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All Journal Medicina Buletin Udayana Mengabdi INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Majalah Kedokteran Bandung Bali Journal of Anesthesiology Syntax Literate: Jurnal Ilmiah Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Neurologico Spinale Medico Chirurgico Jurnal Neuroanestesi Indonesia Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif
I Wayan Suranadi
Department Of Anesthesiology, Pain Management, And Intensive Care, Faculty Of Medicine, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Physics Public Health Social Sciences Other

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Journal : E-Jurnal Medika Udayana

 1 
Profil penurunan tekanan darah pasca induksi dengan anastesi umum di RSUP Sanglah periode Juli-Desember 2016 Gusti Ayu Amalindasari Prabayastita Masta; I Wayan Suranadi; Dewa Ayu Mas Shintya Dewi
E-Jurnal Medika Udayana Vol 7 No 5 (2018): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.301 KB)

Abstract

Induction of intravenous anesthesia is the process of lulling the patient through anesthetic drugs until the patient enters the anesthesia stage. One of the common anesthesia drugs used in the induction of anesthesia is propofol and the induction of fentanyl. The use of propofol at induced doses causes a significant change in hemodynamic stability in the form of decrease in hemodynamic. Decrease in that parameter can lead to tissue hypoxia, myocardial ischemia, shock to death. The design of cross-sectional descriptive research obtained through secondary data is medical records in the period from June 2016 to December 2016 Sanglah Hospital in patients with elective surgical upper arm fractures with general anesthesia induction. The subjects were 39 patients who met the inclusion and exclusion criteria and received treatment with general anesthesia. Then, recording parameters of hemodynamic changes in systolic blood pressure, diastolic blood pressure, mean arterial pressure (MAP) were assessed at the time of induction of anesthesia. In patients with upper arm bone surgery most were men in 39 cases in the 20-40 year age range with ASA I and received general anesthetic induction of propofol and fentanyl. Post induction in the hemodynamic parameters decreased at systolic blood pressure of 10.42%, then diastolic blood pressure decreased by 2.5%, mean arterial pressure (MAP) decreased by 5.9%. There is a decrease of hemodynamic parameters of both systolic, diastolic and MAP blood pressure in post-induced patients with propofol and fentanyl induction. Keywords: propofol, fentanyl, hypotension
KNOWLEDGE OF BASIC LIFE SUPPORT (BLS) in FIRST YEAR MEDICAL STUDENTS FACULTY of MEDICINE UDAYANA UNIVERSITY Kadek Dinda Pramadyanti; I Wayan Suranadi; I Made Agus Kresna Sucandra
E-Jurnal Medika Udayana Vol 8 No 4 (2019): Vol 8 No 4 (2019): Vol 8 No 4 (2019): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Basic life support is a skill in early relief measures to maintain the airway, support breathing and circulation to promote emergency oxygenation during resuscitation. These skills must be mastered to reduce the adverse effects of cardiac arrest. The purpose of this study is to determine the level of knowledge of students at the faculty of medicine Udayana University against BLS. This study is a cross sectional descriptive study conducted at the Faculty of Medicine Udayana University. The number of samples of this study is 170 from all first year course students. The study programs at Udayana University's medical faculty include medicine education programs, nursing, psychology, dentistry, physiotherapy, and public health sciences. Characteristics of data obtained by sex category dominated by male is 49 people (28.9%), by educational background dominated by medicine programs as 65 people (38.2%), and the result in each study program, the result of knowledge level on BLS is not good, while the level of knowledge is medicine education is a study program that has more knowledge from other study program that is 4 people (6,2%), nursing 2 person (8.7%) and psychology of 1 person (5.0%). Others have less knowledge. This indicates that the study program influences the level of knowledge about the BLS and from respondents who have never received and received material before have insufficient knowledge. Keywords: knowledge, BLS, BLS questionnaire, cardiac arrest
THE CORRELATION BETWEEN TYPE 2 DIABETES MELLITUS WITH BACTERIAL INFECTION IN COVID-19 PATIENTS ADMITTED TO INTENSIVE CARE UNIT AT CENTRAL GENERAL HOSPITAL PROF. DR. I.G.N.G. NGOERAH DENPASAR IN 2021-2022 Bayu Saputra, Ida Bagus Prema Satia; Suranadi, I Wayan; Senapathi, Tjokorda Gde Agung
E-Jurnal Medika Udayana Vol 13 No 2 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i02.P10

Abstract

Type 2 Diabetes Mellitus (T2DM) has a detrimental impact on the immune system, resulting in a decrease in the body's immune response, making patients highly susceptible to bacterial infections. Patients with T2DM, especially those treated in the Intensive Care Unit (ICU) of a hospital, face an increased risk of infection. The emergence of COVID-19, which also infects T2DM patients, further diminishes the immune system's function in these patients. Consequently, individuals with both T2DM and COVID-19 are at a heightened risk of developing secondary infections, commonly referred to as Hospital-Acquired Infections.This research aims to explore the relationship between T2DM, assessed through blood sugar levels, and the occurrence of bacterial infections in COVID-19 patients treated in the ICU of Prof. Dr. I.G.N.G. Ngoerah Central Hospital from 2021 to 2022. The research design employed is quantitative analytical correlational study using a cross-sectional approach, with a sample size of 98 patients collected from the Medical Records and Hospital Management System of Prof. Dr. I.G.N.G. Ngoerah Central Hospital in Denpasar. This study found that there is a significant correlation between patient’s infection profile with random blood glucose levels with an Odds Ratio (OR) of 1.15 (95% CI: 1.04 – 1.27; p = 0.013). Additionally, a significant relationship was observed between the severity of COVID-19 and bacterial infections in patients, with an Odds Ratio of 1.12 (95% CI: 1.01 – 1.26; p = 0.04). Keywords : T2DM, ICU, Hospital-Acquired Infection
KUALITAS DAN DERAJAT NYERI PADA INJEKSI PROPOFOL INTRAVENA DENGAN PEMBERIAN LIDOKAIN INTRAVENA DI RSUP SANGLAH DENPASARr Pratiwi, Made Sindy Astri; Suranadi, I Wayan; Sinardja, I Ketut; Kurniyanta, I Putu
E-Jurnal Medika Udayana Vol 11 No 3 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i03.P01

Abstract

Induksi anestesi menggunakan propofol secara intravena menyebabkan nyeri yang dapat diatasi dengan premedikasi lidokain intravena. Hingga kini, belum ada penelitian terbaru mengenai derajat dan kualitas nyeri akibat induksi propofol dengan premedikasi lidokain intravena di RSUP Sanglah Denpasar. Penelitian ini bertujuan untuk mengukur kedua hal di atas. Desain penelitian ini adalah deskriptif observasi cross-sectional bertempat di RSUP Sanglah Denpasar. Subjek penelitian dipilih dengan consecutive sampling berjumlah 39 pasien berjenis kelamin laki-laki atau perempuan, berusia 18-64 tahun, BMI 18,5-22,9 kg/m2, status fisik ASA I atau II, menjalani operasi elektif dengan propofol intravena dan premedikasi lidokain intravena, serta menandatangani informed consent. Penilaian kualitas nyeri menggunakan SFMP-Q sementara derajat nyeri dinilai menggunakan kombinasi VAS dan NRS. Data yang terkumpul akan dianalisis secara univariat. Nyeri akibat propofol intravena dengan premedikasi lidokain penelitian ini ditemukan tidak nyeri 23,1%, nyeri ringan 74,4%, nyeri sedang 2,6%, dan tidak ada yang mengalami nyeri berat. Lidokain menyebabkan sensitisasi nyeri sensori yang rendah terhadap 80% pasien dan tidak mengalami gangguan afeksi pada 80% pasien. Pada penelitian ini, propofol intravena dengan premedikasi lidokain dapat mengurangi rasa nyeri dengan sensitisasi nyeri yang rendah tanpa gangguan afeksi.
INCIDENCE OF HYPOTENSION AND NAUSEA VOMITING IN SUBARACHNOID BLOCK ANESTHESIA TECHNIQUE IN CESAREAN SURGERY Nandaswari, Ni Made Nilam; Parami, Pontisomaya; Suranadi, I Wayan; Senapathi, Tjokorda Gde Agung
E-Jurnal Medika Udayana Vol 13 No 3 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i03.P03

Abstract

Hypotension and nausea vomiting are common side effects in patients undergoing cesarean surgery with subarachnoid block anesthesia techniques. Cases of hypotension and nausea vomiting in this case are often found but research data in Indonesia, especially in Bali, is still very limited. Therefore, this research is important to do with the aim of knowing the incidence of hypotension and nausea vomiting in cesarean surgery with the subarachnoid block anesthesia technique at Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar. This study used a prospective cross-sectional observational descriptive method. The study data were taken from the presence or absence of hypotension and nausea vomiting during and after cesarean surgery from April 2022 – June 2022. The data were analyzed using Microsoft Excel 2013 software to obtain characteristics of patient demographic data in the form of maternal age and gestational age, patient distribution based on height of sensory blockade, type and dose of antiemetics, type and dose of opioids, bleeding, incidence of hypotension, and incidence of nausea vomiting. The results showed that the number of patients who experienced hypotension was 13 people (28.3%), and those who did not experience hypotension were 33 people (71.7%). A total of 30 people (65.2%) patients did not experience nausea vomiting, 8 people (17.4%) experienced nausea and 8 people (17.4%) experienced vomiting. By taking good precautions, it can reduce the side effects of hypotension and nausea vomiting.
PREVALENSI PASIEN SYOK SEPSIS DI RUANG TERAPI INTENSIF RSUP SANGLAH TAHUN 2016-2020 Farha, Nabilla; Pradhana, Adinda Putra; Ryalino, Christopher; Suranadi, I Wayan
E-Jurnal Medika Udayana Vol 12 No 1 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i01.P17

Abstract

Sepsis ialah keadaan disfungsi organ yang dapat menimbulkan kematian akibat tidak teraturnya respon tubuh terhadap infeksi yang dapat memburuk menjadi syok sepsis. Syok sepsis merupakan keadaan sepsis disertai hipotensi yang menetap, sehingga memerlukan vasopresor untuk mempertahankan tekanan arteri rerata ?65 mm Hg. Salah satu penyebab utama kematian di ruang terapi intensif adalah syok sepsis. Maka dari itu, dilakukan penelitian mengenai prevalensi pasien syok sepsis di ruang terapi intensif (RTI) RSUP Sanglah Denpasar pada tahun 2016-2020 agar dapat mengetahui gambaran permasalahan syok sepsis sehingga dapat membantu dalam perencanaan sistem kesehatan mengenai penatalaksanaan syok sepsis. Penelitian ini merupakan penelitian dengan desain deskriptif retrospektif dengan menggunakan data sekunder berupa rekam medis pasien yang dirawat di RTI RSUP Sanglah Denpasar periode 2016-2020 yang didapat dari instalasi rekam medik RSUP Sanglah Denpasar. Pada penelitian ini teknik sampling yang digunakan adalaj purposive sampling yang disesuaikan dengan kriteria penelitian. Berdasarkan penelitian ini didapatkan prevalensi pasien syok sepsis sebesar 3% dengan karakteristik 50% pasien berjenis kelamin laki-laki dan 50% berjenis kelamin perempuan, mayoritas berada pada rentang usia 18-65 tahun (64%), dan mengalami kematian (52%). Melalui hasil tersebut, dapat disimpulkan angka kematian pasien syok sepsis masih tinggi. Kata kunci: kematian, prevalensi, ruang terapi intensif, sepsis, syok sepsis
CARDIOPULMONARY RESUSCITATION SUCCESS RATE IN PATIENTS WHO HAVE CARDIAC ARREST IN SANGLAH HOSPITAL Cristy, Nadia Assecia; Ryalino, Christopher; Suranadi, I Wayan; Hartawan, I Gusti Agung Gede Utara
E-Jurnal Medika Udayana Vol 11 No 6 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i06.P10

Abstract

ABSTRAK Henti jantung adalah hilangnya fungsi jantung secara mendadak dan bisa terjadi pada seseorang yang memiliki penyakit jantung atau tidak. Penyebab kejadian henti jantung terbanyak adalah penyakit pada sistem kardiovaskular seperti bradikardia, takikardia, kardiomiopati. Resusitasi Jantung Paru merupakan tindakan pertolongan untuk mengembalikan fungsi pernapasan dan sirkulasi pada orang henti jantung. Peneliti tertarik memperluas informasi mengenai Angka Keberhasilan Resusitasi Jantung Paru Pada Pasien Yang Mengalami Henti Jantung di Rumah Sakit Umum Pusat Sanglah. Penelitian ini dilakukan dengan metode deskriptif potong lintang. Subjek penelitian dipilih menggunakan metode consecutive sampling berdasarkan kriteria inklusi terhitung sejak 1 Januari 2021 sampai 30 Juni 2021 di IGD dan ruang rawat inap RSUP Sanglah Denpasar. Variabel dalam penelitian ini meliputi: data demografi pasien berupa usia, jenis kelamin, luaran. Data dianalisis secara deskriptif. Sebanyak 294 pasien yang di RJP pada tahun 2019, dan 121 pasien yang di RJP pada tahun 2020. Subjek penelitian pada tahun 2019 terdiri dari 42,5% perempuan, dan 57,5% laki-laki. Pada tahun 2020 terdiri dari 41,3% perempuan dan 58,7% laki-laki. Usia subjek penelitian dibagi menjadi delapan kelompok, namun usia dengan persentase terbanyak pada tahun 2019 adalah >65 tahun sebanyak 29,9%. Pada tabel menunjukkan bahwa populasi laki-laki yaitu 57,8% dengan usia terbanyak >65 tahun sebanyak 29,4% mengalami henti jantung. Terdapat 68,0% yang meninggal selama dua tahun. Kejadian henti jantung diperoleh sebanyak 415 kasus di RSUP Sanglah. Diperoleh angka keberhasilan RJP pasien henti jantung sebesar 32%. Keberhasilan RJP ini dapat dipengaruhi oleh beberapa faktor seperti usia, jenis kelamin. Kata kunci : angka keberhasilan, henti jantung, resusitasi jantung paru.
Co-Authors Adhy Candra, I Kadek Bayu Adinda Putra Pradhana Adistaya, Anak Agung Gde Agung Agus Eka Darwinata Amin, Yusuf Sidang Bayu Saputra, Ida Bagus Prema Satia Christopher Ryalino Cristy, Nadia Assecia Cynthia Dewi Sinardja D.H., Asterina Damayanti, Elok Dewa Ayu Mas Shintya Dewi Dharmika, Ida Ayu Gde Wahyudevi Farha, Nabilla Gusti Ayu Amalindasari Prabayastita Masta I Dewa Made Sukrama I Gusti Agung Gede Utara Hartawan I Gusti Agung Made Wibisana Kurniajaya, I Gusti Agung Made I Gusti Ngurah Mahaalit Aribawa I Ketut Sinardja I Ketut Suwiyoga I Made Agus Kresna Sucandra I Made Bakta I Made Gede Widnyana I Nyoman Arhya I Putu Agus Surya Panji I Wayan Aryabiantara, I Wayan I.W. Weta Jeanne, Bianca Kadek Agus Heryana Putra, Kadek Agus Kadek Dinda Pramadyanti Komang Ady Widayana Kurniyanta, I Putu Kusuma, Oscar Indra L.S. Ani Made Wiryana Mahaalit, I Gusti Ngurah N.W.A. Utami Nada, I Ketut Wibawa Nandaswari, Ni Made Nilam Ni Made Adi Tarini Ni Nengah Dwi Fatmawati Ni Nyoman Sri Budayanti Paskalis, Timothy Pita, Mora Lesmana Pontisomaya Parami Pratiwi, Made Sindy Astri Putu Agus Surya Panji Putu Kurniyanta Putu Pramana Suarjaya Saputra, Darmawan Jaya Sathya Deva, I Dewa Gde Satria Pinanditas S Srinami Dewi Sudjana, Ida Bagus Gde Tanggono, Aninda Tjahya Aryasa Tjokorda Gde Agung Senapathi Violentina, Gusti Ayu Dianti Wisnu Wardhana Xavier Leverve