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All Journal Folia Medica Indonesiana Journal Of Vocational Health Studies JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Jurnal Rekonstruksi dan Estetik

Hariani, Lynda

Department Of Plastic, Reconstructive, And Aesthetic Surgery, Faculty Of Medicine, Universitas Airlangga/Dr. Soetomo General Hospital, Surabaya, Indonesia

Author-ID : 3289717

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

Published : 6 Documents Claim Missing Document

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Articles

High Risk of Failed Skin Graft on Major Burn Patients with Complication of Hypernatremia Lynda Hariani; Agus Santoso Budi; Ephora Christina Wulandari
Folia Medica Indonesiana Vol. 57 No. 2 (2021): June
Publisher : Universitas Airlangga

The rate of failed skin graft in Dr. Soetomo General Academic Hospital Surabaya was around 26% of the cases, and it became a concern because skin graft was the main procedure to close large burn wounds. Many problems might affect this event; one of them was electrolyte imbalance. Hypernatremia was found in major burn patients. This condition disrupted the wound healing process of skin graft. This cross-sectional study evaluated patients with burns admitted to the Burn Centre of Dr. Soetomo Hospital between January 2014 and December 2018. 143 subjects participated in this study. Hypernatremia was found in 16% of all subjects (23 subjects), 19% with hypernatremia (28 subjects), and the majority of it, 65% with normonatremia (92 subjects). This study found that the risk of failed skin graft was higher on hypernatremia than normonatremia subjects. This risk was higher if the skin graft procedure took more than 10%.

A 3-Years Pneumonia Incidence in Burn Cases with Inhalation Injury at the Burn Center of Dr. Soetomo General Hospital Surabaya in 2015-2018 Salsabilla Gina Rania; Lynda Hariani; Helmia Hasan; Iswinarno Doso Saputro
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 13 No. 1 (2022): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V13I12022.27-30

Introduction: Inhalation injury is one of burns impact. Airway burns due to inhalation injury is a non-specific term which refer to all respiratory tract injuries occurred due to irritative chemicals, including heat and smoke during inspiration. Inhalation injury increases the risk of death in burns. Pneumonia is one of burns-related inhalation injury complications.Methods: This was a descriptive retrospective study aiming to determine the incidence of pneumonia in burn patients with inhalation injury using secondary data at Burn Center Dr. Soetomo General Hospital Surabaya in the period of January 2015 - December 2018.Results: There were 5 cases of pneumonia in 14 burn cases with inhalation injury (35.71%). Respectively, 2 and 3 cases were found in 2017 and 2018. There were 2 female (40%) and 3 male (60%) patients, with age varied within 28-73 years old. The burn area of burn patients with inhalation injury and pneumonia were found by 15%, 20%, 24%, 32% and 71%, or within the classification of 11-20% burn area, and most complication found was hypoalbuminemia, as much as 3 cases (60%).\Conclusion: Most pneumonia in burn cases with inhalation injury was occurred in 2018, dominated by male patients. The age of the patient were ranging from early adulthood to elderly. Most burns were in the range of 11-20% burn area with the most complication found was hypoalbuminemia.

CORRELATION OF HYPERNATREMIA TO SUCCESS RATE OF SKIN GRAFT IN BURN PATIENTS DR. SOETOMO GENERAL ACADEMIC HOSPITAL BURN CENTER FROM 2014-2018 Wulandari, Ephora Christina; Lynda Hariani; Budi, Agus Santoso
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 2 (2019): Jurnal Rekonstruksi dan Estetik, December 2019
Publisher : Universitas Airlangga

Highlights: Patients with hypernatremia had a relative risk of experiencing graft failure, especially if the graft involved more than 10% of the affected area. The importance of managing electrolyte imbalances to enhance the success of skin graft procedures. Abstract: Introduction: From collective data from 2014 – 2018 from Burn Center in Dr. Soetomo General Academic Hospital, the rate of failed skin graft was 26%. This high number became a concerned because skin graft was the main procedure to close large burn wound. This event is affected by many problems, one of them is electrolyte imbalance. Hypernatremia was seen in major burn patients that causes the disruption of wound healing process of skin graft. Methods: A cross sectional study of patients with burns admitted to the Burn Centre of Dr. Soetomo Hospital between January 2014 and December 2018 were evaluated. Results : 143 subjects were involved in this study. 44 subjects are female (31%) and 99 subjects are male (69%). 66% of the burn injuries are caused by fire (93 subjects), 14% caused by electricity (20 subjects), 8% caused by scald (12 subjects), 6% caused by boiled oil (8 subjects), 4% caused by chemical agent (6 subjects) and 2% caused by blast injury (1 subject). 77% of all subjects (110 subjects) underwent split thickness skin graft less than 10% while 23% (33 subjects) underwent the procedure 10% or more than it. Hypernatremia is found in 16% of all subjects (23 subjects), 19% with hyponatremia (28 subjects) and majority of it, 65%, with normonatremia (92 subjects). From the study, it was found that the risk of failed skin graft was higher on hypernatremia subjects than normonatremia subjects, the relative risk was 6,06 to fail. This number was higher if the skin graft procedure took more than 10%. But, it was found the risk was higher on hyponatremia subjects than the rest of subjects, with the relative risk was 7.75 to fail. Conclusions: Hypernatremia caused high risk of failed skin graft on major burn patients.

EFEKTIVITAS PEMBERIAN KAPSUL EKSTRAK CHANNA STRIATA TERHADAP KADAR ALBUMIN PADA KASUS LUKA BAKAR Isamahendra, Naufal Agus; Murtiastutik, Dwi; Lynda Hariani
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 2 (2021): Jurnal Rekonstruksi dan Estetik, Desember 2021
Publisher : Universitas Airlangga

Highlights: Kapsul ekstrak Channa striata meningkatkan kadar albumin dalam tubuh dan mempercepat penyembuhan luka pasien luka bakar. Efek positif kapsul ekstrak Channa striata adalah menurunkan kadar MDA serum dan meningkatkan balans nitrogen ke arah positif. Abstrak: Latar Belakang: Luka bakar adalah cedera pada kulit atau jaringan organik lainnya yang disebabkan oleh panas, radiasi, zat radioaktif, listrik, gesekan atau kontak dengan bahan kimia. Bagian tubuh yang mengalami luka bakar akan vasodilatasi akibat adanya stimulus mediator inflamasi yang dilepaskan oleh sel endotel, platelet dan leukosit yang rusak, mengakibatkan peningkatan tekanan hidrostatik kapiler yang menyebabkan meningkatnya permeabilitas membran kapiler. Keadaan ini membuat cairan dan elektrolit di intravaskuler keluar ke ekstravaskuler. Albumin juga ikut keluar ke ekstraseluler pada proses ini, sehingga terjadi hipoalbuminemia. Diperlukan adanya solusi untuk peningkatan kadar albumin selain melalui transfusi, dengan syarat alternatif transfusi albumin ini diharapkan lebih hemat dan efisien dibandingkan dengan albumin transfusi yang terkenal mahal. Ekstrak Channa striata merupakan sebuah produk baru yang diharapkan dapat menjadi alternatif albumin transfusi ini. Tujuan penelitian adalah untuk mengetahui apakah pemberian kapsul ekstrak Channa striata dapat meningkatkan kadar albumin dalam darah pada kasus luka bakar. Metode: Metode penelitian ini menggunakan metode systematical review dengan mengambil jurnal melalui Google Scholar dan ScienceDirect. Hasil:Dari 5 literatur yang dianalisa, semua menyatakan bahwa Channa striata mempercepat penyembuhan luka dan meningkatkan kadar albumin. Kesimpulan: Kesimpulan dari penelitian ini adalah kapsul ekstrak Channa striata dapat meningkatkan kadar albumin dalam tubuh serta mempercepat penyembuhan luka pasien luka bakar. Kapsul ekstrak Channa striata biasanya diberikan sebagai suplementasi bersama bahan lain untuk memenuhi kebutuhan gizi pasien. Penelitian ini membuktikan efek kapsul ekstrak Channa striata terhadap kadar albumin menurunkan kadar MDA serum dan meningkatkan balans nitrogen ke arah positif.

SUBGLOTTIC STENOSIS (SGS) PASCA TRAUMA INHALASI Lilihata, Jilvientasia Godive; Saputro, Iswinarno Doso; Lynda Hariani
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 2 (2021): Jurnal Rekonstruksi dan Estetik, Desember 2021
Publisher : Universitas Airlangga

Highlights: Pentingnya evaluasi FOL sejak awal setelah cedera inhalasi. Sekuel cedera inhalasi pada subglotis dapat dicegah dengan menggunakan ETT ukuran kecil dengan tekanan cuff yang tidak terlalu tinggi. Abstrak: Latar Belakang: Laryngotracheal stenosis (LTS) terjadi pada 24-53% pasien pasca trauma inhalasi Insiden komplikasi pasca pembedahan LTS adalah 33- 34% dan mortalitas pasca pembedahan adalah 1,5-2%.SGS sering terjadi pada cedera inhalasi pasca intubasi. Ilustrasi Kasus: Pasien dengan luka bakar pada area wajah dan keempat ekstremitas, akibat ledakan tabung gas pada ruangan tertutup. Sembilan jam pasca trauma, pasien mengeluhkan kesulitan bernapas. Pasien diintubasi selama 2 hari pasca trauma dan 5 kali intubasi lainnya dengan ETT cuff 6,5 mm untuk tindakan operasi. Tidak ada data tekanan cuff pasien. Hari ke-38 perawatan di rumah sakit, pasien mengeluh suaranya serak dan terkadang merasa sulit bernapas. Hasil fiber optic laryngoscopy (FOL) pasien menunjukan 30% penyempitan pada subglotis. Pasien didiagnosis dengan SGS stadium 1. Pasien tidak membutuhkan tindakan pembedahan dan hanya diobservasi. Hasil: Evaluasi FOL sebaiknya dilakukan sejak awal setelah cedera inhalasi. Namun, pada pasien kami, evaluasi FOL baru dilakukan setelah gejala SGS muncul. Risiko peningkatan SGS terkait dengan keparahan cedera inhalasi, tingkat peradangan, durasi penggunaan tabung endotrakeal (ETT) yang lama (lebih dari 10 hari), penggunaan ETT yang besar, dan intubasi berulang. Tekanan cuff pada ETT bisa menyebabkan masalah seperti bekas luka dan penyempitan pada subglotis. Tekanan cuff yang direkomendasikan adalah 20-30 cmH2O, dan perlu diukur dan disesuaikan setiap 4-12 jam. Pasien kami mengalami intubasi sebanyak 6 kali tanpa pengukuran tekanan cuff. Stadifikasi SGS sering menggunakan sistem Cotton Meyer staging, di mana Stadium 1 SGS biasanya tidak memerlukan tindakan pembedahan. Kesimpulan: Sekuel cedera inhalasi pada subglotis dapat dicegah dengan melakukan intubasi sesuai indikasi dan menggunakan Endotracheal Tube (ETT) ukuran kecil dengan tekanan cuff yang tidak terlalu tinggi. Hal ini dapat membantu mengurangi risiko terjadinya Subglottic Stenosis (SGS) yang serius.

MRSA COLONITATION DETECTION IN OBJECT NEAR PATIENTS IN BURN UNIT RSUD DR. SOETOMO - INDONESIA Wahyunitisari, Manik Retno; Mustikasari, Melisa Indah; Hariani, Lynda
Journal of Vocational Health Studies Vol. 5 No. 1 (2021): July 2021 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V5.I1.2021.22-25

Background: Burn unit is a unit where patients with a burn wound in which the patient's skin is not intact are taken care of. Methicillin-resistant Staphylococcus aureus (MRSA) as the prototype of a nosocomial pathogen is usually transmitted through contact from the surfaces of the object to the non-intact skin. Therefore, the possibility of MRSA infection increase in the burn unit. Purpose: The purpose of this research is to find out whether there is any colonization of MRSA on the objects around burn unit patients that can contribute to the spreading of MRSA in the RSUD Dr.Soetomo Indonesia. Method: The sampling period was started from October 2019 until March 2020. Samples were taken randomly from 28 patients in the Burn unit RSUD Dr.Soetomo -ndonesia and then tested for identification in the microbiology laboratory of the medical faculty, Universitas Airlangga. Result: Nineteen bacterial growths were obtained from twenty-eight samples taken, nine of them were confirmed as Stahylococcus aureus and one from nine of them was confirmed as MRSA. Conclusion: MRSA contamination was found on an object around the patient burn unit Dr. Soetomo-Indonesia which comes from the stethoscope membrane.

Co-Authors Agus Santoso Budi Agus Santoso Budi, Agus Santoso Dwi Murtiastutik Ephora Christina Wulandari Hasan, Helmia Isamahendra, Naufal Agus Iswinarno Doso Saputro Lilihata, Jilvientasia Godive Mustikasari, Melisa Indah Salsabilla Gina Rania Wahyunitisari, Manik Retno Wulandari, Ephora Christina

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