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Diana Lalenoh
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Venous Air Embolism (VAE) during Craniotomy of Supratentorial Meningioma in Supine Position Sutawan, Ida Bagus Krisna Jaya; Bisri, Tatang; Rahardjo, Sri; Lalenoh, Diana
Bali Journal of Anesthesiology Vol 1, No 3 (2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v1i3.26

Abstract

AbstractVenous Air Embolism (VAE) is one of the most serious complications in neuroanesthesia case. The highest number of VAE incident is during neurosurgery procedure with sitting position, even tough VAE may occur during craniotomy of supratentorial tumor in the supine position. VAE occurs due to the pressure differential between open vein in the surgical field and right atrium. A 46 years old woman underwent craniotomy for supratentorial meningioma in the supine position. Intraoperative, the patient was experiencing a decrease in end-tidal CO2 pressure about 6 mmHg in 5 minutes. Therefore, management of acute VAE was proceed to the patient, such as informed the surgeon immediately, discontinued N2O and increased flow of O2, modified the anesthesia technique, asked the surgeon to irrigate the surgical field with fluids, gave compression on jugular vein, aspirated the right atrial catheter, prepared drugs to support the hemodynamic, and changed the patient’s position if possible. 
Pola Pemberian Antimikroba pada Pasien Sepsis di RSUP Prof. Dr. R. D. Kandou Manado Periode Januari - Juni 2019 Taroreh, Reinhard C.; Tambajong, Harold F.; Lalenoh, Diana Ch.
e-CliniC Vol 7, No 2 (2019): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v7i2.26784

Abstract

Abstract: Sepsis is defined as organ dysfunction that threatens life due to disregulated response of vulnerable host to the infection agent. Antimicrobial therapy is one of the main therapies in the management of septic cases. Survival sepsis campaign guidelines in 2016 recommended antimicrobial administration in one hour after being diagnosed as sepsis. This study was aimed to determine the pattern of antimicrobial administration among septic patients in the Intensive Care Unit of RSUP Prof. Dr. R. D. Kandou Manado. This was an observational analytical study with a cross-sectional design. Samples were intensive care unit patients of RSUP Prof. Dr. R. D. Kandou Manado diagnosed as sepsis and its classification obtained from the Medical Record Installation data for the period of January to June 2019. The results showed a total of 35 septic patients consisting of 16 females (45.7%) and 19 males (54.3%). The time of antimicrobial administration ≤1 hour was found in 21 cases (60%). The most frequent antimicrobial administered was ceftriaxone in 13 cases (37.1%). The mortality rate after >48 hours was 13 cases (59%). In conclusion, most antimicrobial administration was in 1 hour after being diagnosed as sepsis and ceftriaxone was the most frequent antimicrobial given. Mortality rate after administration of antimicrobial was still high.Keywords: sepsis, ICU, antimicrobial, mortality rate Abstrak: Sepsis didefinisikan sebagai disfungsi organ yang mengancam nyawa akibat disregulasi respon penjamu terhadap infeksi. Terapi antimikroba merupakan salah satu terapi utama dalam penatalaksanaan kasus sepsis. Pedoman Survival Sepsis Campaign tahun 2016 menyatakan pemberian antimikroba yang direkomendasikan ialah satu jam setelah terdiagnosiss sepsis. Penelitian ini bertujuan untuk mengetahui pola pemberian antimikroba pada pasien sepsis di Intensive Care Unit RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Sampel penelitian ialah pasien ICU Prof. Dr. R. D. Kandou Manado dengan diagnosis sepsis dan klasifikasinya, diperoleh dari data Bagian Instalasi Rekam Medik periode Januari-Juni 2019. Hasil penelitian mendapatkan total 35 pasien dengan diagnosis sepsis, terdiri dari 16 orang perempuan (45,7%) dan 19 orang laki-laki (54,3%). Waktu pemberian antimikroba ≤1 jam pada sebanyak 21 kasus (60%). Penggunaan antimikroba yang sering diberikan ialah ceftriaxone pada 13 kasus (37,1%). Angka kematian setelah >48 jam sebanyak 13 kasus (59%). Simpulan penelitian ini ialah sebagian besar pemberian antimikroba 1 jam setelah didiagnosis sepsis dengan ceftriaxone sebagai antimikroba yang paling sering diberikan. Angka kematian pasca pemberian antimikroba masih tinggi.Kata kunci: sepsis, ICU, antimikroba, angka kematian
Gambaran kadar hemoglobin pasien pra dan pasca operasi seksio sesarea yang tidak mendapat transfusi darah Tia, Herry Y.; Kumaat, Lucky T.; Lalenoh, Diana Ch.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i2.14469

Abstract

Abstract: The occurence of increased or decreased levels of hemoglobin of post-caesarean patients depends on the intake of nutrients during pregnancy, bleeding, and anemia. In case of massive and life-threatening bleeding during the caesarean section, blood transfusion has to be administered to revive the patient in critical condition. This study was aimed to obtain the patients’ levels of hemoglobin in either pre- and post-operative caesarean section without blood transfusion. This was a retrospective descriptive study using data of medical records at the Installation of Medical Record Department of Prof. Dr. R. D. Kandou Hospital Manado from September 2015 to August 2016. There were 32 patients in this study. The result showed that the mean values of pre-operative Hb was 12.4 g/dL and of post-operative Hb was 11.5 g/dL with a difference of 0.9 g/dL. Decreased levels of hemoglobin occured in 28 patients. It is discerned that the mean value of pre-operative Hb was 12.4 g/dL while of post-operative Hb was 11.3 g/dL with a difference of 1.1 g/dL. Furthermore, increased levels of hemoglobin occured in 4 patients, showing that the mean value of pre-operative Hb was 12.1 g/dLwhereas of post-operative Hb was 12.5 g/dL with a difference of 0.4 g/dL. Based on the characteristics of pregnant women, 23 cases (71.9%), were in the age group of 20-35 years; 18 cases (56.3%) of hemorrhage of 500-1000 ml; and 25 cases (78.1%) of 6-10 days length of hospitalization. Conclusion: In this study, there was increased as well as decreased hemoglobin levels in caesarean patients who were not administered blood transfusion during surgery.Keywords: hemoglobin, caesarean section, blood transfusion Abstrak: Terjadinya peningkatan maupun penurunan kadar hemoglobin pada operasi seksio sesarea tergantung pada asupan zat-zat nutrisi saat kehamilan, perdarahan, dan anemia. Jika terjadi perdarahan hebat selama operasi seksio sesarea berlangsung yang mengakibatkan penurunan kadar hemoglobin mendekati batasan untuk dilakukan transfusi darah, maka transfusi darah diberikan untuk menolong pasien pada kondisi kritis. Penelitian ini bertujuan untuk mengetahui gambaran kadar hemoglobin pasien pra dan pasca operasi seksio sesarea yang tidak mendapat transfusi darah. Jenis penelitian ialah deskriptif retrospektif menggunakan data rekam medik pasien seksio sesarea di Instalasi Rekam Medik RSUP Prof. Dr. R. D. Kandou Manado periode September 2015 sampai Agustus 2016. Hasil penelitian memperlihatkan 32 pasien yang memenuhi kriteria inklusi. Nilai mean kadar Hb pra 12,4 g/dL dan kadar Hb pasca 11,5 g/dL dengan selisih 0,9 g/dL. Penurunan kadar hemoglobin terdapat pada 28 pasien dengan nilai mean kadar Hb pra 12,4 g/dL dan kadar Hb pasca 11,3 g/dL (selisih 1,1 g/dL). Peningkatan kadar hemoglobin terdapat pada 4 pasien dengan nilai mean kadar Hb pra 12,1 g/dL dan kadar Hb pasca 12,5 g/dL (selisih 0,4 g/dL). Karakteristik ibu hamil didapatkan terbanyak kelompok usia 20-35 tahun berjumlah 23 kasus (71,9%), perdarahan 500-1000 cc berjumlah 18 kasus (56,3%), dan lama rawat inap 6-10 hari berjumlah 25 kasus (78,1%). Simpulan: Pada pasien operasi seksio sesarea yang tidak mendapat transfusi darah dapat terjadi penurunan maupun peningkatan kadar hemoglobin. Kata kunci: hemoglobin, seksio sesarea, transfusi darah
Profil Pasien Pasca Laparotomi di ICU RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2015 sampai Desember 2017 Tanio, Pratiwi N.; Lalenoh, Diana C.; Laihad, Mordekhai L.
e-CliniC Vol 6, No 2 (2018): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v6i2.22122

Abstract

Abstract: Laparotomy is a surgical procedure involving an incision through the abdomen. Laparotomy can be performed on patients with hemoperitoneum due to abdominal trauma, gastrointestinal bleeding, acute abdominal pain, chronic abdominal pain, and if there is an intra-abdominal clinical finding that requires emergency surgery, such as pertonitis as well as ileus (obstruction or perforation). This study was aimed to obtain the profile of post laparotomy patients at ICU Prof. Dr. R. D. Kandou Hospital Manado from January 2015 to December 2017. This was a descriptive retrospective study using medical record data of post laparotomy patients at Prof. Dr. R. D. Kandou Hospital Manado. There were 107 post laparotomy patients at the ICU. The highest percentages were found in: peritonitis (38.3%), males (62%), and ages 45-64 years (50%). There were 87% of post laparotomy patients that used mechanical ventilators. The average of length of stay of post laparotomy patients in ICU was 7-14 days (33%). There were 40 patients (37%) in 24-48 hours after admission in the ICU and caused by sepsis (77.5%). Conclusion: Most post laparotomy patients were 45-64 years old, male, had main diagnosis as peritonitis, length of stay of 7-14 days, and used mechanical ventilators. Moreover, there were 40 patients died in 24-48 hours after admission.Keywords: laparotomy, peritonitis, mortality, length of stayAbstrak: Laparotomi adalah suatu tindakan bedah berupa insisi pada dinding perut atau abdomen. Laparotomi dapat dilakukan pada pasien yang menderita trauma abdomen dengan hemoperitoneum, perdarahan gastrointestinal, nyeri abdomen akut, nyeri abdomen kronik, dan jika ditemukan kondisi klinis intra abdomen yang membutuhkan pembedahan darurat seperti peritonitis, ileus obstruksi, dan perforasi. Penelitian ini bertujuan untuk mengetahui profil pasien pasca laparotomi di ICU RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2015 - Desember 2017. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medik pasien pasca laparotomi di RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan 107 orang pasien pasca laparotomi di ICU dengan diagnosis penyakit terbanyak pada peritonitis (38,3%), jenis kelamin laki-laki (62%), dan usia 45-64 tahun (50%). Pasien pasca laparotomi banyak yang menggunakan ventilator mekanik (87%). Rerata lama perawatan pasien pasca laparotomi di ICU 7-14 hari (33%). Terdapat 40 orang yang meninggal (37%) pada 24-48 jam dirawat di ICU, dan disebabkan oleh sepsis (77,5%). Simpulan: Pasien pasca laparotomi terbanyak pada usia 45-64 tahun, jenis kelamin laki-laki, dengan diagnosis penyakit dilakukan laparotomi peritonitis, lama rawat ICU 7-14 hari, dan menggunakan ventilator mekanik. Didapatkan 40 pasien yang meninggal pada 24-48 jam dirawat di ICU.Kata kunci: laparotomi, peritonitis, mortalitas, lama rawat inap
PROFIL PASIEN CEDERA KEPALA SEDANG DAN BERAT YANG DIRAWAT DI ICU DAN HCU Rawis, Maria L.; Lalenoh, Diana Ch.; Kumaat, Lucky T.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.2.2016.14481

Abstract

Abstract: Traumatic brain injuries are still the leading cause of death and disability, and require care on Intensive Care Unit (ICU). A traumatic brain injury caused by mechanical mass from outside the body, leads to impaired cognitive and psychosocial function that can occur temporarily or permanently, and can cause loss of consciousness. This study aims to determine the profile of the patients with moderate and severe traumatic brain injuries treated in ICU and HCU, using retrospective descriptive study conducted in September to November 2016 in the Medical Record department of Prof. Dr. R.D. Kandou, Manado. The sample size was determined by non-probability sampling method, a purposive sampling. Samples are ICU and HCU patients with the diagnosis of moderate to severe traumatic brain injury, who meet the inclusion criteria in the medical record of the data period September 2015 to August 2016. From the obtained sample of 40 patients, males dominate the gender category with 33 cases (83%). SIRS complications found in 23 cases (57.5%). Most patients are treated within 1?7 days, which also become the most patients who died within their length of stay. Patients who dies account for a total of 25 patients (62.5%) and most died after > 48 hours (72%) of treatment; out of the 25 deceased patients, 18 among them (45%) died from severe traumatic brain injury. Conclusion: The mortality rate is highest on severe head injury; most patients died after > 48 hours in the ICU and the HCU.Keywords: moderate traumatic brain injury, severe traumatic brain injury Abstrak: Cedera kepala masih merupakan penyebab utama kematian dan kecacatan, dan memerlukan perawatan Intensive Care Unit (ICU). Cedera kepala disebabkan oleh massa mekanik dari luar tubuh yang mengakibatkan gangguan fungsi kognitif dan psikososial, dapat terjadi sementara atau permanen, dan dapat menyebabkan penurunan kesadaran. Penelitian ini bertujuan untuk mengetahui profil pasien cedera kepala sedang dan berat yang dirawat pada ICU dan HCU, menggunakan metode penelitian deskriptif retrospektif yang dilakukan pada September sampai dengan November 2016 di Instalasi Rekam Medik RSUP Prof. Dr. R.D. Kandou, Manado. Besar sampel ditentukan dengan metode non probability sampling yaitu purposive sampling. Sampel penelitian adalah pasien ICU dan HCU dengan diagnosa cedera kepala sedang dan berat yang memenuhi kriteria inklusi pada data Rekam Medik periode September 2015 sampai dengan Agustus 2016. Hasil penelitian didapatkan jumlah sampel 40 pasien, dengan jenis kelamin terbanyak laki-laki 33 orang (83%). Komplikasi SIRS ditemui pada 23 kasus (57,5%). Paling banyak pasien dirawat pada 1?7 hari dan pasien yang meninggal dunia terbanyak pada lama rawat 1?7 hari. Pasien meninggal dunia berjumlah 25 orang (62,5%) dan terbanyak meninggal dunia setelah > 48 jam (72%); dari 25 orang yang meninggal dunia pasien dengan cedera kepala berat sebanyak 18 orang (45%). Simpulan: Angka mortalitas tertinggi ada pada cedera kepala berat, dan pasien meninggal dunia paling banyak setelah > 48 jam di ICU dan HCU. Kata kunci: cedera kepala sedang, cedera kepala berat
Profil penderita sepsis di ICU RSUP Prof. Dr. R. D. Kandou Manadoperiode Desember 2014 – November 2015 Tambajong, Rheza N.; Lalenoh, Diana C.; Kumaat, Lucky
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.1.2016.11011

Abstract

Abstract: Sepsis (blood poisoning) is an acute and serious clinical condition due to the presence of pathogenic microorganisms or their toxins in the bloodstream. The incidence of sepsis continues to rise over the past three decades. Although the knowledge of pathophysiology and therapy has developed supported by specific antibiotic therapy, sepsis is still the main cause of non-cardiac death in Intensive Care Unit (ICU). This study was aimed to determine the profile of patients with sepsis and its classification in the ICU. This was a descriptive retrospective study. Samples were determined by using non-probability sampling method, the purposive sampling method. Samples were septic patients at ICU Prof. Dr. R. D. Kandou Hospital Manado obtained from data of the medical records from December 2014 to November 2015. The results showed that there were 35 septic patients consisted of 16 males (46%) and 19 females (54%); most were geriatric patients. There were 29 patients (82.8%4 patients) diagnosed as sepsis; 4 patients (11.4%) as severe sepsis; and 2 patients (5.7%) as septic shock. Of the total 35 patients, there were 12 survivors (34.3%) and 23 deaths (65.7%)Keywords: septic patients Abstrak: Sepsis adalah kondisi klinis akut dan serius yang muncul akibat adanya mikroorganisme patogen atau toksinnya dalam aliran darah. Kejadian sepsis terus meningkat selama tiga dekade terakhir, Meskipun pemahaman patofisiologi dan terapi meningkat serta didukung oleh terapi antibiotik yang spesifik, sepsis dilaporkan tetap menjadi penyebab dari kematian non-cardiac di Intensive Care Unit (ICU). Penelitian ini bertujuan untuk mendapatkan profil penderita sepsis dan klasifikasinya di ICU. Jenis penelitian ialah deskriptif retrospektif. Sampel penelitian ialah pasien ICU RSUP Prof. Dr. R. D. Kandou Manado dengan diagnosis sepsis dan klasifikasinya diperoleh dari data di Bagian Rekam Medik periode Desember 2014 – November 2015. Besar sampel ditentukan dengan metode purposive sampling. Hasil penelitian mendapatkan total 35 sampel dengan sepsis terdiri dari 16 orang laki-laki (46%) dan 19 orang perempuan (54%); sebagian besar ialah pasien geriatri. Pasien yang didiagnosis masuk sepsis yang terbanyak yaitu 29 orang (82,8%) dibandingkan dengan diagnosis lain yaitu severe sepsis sebanyak 4 orang (11,4%) dan syok sepsis sebanyak 2 orang (5,7%). Dari ke 35 pasien dengan sepsis, 12 orang berhasil selamat (34.3%) sedangkan 23 orang meninggal (65.7%). Kata kunci: pasien sepsis
Profil pasien preeklamsia berat dan eklamsia di ICU dan HCU RSUP Prof. Dr. R. D. Kandou Manado Patty, Vania Nita; Lalenoh, Diana Ch.; Wuisan, Debby D.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i2.14461

Abstract

Abstract: Preeclampsia was defined as hypertension in pregnancy that occurs after 20th weeks of pregnancy meanwhile eclampsia is the new onset of a grand mal seizure activity and is one of the complications of preeclampsia. Preeclampsia and eclampsia are still the major causes of high maternal and infant mortality in Indonesia (1.5% -25%). Severe preeclampsia becomes an indication of obstetric patients to be admitted to ICU. This study was aimed to obtain the profile of patients with severe preeclampsia and eclampsia admitted to the ICU and HCU Prof. Dr. R.D. Kandou Hospital. This was a descriptive retrospective study. Data were obtained from the medical records of patients admitted to the ICU and HCU from September 2014 to August 2016. There were 33 patients that met the inclusion criteria consisted of 11 patients (33%) with severe preeclampsia and 22 patients (67%) with eclampsia. Most patients were aged ≤ 25 years and the median length of stay in this study was 2 days. HELLP syndrome was found in 9 patients (27.3%) and DIC in 1 (3%) patient. There were five patients with ventilator and three patients died due to eclampsia. Conclusion: Most patients in this study were patients with eclampsia and the mortality rate was 9.1%.Keywords: severe preeclampsia, eclampsia, ICU, HCU Abstrak: Preeklamsia didefinisikan sebagai hipertensi dalam kehamilan yang terjadi setelah minggu ke- 20 kehamilan, sedangkan eklamsia adalah onset baru aktifitas kejang grand mal dan merupakan salah satu komplikasi dari preeklamsia. Preeklamsia dan eklamsia masih menjadi penyebab utama tingginya angka kematian ibu dan bayi di Indonesia (1,5%-25%). Preeklamsia berat menjadi indikasi pasien obstetri masuk ke ICU. Penelitian ini bertujuan untuk mengetahui gambaran pasien preeklamsia berat dan eklamsia yang dirawat di ICU dan HCU RSUP Prof. Dr. R.D. Kandou. Jenis penelitian ialah deskriptif retrospektif. Data diperoleh melalui data rekam medik pasien yang dirawat di ICU dan HCU periode September 2014 - Agustus 2016 dan didapatkan sebanyak 33 pasien yang memenuhi kriteria inklusi. Total pasien preeklamsia berat ialah 11 orang (33%) dan eklamsia sebanyak 22 orang (67%). Usia ≤25 tahun ialah usia terbanyak dan median lama rawat dalam penelitian ini ialah 2 hari. Kejadian HELLP syndrome pada kasus ini sebanyak 9 orang (27,3%) dan DIC sebanyak 1 orang (3%). Pasien dengan ventilator sebanyak 5 orang dan pasien yang meninggal akibat eklamsia sebanyak 3 orang. Simpulan: Dalam penelitian ini pasien terbanyak ialah pasien eklamsia dengan angka kematian 9,1%. Kata kunci: preeklamsia berat, eklamsia, ICU, HCU
PERBANDINGAN PREMEDIKASI FENTANIL 1 mcg/kgBB IV DAN 2 mcg/kgBB IV TERHADAP TEKANAN DARAH DAN NADI AKIBAT INTUBASI JALAN NAFAS PADA PASIEN YANG MENJALANI PEMBEDAHAN ELEKTIF DI RSUP Prof. Dr. R. D. KANDOU MANADO PERIODE NOVEMBER – DESEMBER 2014 Berhimpong, Marsela J. A.; Tambajong, Harold; Lalenoh, Diana Ch.
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i1.7397

Abstract

Abstract: Intubation is a patent measure of securing and maintaining the airway. Fentanyl is a synthetic opioid that effectively blunts the sympathetic response to intubation and surgical stimulus. Fentanyl is often the primary choice of premedication and induction agent in general anesthesia due to its little depressant effect on cardiovascular system. Objective: To analyze the differences in blood pressure and pulse rate during intubation after administration of premedication fentanyl 1 mcg / kg iv premedication compared to fentanyl 2 mcg / kg iv. Methods: This is a prospective analytical study. The samples are 28 patients who were undergoing elective surgeries and were selected using purposive sampling method. The statistical test used is the average non-parametric test. Result: There is a change in blood pressure and pulse rate in patients who were given premedication fentanyl 1 mcg / kg iv and 2 mcg / kg iv (p <0.05). The use of fentanyl 1 mcg / kg iv and 2 mcg / kg iv showed no significant difference (p> 0.05), since both fentanyl 1 mcg / kg iv and 2 mcg / kg iv can lower both blood pressure and pulse rate. Conclusion: There is a change in blood pressure and pulse rate as a result of airway intubation in elective surgery patients who were given fentanyl 1mcg / kg iv and fentanyl 2 mcg / kg iv as premedications (p <0.05).Keywords: intubation, fentanyl, blood pressure, pulse rateAbstrak: Intubasi merupakan tindakan pengaman dan pemeliharaan jalan nafas paling paten. Fentanil adalah opioid sintesis yang efektif menumpulkan respon simpatis pada intubasi serta stimulus pembedahan. Fentanil seringkali menjadi pilihan utama agen premedikasi dan induksi dalam anestesia umum karena sedikit mendepresi kardiovaskular. Tujuan: Untuk menganalisis perbedaan tekanan darah dan laju nadi pada tindakan intubasi setelah pemberian premedikasi fentanil 1 mcg/kgbb iv dibandingkan dengan premedikasi fentanil 2 mcg/kgbb iv. Metode penelitian: Penelitian ini merupakan penelitian analisis prospektif. Sampel ialah 28 pasien yang menjalani bedah elektif. Cara pengambilan sampel dilakukan dengan metode purposive sampling. Uji statistik menggunakan uji rerata non parametrik. Hasil penelitian: terdapat perubahan tekanan darah dan nadi pada pasien yang diberikan premedikasi fentanil 1 mcg/kgbb iv dan 2 mcg/kgbb iv (p < 0,05). Penggunaan fentanil 1 mcg/kgbb iv dan 2 mcg/kgbb iv menunjukkan tidak terdapat perbedaan yang signifikan (p>0,05), baik fentanil 1 mcg/kgbb iv dan 2 mcg/kgbb iv keduanya dapat menurunkan tekanan darah dan laju nadi. Simpulan: Terdapat perubahan tekanan darah dan laju nadi akibat intubasi jalan nafas pada pasien pembedahan elektif yang diberikan premedikasi fentanil 1mcg/kgbb iv dan fentanil 2 mcg/kgbb iv (p < 0,05).Kata kunci: intubasi, fentanil, tekanan darah, laju nadi
Gambaran skala visual analog dan hemodinamik pada pasien yang diberikan kombinasi tramadol dan ketorolak pasca bedah laparotomi Mufti, Galuh R.; Tambajong, Harold F.; Lalenoh, Diana
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i1.12133

Abstract

Abstract: Pain as an unpleasant sensory and emotional experience associated with tissue damage or potential tissue damage or a condition that indicates tissue damage. This study aimed to describe the visual analogue scale (VAS) and hemodynamic among patients given combination of tramadol and ketorolac post laparotomy. Evaluation of pain was assessed by using VAS. This was a descriptive prospective study and was carried out in the recovery room (RR) postoperation and in inpatient A and D instalations of Prof. Dr. R. D. Kandou Hospital Manado from December 2015 to March 2016. There were 20 respondents that were handled with laparotomy and had met the inclusion criteria. The results showed that the average VAS score at the 2nd hour was 5, while the average VAS score at the 4th hour and the 6th hour were 6.4 and 8.5 respectively. The average systolic pressure at the 2nd hour was 124 mmHg, the 4th hour was 126 mmHg, and the 6th hour was 131.6 mmHg. The average diastolic pressure at the 2nd hour was 78 mmHg, at the 4th was 80 mmHg, and at the 6th was 85 mmHg. The average pulse rate at the 2nd hour was 85.4 per minute, at the 4th was 86.7 per minute, and at the 6th was 90.3 per minute. The average MAP at the 2nd hour was 91 mmHg, at the 4th was 91.3 mmHg, and at the 6th was 94 mmHg. Keywords: visual analog scale, haemodynamic, ketorolac, tramadol Abstrak: Nyeri adalah suatu pengalaman sensoris dan emosional yang tidak menyenangkan dihubungkan dengan adanya kerusakan jaringan atau potensial terjadinya kerusakan jaringan atau suatu keadaan yang menunjukan kerusakan jaringan. Penelitian ini bertujuan untuk mengetahui gambaran skala analog visual dan hemodinamik pada pasien yang diberikan kombinasi tramadol dan ketorolak pascabedah laparotomi. Gambaran nyeri dinilai dengan menggunakan visual analog scale (VAS). Jenis penelitian ini deskriptif prospektif dan dilakukan di ruang pemulihan recovery room (RR) pascabedah dan di Instalasi Rawat Inap A dan D RSUP Prof. Dr. R. D. Kandou Manado pada bulan Desember 2015-Maret 2016. Jumlah sampel yaitu 20 orang yang dilakukan operasi laparotomi yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan bahwa rerata skor VAS pada jam ke-2 ialah 5 sedangkan rerata skor VAS pada jam ke-4 dan jam ke-6 ialah 6,4 dan 8,5 secara berurutan. Rerata tekanan sistolik pada jam ke-2 ialah 124 mmHg, jam ke-4 ialah 126 mmHg dan jam ke-6 menjadi 131,6 mmHg. Rerata tekanan diastolik pada jam ke-2 ialah 78 mmHg, jam ke-4 ialah 80 mmHg, dan jam ke-6 menjadi 85 mmHg. Rerata laju nadi pada jam ke-2 ialah 85,4 x/menit, jam ke-4 ialah 86,7 x/menit, dan jam ke-6 menjadi 90,3 x/menit mmHg. Rerata MAP pada jam ke-2 ialah 91 mmHg, jam ke-4 ialah 91,3 mmHg, dan jam ke-6 menjadi 94 mmHg.Kata kunci: visual analog scale, hemodinamik, ketorolak, tramadol
Profil Penurunan Tekanan Darah (hipotensi) pada Pasien Sectio Caesarea yang Diberikan Anestesi Spinal dengan Menggunakan Bupivakain Tanambel, Popi; Kumaat, Lucky; Lalenoh, Diana
e-CliniC Vol 5, No 1 (2017): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.5.1.2017.15813

Abstract

Abstract: Cesarean section is generally performed on pregnant women and the prevalence is continuously increasing every years. This study was aimed to determine the profile of the occurence of hypotension in patients of sectio caesarea with spinal anesthesia using bupivacaine at Prof. Dr. R. D. Kandou Manado. This was a descriptive retrospective study. Data were obtained from the emergency operation room at Prof. Dr. R. D. Kandou Manado from November through December 2015. The results showed that there were 15 cases of cesarean section with spinal anesthesia using bupivacaine. According to age group, there was 1 patient (6.66%) in age group <20 years; 11 patients (73.33%) in age group 20-35 years; and 3 patients (20%) in age group >35 years. After spinal anaesthesia using bupivacaine, the highest percentage of decrease in systolic blood pressure was 18.18%, meanwhile of diastolic blood pressure was 11.11%. Conclusion: The decreases in systolic blood pressure and diastolic blood pressure after spinal anesthesia using bupivacaine were within normal limits.Keywords: spinal anesthetic, bupivacaine, hypotension Abstrak: Sectio caesarea (SC) merupakan operasi yang umum dan luas dilakukan pada wanita hamil dan prevalensi meningkat setiap tahun. Penelitian ini bertujuan untuk mengetahui profil kejadian hipotensi pada pasien SC yang diberikan anestesi spinal dengan bupivakain di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif. Data penelitian diambil dari ruang operasi darurat periode November 2015 sampai Desember 2015. Hasil penelitian mendapatkan 15 kasus bedah SC dengan menggunakan teknik anestesi spinal. Berdasarkan golongan usia, ditemukan kelompok usia <20 tahun sebanyak 1 pasien (6,66%); usia 20-35 tahun sebanyak 11 pasien (73,33%); dan usia >35 tahun sebanyak 3 pasien (20%). Persentase penurunan tekan darah sistolik yang paling tinggi sesudah dilakukan anestesi spinal ialah sebesar 18,18% sedangkan untuk tekanan darah diastolik paling tinggi mencapai 11,11%. Simpulan: Penurunan tekan darah sistolik dan tekanan darah diastolik sesudah dilakukan anestesi spinal masih berada dalam batas normal.Kata kunci: anestesi spinal, bupivakain, hipotensi
Co-Authors Bambang Suryono, Bambang Bongakaraeng, Tika Yudiyani Christina Suhartono Dewi Yulianti Bisri Fendiputra, Melvin Firdaus, Riyadh Firdaus, Riyadh Galuh R. Mufti, Galuh R. Harold F Tambajong Harold F. Tambajong Harold Tambajong Ibrahim, Rian Ida Bagus Krisna Jaya Sutawan Iddo Posangi Kambey, Barry I. Kiki Ekawati Kowel, Feysira C. E. P. Laihad, Mordekhai L. Lalenoh, Hermanus Laritmas, Sintikhe C. Y. Leopold Laihad, Mordekhai Louisandrina Saranti, Muifa Lucky Kumaat Lucky T. Kumaat Maria Estefina Siwi, Maria Estefina Marsela J. A. Berhimpong Masikome, Jessica N. Mordekhai L. Laihad Mordekhai Leopold Laihad Muhammad Gufran Ni Wayan Ira L. Dewi Nur Fadhliyah Asimin, Nur Fadhliyah Patty, Vania Nita Permatasari, Endah Poluan, Timothy M. Rawis, Daniel Rawis, Maria L. Raynaldo E. D. Togas Rehatta, Nancy Margareta Rheza N. Tambajong, Rheza N. Rosiana Lamerkabel Sadrakh Tompodung Saleh, Siti Chasnak Sri Rahardjo Subekti, Bambang Eko Subekti, Bambang Eko Sudjito, M. H Tanambel, Popi Tanio, Pratiwi N. Taroreh, Reinhard C. Tatang Bisri Thambas, Anastasia T. Tia, Herry Y. Tifany Tewuh Tori Sepriwan, Tori Triyatna R. A. Tampubolon Wonggo, Tesalonika Wuisan, Debby D.