Article Per Year (5 Year)
p-Index From 2021 - 2026
2.255
P-Index
This Author published in this journals
All Journal Jurnal Anestesiologi Indonesia International Journal of Integrated Health Sciences Jurnal Anestesi Perioperatif Althea Medical Journal Journal of Engineering and Technological Sciences Jurnal Sistem Kesehatan Jurnal Keperawatan Padjadjaran Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan Majalah Anestesia dan Critical Care Indonesian Journal of Anesthesiology and Reanimation (IJAR) Journal of Anaesthesia and Pain Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC)
Reza Widianto Sudjud
Departemen Anestesi Dan Terapi Intensif Fakultas Kedokteran Universitas Padjajaran/Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education 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 Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

Published : 36 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 36 Documents
Search

 1   2   3   4 
Penerapan Sistem Informasi Rumah Sakit dalam Meningkatkan Efisiensi Pelayanan di Rumah Sakit Rahmayanti, Nurlatifah; Halimatu Sa’diyah, Ulfah; Widianto Sudjud, Reza; Paramarta, Vip
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 3 No. 08 (2023): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v3i08.1094

Abstract

Sistem informasi yang telah terkomputerisasi memberikan manfaat dalam hal kecepatan dan ketepatan penanganan informasi, untuk membatasi kesalahan yang terjadi. Kerangka Data Eksekutif Klinik Medis (SIMRS) adalah kerangka mekanis yang dilengkapi untuk menangani informasi dengan cepat, tepat, dan menciptakan berbagai macam data komunikasi untuk diberikan kepada semua tingkatan dewan di klinik darurat. Tujuan penelitian ini untuk memberikan pemahaman yang mendalam tentang system informsi, menganalisis manfaat dari penerapan system informasi di rumah sakit, memberikan rekomendasi dan solusi untuk pengembangan system informasi dan menyebutkan perangkat software dan hardware yang dibutuhkan dalam penerapan system informasi rumah sakit. Kerangka data dalam ujian ini, para ahli mengumpulkan informasi survei tertulis dengan desain topikal berdasarkan ide-ide penalaran yang disusun untuk menanggapi pertanyaan logis dengan mengumpulkan dan membicarakan sumber-sumber ilmiah sesuai subjek atau poin mereka. Penelitian ini menggunakan metode pencarian literatur terstruktur. Hasil pencarian membahas rumah sakit sebagai pusat kesejahteraan dan mempertahankan layanan medis berkualitas tinggi sesuai dengan undang-undang. Sistem informasi rumah sakit berkembang setiap tahunnya, terutama dengan penerapan Industri 4.0 dan Internet of Things (IoT) untuk meningkatkan efisiensi dan pelayanan kesehatan. Penelitian ini menyimpulkan bahwa perhatian utama pada pelayanan kesehatan berkelanjutan dan penerapan kerangka inovasi data dapat meningkatkan administrasi pasien. Meskipun SIMRS dan SI rumah sakit membawa manfaat besar, tantangan dalam implementasi dan pengembangan tetap menjadi fokus utama.
COMPARISON OF 0.7 MG AND 1 MG PROTAMINES ON ACTIVATED CLOTTING TIME AND BLEEDING IN OFF-PUMP CORONARY ARTERY BYPASS PATIENTS: A MULTICENTER STUDY Andika Ahadyat Lukman Wiriaatmaja; Reza Widianto Sudjud; Budiana Rismawan
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 3 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i3.3051

Abstract

Background: Optimal anticoagulation management is crucial for graft patency and minimizing postoperative complications in off-pump coronary artery bypass grafting (OPCAB), a widely performed surgical procedure for coronary artery disease. The role of protamine in neutralizing heparin and its impact on activated clotting time (ACT) and postoperative bleeding remain unclear. This study compared the effects of two protamine doses (0.7 mg and 1 mg per 1 mg of heparin) on ACT and bleeding outcomes in patients who underwent OPCAB. Methods: This multicenter, single-blind, randomized controlled trial was conducted from February to April 2025 and included 50 patients undergoing OPCAB at Dr. Hasan Sadikin General Hospital and Santosa Hospital Central. Patients were randomized into two groups: Group 1 received 0.7 mg of protamine per 1 mg of heparin, and Group 2 received 1 mg of protamine per 1 mg of heparin. The primary outcomes were post-protamine ACT levels and postoperative bleeding at 1, 4, and 12 h. The secondary outcomes included the need for colloid and crystalloid fluid administration. Results: The results showed No significant difference was observed in the ACT between the two groups after protamine administration (p = 0.541). However, postoperative bleeding was significantly lower in the 0.7 mg group than in the 1 mg group at all postoperative time points (p < 0.05). The 1 mg protamine group required significantly more colloid infusion during the procedure (p = 0.001), suggesting greater hemodynamic instability associated with higher protamine doses. Conclusions: A protamine dose of 0.7 mg per 1 mg of heparin was associated with less postoperative bleeding than the standard 1 mg dose, without significant differences in ACT. These findings suggest that lower doses of protamine may be preferable in OPCAB to reduce bleeding risk while maintaining effective heparin neutralization. Further studies are needed to refine the protamine dosing protocols for cardiac surgery.
COMPARISON OF MYOCARDIAL PROTECTION EFFECTS BETWEEN SEVOFLURANE INHALATION ANESTHESIA AND PROPOFOL TOTAL INTRAVENOUS ANESTHESIA IN OFF-PUMP CORONARY ARTERY BYPASS SURGERY: A MULTICENTER STUDY Muhammad Fajar Sadli; Reza Widianto Sudjud; Muhammad Budi Kurniawan
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 3 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i3.3052

Abstract

Introduction: This study aimed to compare the myocardial protective effects of sevoflurane and propofol in patients undergoing Off-Pump Coronary Artery Bypass Grafting (OPCAB). Both anesthetic agents are commonly used in cardiac surgery; however, their relative efficacy in myocardial protection remains unclear. Methods: A total of 36 patients scheduled for elective OPCAB surgery were randomly assigned to two groups: 18 patients received sevoflurane, and 18 received propofol as anesthetic agents. Myocardial injury was assessed by measuring serum CK-MB levels at three time points: pre-induction (T0), 10 h post-surgery (T1), and 24 h post-surgery (T2). Left ventricular function was evaluated by measuring the ejection fraction (EF) preoperatively and postoperatively. Hemodynamic parameters (heart rate, mean arterial pressure, and central venous pressure) were monitored throughout the surgery. Postoperative recovery was assessed by measuring the duration of mechanical ventilation, ICU stay, and hospital stay. Statistical comparisons were made using appropriate tests (t-test, Mann-Whitney, and chi-square) with significance set at p < 0.05. Results: No significant differences were found in CK-MB levels between the sevoflurane and propofol groups at any of the three time points (T0, T1, and T2), indicating equivalent myocardial protection in both groups. The mean CK-MB values at T0, T1, and T2 were comparable between the sevoflurane (19.61 ± 88.081, 74.83 ± 70.503, 49.06 ± 44.421, respectively) and propofol groups (21.72 ± 10.532, 56.28 ± 32.807, 49.00 ± 29.019, respectively). Similarly, ejection fraction values were similar between the two groups preoperatively (sevoflurane: 50.01 ± 14.907%, propofol: 52.67 ± 13.676%) and postoperatively (sevoflurane: 50.72 ± 12.027%, propofol: 49.72 ± 12.136%). The hemodynamic parameters (heart rate, mean arterial pressure, and central venous pressure) were stable and comparable between the groups. Postoperative recovery outcomes, including mechanical ventilation duration, ICU stay, and hospital stay, were similar between the two groups. Conclusion: Sevoflurane and propofol provided equivalent myocardial protection during OPCAB surgery. These findings suggest that either anesthetic agent can be safely and effectively used for anesthesia management in OPCAB procedures without significant differences in myocardial injury or cardiac function.
KORELASI NILAI OPTICAL NERVE SHEATH DIAMETER DENGAN LENGTH OF STAY ICU PADA PASIEN PASCABEDAH OTAK DI RSUP HASAN SADIKIN BANDUNG Wardana, Artha Wahyu; Sudjud, Reza Widianto; Aditya, Ricky
Jurnal Anestesi Perioperatif Vol 13, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n3.3986

Abstract

Background: Elevated intracranial pressure (ICP) is a common complication after craniotomy, often causing decreased consciousness, ventilator dependence, and prolonged ICU stay. Invasive ICP monitoring carries risks, while non-invasive methods such as optic nerve sheath diameter (ONSD) measurement via ultrasonography offer a promising alternative. This study aimed to examine the correlation between ONSD and ICU length of stay (LOS) in post-craniotomy patients.Methods: A prospective observational study was conducted at the ICU of Dr. Hasan Sadikin General Hospital, Bandung, from February to April 2024. Post-craniotomy patients admitted to the ICU were included. ONSD was measured 12–24 hours after ICU admission. Data collected included ONSD, demographics, preoperative clinical status, and ICU records. The relationship between ONSD and ICU LOS was analyzed using Pearson correlation and multivariable analysis.Results: Thirty-three patients were included (mean age 48.2 years; 60.6% male). Median preoperative GCS was 10.8, and 54.5% were ASA III/IV. ONSD correlated positively with ICU LOS (r = 0.636, p < 0.001). Multivariable analysis showed that ONSD ≥ 5.0 mm was independently associated with prolonged ICU stay (≥7 days) after adjusting for GCS and postoperative complications.Discussion: A larger ONSD, reflecting higher ICP, was moderately associated with longer ICU stay, suggesting that non-invasive ONSD measurement can serve as a useful marker for resource utilization. However, further studies with larger cohorts are needed to validate its predictive role.Conclusion: ONSD measurement is a reliable non-invasive parameter that shows a significant correlation with ICU length of stay in post-craniotomy patients.
Prognostic Value of Alactic Base Excess for 28 Day Mortality in Sepsis Patients: A Retrospective Prognostic Accuracy Study in an Intensive Care Unit Sulistiono, Paulus; Sudjud, Reza Widianto; Budipratama, Dhany
Jurnal Anestesi Perioperatif Vol 13, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n3.4591

Abstract

Introduction: Prognostication in sepsis is challenging. Serum lactate is widely used but cannot separate non-lactate contributions to metabolic acidosis. Alactic Base Excess (ABE) provides a more complete assessment of acid–base status. This study assessed ABE’s value in predicting 28-day mortality in sepsis patients.Methods: A retrospective study included 109 adult sepsis patients meeting Sepsis-3 criteria with arterial blood gas analysis within 24 hours of ICU admission. ABE was calculated from base excess and lactate. Prognostic performance was evaluated using ROC analysis, and association with mortality was assessed using odds ratios (OR).Results: Of 109 patients, 59 (54.1%) died within 28 days. Non-survivors had more negative median ABE than survivors (-7.04 vs. -0.15; p<0.001). Optimal ABE cut-off was ≤ -4.1. Patients with ABE ≤-4.1 had a higher risk of mortality (OR 38.6; 95% CI: 13.2–112.9; p<0.001).Discussion: ABE showed strong prognostic performance, reflecting non-lactate metabolic acidosis not captured by lactate alone. As it is derived from routine arterial blood gas analysis, ABE is practical for early risk stratification in critically ill sepsis patients.Conclusion: ABE demonstrates excellent prognostic value for 28-day mortality in ICU sepsis patients. An ABE ≤-4.1 is linked to significantly higher mortality and may serve as a readily available biomarker for early risk assessment and timely clinical decisions.
Lactate-to-Albumin Ratio (LAR) as a Predictor of Mortality in Sepsis Patients in the Intensive Care Unit at Dr. Hasan Sadikin General Hospital, Bandung. maharani, geeta; Sujud, Reza Widianto; Erlangga, Erias
Syifa'Medika Vol 16, No 2 (2026): Syifa Medika: Jurnal Kedokteran dan Kesehatan
Publisher : Faculty of Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/sm.v16i2.10698

Abstract

Sepsis remains a major cause of mortality, particularly in developing countries, underscoring the need for simple, easily accessible biomarkers with strong prognostic value to facilitate early identification of high-risk patients in the ICU. The Lactate to Albumin Ratio (LAR) is an index that integrates information on metabolic stress through lactate levels and inflammation and nutritional status through serum albumin levels, offering the potential to serve as a more comprehensive prognostic marker than single parameters alone. This study aimed to evaluate the ability of LAR to predict mortality among septic patients admitted to the intensive care unit. A prospective cohort study was conducted involving 113 adult patients with sepsis treated in the ICU of Dr. Hasan Sadikin General Hospital, Bandung, throughout 2025. Within the first 24 hours of admission, serum lactate and albumin levels were measured to calculate the LAR, and patients were followed for 28 days to determine survival status. The findings demonstrated that the mean LAR was significantly higher in non-survivors than in survivors, with a cut-off value of 0.81 yielding a sensitivity of 81.0% and a specificity of 76.5% for predicting 28-day mortality. The area under the curve (AUC) of 0.86 indicated strong prognostic accuracy. These results suggest that LAR is significantly associated with mortality in septic patients in the ICU and may serve as a simple, cost-effective biomarker that can be easily incorporated into daily clinical practice to support risk stratification and guide management decisions in critically ill patients with sepsis. 
Co-Authors , Indriasari , Suwarman Adi Imam Tjahjadi Anabella Nifulea Andika Ahadyat Lukman Wiriaatmaja Ardi Zulfariansyah Ardi Zulfariansyah Ariaty, Geeta Maharani Arrys Prabowo Budiana Rismawan Dadang Rukanta Dhany Budipratama Doddy Tavianto Donny Prasetyo Priyatmoko Elsa Pudji Setiawati Erlangga, Erias Esther Dian Cahyaningtyas Hintono Ezra Oktaliansah Geeta Maharani Ariaty Halimatu Sa’diyah, Ulfah Hari Tjahjono Hari Utomo Hilmy Manuapo I Made Adi Parmana I Made Adi Parmana Ibnu Umar Ike Sri Redjeki Ike Sri Redjeki Ike Sri Rejeki Indriasari Indriasari Irvan Jam'ah Halid maharani, geeta Meilani Patrianingrum Melliana Somalinggi Mihradi, Sandro Mipi Ananta Kusuma Muhammad Budi Kurniawan Muhammad Fajar Sadli Muhammad Ikhwan Nur Neta Oktriyani Poerin Nita Arisanti Nugraha, Ade Aria Nugraha, Ade Aria Nurlatifah Rahmayanti Osmond Muftilov Pison Paulus Sulistiono Primta Bangun Rahmayanti, Nurlatifah Rama Nusjirwan Ramacandra Rakhmatullah Riani Siti Hafsah Ricky Aditya Ricky Aditya, Ricky Rudi Kurniadi Kadarsah Ruli Herman Sitanggang Saeful Alam, M. Deny Setiari, Tias Diah Somalinggi, Melliana Sri Raharno Syarif Hidayat Taradharani Wikantiananda Tatacipta Dirgantara, Tatacipta Tatang Bisri Tias Diah Setiari Titik Setyawati Ulfah Halimatu Sa’diyah Ulfah Nurrahmani Vip Paramarta Wardana, Artha Wahyu Yazid Bustomi Yulriyanita, Berlian