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All Journal Medicina E-Jurnal Medika Udayana Jurnal Anestesiologi Indonesia Bali Journal of Anesthesiology Medicinus : Jurnal Kedokteran Bioscientia Medicina : Journal of Biomedicine and Translational Research PREPOTIF : Jurnal Kesehatan Masyarakat Neurologico Spinale Medico Chirurgico JOURNAL LA MEDIHEALTICO Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif
Putu Pramana Suarjaya
Faculty Of Medicine Anesthesiology & Therapy Intensif Universitas Udayana Denpasar
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary Other

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Optic Nerve Pilocytic Astrocytoma in a Pediatric Patient: A Case Report Pramantara, I Made Stepanus Biondi; Niryana, I Wayan; Sista Satyarsa, Agung Bagus Sista; Golden, Nyoman; Mahadewa, Tjokorda Gede Bagus; Maliawan, Sri; Suarjaya, I Putu Pramana
Jurnal Neuroanestesi Indonesia Vol 13, No 3 (2024)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v13i3.594

Abstract

Pilocytic astrocytoma is a type of low-grade glioma that can develop in any part of the central nervous system. It primarily affects individuals in the pediatric and young adult age groups. Optic nerve pilocytic astrocytoma is an uncommon, gradually developing type of brain tumor known as a glioma. It is categorized as a grade I tumor by the World Health Organization (WHO). We aim to report rare optic nerve pilocytic astrocytomas and discuss their clinical findings and interconnection with the current literature. A 7-year-old male patient exhibited left-sided eye proptosis and complete loss of vision. A magnetic resonance imaging (MRI) performed before surgery showed the presence of a tumor in the left eye socket. The mass has a spherical shape and smooth boundaries, resulting in the compression of the left optic tract from behind. The left optic tract appears darker on T1-weighted images and brighter on T2-weighted images. On contrast administration, there is heterogenous contrast enhancement. A total resection of the mass was performed. Histopathology results show pilocytic astrocytoma (WHO Grade I). Optic nerve pilocytic astrocytoma is a tumor that can affect the optic nerve pathway. Early diagnosis and multidisciplinary team management are required. Treatment must be individualized, and the options include chemotherapy, radiotherapy, and surgical intervention. Surgery is only recommended in cases of painful or disfiguring proptosis and exposure keratopathy in eyes with severe vision impairment.
Neuroanesthesia Management of Complex Meningioma Case: A Comprehensive Approach for Minimizing Edema and Bleeding Krisnayanti, Ida Ayu Arie; Suarjaya, I Putu Pramana; Juwita, Nova; Adhi Putra, Hendrikus Gede Surya
Majalah Anestesia & Critical Care Vol 42 No 3 (2024): Oktober
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v42i3.378

Abstract

Introduction: Meningioma is an extra-axial tumor originating from the arachnoid membrane cells. Most meningiomas are benign, circumscribed, slow growing and can be treated surgically according to the location of the lesion. The three main symptoms are headache, altered mental status and paralysis. Case Illustration: This case report discusses about A 41-year-old female patient came in conscious condition complaining of head pain that had been complaining since 2 years ago accompanied by complaints of nausea, vomiting and tonic-clonic seizures which were complained of 1 day before surgery. MRI examination of the brain with contrast, suggest a solid mass stinging firm contrast, dural tail is present, accompanied by perifocal edema measuring 4 x 4.1 x 4 cm in the right sphenoid wing urging the brainstem and midline to the left as far as 0.6 cm, depressing the optic chiasma and extending to the cavernous sinus tract right optic view shows a meningioma. The patient was managed under general anesthesia and lumbar drainage to reduce perioperative intracranial pressure. Conclusion: Various neuroanesthesia approaches including patient positioning, optimal neuroanesthesia management are needed so that oedema and bleeding from surgery can be minimized.
Anesthesia Management in Patients with Moyamoya Disease with Superficial Temporal ArteryMiddle Cerebral Artery Bypass: Case Report Virayanti, Luh Putu Diah; Suarjaya, I Putu Pramana; Ryalino, Christopher; Surya Panji, Putu Agus; Senapathi, Tjokorda Gde Agung
Jurnal Neuroanestesi Indonesia Vol 14, No 1 (2025)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v14i1.637

Abstract

Moyamoya Disease (MMD) is a rare unknown disease that causes occlusion of the blood vessels of the brain in adults and children. There are several methods of operation that can be used for therapy, such as direct bypass and indirect bypass. Direct bypass is a method to connect the branches of the external carotid artery, usually the superficial temporal artery (STA), to the branching of the internal carotid artery, generally the Middle Cerebral Artery. Its potentially created several problems such as secondary brain injury and changes in hemodynamic. We use general anesthesia based on neuroanesthesia concepts to protect brain perfusion and maintain the patient's hemodynamic stability. In this patient, induction was carried out using remifentanil TCI Minto mode 4-6 ng/ml, Propofol TCI Schneider target effect 46 mcg/ml and Rocuronium 40 mg IV. We also add SCALP Block with Bupivacaine 0.25% volume of 23 ml. Before induction, an arterial line was installed on the right radial artery to determine hemodynamic changes, to protect cerebral perfusion pressure. The patient was stable during the operation and extubated immediately after the surgery. The patient returned to his initial state of consciousness and was admitted to the ICU for 48 hours.
Nebulized Dexmedetomidine to Reduce Delirium after General Anesthesia Sevoflurane Inhalation in Preschool Children Undergoing Elective Surgery Wongkar, Jimmy; Kurniyanta, I Putu; Suarjaya, I Putu Pramana; Tjokorda Gde Agung Senapathi; Widnyana, I Made Gede
Journal La Medihealtico Vol. 6 No. 2 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i2.1965

Abstract

Surgery in children remains a major challenge, particularly due to complications such as post-anesthetic delirium, with an incidence rate of up to 80%, especially in preschool-aged children when sevoflurane is the primary agent. Nebulized dexmedetomidine has been shown to reduce the incidence of post-anesthetic delirium with minimal risk of side effects. This study aims to evaluate the effectiveness of nebulized dexmedetomidine in reducing the incidence of post-anesthetic delirium in preschool-aged children undergoing elective surgery, as part of enhancing recovery after pediatric surgery (ERAPS). This research was a double-blind, randomized controlled trial, involving 72 pediatric patients aged 2–6 years undergoing elective surgery under general anesthesia with sevoflurane. Subjects were randomly divided into two groups; Treatment group receiving nebulized dexmedetomidine 2 mcg/kg (n=36) and Control group receiving nebulized normal saline (n=36). The primary outcome was the incidence of delirium during recovery at 15, 30, 60, and 120 minutes, assessed using the Pediatric Anesthesia Emergence Delirium (PAED) Scale. Statistical analysis revealed a significantly lower incidence of post-anesthetic delirium in the nebulized dexmedetomidine group (19.4%) compared to the control group (52.8%) at 15, 30, and 60 minutes (p<0.05), with a reduction in proportion by 33.4% (p=0.003). Relative risk analysis (RR = 0.427, 95% CI: 0.218–0.835; PF = 0.631) demonstrated that dexmedetomidine provides protective effects and significantly reduces the incidence of post-anesthetic delirium in preschool-aged children undergoing elective surgery with sevoflurane inhalational anesthesia. No side effects requiring intervention were observed during this study.
Navigating Frontal Lobe Arteriovenous Malformation Resection: A Case Report on TIVA with Propofol-Remifentanil TCI for Hemodynamic Stability and ICP Control I Gede Catur Wira Natanagara; I Putu Pramana Suarjaya; Ida Bagus Krisna Jaya Sutawan
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 8 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i8.1353

Abstract

Background: Arteriovenous malformations (AVMs) located within the frontal lobe present considerable anesthetic challenges. These challenges arise from the critical functions governed by this brain region and the inherent risks associated with intracranial surgery, notably hemodynamic instability and the potential for elevated intracranial pressure (ICP). The utilization of Total Intravenous Anesthesia (TIVA) through Target-Controlled Infusion (TCI) systems for propofol and remifentanil provides a sophisticated strategy for achieving precise control over anesthetic depth and maintaining physiological homeostasis. This report offers a detailed account of such a case. Case presentation: A 25-year-old male patient, classified as ASA III, presented with a right frontal lobe Spetzler-Martin Grade I AVM and was scheduled for elective microsurgical resection. The anesthetic management centered on a TIVA approach, employing propofol administered via an Eleveld TCI model (target concentration range: 2-5 µg/mL) and remifentanil via a Minto TCI model (target concentration range: 4-6 ng/mL). Comprehensive intraoperative monitoring included invasive arterial blood pressure and central venous pressure. Pharmacological adjuncts included mannitol, dexamethasone, and tranexamic acid. Throughout the procedure, stable intraoperative hemodynamics (target Mean Arterial Pressure [MAP] 70-90 mmHg) were successfully maintained, and intracranial pressure was effectively controlled, thereby facilitating the complete AVM resection. The patient was extubated in the post-operative period, demonstrated a stable neurological status, and was subsequently managed in the Intensive Care Unit (ICU). Conclusion: A meticulously planned and executed TIVA-TCI regimen, featuring propofol and remifentanil, when integrated with thorough invasive monitoring and proactive pharmacological interventions, demonstrated effectiveness in preserving crucial hemodynamic stability and fostering optimal intracranial conditions. This comprehensive anesthetic strategy was instrumental in the successful surgical resection of a frontal lobe AVM and contributed to a favorable neurological outcome for the patient.
Navigating Frontal Lobe Arteriovenous Malformation Resection: A Case Report on TIVA with Propofol-Remifentanil TCI for Hemodynamic Stability and ICP Control I Gede Catur Wira Natanagara; I Putu Pramana Suarjaya; Ida Bagus Krisna Jaya Sutawan
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 8 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i8.1353

Abstract

Background: Arteriovenous malformations (AVMs) located within the frontal lobe present considerable anesthetic challenges. These challenges arise from the critical functions governed by this brain region and the inherent risks associated with intracranial surgery, notably hemodynamic instability and the potential for elevated intracranial pressure (ICP). The utilization of Total Intravenous Anesthesia (TIVA) through Target-Controlled Infusion (TCI) systems for propofol and remifentanil provides a sophisticated strategy for achieving precise control over anesthetic depth and maintaining physiological homeostasis. This report offers a detailed account of such a case. Case presentation: A 25-year-old male patient, classified as ASA III, presented with a right frontal lobe Spetzler-Martin Grade I AVM and was scheduled for elective microsurgical resection. The anesthetic management centered on a TIVA approach, employing propofol administered via an Eleveld TCI model (target concentration range: 2-5 µg/mL) and remifentanil via a Minto TCI model (target concentration range: 4-6 ng/mL). Comprehensive intraoperative monitoring included invasive arterial blood pressure and central venous pressure. Pharmacological adjuncts included mannitol, dexamethasone, and tranexamic acid. Throughout the procedure, stable intraoperative hemodynamics (target Mean Arterial Pressure [MAP] 70-90 mmHg) were successfully maintained, and intracranial pressure was effectively controlled, thereby facilitating the complete AVM resection. The patient was extubated in the post-operative period, demonstrated a stable neurological status, and was subsequently managed in the Intensive Care Unit (ICU). Conclusion: A meticulously planned and executed TIVA-TCI regimen, featuring propofol and remifentanil, when integrated with thorough invasive monitoring and proactive pharmacological interventions, demonstrated effectiveness in preserving crucial hemodynamic stability and fostering optimal intracranial conditions. This comprehensive anesthetic strategy was instrumental in the successful surgical resection of a frontal lobe AVM and contributed to a favorable neurological outcome for the patient.
PERBANDINGAN SUHU INTI, KEJADIAN HIPOTERMIA, KEJADIAN SHIVERING, KADAR IL-6, IL-10, DAN RASIO IL- 10/IL-6 ANTARA UNDERBODY DENGAN OVERBODY RESISTIVE WARMING DAN SELIMUT HANGAT PADA OPERASI UROLOGI DENGAN ANESTESI SPINAL Patricia, Yoshie; Suarjaya, Putu Pramana; Dewi, Dewa Ayu Mas Shintya; Budiarta, Gede; Senapathi, Tjokorda Gde Agung
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.46774

Abstract

Hipotermia merupakan salah satu komplikasi yang sering terjadi selama operasi, terutama pada tindakan dengan anestesi spinal yang mengganggu mekanisme termoregulasi akibat blok saraf eferen, sehingga panas tubuh berpindah dari inti ke perifer. Pada operasi urologi, penggunaan cairan irigasi semakin memperberat terjadinya hipotermia. Resistive warming (RW) adalah metode pemanasan aktif yang bertujuan mengurangi perbedaan suhu antara inti dan perifer. Penggunaan RW secara overbody (OB) dan selimut hangat (SH) lebih umum dipakai selama perioperatif, namun penggunaan underbody (UB) RW masih jarang diteliti, meskipun memiliki keuntungan tidak mengganggu akses kerja tenaga medis. Hipotermia intraoperatif dapat menyebabkan shivering, meningkatkan morbiditas kardiovaskular, dan memicu respons inflamasi dengan peningkatan IL-6 serta penurunan IL-10, yang berpotensi menyebabkan infeksi, demam, dan urosepsis pasca operasi. Penelitian ini merupakan non-blind randomized clinical trial pada 42 pasien operasi urologi yang dibagi menjadi tiga kelompok: UB, OB, dan SH. Suhu inti dicatat setiap 15 menit, dan kadar IL-6 serta IL-10 diukur sebelum serta 6 jam setelah operasi. Hasil menunjukkan bahwa kelompok UB memiliki suhu inti lebih tinggi, insidensi hipotermia dan shivering lebih rendah, penurunan IL-6 yang signifikan, serta rasio IL-10/IL-6 yang lebih tinggi secara bermakna dibanding kelompok lainnya. Underbody RW terbukti efektif mencegah hipotermia dan respon inflamasi pascaoperasi.
ASSOCIATION BETWEEN LOWER PLATELET-TO-LYMPHOCYTE RATIO AND MORTALITY RISK IN MODERATE-TO-SEVERE TRAUMATIC BRAIN INJURY : A RETROSPECTIVE COHORT STUDY Richard, Richard; Sutawan, Ida Bagus Krisna Jaya; Suarjaya, I Putu Pramana
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.46775

Abstract

Penelitian ini menyelidiki hubungan antara rasio trombosit terhadap limfosit dan risiko kematian pada pasien dewasa dengan COT sedang hingga berat di rumah sakit tersier di Indonesia. Sistem registrasi rumah sakit dikaji secara retrospektif untuk mengumpulkan rekam medis dari 77 pasien dewasa yang menjalani rawat inap dari 1 Juni 2024 hingga 31 Desember 2024 dan didiagnosis dengan COT sedang hingga berat. Rasio neutrofil terhadap limfosit (NLR) serta rasio trombosit terhadap limfosit (PLR) dibandingkan antara kelompok pasien yang bertahan hidup (n=59) dan yang tidak bertahan hidup (n=18). Kemampuan prediktif NLR dan PLR dianalisis menggunakan area di bawah kurva karakteristik operasi penerima (AUC). Analisis tabel kontingensi dilakukan untuk menentukan sensitivitas, spesifisitas, nilai prediksi positif (PPV), nilai prediksi negatif (NPV), akurasi, serta rasio odds (OR) dari NLR dan PLR dalam kaitannya dengan tingkat kematian. Variasi kelangsungan hidup di antara subkelompok PLR dievaluasi melalui analisis kelangsungan hidup Kaplan-Meier. PLR pada pasien yang meninggal secara signifikan lebih rendah dibandingkan dengan kelompok yang bertahan hidup (nilai p = 0,026). Kurva ROC menunjukkan bahwa PLR merupakan prediktor terkuat dibandingkan dengan kedua rasio lainnya (area di bawah kurva ROC = 0,674, sensitivitas = 0,874, spesifisitas = 0,56, sesuai dengan nilai batas = 120,09). Ketika kelompok pasien dibagi berdasarkan kuartil PLR, analisis Kaplan-Meier menunjukkan kelangsungan hidup yang jauh lebih buruk pada kelompok dengan kuartil PLR terendah (< 120,09) dibandingkan dengan kelompok kuartil lainnya. Nilai PLR yang lebih rendah dikaitkan dengan tingkat kematian yang lebih tinggi pada pasien dewasa dengan COT sedang hingga berat, menunjukkan potensi penggunaan PLR dalam stratifikasi risiko yang memerlukan validasi lebih lanjut.
MANAJEMEN ANESTESI PADA PASIEN DENGAN ARTERIOVENOUS MALFORMATION SPINE Sidabutar, Beny Pratama; Suarjaya, I Putu Pramana; Senapathi, Tjokorda GA
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.46810

Abstract

Manajemen anestesi pada pasien dengan arteriovenous malformation (AVM) spinal yang menjalani operasi laminektomi memerlukan pendekatan multidisipliner dan pemantauan ketat untuk menghindari komplikasi neurologis dan hemodinamik. AVM spinal merupakan kelainan vaskular kompleks yang meningkatkan risiko perdarahan intraoperatif, hipotensi spinal, dan iskemia medula spinalis. Oleh karena itu, strategi anestesi harus difokuskan pada stabilitas hemodinamik, penghindaran perubahan tekanan intratekal yang mendadak. Penggunaan teknik anestesi umum yang seimbang, pemilihan agen anestesi yang minimal mengganggu pemantauan neurofisiologis, serta kolaborasi erat dengan tim bedah dan neurofisiologi menjadi kunci keberhasilan manajemen anestesi pada prosedur ini. Kami memaparkan kasus manajemen anestesi yang sukses pada pasien laki-laki usia 31 tahun dengan diagnosa Paraparese dan Tumor Intramedullary ec Suspek Intramedullary Spinal AVM dengan rencana tindakan laminektomi + Reseksi AVM + Stabilisasi Fusi dengan anestesi umum.
Perioperative Management of Craniotomy for Clipping Aneurysm: A Case Report Taopan, Damatus Try Hartanto; Suarjaya, I Putu Pramana
Medicinus Vol. 14 No. 3 (2025): June
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v14i3.10154

Abstract

Background: Ruptured cerebral aneurysm is the most common cause of spontaneous subarachnoid hemorrhage (SAH). Anesthesiologists play a critical role in recognizing these complications to ensure thorough pre-anesthetic evaluation and appropriate perioperative management. However, there remains a limited number of case reports detailing the perioperative care of patients undergoing craniotomy for aneurysm clipping. Case Description: We present the case of a 66-year-old woman diagnosed with acute non-communicating hydrocephalus, pan-ventricular intraventricular hemorrhage, and subarachnoid hemorrhage involving the basal cistern, bilateral sylvian fissures, and temporal lobes following ventriculoperitoneal (VP) shunt placement. The hemorrhage was attributed to a ruptured aneurysm. A craniotomy for aneurysm clipping was planned, and the procedure was performed under general anesthesia. Intraoperatively, the patient's hemodynamic parameters were successfully maintained within stable limits. Postoperatively, the patient was closely monitored in the intensive care unit, where no neurological deficits or major complications were observed during the hospital stay. Discussion: This case highlights the complexity of managing patients with aneurysmal subarachnoid hemorrhage, particularly those presenting with multiple complications such as hydrocephalus and intraventricular extension of bleeding. Conclusions: The successful management of this case demonstrates that a well-structured perioperative plan is crucial in the surgical treatment of ruptured aneurysms. Despite the high-risk nature of subarachnoid hemorrhage and its associated complications, favorable outcomes can be achieved with careful preoperative preparation, intraoperative vigilance, and postoperative monitoring. Further case reports and studies are needed to expand the evidence base and refine best practices in the perioperative management of patients undergoing craniotomy for aneurysm clipping.
Co-Authors A Himendra Wargahadibrata A. Himendra Wargahadibrata A. Himendra Wargahadibrata Adhiwirawan, Christina Angelia Maharani Dewi Adi, Made Septyana Parama Adinda Putra Pradhana Adityawarma, Anak Agung Ngurah Agung Harawikrama Agung Bagus S. Satyarsa Aldy, Aldy Allan, Alma Hepa Andika Metrisiawan Aryasa EM, Tjahya Aulyan Syah, Bau Indah Aulyan Syah, Bau Indah Bora, Fivilia Anjelina Brillyan Jehosua Toar Budiarta, Gede Chandra, Steven Okta Christanto, Sandhi Christanto, Sandhi Christopher Ryalino Christopher, Michael Chriswidarma, Dewa Gede Cynthia Dewi Sinardja D.H., Asterina Damayanti, Elok Demoina, I Gede Patria Dewi, Dewa Ayu Mas Shintya Dewi, I Dewa Ayu Mas Shintya Eka Nantha Kusuma, Putu EM, Tjahya Aryasa Eric Makmur, Eric Firdaus, Riyadh Firdaus, Riyadh Gd. Harry Kurnia Prawedana Gde Agung Senapathi, Tjokorda Giovanni, Malvin Hartawan, I Gusti Agung G Utara Hartawan, IGAG Utara Hendrikus Gede Surya Adhi Putra Hengky Hengky, Hengky I Gede Catur Wira Natanagara I Gusti Agung Gede Utara Hartawan I Gusti Ngurah Mahaalit I Gusti Ngurah Mahaalit Aribawa I Ketut Sinardja I Made Gede Widnyana I Made Stepanus Biondi Pramantara I Putu Agus Surya Panji I Wayan Ade Punarbawa I Wayan Niryana I Wayan Suranadi I. D. G. Tresna Rismantara Ida Bagus Alit Saputra Ida Bagus Krisna Jaya Sutawan J Sutawan, Ida Bagus Krisna J. Sutawan, IB Krisna J. Sutawan, Ida Bagus Krisna Jeanne, Bianca Jimmy Wongkar Johanes, Kevin Paul Juwita, Nova Kadek Agus Heryana Putra, Kadek Agus Katipana, Madyline Victorya Ketut Yudi Arparitna, Ketut Yudi Khamandanu, Kadek Fabrian Kharisma, Chau Febriani Krisna J. Sutawan, Ida Bagus Krisnayanti, Ida Ayu Arie Kulsum Kulsum, Kulsum Kumaat, Garry D. Chrysogonus Kurniawan Komala, Tomas Ari Kurniawan Komala, Tomas Ari Kurniyanta, I Putu Kusuma, Oscar Indra Labobar, Otniel Andrians Laksono, Buyung Hartiyo Lauren, Christopher Made Septyana Parama Adi Made Wiryana Marilaeta Cindryani Lolobali, Marilaeta Cindryani MD, Burhan MD, Patricia Michael Humianto Muhammad Aris Sugiharso, Muhammad Aris Muliadi, Win Mulyadi, Win Narakusuma, Fajar Ni Made Supradnyawati, Ni Made Ni Putu Wardani Nova Juwita Nyoman Golden Paramartha, Bagus Patricia, Yoshie Permatasari, Endah Permatasari, Endah Pontisomaya Parami Prabowo, Pratama Yulius Pranata, I Made Harry Pratana, Yolanda Jenny Purwanto, Osmond Putu Herdita Sudiantara, Putu Herdita Putu Kurniyanta Ratu, Tiffani Richard Richard Saleh, Siti Chasnak Saleh, Siti Chasnak Santo, Budi Sidabutar, Beny Pratama Sidemen, IGP Sukrana Sista Satyarsa, Agung Bagus Sista Soerodjotanojo, Simson Samuel Sri Maliawan Sri Rahardjo Suastika, I Gede Juli Sucandra, I Made Agus Kresna Supradnyana, I Nyoman Novi Suranadi , I Wayan Sutawan, IB Krisna Krisna Jaya Taopan, Damatus Try Hartanto Tatang Bisri Tini, Kumara Tirta, Ian Tjokorda Gde Agung Senapathi Tjokorda Gde Bagus Mahadewa Virayanti, Luh Putu Diah Wanda, Aprilia Wargahadibrata, A. Hmendra Widyana, I Made Gede Wiryawan, I Nyoman Wisnu Wardhana Wundiawan, Kristian Felix Yani, Jancolin Yani