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All Journal Majalah Kedokteran Bandung Jurnal Anestesi Perioperatif E-Journal Widya Kesehatan dan Lingkungan Majalah Anestesia dan Critical Care Medica Hospitalia Jurnal Prima Medika Sains Majalah Anestesia & Critical Care (MACC) The Journal of Society Medicine (JSOCMED)
Dhany Budipratama
Departemen Anestesiologi Dan Terapi Intensif Fakultas Kedokteran Universitas Padjajaran/Rumah Sakit Dr. Hasan Sadikin Bandung
Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Majalah Anestesia dan Critical Care

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Resuscitative Strategies in Traumatic Hemorrhagic Shock Supandji, Mia; Budipratama, Dhany; Pradian, Erwin
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

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Abstract

Trauma and brain injury are common in young patients with a high incidence of mortality. The classic triadof death in a trauma involves hypothermia, acidosis and coagulopathy. This physiologic derangement plays animportant role in exsanguination and death of trauma patients, if it is not promptly diagnosed and aggressivelytreated. However, the optimal strategy is still debatable. Damage Control Resuscitation along with damage controlsurgery has been proven to increase patients survival. DCR is a management of patients with trauma startedfrom the emergency room up to the operating room and the intensive care unit (ICU). Five pillars of DCR are 1.Body rewarming, 2. Correction of acidosis, 3. Permissive hypotension, 4. Restrictive luids administration and 5.Hemostatic resuscitation. Early and aggressive transfusion of blood and blood products, with comparison of PRC,FFP and platelets of 1:1:1, if no whole blood available, can improve the outcome and survival of the patients.
NutritionTherapy in ICU Patiens Kestriani, Nurita Dian; Budipratama, Dhany; Pradian, Erwin
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

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Abstract

Under ordinary circumstances, feeding is not considered as medical therapy. When normal diet fail to meet daily requirements or when assessment documents deficiencies, then nutritional planning becomes a part of medical therapeutics. The goals of nutritional support for critically ill patients include preserving tissue mass, decreasing usage of endogenous nutrient stores and catabolism, and maintaining or improving organ function (i.e., immune, renal, and hepatic systems; muscle). Specific goals include improving wound healing, decreasing infection, maintaining the gut barrier (decreasing translocation), and decreasing morbidity and mortality all of which may contribute to decreasing the ICU or hospital stay and hospitalization costs.
Co-Authors Ardiayuman , Ardiayuman Astri Astuti Aviryandi Wibawamukti Dewi Yulianti Bisri Erwin Pradian Ezra Oktaliansah Ezra Oktaliasah Fityan Aulia Rahman Gavrila Diva Amelis Gezy Weita Giwangkancana Ibnu Ibnu Ike Sri Redjeki Ike Sri Redjeki Jauharul Alam Napitupulu, Olivia Des Vinca Albahana Nasution, Muhammad Habibi Nataputra, Mario Nurita Dian Kestriani Pamugar, Bramantyo Paulus Sulistiono Putra, Rifki Dwi Anugrah Rani Septriana Riri Lestari Supandji, Mia T. Maskoen, Tinni Tinni Maskoen U. Kaswiyan U. Kaswiyan