Garuda - Garba Rujukan Digital

p-Index From 2021 - 2026

1.94

P-Index

This Author published in this journals

All Journal Majalah Kedokteran Bandung Jurnal Anestesi Perioperatif Althea Medical Journal Majalah Anestesia dan Critical Care Jurnal Neuroanestesi Indonesia Acta Medical and Health Sciences (AMHS) Neurona

Iwan Fuadi

Departemen Anestesiologi Dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung

Author-ID : 2386467

Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

Published : 81 Documents Claim Missing Document

Claim Missing Document

Articles

4 5 6 7 8

PENGARUH PEMBERIAN MINUMAN KARBOHIDRAT (MALTODEXTRIN 12,5%) PRAOPERASI TERHADAP KEJADIAN MUAL DAN MUNTAH PASCAMASTEKTOMI Andre Aditya; Iwan Fuadi; Iwan Abdul Rachman
Jurnal Anestesi Perioperatif Vol 8, No 2 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v8n2.2039

Mual dan muntah pascaoperasi (postoperative nausea and vomiting, PONV) menjadi masalah yang umum terjadi setelah operasi mastektomi dengan angka kejadian berkisar 21–92%. Pemberian minuman karbohidrat (CHO) praoperasi ditawarkan sebagai sebuah solusi menurunkan PONV dan juga merupakan salah satu komponen penting dan disarankan untuk mencapai enhanced recovery after surgery (ERAS). CHO berhubungan dengan penurunan katabolisme dan resistensi insulin pascaoperasi. Penelitian ini bertujuan mengetahui pengaruh pemberian minuman berkarbohidrat (CHO) oral sebelum operasi terhadap tingkat kejadian PONV pascaoperasi mastektomi. Penelitian menggunakan eksperimental uji acak buta tunggal di Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung pada November 2019–Februari 2020. Sebanyak 46 pasien dibagi menjadi dua kelompok, yakni kelompok K (kelompok kontrol, air mineral, n=23 subjek) dan kelompok C (kelompok CHO, n=23 subjek). Analisis data hasil penelitian dilakukan dengan Uji Mann-hitney. Kejadian mual muntah pada kelompok kontrol lebih besar dibanding dengan kelompok CHO pada menit 0–30 (57% vs 22%), pada menit 30–60 (91% vs 61%), dan pada menit 60–120 (78% vs 61%) dengan perbedaan yang bermakna (p<0,05). Simpulan, pemberian minuman karbohidrat praoperasi dapat menurunkan kejadian mual muntah pascamastektomi dibandingkan dengan kelompok kontrol. Effect of Preoperative Oral Carbohydrate Supplementation (Maltodextrin 12.5%) on Post-Mastectomy Nausea and Vomiting Incidence Postoperative nausea and vomiting (PONV) is a common problem after surgery. Mastectomy is one of surgeries with a high-risk for PONV, which is seen in 21–92% of the patients. Preoperative carbohydrate (CHO) drinks are offered to reduce PONV. The provision of CHO is also important as it is recommended to obtain enhanced recovery after surgery (ERAS). CHO is associated with reduced catabolism and postoperative insulin resistance. This study aimed to determine the effect of oral carbohydrate (CHO) drinks before surgery on the incidence of postoperative PONV in mastectomy. This was an experimental single-blind randomized study conducted in Dr. Hasan Sadikin General Hospital (RSHS) Bandung, Indonesia. A total of 46 patients were divided into two groups, namely group K (control group, mineral water, n=23 subjects) and group C (CHO group, n=23 subjects). Data collected were then analyzed using the Mann Whitney test and the results showed that during PONV incidence rates were significantly higher 0–30 minutes after the surgery (57% vs 22%), 30–60 minutes after the surgery (91% vs 61%), and 60–120 minutes (78% vs 61%) (p < 0.05). Therefore, the administration of preoperative carbohydrate drinks can reduce the incidence of postoperative nausea and vomiting in mastectomy.

Perbandingan Penggunaan Topikal Spray Benzidamin HCl 0,15% dan Gel Lidokain 2% pada Pipa Endotrakeal terhadap Kejadian Nyeri Tenggorok Pascaintubasi Endotrakeal Maulana Muhammad; Iwan Fuadi; Abdul Muthalib Nawawi
Jurnal Anestesi Perioperatif Vol 3, No 2 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1369.815 KB)

Nyeri tenggorok setelah operasi sering terjadi dan merupakan hal yang tidak menyenangkan setelah tindakan anestesia dengan intubasi endotrakeal. Penelitian ini dilakukan untuk mengetahui apakah penggunaan benzidamin HCl 0,15% lebih menurunkan angka kejadian nyeri tenggorok dibanding dengan lidokain gel 2% pada pasien pascaintubasi endotrakeal. Penelitian eksperimental secara randomized control trial (RCT) dilakukan pada 90 pasien dengan status fisik American Society of Anesthesiologists (ASA) I–II, usia 18–60 tahun yang menjalani operasi elektif di ruang operasi bedah sentral Rumah Sakit Dr. Hasan Sadikin Bandung pada Juni–Agustus 2014. Pasien dibagi dalam kelompok benzidamin, kelompok lidokain, dan kelompok NaCl. Selama operasi dicatat perubahan hemodinamik, tekanan balon pipa endotrakeal dipertahankan di bawah 25 mmHg, dinilai skala nyeri tenggorok pada 2 jam, 6 jam, dan 24 jam (T2, T6, T24) setelah operasi dan dilakukan uji statistik dengan uji-t, Uji Kruskal-Wallis, chi-kuadrat. Dari hasil penelitian didapatkan angka kejadian nyeri tenggorok kelompok benzidamin lebih rendah dibanding dengan kelompok lidokain pada 6 jam setelah operasi (T6) dengan perbedaan yang bermakna (p<0,05). Simpulan penelitian ini menunjukkan spray benzidamin Hcl0,15% mampu mengurangi angka kejadian nyeri tenggorok pasca-anestesia endotrakeal dibanding dengan lidokain gel 2%.Kata kunci: Anti-inflamasi, benzidamin HCl, lidokain gel, nyeri tenggorok pascaintubasiEffectiveness of Benzydamine HCl 0.15% Spray and Lidocaine 2% Gel on Post-operative Sore Throat IncidencePostoperative sore throat is common and unpleasant after endotracheal anesthesia. This study was conducted to determine whether the use of benzydamine hcl 0.15% can further reduce the incidence of sore throat compared to lidocaine gel 2% in patients under endotracheal anesthesia. This experimental study was a randomized control trial (RCT) in 90 patients with ASA physical status I–II, aged 18–60 years who underwent elective surgery in the central surgical operating room of Dr. Hasan Sadikin General Hospital during the period of June to August 2014. Patients were divided in benzydamine group, lidocaine group, and NaCl group. The hemodynamic changes were noted during surgery. The endotracheal tube cuff pressure was maintained below 25 mmHg and a graded scale for sore throat was performed at 2 hours, 6 hours, and 24 hours (T2, T6, T24) after surgery. Statistical tests using t-test, Kruskal-Wallis, and chi-square test were conducted. From the results, the incidence of sore throat in the benzydamine HCL group was significantly lower than in the lidoccaine HCL group at 6 hours after surgery (T6; p<0.05). It is concluded that benzydamin HCL 0.15% spray is able to reduce the incidence of postoperative sore throat when compared to lidocaine 2% gel.Key words: Anti-inflammation, benzydamine HCL, lidocaine HCL , postoperative sore throat DOI: 10.15851/jap.v3n2.579

perbandingan excessive daytime sleepiness dengan normal daytime sleepiness terhadap fungsi kognitif serta waktu reaksi peserta ppds anestesiologi dan terapi intensif Army Zaka Anwary; Iwan Fuadi; Ardi Zulfariansyah
Jurnal Anestesi Perioperatif Vol 9, No 2 (2021)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v9n2.2391

Excessive daytime sleepiness (EDS) adalah ketidakmampuan untuk tetap terjaga pada siang hari yang menghasilkan rasa kantuk berlebih dan tertidur pada waktu yang tidak tepat. Prevalensi EDS yang tinggi ditemukan pada tenaga medis seperti peserta Program Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif. Kondisi EDS dapat memengaruhi fungsi kognitif dan waktu reaksi. Tujuan penelitian ini adalah membandingkan EDS dengan normal daytime sleepiness (NDS) terhadap fungsi kognitif serta waktu reaksi peserta PPDS Anestesiologi. Penelitian ini merupakan penelitian analitik komparatif numerik dengan rancangan potong lintang yang dilakukan pada peserta PPDS Anestesiologi Fakultas Kedokteran Universitas Padjadjaran di bulan November 2020. Seluruh PPDS Anestesiologi mengisi kuisioner Epworth Sleepiness Scale (ESS) agar terbagi menjadi dua kelompok, kelompok EDS (n=23) dan kelompok NDS (n=23). Fungsi kognitif diukur menggunakan tes Montreal Cognitive Assessment versi Bahasa Indonesia dan waktu reaksi menggunakan perangkat lunak Personal Computer-Psychomotor Vigilance Task. Hasil penelitian menunjukkan fungsi kognitif lebih rendah pada kelompok EDS (26,74±1,096) dibanding dengan kelompok NDS (28,65±1,191) dan waktu reaksi lebih lambat pada kelompok EDS (337,38±62,021) dibanding dengan kelompok NDS (298,81±34,225). Simpulan penelitian adalah peserta PPDS Anestesiologi kelompok EDS memiliki fungsi kognitif lebih rendah dan waktu reaksi lebih lambat dibanding dengan peserta PPDS Anestesiologi kelompok NDS. Comparison between Excessive Daytime Sleepiness and Normal Daytime Sleepiness on Cognitive Function and Reaction Time of Anesthesiology and Intensive Care Residents Excessive daytime sleepiness (EDS) is the inability to stay alert during the day due to sleepiness during daytime, often associated with the tendency of falling asleep during inappropriate times. High prevalence of EDS was found among medical workers, such as anesthesiology residents. The condition is associated with increased secretion of cathecholamines, cortisol, and inflammatory mediators that may affect the prefrontal cortex, area of the brain that acts as a center for cognitive function and reaction time. The study aimed to compare EDS with normal daytime sleepiness (NDS) on cognitive function and reaction time of anesthesiology residents. The research was a numerical comparative analytic study with a cross-sectional design performed on anesthesiology residents of Faculty of Medicine Universitas Padjadjaran in November 2020. All residents in the department were instructed to complete the Epworth Sleepiness Scale (ESS) questionnaire. After completion, the respondents were randomized using simple random sampling into two groups: the EDS group (n=23) and NDS group (n=23). Each group was assessed for cognitive function using the Indonesian version of the Montreal Cognitive Assessment and reaction time using the Personal Computer-Psychomotor Vigilance Task software. Lower cognitive function scores were found in EDS group (26.74±1.096) compared to NDS group (28.65±1.191); slower reaction time were found in EDS group (337.38±62.021) compared to NDS group (298,81±34.225). Both variables had shown significant differences between both groups (p<0.05). The study had concluded that anesthesiology residents with EDS have lower cognitive scores and slower reaction time compared to anesthesiology residents with NDS.

GAMBARAN ACUTE PHYSIOLOGIC AND CHRONIC HEALTH EVALUATION (APACHE) II, LAMA PERAWATAN, DAN LUARAN PASIEN DI RUANG PERAWATAN INTENSIF RUMAH SAKIT UMUM PUSAT DR. HASAN SADIKIN BANDUNG PADA TAHUN 2017 Bramantyo Pamugar; Erwin Pradian; Iwan Fuadi
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Skor acute physiologic and chronic health evaluation (APACHE) II, lama perawatan, dan luaran pasien merupakan indikator penting di Intensive Care Unit (ICU). Ketiga indikator ini dapat berbeda dari satu dengan tempat lain. Ketiga indikator ini dapat dibandingkan di tempat lain untuk meningkatkan pelayanan ICU. Tujuan penelitian ini adalah mengetahui gambaran skor APACHE II, lama perawatan, dan angka mortalitas pada pasien yang dirawat di ICU RSUP Dr. Hasan Sadikin Bandung pada tahun 2017. Metode yang digunakan adalah deskriptif observasional yang dilakukan secara retrospektif terhadap 303 objek penelitian. Objek penelitian diambil di bagian rekam medis pada bulan April 2018. Penelitian ini memperoleh hasil skor APACHE II berkisar 0−56 dengan rerata 16,68, angka mortalitas sebesar 130 (42,3%), dan lama perawatan berkisar 2−79 hari dengan rerata 9,89 hari. Data skor APACHE II terhadap angka kematian berbeda dengan Amerika Serikat yang dapat dikarenakan perbedaan acuan prediksi mortalitas, underestimation derajat keparahan pasien cedera kepala, bias yang disebabkan oleh penatalaksanaan pasien pre-ICU, dan satu waktu pemeriksaan skor APACHE II.Kata kunci: APACHE II, ICU, lama perawatan, luaran pasienOverview of Acute Physiologic and Chronic Health Evaluation (APACHE) II, Length of Stay, and Patient Outcome in the Intensive Care Unit of Dr. Hasan Sadikin General Hospital in 2017The APACHE II score, length of stay, and patient outcome are important indicators in Intensive Care Unit (ICU). Those indicators could be different from one place to another and can be compared to increase the quality of health services in ICU. The purpose of this study was to describe acute physiologic and chronic health evaluation (APACHE) II, length of stay, and mortality rate of patients at the ICU of Dr. Hasan Sadikin General Hospital Bandung from January 1 to December 31, 2017. This was a retrospective descriptive observational study on 303 patient medical records. It was revealed that the APACHE score was ranging from 0−56 (mean =16.68); the mortality rate was 42.9% (n=130); and the length of stay was 2−79 days (mean 9.89 days). This suggests a gap in these indicators between Dr. Hasan Sadikin General Hospital and hospitals in the United States of America which may be due to differences in the the standard that is used to predict the mortality rate, underestimation of severity of head injury, treatment before admission to ICU, and single time assessment of APACHE II.Key words: APACHE II, ICU, length of stay, outcome

Incidence of Postoperative Nausea and Vomiting in Dr. Hasan Sadikin General Hospital Bandung Period May to October 2013 Aisyah Ummu Fahma; Iwan Fuadi; Jimmy Setiadinata
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (568.511 KB)

Background: Postoperative nausea and vomiting (PONV) is common complication in patients undergoing surgery with anesthesia. The incidence of PONV is ranging between 20% and 30%. Despite many other studies about PONV in other regions, the descriptive data about PONV in Dr. Hasan Sadikin General Hospital Bandung is still unknown. The aim of this study was to determine the incidence of PONV in Dr. Hasan Sadikin General Hospital Bandung.Methods: This descriptive study used a cross-sectional method. As many as 521 medical records in Departement of Anesthesiology and Intensive Care Dr. Hasan Sadikin General Hospital Bandung from May 5th to October 31st 2013 were reviewed. The subjects were taken by using total sampling technique. Data collected were gender, age, type of surgery, type of anesthesia, duration of surgery, administration of nitrous oxide, and administration of neostigmine.Results: Of 521 patients,the incidence of PONV was 20.5%. Female had higher incidence of PONV than male. Postoperative nausea and vomiting was the most frequent in the age category 6−20 years old. The Ear Nose and Throat (ENT) surgery was revealed as surgery with the highest incidence. Regional anesthesia had a higher incidence than general anesthesia. Operation lasting 181−210 minutes was considered as category which PONV mostly occured. Patients receiving nitrous oxide were more likely to experience PONV, and patients who were given neostigmine as muscle relaxant had lower incidence of PONV compared to those who were not.Conclusions: The incidence of PONV was similar to the study presumed earlier and this may influenced by many factors including patients, surgical, and aenesthtical factor. [AMJ.2017;4(1):58–63]DOI: 10.15850/amj.v4n1.1022

Manajemen Anestesia pada Carotid Endarterectomy: Pasien dengan Kinking Arteri Karotis Interna Riyadh Firdaus; Iwan Fuadi; Sri Rahardjo; A Himendra Wargahadibrata
Jurnal Neuroanestesi Indonesia Vol 4, No 2 (2015)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Prosedur Carotid Endarterectomy (CEA) adalah prosedur penting untuk pencegahan stroke karena sumbatan arteri karotis. Seorang laki-laki 71 tahun akan dilakukan operasi CEA. Pasien mengeluh pusing berputar, riwayat hipertensi diakui sejak 10 tahun dengan tekanan darah tertinggi 170/100 mmHg, riwayat stroke diakui 1 tahun yang lalu dan 1,5 bulan lalu. Gejala sisa stroke saat ini kelemahan extremitas sebelah kiri. Pasien terdapat riwayat sakit jantung, irama tidak teratur, tidak disertai sesak nafas 1 tahun yang lalu dan saat itu diberikan amiodaron tablet. Operasi dilakukan dengan anestesi umum, menggunakan pipa endotrakeal no.8.0, ventilasi kendali. Obat yang dipergunakan adalah midazolam 1 mg iv, fentanyl 150 mcg iv, propofol 70 mg iv, rocuronium 40 mg iv. Rumatan dilanjutkan dengan sevofluran, fraksi oksigen 45% dan propofol bolus jika diperlukan. Monitoring tanda vital (tekanan darah, nadi, SaO2, elektrokardiografi) dan artery line. CEA dilakukan selama 3,5 jam, tidak ditemukan stenosis tetapi terdapat kinking. Selama operasi hemodinamik relatif stabil. Pascaoperasi pasien di rawat di ruang perawatan intensif. Berbagai pendekatan bedah telah dikemukakan untuk kinking arteri karotis interna. Pilihan pendekatan dipengaruhi oleh pemilihan pasien, penilaian praoperasi optimasi, dan manajemen perioperatif perawatan untuk pasien yang akan menjalani CEA. Anesthetic Management for Carotid Endarterectomy:Patient with Internal Carotid Artery KinkingCarotid endarterectomy (CEA) is an important procedure for stroke prevention due to obstruction of carotid artery. A 71 years old male was scheduled for CEA surgery. The patient complained of spinning headache. He had been suffered from hypertension since 10 years ago with highest blood pressure of 170/100 mmHg, and had a two times stroke 1 year and 1.5 months ago. Sequelae symptom of stroke is weakness on the left extremity. Patient also had a history of heart disease, irregular rhythm, without shortness of breath approximatelly1year ago, treated with amiodarone tablets. The CEA operation was performed under general anesthesia using endotrachenal tube 8.0, controlled ventilation, 1 mg midazolam, 150 mcg fentanyl, 70 mg propofol and 40 mg rocuronium, given intravenously. Maintenance of anesthesia was done using sevoflurane, oxygen fraction of 45% and propofol 10 mg given intermittently as needed. Noninvasive vital signs monitoring and invasive arterial blood pressure were recorded. Hemodynamics were stable during the 3.5 hours operation. We found no plaque but a kinking on the carotid artery. Postoperatively, patients was admitted to the intensive care unit. Various surgical approaches have been done and developed to manage the internal carotid artery kinking. Options approach is influenced by patient selection, preoperative assessment and optimization, and perioperative management and care for patients undergoing CEA

Perbandingan Adductor Canal Block Dan Femoral Nerve Block Terhadap Kekuatan Otot Quadriceps Femoris Pascaoperasi Total Knee Replacement Eva Srigita Tari; Iwan Fuadi; M Andy Prihartono
Jurnal Anestesi Perioperatif Vol 10, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n2.2428

Abstrak Blokade saraf femoral telah digunakan terlebih dahulu dalam penatalaksanaan nyeri pascaoperasi total knee replacement (TKR). Penelitian ini bertujuan mengetahui perbedaan kekuatan otot paha pascaoperasi TKR antara femoral nerve block (FNB) dan adductor canal block ACB dengan mengukur nilai manual muscle test (MMT), selain itu penelitian ini membandingkan nilai numeric rating scale (NRS) dengan total kebutuhan patient controlled anlagesia (PCA) morfin yang digunakan pascaoperasi TKR. Penelitian dilakukan pada periode Oktober–November 2020 di RS Santosa Bandung. Penelitian ini menggunakan metode uji klinis acak terkontrol buta tunggal melibatkan 18 pasien yang menjalani operasi TKR. Pasien dibagi menjadi dua kelompok, kelompok kelompok ACB, n=9 dan kelompok FNB, n=9. Pemeriksaan MMT otot kuadrisep femoris dilakukan pada jam ke-24 pascaoperasi TKR. Analisis data numerik dengan uji T tidak berpasangan dan Mann Whitney. Data kategorik dengan uji chi square. Nilai NRS ACB lebih tinggi pada jam ke- 24 saat diam dan bergerak serta total kebutuhan PCA morfin lebih tinggi pada kelompok ACB, namun tidak bermakna secara statistik (p>0,05). Nilai MMT pascaoperasi TKR pada jam ke-24 pada kelompok ACB lebih tinggi dibanding dengan kelompok FNB dengan perbedaan bermakna (p<0,05). Adductor canal block sebagai modalitas penatalaksanaaan nyeri pascaoperasi total knee replacement memberikan efek analgetik yang tidak berbeda dengan femoral nerve block, namun lebih baik memulihkan kekuatan motorik otot kuadrisep femoris yang dibuktikan dengan penilaian MMT yang lebih baik. Comparison of Adductor Canal Block and Femoral Nerve Block with Quadriceps Femoris Muscle Strength PostoperativeTotal Knee Replacement Femoral nerve blocks (FNB) were previously used in pain management post-total knee replacement (TKR). This study aimed to determine the differences in thigh muscle strength post-TKR surgery between patients with FNB and adductor canal block (ACB) by measuring manual muscle tests (MMT). In addition to MMT scores, this study also compared the NRS scores and total patient-controlled analgesia (PCA) of morphine required post-TKR surgery. The study was conducted in October-November 2020 at Santosa Hospital, Bandung. The study was a controlled, randomized, blinded study of 18 patients who underwent TKR surgery. Patients were divided into two groups, one ACB group, n=9, and one FNB recipient group, FNB n=9. Next, an MMT examination of the quadriceps femoris muscle was performed 24 hours post-TKR surgery. Numerical data were analyzed using the unpaired T-test and Mann-Whitney test. Categorical data using chi-square test. MMT measurements in the ACB group were higher than in the FNB group at 24 hours (p), whereas NRS scores in the ACB group were higher at 24 hours when idle and with movement. The total PCA morphine required was higher in the ACB group but was not statistically significant. MMT examination in postoperative TKR patients was better in ACB patients compared to FNB patients. Adductor canal block as a postoperative pain modality in total knee replacement procedure provides a similar analgesic effect as a femoral nerve block. However, it is better in restoring motor strength of the quadriceps femoris muscle, as evidenced by a better assessment of MMT.

Gambaran Respons Peserta PPDS Anestesi FK Unpad Terhadap Pernyataan Seputar COVID-19 dan Tatalaksana Jalan Napas Pasien COVID-19 Hansen Wangsa Herman; Iwan Fuadi; Radian Ahmad Halimi
Jurnal Anestesi Perioperatif Vol 10, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n2.2631

Peserta Program Pendidikan Dokter Spesialis (PPDS) Anestesi adalah salah satu tenaga kesehatan yang rentan terinfeksi Coronavirus disease 2019 (COVID-19) yang disebabkan oleh paparan droplet dan aerosol saat mereka mengerjakan prosedur tata laksana jalan napas pasien. Tujuan penelitian ini adalah menggambarkan bagaimana respons peserta PPDS anestesi Fakultas Kedokteran Universitas Padjadjaran (FK Unpad) terhadap pernyataan seputar COVID-19 dan tata laksana jalan napas pada pasien COVID-19. Penelitian ini adalah sebuah studi deskriptif dengan desain potong lintang. Pengambilan data secara survei daring yang dilakukan kepada sebanyak 98 peserta PPDS Anestesi bulan Oktober 2021. Data penelitian terdiri atas karakteristik partisipan, respons terhadap pernyataan seputar COVID-19, dan tata laksana jalan napas pasien COVID-19. Data kemudian dianalisis dengan metode statistika deskriptif dengan aplikasi SPSS versi 26. Hasil penelitian ini adalah mayoritas peserta PPDS anestesi FK Unpad menunjukkan respons yang sesuai dengan referensi yang ada kecuali respons terhadap pernyataan mengenai periode inkubasi, lokasi pemeriksaan praoperatif, karantina setelah intubasi, dan masker laring sebagai pilihan pertama pembukaan jalan napas, dan pemberiaan pra-medikasi bagi pasien COVID-19 yang akan dianestesi. Simpulan penelitian ini adalah walaupun mayoritas peserta PPDS Anestesi FK Unpad sudah memberikan respons yang sesuai, namun masih diperlukan peningkatan literasi mengenai COVID-19, dan tata laksana jalan napas pasien COVID-19 agar mereka semakin aman dalam pekerjaannya. Responses of Universitas Padjadjaran Anesthesiology Residents to COVID-19 and Airway Handling for COVID-19 PatientsAnesthesiologists are healthcare workers vulnerable to COVID-19 infection as they are exposed to droplets and aerosols when working with patients' airways. This study aimed to describe how anesthesiology residents of the Faculty of Medicine, Universitas Padjadjaran responded to statements about COVID-19 and airway management in COVID-19 patients. This research was a descriptive study with a cross-sectional design. Data were collected through an online survey of 98 anesthesiology resident participants in October 2021. The data collected consisted of participant characteristics, responses to statements about COVID-19, and airway management of COVID-19 patients. Data analysis used descriptive statistical methods using the SPSS version 26 application. Study results were: most of the participants showed an appropriate response according to existing references except for responses to statements regarding the incubation period, preoperative examination location, quarantine after intubation, and laryngeal mask as the first choice to establish an airway, and providing premedication for COVID-19 patients who would be anesthetized. This study concludes that although most participants have responded appropriately, they must increase literacy about COVID-19 and the airway management of COVID-19 patients to remain secure at work.

Hiperkapnia Sebagai Prediktor Mortalitas Pasien COVID-19 di Ruang Rawat Intensif Indra Wijaya; Ezra Oktaliansah; M. Erias Erlangga; Iwan Fuadi; Erwin Pradian; Indriasari Indriasari
Jurnal Anestesi Perioperatif Vol 10, No 3 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n3.3048

Virus SARS-CoV-2 menyebabkan penyakit pernapasan akut yang disebut COVID-19 dan menyebabkan pandemi global. Proses aktivasi trombosis intravaskular pada COVID-19 menyebabkan komplikasi trombosis mikrovaskular dan makrovaskular sehingga terjadi peningkatan ruang mati paru dan meningkatkan kadar PaCO2. Hiperkapnia menyebabkan banyak perubahan fisiologis dalam tubuh meliputi sirkulasi paru dan sistemik dan meningkatkan risiko mortalitas pasien ARDS. Penelitian ini bertujuan mengetahui apakah hiperkapnia merupakan prediktor mortalitas pasien COVID-19. Penelitian dilakukan berdasarkan data pasien pada periode Maret 2020–Desember 2021. Penelitian ini adalah penelitian analitik observasional dengan rancangan kohort retrospektif. Data PaCO2 pasien diambil saat hari pertama pasien dirawat di ICU RSUP Dr. Hasan Sadikin dan status mortalitas pasien di hari rawat ke-7 dan 28 hari. Analisis statistik yang digunakan adalah analisis bivariabel simple regression logistic. Hasil analisis statistik diperoleh nilai p< 0,05 dengan OR = 7,07 (CI 2,519–19,850) pada mortalitas hari ke-7, dan nilai p< 0,05 OR 44,33 (CI 9,182–214,062) pada mortalitas hari ke-28. Simpulan penelitian ini menunjukkan bahwa hiperkapnia merupakan prediktor mortalitas hari ke-7 dan ke-28 perawatan pada pasien COVID-19 yang dirawat di ruang rawat intensif isolasi.Hypercapnia as Mortality Predictor in COVID-19 PatientsThe SARS-CoV-2 virus causes COVID-19, an acute respiratory illness that caused a global pandemic. The activation of intravascular thrombosis in COVID-19 results in microvascular and macrovascular thrombosis complications, which increase lung dead space and PaCO2 levels. The hypercapnia condition causes many physiological changes in the body, including pulmonary and systemic circulation. It is known to increase the mortality risk in ARDS patients admitted to the Intensive Care Unit (ICU). This study aimed to determine if hypercapnia was a mortality predictor in COVID-19 patients treated in the isolation intensive care unit at Hasan Sadikin Hospital in Bandung. This observational analytic study used an observational analytic design with a retrospective cohort. The patient's PaCO2 data was collected on the first day of hospitalization in the ICU, and the patient's mortality status was collected on the 7th and 28th days of hospitalization. According to the statistical analysis, hypercapnia was associated with higher mortality, OR 7.07 (CI 2.519–19.850) on the 7th-day mortality and 44.33 (CI 9.182–214.062) on the 28th-day mortality, P value < 0.05. In conclusion, hypercapnia is a mortality predictor on the 7th and 28th days of treatment in COVID-19 patients treated in the isolation intensive care unit.

Pertimbangan Anestesi pada Pasien dengan Myeloradiculopathy pada Tingkat Vertebra Th2-Th4 Menjalani Anterior Cervicosternotomy Nadya, Siti Fairuz; Fuadi, Iwan
ACTA Medical Health Sciences Vol. 2 No. 2 (2023): ACTA Medical Health Sciences
Publisher : ACTA Medical Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar

Myeloradiculopathy, a condition that involves the spinal cord and spinal nerve roots, is the major cause of disability patients. Most patients with myeloradiculopathy receive surgical intervention with the aim of removing the underlying compression injury from the nerve, decompressing the cord, and moving it without friction or further damage. Surgery on the spine and spinal cord has broadened its scope in recent years. The anterior approach is a challenging procedure given the various vascular, osseous, nervous, and articular structures that prevent adequate exposure and the potential damage to anesthetists. Our objective was to evaluate the pre-operative analysis, maintenance during intra-operative care, and post-operative care in patients with myeloradiculopathy undergoing posterior stabilization surgery with an anterior approach (cervicosternotomy). A 23-year-old woman was diagnosed with Myeloradiculopathy at Th2 Vertebrae Level due to space-occupying extradural lesion at Th2-Th4 vertebral level with pathological fracture at Thoracal Th2 et Th7 et Th10 due to suspected spondylitis tuberculosis with paravertebral abscess, with ASA I (Physical Status Classification System). The patient was then treated with laminectomy debridement, abscess drainage, and posterior stabilization through a cervicothoracic spine surgery with an anterior approach. The patient received the preoperative assessment, intraoperative maintenance, and postoperative evaluations, which are very important to ensure a good outcome of the cervicosternotomy with an anterior approach. DOI : 10.35990/amhs.v2n2.p88-95 REFERENCE Cook CE, Cook AE. Cervical Myelopathy and Radiculopathy. In: Elsevier Ltd.; 2011. doi:10.1016/B978-0-7020-3528-9.00009-1 Stanley B. An introduction to anaesthesia for neurosurgery. Updat Anaesth. 2007;(23):43–8. Nagpal A. No Title. PM&R Knowledge NOW. Fuentes S, Malikov S, Blondel B, Métellus P, Dufour H, Grisoli F. Cervicosternotomy as an anterior approach to the upper thoracic and cervicothoracic spinal junction: Technical note. J Neurosurg Spine. 2010;12(2):160–4. doi:10.3171/2009.9.SPINE09471 Khanna P, Sarkar S, Garg B. Anesthetic considerations in spine surgery: What orthopaedic surgeon should know! J Clin Orthop Trauma. 2020;11(5):742–8. doi:10.1016/j.jcot.2020.05.005 Raw DA, Beattie JK, Hunter JM. Anaesthesia for spinal surgery in adults. Br J Anaesth. 2003;91(6):886–904. doi:10.1093/bja/aeg253 Prough DS, Svensén CH. Perioperative fluid management. Anesth Analg. 2006;4(Suppl):84–91. doi:10.5492/wjccm.v4.i3.192 Bao FP, Zhang HG, Zhu SM. Anesthetic considerations for patients with acute cervical spinal cord injury. Neural Regen Res. 2017;12(3):499–504. doi:10.4103/1673-5374.202916 Lall RR, Hauptman JS, Munoz C, et al. Intraoperative neurophysiological monitoring in spine surgery: Indications, efficacy, and role of the preoperative checklist. Neurosurg Focus. 2012;33(5):1–10. doi:10.3171/2012.9.FOCUS12235 Kursumovic E, Arrowsmith JE. Reviews of Educational Material. Anesthesiology. 2017;127(4):731. doi:10.1097/aln.0000000000001745 Li ZJ, Fu X, Xing D, Zhang HF, Zang JC, Ma XL. Is tranexamic acid effective and safe in spinal surgery? A meta-analysis of randomized controlled trials. Eur Spine J. 2013;22(9):1950–7. doi:10.1007/s00586-013-2774-9 Cottrell J, Patel P. Cottrell and Patel’s Neuroanesthesia. 6th ed. 2016. Available from: https://shop.elsevier.com/books/cottrell-and-patels-neuroanesthesia/cottrell/978-0-323-35944-3 Cunha PD, Barbosa TP, Correia G, et al. The ideal patient positioning in spine surgery: a preventive strategy. EFORT Open Rev. 2023;8(2):63–72. doi:10.1530/EOR-22-0135 Luo J, Min S. Postoperative pain management in the postanesthesia care unit: An update. J Pain Res. 2017;10:2687–98. doi:10.2147/JPR.S142889 Prabhakar NK, Chadwick AL, Nwaneshiudu C, et al. Management of postoperative pain in patients following spine surgery: A narrative review. Int J Gen Med. 2022;15(May):4535–49. doi:10.2147/IJGM.S292698

Co-Authors - Elvidiansyah - Elvidiansyah A Himendra Wargahadibrata A Himendra Wargahadibrata A. Muthalib Nawawi A.A. Ketut Agung Cahyawan W Abdul Muthalib Nawawi Abdul Muthalib Nawawi Abdul rachman, Iwan Abdul Rahman Aisyah Ummu Fahma Aminuyati Andre Aditya Andy Hutariyus Ardhana Risworo Anom Yuswono Ardhana Risworo Anom Yuswono Ardi Zulfariansyah Ardi Zulfariansyah Ardi Zulfariansyah Ari Saptadi Ari Saptadi Ariestian, Erick Army Zaka Anwary, Army Zaka Arna Fransisca Arsy Felisita Dausawati Arsy Felisita Dausawati Asyer Asyer Bisri, Tatang https://scholar.google.co.id/citations?u Bramantyo Pamugar Dedi Fitri Yadi Defri Aryu Dinata Defri Aryu Dinata, Defri Aryu Dessy Sutoyo Dewi Ramadani Dewi Ramadani Dewi Yulianti Bisri Dian Novitasari Doddy Tavianto Dzulfikar D. L. Hakim Eka Damayanti Eko Nofiyanto Eri Surahman Eri Surahman Erick Ariestian Erwin Pradian Eva Srigita Tari Ezra Oktaliansah Fahma, Aisyah Ummu Firdaus, Riyadh Fithrah, Bona Akhmad Fithrah, Bona Akhmad Fitri Sepviyanti Sumardi Hamzah Hamzah Hansen Wangsa Herman Harahap, M Sofyan Hidayat, Dede A Hunter D. Nainggolan Hunter D. Nainggolan Ike Sri Redjeki Ike Sri Redjeki Indra Wijaya Indriasari Indriasari Iwan Abdul Rachman Jimmy Setiadinata Jimmy Setiadinata, Jimmy Kartapraja, Roni D. Lisda Amalia Lukman Hidayat M Andy Prihartono M. Erias Erlangga M. Erias Erlangga, M. Erias Maharani, Nurmala Dewi Mariko Gunadi Mariko Gunadi Martaria, Nency Martinus, Fardian Martinus, Fardian Maulana Muhammad Maulana Muhammad, Maulana Mayasari, Ferra Mayasari, Ferra Muhammad Adjie Pratama Nadya, Siti Fairuz Oktivia, Wenny Pamugar, Bramantyo Pison, Osmond Muvtilof Prihatno, M. Mukhlis Rudi Putri, Dini Handayani R, Tubagus Yuli R, Tubagus Yuli Radian Ahmad Halimi Rahmadsyah, Teuku Rahmatisa, Dimas Rahordjo, Sri Richard Pahala Sitorus Rini Rustini Riyadh Firdaus Roni D. Kartapraja Rudi Kurniadi Kadarsah Ruli Herman Sitanggang S, Achmad Afif Saleh, Siti Chasnak Saleh, Siti Chasnak Setiawan Setiawan Sitanggang, Ruli H. Sitorus, Richard Pahala Sri Rahardjo Sri Rahardjo Sudadi Sudadi Suryadi Suryadi Suryadi Suryadi Sutoyo, Dessy Tantarto, Tamara Tatang Bisri Tatang Bisri Theresia C. Sipahutar Theresia C. Sipahutar Theresia Monica Rahardjo Thomas Thomas Tinni T. Maskoen Tinni T. Maskoen Tinni T. Maskoen Wandira, Rega Dwi Wargahadibrata, A. Hmendra Wargahadibrata, A. Hmendra Widiastuti, Monika - Wildan Firdaus Yunita Susanto Putri Yunita Susanto Putri Zamzami, Nyiemas Moya Zamzami, Nyiemas Moya

Title Search

Found 81 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 81 Documents
Search