Rizka Fathoni Perdana
Department Of Otorhinolaryngology And Head-Neck Surgery, Faculty Of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya

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Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya Annisa Maya Sabrina; Maulydia; Rizka Fathoni Perdana; Mariza Fitriati
Indonesian Journal of Anesthesiology and Reanimation Vol. 4 No. 2 (2022): 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.V4I22022.72-79

Abstract

Introduction: Airway foreign body (AFBs) is the most common emergency for ENT-HN (Ear, Nose, Throat-Head Neck) that requires immediate treatment. The gold standard management for AFBs is a bronchoscopy performed under general anesthesia (GA). Objective: This study aims to determine the profile of AFBs patients who underwent bronchoscopies with GA at Dr. Soetomo General Hospital Surabaya from January 2018 – December 2019. Materials: This is a descriptive, retrospective study that uses data from medical records. Microsoft Excel was used to analyze the data. 22 patients met the inclusion criteria. Results: The most common ages were 11 to 20-year-olds (73%), 55% were female, and 45% were male. The patients were from outside (73%) and inside (27%) Surabaya. As much as 67% of the sampled patients had coughs and 23% were symptomless. The foreign bodies found were pins (67%), clipboard nails (14%), and nuts (9%). These AFBs were located in the left main bronchus (45%), trachea (32%), and right main bronchus (18%), and in 5% of these cases, the AFBs could not be located. The duration between the event and the bronchoscopy was mostly less than 1 day (54%), 2 days (32%), and 3 days (14%). Most cases (90%) were without AFBs complications, but some had obstruction (5%), and hemoptysis (5%). Most patients also had an uncomplicated bronchoscopy (81%), however, some suffered lesions (14%) and bleeding (5%). A majority of the patients were also ASA I (68%), and the remainder were classified as ASA II (18%), and III (14%). The premedication drugs administered were fentanyl (41%), and a combination of fentanyl and midazolam (41%). Meanwhile, the most frequently maintained anesthetic agent was Isoflurane+O2 (27%). Most patients also did not have any comorbid factors (85%), but some had anemia (5%), obstruction (5%), as well as obesity followed by sputum retention and hypernatremia (5%). Conclusion: Most AFB patients who underwent bronchoscopy under GA were 11-20 years old, female, and had a cough as a clinical symptom. Most AFBs were pins at the left main bronchus. The duration between the incident and the bronchoscopy was less than 1 day. There were also mostly no complications of AFBs and bronchoscopies. The most common physical status in patients was ASA I, with fentanyl only or fentanyl and midazolam as a premedication drug. The most common agent used to maintain the anesthesia was a combination of isoflurane and O2. Most patients also had no comorbid factors for GA.
Risk Factors Recurrent Respiratory Papilloma (RRP) on Juvenile and Adult Type in Tertiary Hospital, Indonesia Rizka Fathoni Perdana
Journal of Global Pharma Technology Volume 12 Issue 06 (2020) June 2020
Publisher : Journal of Global Pharma Technology

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Abstract

Introduction: Recurrent respiratory papillomatosis (RRP) is the most common benign neoplasm of the larynx among children as a result of HPV infection mainly type 6 and 11. RRP is still a serious problem in which papillomas in the airway cause hoarsness and obstruction as then described as an aggressive form and less aggressive form. Patients undergo multiple surgeries to keep the airway patent and in order to communicate vocally. There are several risk factor that affect on disease aggressivity. That factors include sex, age at diagnosis, papilloma implantation, tracheostomy, number of surgery, and histopathology. Aim: to determine the relationship between risk factors for RRP with the level of aggressiveness in juvenile type and adult type. Method: This research used analytic retrospectively, the data obtained from the medical record of outpatient unit of the otolaryngology-head and neck surgery department. The data obtained in the study are displayed in tables and analyzed statistically using the Chi-Square test. The research sample was taken according total sampling. Result: The statistic test result was indicating the statistical test using Chi-Square results (p
KARAKTERISTIK PASIEN MIKROTIA DI RUMAH SAKIT UNIVERSITAS AIRLANGGA PERIODE 2018-2021 Renanda Sekar Tadika; Rosa Falerina; Agus Santoso Budi; Rizka Fathoni Perdana
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 6 No 4 (2023): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Mikrotia dapat dipengaruhi oleh beberapa faktor risiko. Adanya gangguan pendengaran dan kelainan bentuk wajah pada penderita mikrotia menimbulkan banyak stigmatisasi dari orang-orang di sekitarnya. Hal ini tentu memengaruhi kondisi psikologisnya sehingga diperlukan penanganan yang tepat bagi pasien. Tujuan penelitian ini adalah untuk mengetahui karakteristik pasien mikrotia di RS Universitas Airlangga periode 2018-2021. Penelitian ini menggunakan metode penelitian deskriptif dengan desain retrospektif. Populasi yang digunakan adalah rekam medis pasien mikrotia di Rumah Sakit Universitas Airlangga periode 2018-2021. Hasil penelitian menunjukkan jenis kelamin pasien terbanyak adalah laki-laki (69,2%). Mayoritas pasien menderita mikrotia unilateral (55,1%), derajat III (83,3%) dengan tipe tuli konduksi (95,71%). Sementara itu, paling banyak riwayat penyakit ibu pasien mengonsumsi obat-obatan teratogenik (42,3%). Kasus mikrotia ini lebih banyak terjadi pada pria dan terjadi pada telinga kanan. Hal ini dipengaruhi oleh beberapa faktor risiko, yang terbanyak adalah konsumsi obat teratogenik selama masa kehamilan. Kata kunci: anotia, faktor risiko, gangguan pendengaran, mikrotia DOI : 10.35990/mk.v6n4.p385-394
EARLY DETECTION OF HEARING IMPAIRMENTS TRAINING: ENHACING COMMUNITY HEARING HEALTH DEGREES IN PACITAN, EAST JAVA Puguh Setyo Nugroho; Rosa Falerina; Rizka Fathoni Perdana; Zakiyatul Faizah; Azhar Nur Fathoni; Agde Muzaky Kurniawan; Danial Habri Arsy
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 7 No. 4 (2023): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v7i4.2023.490-502

Abstract

Humans are social beings who always communicate with other individuals. The ear as a hearing organ has a big role in the communication process. Disorders of the ear will cause disturbances in individual communication and socialization with other individuals in society. Efforts to maintain and improve hearing health are the responsibility of all parties, especially doctors in primary health services as the spearhead of efforts to detect early public health, so that the quality of these doctors must be maintained. Pacitan, one of the districts in the province of East Java, has a mountainous area, that accessibility is quite difficult and remote. The availability of human resources and health infrastructure in Pacitan, which is quite limited, requires the ability to carry out early detection and management of hearing loss in the community. Therefore, community service activities were carried out in the form of training on early detection and management of hearing impairments for doctors throughout Pacitan district. The activity was attended by 47 general practitioners who were delegates from health facilities. The pre test results obtained an average value of 45.23 and the post test was 68.55. There is an increase in knowledge before and after the activity.