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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 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
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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.
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 Doddy Tavianto Donny Prasetyo Priyatmoko Elsa Pudji Setiawati 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 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 Primta Bangun Rahmayanti, Nurlatifah Rama Nusjirwan Ramacandra Rakhmatullah Riani Siti Hafsah Ricky Aditya 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 Yazid Bustomi Yulriyanita, Berlian