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Hamzah Hamzah
State University of Makassar
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Journal : Jurnal Neuroanestesi Indonesia

 1 
Efektivitas Body Surface Area dibanding Predicted Body Weight dalam Menentukan Volume Semenit untuk Mencapai Target PaCO2 pada Operasi Tumor Otak Nanang Nurofik; Prananda Surya Airlangga; Bambang Pujo Semedi; Arie Utariani; Elizeus Hanindito; Hamzah Hamzah
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.979 KB) | DOI: 10.24244/jni.vol8i1.213

Abstract

Latar Belakang dan Tujuan: Manajemen neuroanestesi pada operasi tumor otak bertujuan untuk mencegah terjadinya cedera otak sekunder dan memberikan lapangan operasi yang baik. Hal ini dapat dicapai melalui brain relaxation therapy. Penelitian ini bertujuan menganalisis efektifitas Body Surface Area (BSA) dan Predicted Body Weigh (PBW) untuk menentukan volume semenit dalam mencapai target PaCO2 pada pasien yange menjalani operasi tumor otak.Subjek dan Metode: Penelitian analitik observasional dengan desain cross-sectional melibatkan 31 pasien yang menjalani operasi tumor otak di RSUD Dr Soetomo Surabaya. Pasien yang memenuhi kriteria, dilakukan pengukuran tinggi badan dan berat badan, kemudian dibagi dalam 2 kelompok BSA dan PBW. Kelompok BSA mendapat volume semenit 4xBSA (laki-laki) dan 3.5xBSA (perempuan). Kelompok PBW mendapat volume semenit 100mL/kgBB. Tiga puluh menit setelah pengaturan ventilasi mekanik, dilakukan pemeriksaan analisa gas darah untuk menilai PaCO2.Hasil: Penentuan volume semenit menggunakan BSA menghasilkan volume yang lebih besar dibanding PBW pada pasien normal hingga obesitas.Penggunaan BSA dibanding PBW secara signifikan memiliki PaCO2 lebih rendah (33.55±3.43: 39.29±3.32 mmHg) dengan nilai p=0.0001. Simpulan: Penggunaan BSA dalam menentukan volume semenit efektif dalam mencapai target PaCO2 pada pasien yang menjalani operasi tumor otak. Effectiveness of Body Surface Area over Predicted Body Weightto determine Minute Volume to achieve PaCO2 Target in Brain Tumor SurgeryBackground and Objective: Neuroanesthesia management in brain tumor surgery aims to prevent secondary brain injury and provide a good operating field. This goal can be achieved by brain relaxation therapy .This study aims to analyze the effectiveness of Body Surface Area (BSA ) and Predicted Body Weigh (PBW) in determining minute volume to achieve PaCO2 target in brain tumor surgery patient.Subject and Methods: This was an observational analytic study with a cross-sectional approach. Thirty patient with brain tumor surgery were enrolled in this study. Patient who met the inclusions criteria was measured for height and weight then divided into two groups of BSA and PBW. The BSA group gets a minute volume 4xBSA for men and 3.5xBSA for women. The PBW group received minute volume 100mL / kg. Thirty minutes after adjusting mechanical ventilation, a blood gas analysis was examined to measure PaCO2 value.Results: Minute volume which is predicted by BSA had a greater volume than PBW in normal to obese patient. Body surface area is statistically significant compared to PBW in reducing PaCO2 average (33.55±3.43: 39.29±3.32 mmHg) with p value = 0.0001.Conclusion: Body surface areaas more effective to determine minute volume compare to PBW to achievePaCO2 target in brain tumor surgery patient.
Co-Authors , Dasrol A. Sitti Chairunnisa Abd Haris Djalante ade muhamad putra ADNAN ADNAN ABIDIN Ahmad Faizal Akhmad Syahri Alfa Astiana Afandi Amiluddin Amiluddin Andi Dian Eka Anggriani Andi Sugiati Ardi Amir Asti Proborini Atika Yunia Rahayu Awaluddin Awaluddin Bambang Hariyadi Benny Audi Jaya Gosari Budi Suhartono Candra Wijaya Catherine Christiana Pranata Chair Rani David Setiawan Deni Ariyati Desi Sukenti Didik Aribowo Djafar, Wihdat Eflita Meiyetriani Elizeus Hanindito Eric Hartono Erma Linda Siregar Farell Christian Gunaidi Farid Samawi Firman Firman Florensia, Lima Friliesa Averina Gusti Melia Hasani, Chasyim Helda Iriani Imam Teguh Saptono Imam Tholkhah Imran Ariadin Ira Kurniawati Junius Kurniawan Latifa Siswati Leilea Azizathul Mukhtiya Lensi Erika Novianti M Zaim M. Rizal Firmansyah M. Yusuf Ahmad Mansyur Hasbullah Marimin , Marselina Endah Hiswati Marwoto Marwoto Maryantho Masarrang Maryono Maryono Mashitah Sabdin Mimi Mimi Amaludin Misliah Indrus Muflih Muflih Muhamad Faqihudin Muhsinin Muhsinin Murjani Murjani Murjani Nanang Nurofik Paulus Mudjihartono Prabowo Tjitropranoto Prananda Surya Airlangga Ratu Bai Rohimah Rica Rian Rifkah Fitriah Semedi, Bambang Pujo Seprita Lidar Sitti Fakhriyyah Sitti Fatimah Soematri Diantha Sri Jumini Suarni Suarni Sumardjo Suryanti Suryanti Susy Olivia Lontoh Suyoto Suyoto Tambak, Syahraini Usaha Situmeang Utariani, Arie Wahyuddin Wahyuddin Yandri Yandri Yoga Yuniadi Yohanes Firmansyah Yuliani Budiyarti Yulius S. Pirade Zannatunnisya Zannatunnisya Zulfikar Jayakusuma