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Kenanga Marwan Sikumbang

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Author-ID : 3108367

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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GAMBARAN ANGKA KEJADIAN Post Operative Nausea and Vomiting (PONV) DI RSUD ULIN BANJARMASIN MEI-JULI 2014 Amalia Sholihah; Kenanga Marwan Sikumbang; Ahmad Husairi
Berkala Kedokteran Vol 11, No 1 (2015)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Post operative nausea and vomiting (PONV) are defined as episode of nausea and emesis after a surgical act and before hospital discharge. Over 100 million patients undergo surgery in the worldwide with about 30% experiencing PONV. PONV have been associated with multifactorial such as age, gender, anaesthesia techniques, and type of surgery. The aim of this study was to determine the incidence of PONV in RSUD Ulin Banjarmasin May-July 2014. It was a descriftive study. Data was collected from a questioner on the first postoperative day. Consecutive sampling was used with a total of 96 patients as the subjects of this study. Of the 96 patients studied, 26 patients (27.08%) experienced PONV. The highest incidence of PONV occurred the age group 40-54 years with 11 patients (11.46%). Most of patients with PONV were female with 18 patients (18.75%). Based on the type of anaesthesia techniques used, those who were given general anaesthesia were the ones who mostly experienced PONV with 18 patients (18,75%). There were 12 patients (12.50%) who experienced PONV undergone digestive surgery. In conclusion, the highest incidence of ponv was found in the age group 40-54 years, female gender, patients who received general anaesthesia, and patients undergone digestive surgery. Keywords: post operative nausea and vomiting (PONV), age, gender, general anaesthesia techniques, type of surgery.

HUBUNGAN SKOR GLASGOW COMA SCALE (GCS) DENGAN JUMLAH TROMBOSIT PADA PASIEN CEDERA KEPALA DI IGD RSUD ULIN BANJARMASIN Annisa Yutami; Kenanga Marwan Sikumbang; Asnawati Asnawati
Berkala Kedokteran Vol 12, No 2 (2016)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Head injuries are a public health and a serious socio-economic problems in the world. Head injury classified quantitatively using the Glasgow Coma Scale (GCS) score. Consumptive coagulopathy that often arises in patients with head injury associated with a tenfold adjusted risk of death. Consumptive coagulopathy marked by a decrease in the number of platelets. The purpose of the study was to analyze the relationship between GCS score with total platelet count in head injury patients at Emergency Department Ulin General Hospital Banjarmasin. This study was an observational analytic cross sectional study. Seventy three samples were obtained according to the inclusions criteria with 28 mild head injury patients, 26 moderate head injury patients, and 19 severe head injury patients. Seven patients had thrombocytopenia, from moderate head injury and severe head injury groups. From statistical test using one way ANOVA with confidence level of 95% was obtained p=0.402. It can be concluded that there is no relationship between GCS score with total platelet count in head injury patients at Emergency Department Ulin General Hospital. Keywords: head injury, GCS, platelet count Abstrak: Cedera kepala merupakan masalah kesehatan masyarakat dan sosial ekonomi yang serius di dunia. Cedera kepala diklasifikasikan secara kuantitatif menggunakan skor Glasgow Coma Scale (GCS). Koagulopati konsumtif yang sering muncul pada pasien cedera kepala dapat meningkatkan risiko kematian menjadi sepuluh kali lipat. Koagulopati konsumtif ditandai dengan penurunan jumlah trombosit. Tujuan penelitian untuk mengetahui apakah terdapat hubungan antara skor GCS dengan jumlah trombosit pada pasien cedera kepala di IGD RSUD Ulin Banjarmasin. Penelitian ini bersifat observasional analitik cross sectional. Didapatkan 73 sampel yang sesuai dengan kriteria inklusi, dengan perincian 28 pasien cedera kepala ringan (CKR), 26 pasien cedera kepala sedang (CKS), dan 19 pasien cedera kepala berat (CKB). Tujuh pasien mengalami trombositopenia, dari kelompok pasien cedera kepala sedang dan cedera kepala berat. Dari uji statistik menggunakanone-way ANOVA dengan tingkat kepercayaan 95% didapatkan nilai p=0,402. Dapat disimpulkan bahwa tidak terdapat hubungan antara skor GCS dengan jumlah trombosit pada pasien cedera kepala di IGD RSUD Ulin Banjarmasin. Kata-kata Kunci: cedera kepala, GCS, jumlah trombosit

HEMODYNAMIC STABILITY AND RECOVERY TIME OF PROPOFOL AND SEVOFLURANE IN ULIN GENERAL HOSPITAL BANJARMASIN Rina Lesiana; Kenanga Marwan Sikumbang; Istiana Istiana; Oky Susianto; Erida Wydiamala
Berkala Kedokteran Vol 13, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: The main interest in general anesthesia is safety and the well being of the patient especially the stability of hemodynamic during induction until extubation. The most common causes of prolonging awakening are residual effects of drugs either anesthetics, sedatives, and analgesics. This study aimed to compare hemodynamic stability and recovery time between propofol and sevoflurane at Ulin General Hospital Banjarmasin. This was an observational analytic study conducted in July until November 2016 on 31 patients. The result showed that mean systolic blood pressure, diastolic blood pressure and heart rate for 90 minutes maintenance were no significant difference in group-A (propofol) compare with group-B (sevoflurane), post hoc Bonferroni test showing p>0.05. Mean recovery time to consciousness was faster in group-A (10,46 minutes) than group-B (15,59 minutes), there was no significant difference in two group. In conclusion, there was no significant difference in hemodynamic stability and recovery time between propofol and sevoflurane. Keywords: hemodynamic stability, recovery time, propofol, sevoflurane.

Efek Pemberian Cairan Koloid dan Kristaloid terhadap Tekanan Darah Rebika Nurul Azizah; Kenanga Marwan Sikumbang; Asnawati Asnawati
Berkala Kedokteran Vol 12, No 1 (2016)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Maternal hypotension is a serious problem that most commonly occurs after spinal anesthesia in cesarean section. To reduce the incidence of maternal hypotension, mother with spinal anasthesia for cesarean section can be given fluids intravenously using crystalloid or colloid.The purpose of this study was to determine the effect of colloid and crystalloid fluid to blood pressure in mother with spinal anesthesia for cesarean section. This study was cross sectional observational analytic. There were 2 groups in this study, crystalloid group and colloid group. Sampels in each group were 20 subject. Generalized linier models test showed the value of P > 0.05 for each hemodynamic markers (Systolic and diastolic pressure at 5th, 10th, and 15th minutes). On the statistical test value of systolic ( P= 0.379) and diastolic ( P= 0.654). It can be concluded that crystalloid and colloid fluid were equally efective to defend blood pressure in patients with spinal anesthesia for caesarean sectionKeywords: blood pressure, spinal anesthesia, cesarean section, crystalloid, colloid. Abstrak: Hipotensi pada ibu hamil adalah masalah serius yang paling umum terjadi pasca anestesi spinal pada seksio sesarea. Untuk mengurangi kejadian hipotensi tersebut dapat diberikan cairan intravena berupa kristaloid atau koloid. Tujuan penelitian ini untuk membandingkan efek penggunaan cairan koloid dan kristaloid terhadap tekanan darah pasien seksio sesaria dengan anestesi spinal. Penelitian ini bersifat observasional analitik cross sectional. Dua puluh pasien yang telah diberikan cairan kristaloid dan 20 pasien lainnya yang diberikan cairan koloid. Dari uji statistik dengan generaliz linier model didapatkan nilai P= >0.05 pada setiap penanda hemodinamik (TDS dan TDD pada menit ke-5, 10, dan 15). Pada uji statistik tersebut nilai TDS (P = 0.379) dan TDD (P = 0.654). Dapat disimpulkan bahwa cairan kristaloid dan koloid sama efektifnya dalam mempertahankan tekanan darah pada ibu hamil dengan seksio sesarea yang dilakukan anestesi spinal. Kata-kata kunci: tekanan darah, anestesi spinal, seksio sesarea, kristaloid, koloid.

Co-Authors Ahmad Husairi Amalia Sholihah Annisa Yutami Asnawati Asnawati Erida Wydiamala Istiana Istiana Oky Susianto Rebika Nurul Azizah Rina Lesiana

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