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All Journal Solo Journal of Anesthesi, Pain and Critical Care Jurnal Neuroanestesi Indonesia Jurnal Ekonomi Kesehatan Indonesia
Himawan Sasongko
Bagian Anestesi dan Terapi Intensif Fakultas Kedokteran Universitas Diponegoro/ RSUP Dr. Kariadi Semarang
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Pengaruh Pengadaan Barang dan Jasa pada Masa Pandemi Corona Virus Disease 2019 (COVID-19) Terhadap Kondisi Keuangan Rumah Sakit di RSUP Dr. Kariadi Semarang Sasongko, Himawan
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

The mechanism for procuring goods and services in handling emergencies is different from regular/ordinary conditions. The main difference is in the stage of the procurement implementation. Today's problems are the enormous price disparity, the increasing availability and demand, especially for personal protective equipment (PPE). The disparity has resulted in more significant expenses in hospital spending, this condition impact hospital finances. This research is an observational study. The method is qualitative with interviews and data collection. The data taken are primary data and secondary data. Informants consist of main informants and triangulation informants. The data collection instrument was an in-depth interview guide. From the research results obtained: before the COVID-19 pandemic, two methods of implementing procurement (E-Catalogue and Direct Procurement) while procurement during the pandemic used three methods (E-Catalogue, Direct Procurement and Direct Appointment). The procurement process is following the established rules. The procurement process that is carried out has complied with the procurement principles and ethics. There has been a change in the General Procurement Plan for 2020 due to the pandemic. The realization of revenue for Dr Kariadi Hospital in 2020 exceeded the predetermined target, so it can be said that the financial condition of Dr Kariadi Hospital during the COVID-19 pandemic was considered healthy. This study concludes that the procurement process in the COVID-19 pandemic condition follows the principles, ethics and regulations that have been set, as well as the financial condition of Dr Kariadi during the COVID-19 pandemic, was considered healthy.
Relationship Between Spinal Anesthesia Injection Speed and the Incidence of Hypotension in Patients Undergoing Cesarean Section Mafazi, Fikri Alim; Novrinta, Donatila; Sasongko, Himawan
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 4, No 2 (2024): October 2024
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v4i2.67198

Abstract

Background : The incidence of post-spinal hypotension in pregnancy is very high 50-85%. There have been many studies preventing hypotension but still considered unsatisfactory. Reducing the speed of injection of spinal anesthetic drugs can prevent hypotension, but still controversial.Objective : to determine the incidence of hypotension, onset of achieving sensory blocks, and the association of injection rate with the occurrence of post-spinal anesthetic hypotension.Methods: A Randomised Control Trial Study, including 48 patients underwent caesarean delivery who fulfil inclusion criteria. Samples were divided into fast and slow groups. Spinal anesthesia was given using hyperbaric bupivacain 0.5% of 10mg, Fentanyl 25mcg, and 100mcg morphine total volume of 3 cc. Group A received fast injection for 10 seconds, while group B for 30 seconds. The incidence of hypotension, onset of block and incidence of side effects after spinal anesthesia were recorded.Result : The incidence of hypotension in the fast group was 70.4%, while in slow group was 23.8%. There was a significant association between injection rate with post-spinal anesthetic hypotension (p = 0.004). Onset of Block T6 post-spinal anesthesia is faster in the fast group. Furthermore, there was no significant difference in nausea, vomiting, and chills between two groups.Conclusion: Slow injection rate may reduce the incidence of post-spinal anesthetic hypotension. However, the onset of sensory block was faster achieved with fast rate injection, with no difference in other side effects.
Awake Endospine Disektomi pada Pasien Lumbar Spinal Stenosis karena Hernia Nucleus Pulposus Laras, Nuzulul Widyadining; Sasongko, Himawan
Jurnal Neuroanestesi Indonesia Vol 9, No 3 (2020)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2947.924 KB) | DOI: 10.24244/jni.v9i3.282

Abstract

Lumbar spinal stenosis (LSS) merupakan gejala penyakit yang berhubungan dengan berkurangnya ukuran canalis spinalis vertebra lumbal menyebabkan penekanan saraf yang terletak di dalamnya. Berdasar penyebabnya dibagi jadi dua, kongenital dan degeneratif. Pasien dapat merasakan fase nyeri yang tidak dapat diprediksi dan juga fase stabil tanpa nyeri. Salah satu contoh LSS degeneratif adalah pembengkakan diskus intervertebralis atau HNP. Penyakit HNP merupakan salah satu penyebab dari nyeri punggung bawah dan merupakan salah satu masalah kesehatan yang utama. Prevalensi HNP berkisar antara 12 % dari populasi. Terapi yang dilakukan salah satunya endospine disektomi. Operasi ini dapat dikerjakan dengan general anestesia (GA) atau neuroaksial anestesia (spinal, epidural). GA lebih dipilih karena lebih aman dari komplikasi gangguan jalur nafas. Deksmedetomidine memiliki efek sedasi tanpa risiko depresi respirasi serta memiliki efek analgesi dapat digunakan untuk metode awake endospine pada disektomi. Pada penulisan ini, dilakukan pemilihan teknik anestesi awake untuk mengakomodasi operator untuk menilai respon nyeri dan fungsi motorik pasien saat operasi.Awake Endospine Dissectomy in Patient with Lumbar Spine Stenosis caused by Hernia Nucleus PulposusAbstractLumbar spinal stenosis (LSS) are symptoms from degradation canalis spinalis vertebraes size which pressured nerve inside it. Based on its cause, there are two types of LSS, congenital and degenerative. The patient can experience an unpredictable pain phase as well as a stable phase without pain. Bulging of intervertebralis disc or HNP is one of degenerative LSS. HNP disease is one of the causes of low back pain and is a major health problem. HNP prevalention is 1-2 % from population. One of therapy use to medicate LSS is endospine discectomy. This operation done with general anesthesia (GA) or neuroaxial anesthesia (spinal, epidural). GA preferably used because it caused less side effect like airway obstruction or neural injury. Dexmedetomidine has a sedative effect without the risk of respiratory depression and has an analgesic effect. It can be used to awake endospine methods in dissectomy. In this case report, the writer did awake endospine method to accommodate operator so they could know level of pain and motoric function of patient durante operation.
Co-Authors M. Sofyan Harahap Mafazi, Fikri Alim Novrinta, Donatila Nuzulul Widyadining Laras