Putu Kurniyanta
Department Of Anesthesiology And Reanimation, Faculty Of Medicine, Udayana University, Sanglah General Hospital Denpasar Bali

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Journal : ISM (Intisari Sains Medis) : Jurnal Kedokteran

A sore throat after endotracheal intubation in Sanglah General Hospital 2017 Sobhana Shanmuganathan; Kadek Agus Heryana Putra; I Made Agus Kresna Sucandra; Putu Kurniyanta
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.141 KB) | DOI: 10.15562/ism.v11i3.292

Abstract

Background: Cuff volume additionally impacts a postoperative sore throat and dysphagia. The rate of a sore throat has likewise been discovered to be higher in the event of Laryngeal Mask Airway (LMA) than that of endotracheal intubation (ETT).Aim: To know the duration of a sore throat and level of severity of a sore throat after endotracheal intubation among patients of Sanglah General Hospital.Method: This cross sectional study was conducted on patients of Sanglah General Hospital. There were 100 students were participated in this study. They were asked to fill up a self-administered questionnaire. The variables assessed were their duration towards patients who have used anesthetic during surgery.Result: About 54% of 100 patient of Sanglah General Hospital, respectively had a sore throat for 4 to 6 days after endotracheal intubation. However, 28% of patients had a sore throat from day one to day three after the endotracheal intubation method. For the severity of a sore throat over 50% of the patients have experienced pain in eating, drinking, talking and for some people it has given them an enormous side effect towards their daily activity. Though the overall duration and severity of a sore throat among the patient, lasted less than a week and for the severity patient have voted respectively high. Patients with good diet control after the surgery tend to heal faster.
Hubungan antara kadar albumin dengan penyembuhan luka pada pasien pasca bedah di Rumah Sakit Umum Pusat Sanglah Denpasar Ni Luh Gede Apsari Pararesthi; Kadek Agus Heryana Putra; Putu Kurniyanta
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.388 KB) | DOI: 10.15562/ism.v10i3.450

Abstract

Introduction: Wound healing is influenced by various factors, one of which is nutritional status. Nutritional status itself is often detected by one of the important signs of serum albumin. Albumin is a protein in human plasma that is soluble in water and high in concentration in blood plasma. Low albumin levels as an estimate of the causes of malnutrition and also associated with increased complications and postoperative death. Serum albumin less than 3.5g / dL is recognized by the patient as hypoalbuminemia.Methods: This research was conducted with the aim of analyzing the relationship between albumin levels and wound healing in postoperative patients. This study used a cross sectional observational analytic method by taking secondary data from medical records of postoperative patients (disgestif surgery, neurosurgery, orthopedic surgery, oncology surgery) at Sanglah General Hospital.Result: Of the 60 patients involved in this study, patients with abnormal albumin levels were 36.7% and patients with normal albumin levels were 63.3%. The chi-square test results showed that postoperative patients who had the last abnormal albumin level before surgery 5.1 times more with unrecover wound compared to patients with normal albumin levels (PR = 5.182; 95% CI = 2.181-12.310, p = 0.00001).Conclusion: There is a significant relationship between albumin levels and wound healing.Latar Belakang: Penyembuhan luka dipengaruhi oleh berbagai faktor, salah satunya adalah faktor status nutrisi. Status nutrisi sendiri sering dideteksi oleh salah satu tanda penting yaitu serum albumin. Albumin merupakan protein dalam plasma manusia yang larut dalam air dan tinggi konsentrasinya dalam plasma darah. Kadar albumin yang rendah sebagai perkiraan penyebab malnutrisi dan juga berhubungan dengan peningkatan komplikasi serta kematian postoperasi. Serum albumin yang kurang dari 3.5g/dL diakui pasien tersebut hipoalbuminemia.Metode: Penelitian ini dilaksanakan dengan tujuan untuk menganalisis hubungan kadar albumin dengan penyembuhan luka pada pasien pasca bedah. Penelitian ini menggunakan metode observasional analitik cross sectional dengan mengambil data sekunder dari rekam medis pasien pasca bedah (bedah disgestif, bedah saraf, bedah ortopedi, bedah onkologi) di RSUP Sanglah.Hasil: Dari 60 pasien yang terlibat dalam penelitian ini didapatkan pasien dengan kadar albumin tidak normal sebesar 36.7% dan pasien dengan kadar albumin normal sebanyak 63.3%. Hasil uji chi-square menunjukkan bahwa pasien pasca bedah yang sebelum operasi memilki kadar albumin terakhir tidak normal 5.1 kali lebih banyak mengalami luka tidak sembuh dibanding pasien dengan kadar albumin normal (PR=5.182; 95% CI=2.181-12.310, p=0.00001).Simpulan: Terdapat hubungan yang signifikan antara kadar albumin dengan penyembuhan luka.