making vasopressor prophylaxis necessary. Ephedrine has long been the traditional choice, although several studies have linked it to a higher risk of neonatal acidosis. Phenylephrine is now more commonly recommended because of its effectiveness in maintaining blood pressure, while recent evidence suggests that norepinephrine may provide comparable hemodynamic stability with a lower incidence of maternal bradycardia. Literature searching was performed through PubMed, Google Scholar, and ScienceDirect using keywords related to ephedrine, phenylephrine, norepinephrine, hypotension, and spinal anesthesia for cesarean delivery. Articles discussing vasopressor use for the prevention or management of hypotension were reviewed and summarized narratively. The findings indicate that phenylephrine effectively maintains blood pressure but may cause bradycardia; norepinephrine at doses of 0.05 µg/kg/min offers hemodynamic stability similar to phenylephrine 0.625 µg/kg/min, with no significant differences in neonatal outcomes across several studies; and ephedrine remains useful, especially when maternal bradycardia occurs, although some research reports a higher risk of neonatal acidosis. Overall, the evidence is mixed and does not show clear superiority of one vasopressor over another. Both phenylephrine and norepinephrine can be used for prophylaxis of spinal-induced hypotension in cesarean section, each with its own advantages and limitations, while ephedrine remains relevant in specific situations. Further studies are needed to establish more definitive recommendations regarding the optimal vasopressor choice.
Manajemen Jalan Napas Sulit pada Pasien Dewasa: Literature Review Aditya Gloria Monalisa Sianturi; Khadafi Indrawan
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1767

Abstract

Difficult airway is a clinical situation in which a healthcare provider who is skilled at airway management encounters difficulty with one or more standard methods of airway management. Difficult airway may obstruct mask ventilation or increase the risk of failed intubation attempts. The purpose of this literature review is to understand the management of difficult airway on adult patient. The method used in this literature review involved searching for literature published between 2018 into 2023 on NCBI, PubMed, and Google Scholar databases, focusing on management of difficult airway on adult patient. Then, literature was analyzed using systematic literature review method, which included data collection and evaluation activities in accordance with the objective of the literature review. There are several indicators of difficult airway, which are face mask ventilation, laryngoscopy, supraglottic airway ventilation, tracheal intubation and extubation, and invasive airway. In addition, there are several predictors as a reference in identifying difficult airway, which are LEMON mnemonic  and MOANS mnemonic. After a difficult airway has been identified, there are several interventions that can be apply, which are awake tracheal intubation, anesthetized tracheal intubation, and mixed intubation.
Pertimbangan Anestesi Preoperatif, Intraoperatif dan Pascaoperatif pada Pasien Geriatri: Literature Review Putri Puspa Devi; Khadafi Indrawan
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1768

Abstract

Geriatric patients commonly experience multiple anatomical and physiological changes related to the aging process, involving the cardiovascular, respiratory, metabolic, endocrine, digestive, nervous, and musculoskeletal systems. These changes increase perioperative risks associated with anesthesia and contribute to higher morbidity and mortality rates. This literature review aims to minimize undesirable events and complications that may occur during the preoperative, intraoperative, and postoperative phases in geriatric patients. The method used involved a literature search of studies published between 2015 and 2025 using the NCBI, PubMed, and Google Scholar databases, focusing on anesthetic considerations in geriatric patients across perioperative phases. Selected articles were analyzed using a systematic literature review approach, including data collection, evaluation, and synthesis in accordance with the review objectives. The findings indicate that preoperative preparation in elderly patients should include comprehensive functional assessment to identify cognitive impairment, reduced cardiopulmonary reserve, depression, frailty, nutritional status, polypharmacy, and anticoagulation issues. Intraoperative management involves appropriate selection of anesthetic techniques and pharmacological agents, close monitoring, careful fluid or intravenous transfusion management, adequate pulmonary ventilation, and prevention of hypothermia. Postoperative considerations include effective perioperative analgesia, prevention and early detection of postoperative delirium and cognitive dysfunction, as well as monitoring for other potential complications. A comprehensive and integrated anesthetic approach is essential to improve patient safety and optimize clinical outcomes in the geriatric population undergoing surgical procedures.
Co-Authors Aditya Gloria Monalisa Sianturi Putri Puspa Devi Verra Rachma Indahsari