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All Journal Jurnal Anestesiologi Indonesia Majalah Kedokteran Bandung Jurnal Anestesi Perioperatif Majalah Anestesia dan Critical Care Majalah Anestesia & Critical Care (MACC) Jurnal Komplikasi Anestesi
Erwin Pradian
Departemen Anestesiologi Dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit Dr. Hasan Sadikin Bandung
Education Health Professions Medicine & Pharmacology Public Health

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Therapeutic Outcome of High Flow Nasal Cannula (HFNC) for Severe COVID-19 Patients in Isolation Intensive Care Unit Baginda Aflah; Erwin Pradian; Nurita Dian Kestriani
Majalah Kedokteran Bandung Vol 55, No 2 (2023)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v55n2.2875

Abstract

This retrospective descriptive study aimed to understand the outcomes of HFNC therapy in severe COVID-19 patients admitted to isolation ICU during the period of January to June 2021 in Dr. Hasan Sadikin General Hospital Bandung, Indonesia. A total of 134 patients with severe COVID-19 were admitted to the isolation ICU and received HFNC. Among them, 44 patients (32.8%, N:134) were successfully weaned from HFNC and 90 patients (67.2%, N:134) failing HFNC with 10 patients (7.5%, N:134) died on HFNC use, 72 patients (53.9%, N:134) died on ventilator use, 4 patients (2.9%, N:134) moved rooms under HFNC use, and 4 patients (2.9%, N:134) moved to non-ICU isolation with ventilator use as the outcome. Patients’ median age was 60 years, most were male (52.3 %, N:134), median BMI was 25.4 kg/m2, with hypertension and diabetes mellitus as the main comorbidities. There was an improvement in the SpO2 on the first day after the use of HFNC. The ROX index had a median value of 3.6 on the first day, with the lowest ROX index of 3.2 and the highest of 4.4 during the treatment time. There was an improvement in the P/F Ratio in successful patients with a median initial P/F Ratio of 86.7 to 200.1 at the end of treatment. Overall, HFNC improves the hypoxemic conditions in early admission but does not correlate with general patient outcomes.
Gambaran Mortalitas Pasien Sepsis Berdsarkan Fluid Accumulation di ICU RSUP DR. Hasan Sadikin Bandung Tahun 2021–2022 Faisal Rachman; Erwin Pradian; Nurita Dian Kestriani
Jurnal Anestesi Perioperatif Vol 12, No 2 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v12n2.3717

Abstract

Manajemen cairan pasien sakit kritis memiliki risiko terjadinya akumulasi cairan. Resusitasi cairan merupakan bagian penting dalam menstabilkan status hemodinamik dan meningkatkan oksigenasi jaringan. Beberapa penelitian telah menunjukkan bahwa balans cairan kumulatif positif merupakan faktor prognostik yang kuat untuk mortalitas pasien sepsis. Tujuan penelitian ini adalah mengetahui gambaran mortalitas pada pasien sepsis yang mengalami akumulasi cairan selama dirawat di ICU RSUP Dr. Hasan Sadikin Bandung Tahun 2021–2022. Metode pengambilan sampel dilakukan dengan teknik consecutive sampling secara retrospektif melalui rekam medis pasien sepsis yang mengalami akumulasi cairan di ICU RSUP Dr. Hasan Sadikin Bandung selama periode 1 Januari 2021–31 Desember 2022 dengan jumlah sampel adalah 107 orang subjek penelitian. Analisis menunjukkan bahwa karakteristik pasien relatif sama antara kelompok yang mengalami mortalitas dan yang bertahan hidup. Pada kategori akumulasi cairan >10%, semua pasien (100%) mengalami mortalitas, sedangkan pada kategori akumulasi cairan <10%, 27 pasien (51,9%) meninggal dan 25 pasien (48,1%) bertahan hidup. 
Terapi Nutrisi Pasien di Intensive Care Unit (ICU) Santosa, Budi; Suwarman; Pradian, Erwin
Jurnal Komplikasi Anestesi Vol 7 No 3 (2020): Volume 7 Number 3 (2020)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v7i3.7480

Abstract

Nutrition is important in critical patient care. Malnutrition may lead to poor outcome of the patient in ICU, including increases morbidity, mortality, and length of stay. Patient in ICU also experienced increased metabolism and catabolism which can lead to malnutrition. Therefore, the provision of nutrition for patients in the ICU needs a special care. The nutritional requirement of critical ill patients depend on the severity of the disease and previous nutritional status. To achieve the demand of nutritional demand can be given enterally, parenterally or both.
KORELASI ANTARA DOPPLER-BASED RENAL RESISTIVE INDEX DAN NILAI KREATININ PADA PASIEN SAKIT KRITIS Tanto, Dedi; Pradian, Erwin; Erlangga, Erias
Jurnal Anestesi Perioperatif Vol 12, No 3 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v12n3.3779

Abstract

Indeks resistriksi renal/renal resistive index (RRI) merupakan pemeriksaan ultrasonografi non invasif untuk menilai renovascular dan dapat dilakukan dengan prinsip point-of-care testing (POCT) RRI merefleksikan perubahan aliran darah arteri intrarenalis, yang dapat terganggu pada pasien dengan gangguan fungsi ginjal, yang tercermin dalam peningkatan nilai kreatinin serum. Penelitian ini bersifat observasional analitik dengan desain potong lintang, bertujuan untuk mengetahui hubungan antara RRI dan nilai kreatinin serum pada pasien sakit kritis di ICU RSUP Dr. Hasan Sadikin, Bandung, dari Mei hingga Agustus 2023. Sebanyak 51 pasien berusia 18–65 tahun menjalani pemeriksaan RRI dan kreatinin serum pada 24 jam pertama dan kedua setelah masuk ICU. Analisis korelasi menunjukkan nilai R sebesar 0,538, koefisien determinasi (r²) sebesar 0,298, dan nilai p<0,001. Hasil ini menunjukkan korelasi positif moderat antara RRI dan nilai kreatinin serum.
Co-Authors , Rizki - Irwan - Irwan, - - Suhandoko - Suhandoko A. Muthalib Nawawi A. Muthalib Nawawi Adhitya Pratama Agung Ari Budy Siswanto Agung Hujjatulislam Agung Hujjatulislam, Agung Andie Muhari Barzah Andie Muhari Barzah, Andie Muhari Ardi Zulfariansyah Ardi Zulfariansyah Aris Gunawan Baginda Aflah Bahtiar Susanto Bramantyo Pamugar Budi Fitriyana Budi Fitriyana Budi Santosa Budi Santosa Cindy Elfira Boom Dedi Fitri Yadi Delis, Eddo Alan Destiara, Andy Pawana Dhany Budipratama Doni Arief Rahmansyah Doni Arief Rahmansyah Eddo Alan Delis Emvina Husni Syam Emvina Husni Syam Eri Surahman Eri Surahman Erlangga, Erias Ezra Oktaliansah Faisal Rachman Faisal Rosady Faisal Rosady Fatima Fatima Ferawati Ferawati Gunawan, Aris Hendro, Rachmad Try Hidayat Hidayat Ida Bagus Krisna Jaya Sutawan Ike Sri Redjeki Ike Sri Redjeki Iman Muhammad Yusup Mansur Iman Muhammad Yusup Mansur Indra Wijaya Indriasari Indriasari Irwan Setiadi Iwan Fuadi Jonathan Jonathan Kurnia Ricky Ananta Kurniawan, Muhammad Budi Listiana Dewi Sartika M. Andy Prihartono M. Erias Erlangga Maransdyka Purnamasidi Maransdyka Purnamasidi Marrylin Tio Simamora Mohamad Andy Prihartono Mohamad Andy Prihartono Muhammad Budi Kurniawan Muthalib Nawawi Nawawi, Muthalib Nurita Dian Nurita Dian Kestriani Nurita Dian Kestriani Nurita Dian Kestriani Pamugar, Bramantyo Permana, Sendy Setiawan Rachmad Try Hendro Rahmat Rahmat Reza Indra Putra Reza Indra Putra, Reza Indra Reza W Sudjud Ricky Aditya Rudi Kurniadi Kadarsah Ruli Herman Sitanggang Selly Oktarina Rosita Selly Oktarina Rosita Sendy Setiawan Permana Sobaryati Supandji, Mia Susanto, Bahtiar Suwarman Suwarman Suwarman Tanto, Dedi Tatang Bisri Tatang Bisri Tatang Bisri Tinni T. Maskoen Tinni T. Maskoen Tinni T. Maskoen Tinni Trihartini Maskoen Yovita Koswara Yovita Koswara