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All Journal e-CliniC JURNAL BIOMEDIK Jurnal Neuroanestesi Indonesia
Diana Ch. Lalenoh
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Karakteristik Mortalitas Pasien Geriatri Pascaoperasi di ICU RSUP Prof. Dr. R. D. Kandou Manado Periode Juli 2024-Juli 2025 Laritmas, Sintikhe C. Y.; Kambey, Barry I.; Lalenoh, Diana Ch.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65857

Abstract

Abstract: Increased number of elderly population is accompanied by a decline in physiological function and multiple comorbidities, therefore, increases their vulnerability to postoperative complications and mortality. This study aimed to describe the clinical characteristics of postoperative mortality in geriatric patients in the Intensive Care Unit (ICU) at Prof. Dr. R. D. Kandou General Hospital in Manado from July 2024 to July 2025. This was a descriptive and  retrospective study using medical records of 119 geriatric patients who met the inclusion criteria. The variables examined included age, gender, comorbidities, type of surgery, and length of hospital stay. The results showed that the pre-elderly group (60-69 years) was the largest group (50.42%). The gender proportion was relatively balanced, with 50.42% female and 49.58% male. Hypertension (60.50%) was the most common comorbidity, while digestive surgery was the most common type of surgery (36.13%). In addition, the majority of patients had a length of stay ≥7 days (57.98%). In conclusion, pre-elderly patients with multiple comorbidities, especially hypertension, as well as those who underwent digestive surgery and had a longer length of stay, were the most common group found in the mortality population of this study. Keywords: geriatric patients; Intensive Care Unit; characteristics; retrospective; mortality    Abstrak: Pertambahan populasi lanjut usia, disertai penurunan fungsi fisiologis dan komobiditas multipel, meningkatkan kerentanan mereka terhadap komplikasi pascaoperasi dan mortalitas. Penelitian ini bertujuan menggambarkan karakteristik klinis mortalitas pasien geriatri pascaoperasi di Intensive Care Unit (ICU) RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2024-Juli 2025. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medis 119 pasien geriatri yang memenuhi kriteria inklusi. Variabel yang dikaji meliputi usia, jenis kelamin, komorbiditas, jenis operasi, dan lama rawat inap. Hasil penelitian mendapatkan kelompok pra-lansia (60-69 tahun) merupakan kelompok terbanyak (50,42%). Proporsi jenis kelamin relatif seimbang, yaitu perempuan 50,42% dan laki-laki 49,58%. Hipertensi (60,50%) merupakan komorbiditas tersering, sedangkan bedah digestif menjadi jenis operasi terbanyak (36,13%). Selain itu, mayoritas pasien memiliki lama rawat inap ≥7 hari (57,98%). Simpulan penelitian ini ialah pasien pra-lansia dengan komorbiditas multipel terutama hipertensi, serta yang menjalani operasi digestif dan memiliki lama rawat inap pasien yang lebih panjang merupakan kelompok yang paling banyak ditemukan dalam populasi mortalitas penelitian ini. Kata kunci: pasien geriatri; Intensive Care Unit; karakteristik pasien; mortalitas
The Use Dexmedetomidine as a Total Intravenous Anesthesia–Propofol Adjuvant for Aneurysm Clipping Sepriwan, Tori; Saleh, Siti Chasnak; Lalenoh, Diana Ch.
Jurnal Neuroanestesi Indonesia Vol 15, No 1 (2026)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v15i1.732

Abstract

Intracranial aneurysm is a cerebrovascular disease with a high mortality rate, particularly in cases of rupture. Aneurysm clipping surgery is one of the definitive management methods; however, it involves significant hemodynamic fluctuations that may lead to intraoperative complications and worsen prognosis. Hemodynamic stability and rapid anesthetic recovery are crucial aspects for the success of this procedure. We report a case of a 57-year-old female with a saccular aneurysm in the right M1 segment of the middle cerebral artery, scheduled for aneurysm clipping surgery. The patient had previously undergone decompressive craniectomy and hematoma evacuation due to non-traumatic intracranial hemorrhage, which was not initially diagnosed as an aneurysm, and showed no significant improvement postoperatively. In anesthetic management, dexmedetomidine was used as an adjuvant to maintain hemodynamic stability and support rapid recovery. Throughout the procedure with TIVA- Propofol, dexmedetomidine effectively maintained stable blood pressure without episodes of hypertension, hypotension, or bradycardia. The patient did not experience significant intraoperative complications, and postoperative recovery was optimal. This emphasizes the critical role of dexmedetomidine within modern anesthetic approaches to the management of intracranial aneurysm cases.
Co-Authors Christina Suhartono Harold F Tambajong Harold F. Tambajong Harold Tambajong Ibrahim, Rian Kambey, Barry I. Laihad, Mordekhai L. Laritmas, Sintikhe C. Y. Lucky T. Kumaat Marsela J. A. Berhimpong Ni Wayan Ira L. Dewi Patty, Vania Nita Rawis, Daniel Rawis, Maria L. Saleh, Siti Chasnak Taroreh, Reinhard C. Thambas, Anastasia T. Tia, Herry Y. Tori Sepriwan, Tori Wuisan, Debby D.