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All Journal Jurnal Teknologi Industri Pertanian SEGMEN Jurnal Manajemen dan Bisnis FORUM Politika: Jurnal Ilmu Politik The Indonesian Journal of Business Administration Jurnal Radioisotop dan Radiofarmaka Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Manajemen Bisnis Jurnal Anestesi Perioperatif CommIT (Communication & Information Technology) Pustakaloka: Jurnal Kajian Informasi dan Perpustakaan Info-Teknik Jurnal Gantang EDUFORTECH JURNAL PENGABDIAN KEPADA MASYARAKAT Indonesian Journal of Medicine ISOQUANT : Jurnal Ekonomi, Manajemen dan Akuntansi KEK (Kajian Ekonomi dan Keuangan) ComTech: Computer, Mathematics and Engineering Applications SCAFFOLDING: Jurnal Pendidikan Islam dan Multikulturalisme Jurnal Ilmiah Edunomika (JIE) INSPIRASI: Jurnal Kajian dan Penelitian Pendidikan Islam Jurnal Ekonomi Dan Bisnis Attractive : Innovative Education Journal Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Manajemen Bisnis Jurnal Fokus Manajemen Bisnis SEMAR Jurnal Anestesi Obstetri Indonesia Otonomi SECONDARY : Jurnal Inovasi Pendidikan Menengah (JIPM) AEEJ : Journal of Automotive Engineering and Vocational Education TEACHING : Jurnal Inovasi Keguruan dan Ilmu Pendidikan LEARNING : Jurnal Inovasi Penelitian Pendidikan dan Pembelajaran MANAJERIAL: Jurnal Inovasi Manajemen dan Supervisi Pendidikan STRATEGY : Jurnal Inovasi Strategi dan Model Pembelajaran Journal Corner of Education, Linguistics, and Literature Solo Journal of Anesthesi, Pain and Critical Care Waniambey: Journal of Islamic Education Jurnal Neuroanestesi Indonesia Southeast Asian Journal of Islamic Education MASALIQ: Jurnal Pendidikan dan Sains Al-Idarah : Jurnal Manajemen dan Bisnis Islam Journal of Artificial Intelligence and Digital Business West Science Interdisciplinary Studies West Science Interdisciplinary Studies ANDREW Law Journal Jurnal Indonesia Mengabdi (JIM) Journal of Management and Business Insight Jurnal Pengabdian Masyarakat dan Riset Pendidikan Pengertian: Jurnal Pendidikan Indonesia (PJPI) Jurnal Komplikasi Anestesi Proceedings of The International Conference on Multidisciplinary Science Evrimata: Journal of Mechanical Engineering EDUCATIONAL: Jurnal Inovasi Pendidikan dan Pengajaran Warta Penelitian Perhubungan Jurnal Indonesia Kajian Pendidikan Islam
Purwoko Purwoko
Pusat Pengembangan Radioisotop dan Radiofarmaka, BATAN, Serpong.
Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Transportation Other

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Bantuan Hidup Dasar Dan Edukasi Tatalaksana Nyeri Di Lingkungan Sekolah Menengah Atas Karanganyar Purwoko, Purwoko; Nugroho, Andy; Santosa, Sugeng Budi; Supraptomo, R. Th; Setijanto, Eko; Purnomo, Heri Dwi; Arianto, Ardana Tri; Thamrin, Muhammad Husni; Hananto, Arif Zuhal Amin; Ihsaniar, Aura
SEMAR (Jurnal Ilmu Pengetahuan, Teknologi, dan Seni bagi Masyarakat) Vol 13, No 1 (2024): Mei
Publisher : LPPM UNS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/semar.v13i1.79286

Abstract

Keadaan kegawatdaruratan adalah suatu keadaan dimana korban akan mengalami kecacatan atau bahkan kematian, bila tidak mendapatkan pertolongan dengan segera. Salah satu jenis masalah kegawatdaruratan yang dapat menimbulkan kematian mendadak biasanya ditemui diakibatkan oleh henti jantung (cardiac arrest). Penanggulangan kegawatdaruratan merupakan aspek yang penting dan tidak terbatas pada tenaga medis terlatih. Nyeri adalah sensasi yang sangat tidak menyenangkan dan sangat individual yang tidak dapat dibagi dengan orang lain. Siswa Sekolah Menengah Atas (SMA) adalah pelajar yang menduduki masa pendidikan formal sebelum memasuki bangku perkuliahan. Masih minimalnya pengetahuan siswa SMA akan manajemen nyeri menyebabkan seringkali penanganan dan tindaklanjut mengenai keluhan nyeri tidak adekuat. Hal ini yang menjadi dasar dilakukannya kegiatan ini sehingga siswa SMA dapat lebih teredukasi dan dapat menangani kondisi nyeri dengan baik serta memberikan edukasi berlanjut terutama kepada masyarakat. Departemen Anestesiologi dan Terapi Intensif Rumah Sakit Umum Daerah Dr. Moewardi bermaksud mengadakan pelatihan tentang Bantuan Hidup Dasar (BHD) bagi masyarakat dalam lingkup wilayah SMA untuk melakukan BHD pada korban henti jantung dan memberikan penyuluhan terkait manajemen nyeri dengan harapan agar para peserta lebih teredukasi mengenai kondisi nyeri dan bagaimana cara menanganinya. An emergency is a situation where the victim will experience disability or even death if they do not receive immediate help. One type of emergency problem that can cause sudden death most commonly occurs due to cardiac arrest (cardiac arrest). Emergency management is essential and not limited to trained medical personnel. Pain is a very unpleasant and highly individual sensation that cannot be shared with other people. High School (SMA) students are students who complete a period of formal education before entering college. High school students lack knowledge about pain management, so treatment and follow-up regarding pain complaints are often inadequate. This is the basis for carrying out this activity so that high school students can be more educated, handle pain conditions well, and provide ongoing education, especially to the community. Department of Anesthesiology and Intensive Therapy, Dr. Regional General Hospital. Moewardi intends to hold training on Basic Life Support (BHD) for the community within the SMA area to carry out BHD for cardiac arrest victims and provide counseling regarding pain management with the hope that the public will be more educated about pain conditions and how to handle them. 
Anesthesia Management in VP Shunt Surgery in Neonates with Hypoplastic Left Heart Syndrome (HLHS) and Dandy Walker Syndrome Purwoko, Purwoko; Muttaqin, Fandi Ahmad
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 1, No 1 (2021): April 2021
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (768.904 KB) | DOI: 10.20961/soja.v1i1.49476

Abstract

Introduction: Hypoplastic left heart syndrome (HLHS) is defined as the incomplete development of the left heart structures, including the mitral valve, left ventricle, aortic valve, and aortic arch. The clinical presentation of HLHS depends on the patency of the ductus arteriosus and the degree of restriction of the atrial septum. Common clinical manifestations include cyanosis, respiratory distress, and hemodynamic instability within hours of delivery. Delays in diagnosis and delay in intervention will increase the morbidity of neonates with HLHS.Purpose: To understand the mechanism of HLHS along with the principles of anesthesia in neuroaesthetics procedures in pediatrics in order to obtain a good outcome.Case Illustration: A 9-day old baby girl, weight 2522 grams with HLHS (aortic atresia) with patent ductus arteriosus (PDA), type II atrial septal defect (ASD) with a left to right shunt, and dandy walker syndrome. From the physical examination, the patient's condition is stable, with GCS E4V5M6, pulse 130-135 beats/minute, breath rate 48x / minute, and SpO2 94-98%. The patient's head was enlarged from birth, no heart sounds were found, regular I-II heart sounds. Blood laboratory tests showed a total bilirubin value of 11.7 mg / dL, direct bilirubin 0.64 mg / dL, indirect bilirubin 10.43 mg / dL, hemoglobin 20.1 g%, hematocrit 55%, with leukocytes 19.9x103 / L, platelets 216 x 103 / L, serum Na 122 mmol / L, K 7.8 mmol / L, Cl 101 mmol / L.Discussion: The anesthetic approach in HLHS is to maintain preoperative hemodynamic stability by maintaining heart rate, preload, and PGE1, balancing systemic vascular resistance and pulmonary vascular resistance, preventing too high PaO2, and administering inotropic agents to increase cardiac output and keep the patent ductus arteriosus open. The balance of systemic and pulmonary blood flow is a key principle in the management of HLHS anesthesia. Conclusion: The main goal of HLHS anesthesia is to minimize hemodynamic changes to prevent compromised hemodynamics in both circulations and maintaining stability is essential in preventing morbidity, complications, and increasing good outcomes in surgery..  
Perioperative Management of Patients with Ventricular Septal Defect, Severe Tricuspid Regurgitation and Gerbode Defects Purwoko, Purwoko; Aji, Ardhana Surya
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 1, No 1 (2021): April 2021
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (711.277 KB) | DOI: 10.20961/soja.v1i1.49659

Abstract

Ventricular Septal Defect (VSD) is a congenital heart disease that causes the connection between left and right ventricles called a Gerbode defect. Manifestation of a Gerbode defect is damage to the opening tricuspid valve caused regurgitation of the tricuspid valve. Delay in diagnosis and intervention will affect pre-operative nutritional status and malnutrition.We reported a boy aged 2 months, weighing 3100 grams with biliary atresia followed by VSD, severe TR, and Gerbode defect who will undergo the Kasai procedure. Preoperative physical examination showed GCS E4V5M6, SpO2 100%. The skin gets icteric all over the body and conjunctiva. The cardiovascular system has a regular I-II heart sound, 2/3 mid clavicular S noise as high as 2 ICS and a pansystolic murmur. The examination of the abdomen is slight distended. Child pug score 8. Hemoglobin value 6.7gr%, hematocrite 37%, APTT 44.8 seconds, SGOT 443 U / L, SGPT 560 U / L, total bilirubin 23.89 mg / dl, direct bilirubin 13.92 mg / dl, and indirect bilirubin 9.97 mg / dl.The goal of anesthesia in VSD, Severe Tricuspid Regurgitation (TR) with Gerbode Defect is preventing excessive ventilation to avoid severe pulmonary hypertension. The choice of anesthetic agent is based on the patient's physiology and balancing pulmonary and systemic blood flow. Perioperative management of cases of VSD, TR Severe with Gerbode defect in the following report describes the importance of understanding the pathophysiology of VSD and Gerbode defects to obtain a good outcome.Perioperative management of VSD patients, severe tricuspid regurgitation with Gerbode defect requires more supervision, especially to minimize the increase in PVR, maintain systemic vascular resistance (SVR) and avoid excessive ventilation to prevent severe pulmonary hypertension.
The Effect of Melatonin on Platelet Levels in Wistar Rat After Burns in Two Days Qusairi, Velya Lizhariany Hafidha; Purwoko, Purwoko; Purnomo, Heri Dwi
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 4, No 1 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v4i1.67051

Abstract

Background : Burns can caused by high temperatures. Burns have an impact on platelet levels and hemostatic regulation. Melatonin is a therapeutic agent that can increase platelet levels on burns by neutralizing Reactive Oxygen Species (ROS) and Reactive Nitrogen Species (RNS) so it can suppress tissue damage due to burns. This study aims to determine the effect of giving melatonin on the platelet levels of burnt wistar rats in two daysMethods : This is experimental study with a sample of 12 Wistar rats that matched the inclusion and exclusion criteria. Rats were divided into two groups, namely K1 as control and K2 as a group that was given melatonin at a dose of 10 mg/kg. Platelet levels were measured at T1 (0th hour post burn), T2 (24th hour post burn), and T3 (48th hour post burn). The data were analyzed by the Shapiro-Wilk normality test, followed by Parametric Paired t-Test and the Independent t-Test.Result : This experimental results there was a significant increase in the number of platelets between T2 and T3 and between T1 and T3 in control group. And in K2, there was a significant decrease in the number of platelets between T1 and T2 and between T2 and  T3. Meanwhile, between T1 and T3 there was a significant increase in platelet levels.Conclusion: Melatonin can significantly increase the platelet levels of burn Wistar rats at 48 hours post-burn.
Perioperative Management of Sectio Caesarea Surgery in Patient With Heart Valve Disorders Purwoko, Purwoko; Athir, Zidni Afrokhul
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 1, No 1 (2021): April 2021
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (473.702 KB) | DOI: 10.20961/soja.v1i1.49474

Abstract

Cardiovascular disease in pregnancy is common range from 1% to 3 and contributes to 10-15% of maternal mortality. Valvular heart disease accounts for about 25% of cases of cardiac complications in pregnancy and important cause of maternal mortality, some of which are mitral stenosis and mitral regurgitation. Cesarean delivery remains the preferred choice, as it reduces the hemodynamic changes that can occur in normal delivery and allows for better monitoring and hemodynamic management. Our paper provide in-depth information regarding the pathophysiology of heart valve disease in pregnant women and an appropriate perianesthesia approach to obtain a good prognosis. We report a case of a 26-year-old pregnant woman, with obstetric status G1P0A0, 36 weeks’ gestation, body weight 61 kg accompanied by severe mitral regurgitation and moderate mitral stenosis. This patient was planned to undergo elective cesarean section. The patient's condition in the perioperative examination was: GCS E4V5M6, other vital signs within normal limits, SpO2 98-99% in supine position. Other physical and laboratory examinations were also within normal limits. The goal of anesthesia during surgery in patients with heart valve disease undergoing cesarean section maintain pulmonary capillary pressure to prevent acute pulmonary edema. In this case, regional anesthesia of epidural anesthesia was chosen because it can reduce systemic vascular resistance and provide better post-cesarean section pain. The patient's hemodynamics perianesthesia tended to be stable without any complications such as pulmonary edema.    
Co-Authors . Muhammad Ramli Buhari Abd. Muqit Abdul Mutalib Abidin Abidin Adang Hardi Gunawan Agus Mulyono Ahmad Syarif Hidayatullah, Ahmad Syarif Aji, Ardhana Surya Antesty, Sella Antonius Antonius April, Dian Ardana Tri Arianto Ashri Hidayati Asrofi, Asrofi Athir, Zidni Afrokhul Azainil Azainil Baehaqi, Sirojul Cahya Nova Ardianto Chaeruman Chaeruman Chairuman Chairuman Chumairoh, Lutfi Cinkalasari, Bunga Ayu Desyandri Desyandri Djoharly Caniago Dwi Nugroho Efri Yulistika Eko Setijanto Elmusyafa’, Muchammad Sabath Eny Lestari Eti Kristanti Fauzan . Fikri, Muhammad Ali Fitri Yunita Fitroh Adhilla Hadi Susilo, Sugeng Hamilaturroyya, Hamilaturroyya Hananto, Arif Zuhal Amin Hari Setiabudi Husni, Hari Setiabudi Hartono, Rudi Herawati , Anisa Nur Hidayah, Ian Fii Barril Ida Zahara Adibah, Ida Zahara IFAH KHADIJAH, IFAH Ihsaniar, Aura Imam Anas Hadi, Imam Anas Indaryanti Indaryanti Irawan, Noval Jahid, Md. Abu Judijanto, Loso K. Hashimoto Karyadi Karyadi Kasijanto, Kasijanto Kris Witono Kuntoadi, Danang Kurnia, Siti Aisah Kurniawan, Rangga Muhammad Kusworo, Leo Jati Laksmi Andri Astuti Mahmud, As’ad Mahmud, Moh. Abu Mandasari Saragih, Yasmirah Marhadi Marhadi, Marhadi Maskur Maskur Mudrikah, Mudrikah Muhammad Husni Thamrin, Muhammad Husni Muttaqin, Fandi Ahmad Nasikin, Moch Noor, Laili Savitri Nugroho, Andy Nur ‘Azah Nurdiani, Tanti Widia Nurmasihin, Nurmasihin Pamungkas, Ferdy Pasiri, Rafi Al Poppy Laksita Rini Pramana, Yanuar Sigit Priyatno Harsasto Pujianto Pujianto Purnomo, Frederick Johan Purnomo, Heri Dwi Putra, Eka Satrio Putro, Bambang Novianto Qusairi, Velya Lizhariany Hafidha R. Sopyan Sauri Rachmawati, Nuzulia Rahma, Fahri Kurnia Rahmadillah Putra Yuslam, Aviv Rahmat, Ega Septia Rakhmawati Rakhmawati Ramadhani, Tito Ramadhani Ramidi, Ramidi Ratlan Pardede Safari, Apay Samiyah Santosa, Sugeng Budi Saputra, Wahyu Yas Sentosa, Agung Mulya Setiawan , Zunan Setiawan, Zunan Setyawan, Rai Rake Sholikah, Mar’atus Siswanto, Febby Gunawan Sri Aguswarini Sri Aguswarini Lestiyowati Sri Bagiawati Sri Setiyowati Sri Setyowati Subaryata, Subaryata Sudarso Kaderi Wiryono Sugalih, Michael Primanda Suherman, Usep Sukardi Sukardi Sulistyo, Beni Agus Supraptomo, R. Th Suprihatin Suprihatin Suryandari, Retno Suseno, Andi Susilo Utomo Swasono R. Tamat Syamsul Hadi Titi Candra Sunarti Uswatun Chasanah Utik Bidayati, Utik Waeno, Mahamadaree Wahyu Nugroho Warman Warman Widarti, Tri Widiantoro, Akbar Sigit Widyastuti Widjaksana Widyatmike Gede Mulawarman Wildan Saugi Yatmi, Yatmi Yayan Tahyan Yono Sugiarto Zaenal Abidin Zainal Abidin Zainudin bin Hassan, Zainudin bin