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All Journal Jurnal Veteriner Jurnal Anestesiologi Indonesia Jurnal Kedokteran Syiah Kuala Folia Medica Indonesiana MNJ (Malang Neurology Journal) Oceana Biomedicina Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Indonesian Journal of Anesthesiology and Reanimation (IJAR) Majalah Biomorfologi (Biomorphology Journal) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Indian Journal of Forensic Medicine & Toxicology Jurnal Neuroanestesi Indonesia Oceana Biomedicina Journal AKSONA Jurnal Widya Medika
Rehatta, Nancy Margarita
Departemen Anestesiologi Dan Reanimasi, RSUD Dr. Soetomo – Fakultas Kedokteran Universitas Airlangga Surabaya
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Naja Kaouthia Snake Bite: Case Report Ahmad, Bahtiar; Rehatta, Nancy Margarita
JAI (Jurnal Anestesiologi Indonesia) Vol 16, No 3 (2024): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.59758

Abstract

Background: Snakebites prevalent globally, pose a severe threat, especially in resource-limited regions. The impact is substantial, affecting millions annually, with a significant number of fatalities.Case: A 37-year-old man experienced deterioration leading to cardiac arrest after being bitten by a Naja Kaouthia snake. Adequate management in the intensive care unit (ICU), including antivenom administration, restored the patient's condition to return of spontaneous circulation (ROSC).Discussion: Snake venom causes various symptoms, from tissue damage to breathing and heart issues. Treating with antivenom, specifically from horses, can neutralize the venom's effects, as shown in studies. This treatment is effective for Naja Kaouthia bite.Conclusion: Quick treatment with antivenom partially neutralized the venom, showing how important antivenom is for treating snakebites.
Comparison General Anesthesia And Combined Scalp Block With Ropivacaine 0.5% On Mean Arterial Pressure, Heartrate And Fentanyl Consumption During Craniotomy. Rudi Iskandar Suryadani; Hamzah Hamzah; Nancy Margarita Rehatta; Arie Utariani
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2499

Abstract

Surgical craniotomy such as skin incisions, head pinning, periosteal-dural contact, dura closure, bones and skin can cause of nociceptive stimulation. These actions are stimuli to the nerves that can stimulate stress response. The stress response to surgery is characterized by increased secretion of the pituitary hormone and activation of the sympathetic nervous system. Hypothalamic activation of the sympathetic autonomic nervous system results in increased secretion of catecholamines from the adrenal medulla and the release of norepinephrine from the presynaptic nerve terminal. Objectives: This study is a single blind experimental, 14 patients with ages 18-60 years physical status ASA (American Society of Anesthesiologists) 1-3, with elective craniotomy surgery. This study was divided into two groups of subjects, group A with seven craniotomy subjects with general anesthesia and group B with seven craniotomy subjects combined with scalp block using ropivacaine 0.5%. Data collected then analyzed with SPSS. We found a decrease in MAP (Mean Arterial Pressure) and heart rate in the scalp block group during scalp incision (MAP p=0.002; HR p=0.029), periosteal contact (MAP p=0.025; HR p=0.039) significantly, as well as the use of fentanyl during surgery was significantly decreased (p=0.0001). General anesthesia with scalp block is more effective in reducing the increase in MAP, heart rate and fentanyl consumption during craniotomy.
Health Impacts and Medical Interventions on Physical Violence Among Adolescents: A Review And Strategies in Indonesia Sinaga, Nur Flora Nita TB; Tedyanto, Eric Hartono; Rehatta, Nancy Margarita
Indonesian Journal of Anesthesiology and Reanimation Vol. 7 No. 2 (2025): 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.V7I22025.140-148

Abstract

Introduction: Violence against adolescents is a global public health issue with significant impacts on physical and psychological health. Data shows that many children around the world experience physical, sexual, or emotional violence, with a high prevalence in Indonesia. Based on data from the 2013 Child Violence Survey, violence against adolescents in Indonesia remains very high, with significant impacts on their physical and psychological health, as well as their academic performance. Objective: This study aims to identify the causes of violence, including family dynamics, social media, and mental health, as well as its impacts, such as health disorders and decreased academic performance. Review: Various factors causing physical violence among adolescents in Indonesia include family influence, social media, and peers. The impact is very detrimental, both in the short and long term, both in terms of physical and mental health. The findings indicate the need for early intervention and additional education in schools to effectively address adolescent violence. The synergy between various disciplines at the Faculty of Medicine is key to creating evidence-based prevention strategies. To mitigate the negative impact, additional education in schools and early interventions involving various disciplines are greatly needed. The synergy between educational programs, government policies, and social support is key to preventing violence. With the strengthening of legal protection, as well as increased attention from parents and the social environment, it is hoped that a safer environment for teenagers can be created. Summary: Overall, this review emphasizes the importance of holistic interventions involving families, schools, and communities to address violence among adolescents and improve their quality of life. There is a need for preventive efforts that involve education in schools, family interventions, and stricter government policies. The success of preventing and addressing physical violence among adolescents heavily relies on the collaboration of all parties involved.
Analisis Penambahan Dexmedetomidine pada Operasi Besar Tulang Belakang Elektif di RSUD Dr. Soetomo Rizkiya, Putri; Rehatta, Nancy Margarita; Harijono, Bambang; Herawati, Lilik
Jurnal Neuroanestesi Indonesia Vol 9, No 2 (2020)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (850.068 KB) | DOI: 10.24244/jni.v9i2.225

Abstract

Latar Belakang dan Tujuan: Dexmedetomidine (DEX) suatu agonis ?2, telah banyak digunakan untuk mengendalikan respon stress pembedahan melalui penekanan respon simpatis dan endokrin. Studi ini bertujuan untuk menganalisis efek penambahan dexmedetomidine terhadap kadar kortisol, nadi, tekanan arteri rerata, kebutuhan penggunaan fentanyl dan isoflurane pada operasi tulang belakang.Metode: Sebuah studi randomisasi terkontrol tersamar ganda dilakukan pada pasien yang menjalani operasi besar tulang belakang elektif di RSUD Dr. Soetomo, Surabaya. Nadi, tekanan arteri rerata, kebutuhan fentanyl dan isoflurane serta perubahan kadar kortisol pre dan post-operatif dibandingkan antara pasien yang memperoleh dexmedetomidine (DEX) dan placebo (SAL).Hasil: Nadi dan tekanan arteri rerata lebih stabil pada kelompok DEX pada saat intubasi, prone positioning dan insisi. Perubahan kadar kortisol pada kelompok DEX (9,95,2 mcg/dl) lebih rendah dibanding kelompok SAL (11.78.4 mcg/dl) namun tidak berbeda bermakna secara statistik (p=0.88). Penggunaan fentanyl dan isofluran pada kelompok DEX dapat dikurangi masing-masing 50% (p=0,00) dan 30% (p=0,00). Kecepatan pulih sadar kelompok DEX lebih cepat. (p=0,001) Simpulan: Hemodinamik yang stabil, berkurangnya penggunaan opioid dan anestesi inhalasi serta proses pulih sadar yang lebih cepat pada kelompok DEX mendukung penggunaan dexmedetomidine dalam operasi besar tulang belakang.Analysis of Dexmedetomidine Addition in Elective Major Spinal Surgery in RSUD Dr. SoetomoAbstractBackground and Objective: Dexmedetomidine (DEX) an ?2 agonist, is widely used to control stress response during surgery through inhibition of sympathetic and endocrine response. This study aims to analyze the effect of dexmedetomidine addition towards blood cortisol level, pulse rate, mean arterial pressure, and fentanyl and isoflurane use during major spinal surgery.Method: A randomized doubleblind controlled study was conducted on twenty patients undergoing major spinal surgery in RSUD dr. Soetomo, Surabaya. Pulse rate, mean arterial pressure, fentanyl and isoflurane used, and plasma cortisol changes were compared between patients receiving dexmedetomidine (DEX) and placebo (SAL). Results: Pulse rate and mean arterial pressure was more stable in DEX group during intubation, prone positioning and incision. Changes in cortisol level in DEX group (9.95.2 mcg/dl) was lower, but not statistically significant fromSAL group (11.78.4 mcg/dl,p=0.88). Fentanyl and isoflurane use in DEX group was reduced 50% (p=0.00) and 30% (p=0.00) respectively. Recovery time in DEX group was faster (p=0.001).Conclusion: Hemodinamik stability, reduced opioid and inhalational anesthesia use, and faster anesthesia recovery time supports dexmedetomidine as anadjunct in general anesthesia in major spinal surgery.
Co-Authors A. Himendra Wargahadibrata Abdul Kadir Munsy Agustina Salinding Ahmad, Bahtiar Amelia, Elena Ghentilis Fitri Anna Surgean Veterini Annis Catur Adi Atika atika Atiya Nurrahmah Aulia Rahmi Bambang Wahjuprajitno Benny Iswanto Pantoro Bunga Priscilla Rotua Manurung Candra Dwantara Ramadhan Cecilia Felicia Chandra Choesnan Effendi Dina Arini Izzah Eddy Rahardjo Elena Ghentilis Fitri Amelia Elizeus Hanindito Erwin Astha Triyono Feriawan Tan Fitri Amelia, Elena Ghentilis Fundhy Sinar Ikrar Prihatanto, Fundhy Sinar Ikrar Hamzah Hamzah Hanik Badriyah Hidayati,* Mohammad Hasan Machfoed,* Kuntoro,** Soetojo,*** Budi Santoso,**** Suroto,***** Budi Utomo****** Harijono, Bambang HENI RACHMAWATI HERAWATI, LILIK Izzah, Dina Arini Karimah, Azimatul Khoir Amaliin Lila Tri Harjana Lucky Andriyanto Maulydia, Maulydia Mohammad Sofyan Harahap Muhammad Hamdan Muhammad Hamdan Nabilah Nenden Suliadiana Fajarini Prananda Surya Airlangga Prattama Santoso Utomo Rachmad Suhanda Rizkiya, Putri Rochmanti, Maftuchah Rochmanti Rudi Iskandar Suryadani S.Pd. M Kes I Ketut Sudiana . Sarmanu, Sarmanu Semedi, Bambang Pujo Sinaga, Nur Flora Nita TB Siti Khaerunnisa Subijanto Marto Soedarmo Subijanto Marto Soedarmo Suksmi Yitnamurti Sulistiawan, Soni Sunarso Tatang Bisri Tedyanto, Eric Hartono Teguh Sylvaranto Turchan, Agus Utariani, Arie Widijiati Widijiati Widjiati Widjiati Widodo Jatim P Widodo Jatim Pudjirahardjo Windhu Purnomo Yitnamurti, Suksmi Yoga Pamungkas Susani Yuani Setiawati