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All Journal Jurnal Anestesi Perioperatif Jurnal Health Sains Majalah Anestesia & Critical Care (MACC) The Journal of Society Medicine (JSOCMED)
Qadri Fauzi Tanjung
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Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Perbandingan Efektivitas Efedrin dengan Ondansetron dalam Mencegah Kejadian Hipotensi dan Bradikardi pada Anestesi Spinal Simanjuntak, Ikrar Rananta; Hanafie, Achsanuddin; Tanjung, Qadri Fauzi
Majalah Anestesia & Critical Care Vol 42 No 2 (2024): Juni
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.v42i2.330

Abstract

Latar Belakang: Anestesi spinal menyebabkan hipotensi. Berbagai metode telah dilakukan untuk mencegah konsekuensi kardiovaskular dari blok subarachnoid. Efedrin adalah suatu zat stereoisomer dari pseudoefedrin yang bekerja pada stimulasi pada reseptor alfa dan beta-adrenoreseptor, yang umumnya digunakan sebagai vasopressor pada kondisi hipotensi selama anestesi. Ondansetron bekerja pada sentral dan perifer, efek sentralnya dimediasi oleh efek antagonis reseptor serotonin 5-HT3. Penelitian ini bertujuan untuk mengetahui perbandingan efektivitas efedrin dengan ondansetron dalam mencegah hipotensi dan bradikardi pada anestesi spinal.Metode: Penelitian ini dilakukan pada 57 pasien yang menjalani prosedur pembedahan abdomen bawah, ginekologi, ekstremitas bawah yang terjadwal elektif dengan anestesi spinal. Sampel dipilih menggunakan metode consecutive sampling. Analisis data dilakukan untuk melihat distribusi frekuensi variabel yang diteliti dan korelasi antar variabel.Hasil: Sebanyak 29 pasien dikelompokan dalam grup efedrin dan sebanyak 28 pasien dikelompokkan dalam grup ondansetron. Dari hasil analisis data, tidak didapatkan hasil yang bermakna dalam perbedaan antara kedua grup efedrin dan ondansetron pada variabel sistol, diastol, maupun mean arterial pressure (MAP) (p > 0,05).Simpulan: Tidak terdapat perbedaan yang signifikan antara ondansetron dan efedrin dalam mencegah bradikardia dan hipotensi pada pasien dengan anestesi spinal. Tidak terdapat hipotensi dan bradikardi dengan pemberian efedrin dan ondansetron sebelum pemberian obat spinal pada pasien anestesi spinal.
History of Cuppping in Medical Perspective Tanjung, Qadri Fauzi; Prima, Agus
Journal of Society Medicine Vol. 1 No. 1 (2022): October
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v1i1.13

Abstract

Cupping or Al-hijamah is the process of removing harmful blood/toxid-toxins (static) from the body, through the surface of the skin or the process of removing harmful blood/toxid-toxins (static) from the body, through the surface of the skin. The cupping method of treatment has actually been mentioned in the historical records of various great civilisations of the world, including Egypt, China, India, Europe and America. So that various cupping terms are known in the world in various languages including kop, cucurbit, cupping, fire-bottle, blood-letting, pa hou kuan (Mandarin). Through the study of some evidence of historical records, it was found that the beginning of cupping was known to world civilisations since the Sumerian kingdom was established around 4000 years BC, then developed and expanded towards Babylon, Egypt, Saba and the land drained by the Euphrates and Tigris Rivers
Correlation Analysis of Lemon, IDS, and Wilson Scores in Assessing Intubation Difficulty in Patients Undergoing General Anesthesia Sinaga, Ade; Hamdi, Tasrif; Tanjung, Qadri Fauzi
Journal of Society Medicine Vol. 3 No. 8 (2024): August
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i8.159

Abstract

Introduction: The act of intubating with an endotracheal tube is a definitive airway management technique that provides maximal protection against the occurrence of aspiration of stomach contents or fluids. Some studies recommend the use of a head pillow to improve the laryngoscopic view by enhancing the occipito-atlanto-axial angle and enlarging the submandibular space. The aim of this study was to find out comparison of the level of difficulty of intubation in intubation techniques with and without the use of pillows. Methods: The design of this study was a randomized cross-sectional study with two research groups conducted to compare the difficulty levels of intubation using the technique with and without a pillow. Results: Patients without a pillow often required a little assistance during intubation, while the majority of patients using a pillow were easily intubated. However, no significant difference was found between the two groups (p>0.05). Patients intubated without a pillow had an average score of 15.9±1.6, while those intubated with a pillow had an average score of 10.8±1.8, showing a significant difference between the two groups (p<0.05). Using the Cormack-Lehane score, most patients without a pillow were at grade 2, while the majority of patients with a pillow were at grade 1. A significant difference was found between the two groups (p<0.05). Conclusion: Patients intubated without a pillow often required a little assistance, while the majority of patients intubated with a pillow were easily intubated; however, no significant difference was found between the two groups (p>0.05).
PERBANDINGAN NEBULISASI LIDOKAIN 2% DAN SPRAY LIDOKAIN 10% DALAM MENCEGAH REFLEKS BATUK PADA PASIEN BRONKOSKOPI DENGAN SEDASI DI RSUP HAJI ADAM MALIK MEDAN Pohan, Alfindy Maulana; Tanjung, Qadri Fauzi; Silaen, Ester Lantika Ronauli; Yunanda, Yuki
Jurnal Anestesi Perioperatif Vol 12, No 3 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v12n3.4010

Abstract

Keluhan batuk sering muncul pada pasien yang menjalani bronkoskopi akibat adanya trauma mekanik pada dinding saluran napas. Lidokain digunakan pada bronkoskopi untuk menekan refleks batuk. Penelitian ini bertujuan menilai efek lidokain yang diberikan secara nebulisasi dan spray terhadap refleks batuk pada pasien bronkoskopi. Desain penelitian randomized control trial dilaksanakan di RSUP Haji Adam Malik bulan Agustus sampai dengan September 2023 pada pasien bronkoskopi dengan sedasi. Sampel yang diperoleh 36 pasien yang dibagi menjadi 2 kelompok yaitu kelompok yang mendapat spray Lidokain 10% dan kelompok yang mendapatkan nebulisasi lidokain 2%. Variabel yang diteliti adalah derajat batuk. Analisis statistik yang digunakan adalah mann whitney. Berdasarkan penelitian yang dilakukan terdapat perbedaan derajat batuk yang bermakna pada pada menit ke-15, menit ke-30 dan postperlakuan (p<0,05). Pada kelompok nebulisasi Lidokain 2% derajat batuk lebih rendah dibanding dengan pada kelompok spray Lidokain 10%. Simpulan: Pemberian nebulisasi lidokain 2% lebih efektif menekan derajat batuk dibanding dengan spray lidokain 10% pada tindakan bronkoskopi dengan sedasi.
The Medical Perspective of Dry Cupping and Wet Cupping: Effects and mechanisms of action: The Medical Perspective of Dry Cupping and Wet Cupping Fauzi Tanjung, Qadri; Ishadi, Hendi
Journal of Society Medicine Vol. 1 No. 1 (2022): October
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (804.598 KB) | DOI: 10.47353/jsocmed.v1i1.6

Abstract

This therapy is a method of cleaning the blood and wind by sucking. remove residual toxins in the body through the skin surface by sucking. Cupping is divided into two types, that’s wet cupping and dry cupping. Dry cupping includes slide cupping, fire cupping, and pull cupping. The difference between wet cupping and dry cupping is the presence or absence of blood. Cupping is an alternative method that involves placing a cup on the skin using heat or suction for a few minutes. This will pull the tissue under the skin and form a blood pool so that a localized healing process occurs. Cupping is very beneficial for these patients although the benefits may not be felt in the short term. The side effects caused by cupping are not severe, only cause discomfort due to cupped and incision on the skin. Cupping plays a role in reducing inflammatory mediators formed due to cell inflammation. This substance serves to send pain signals to the brain. Cupping can be used for diseases that are local or systemic. Cupping can be used to reduce pain such as headaches, carpal tunnel syndrome and some other local disease.
The Relationship of Lactate Albumin Ratio With Sofa Score As A Predictor of Sepsis Patients in The Intensive Care Room Karim, Tengku Abdul; Hanafie, Achsanuddin; Tanjung, Qadri Fauzi; Amelia, Rina
Jurnal Health Sains Vol. 6 No. 6 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i6.2619

Abstract

Sepsis is a life-threatening organ dysfunction due to dysregulation of the host response to infection which causes systemic changes, namely an increase in the serum lactate/albumin ratio which is associated with mortality. Method:This study is a clinical observational analytical study with a prospective cohort design at fittingAdult patients diagnosed with sepsis in the integrated inpatient ward and intensive care ward at Haji Adam Malik General Hospital, Medan. The subject sampling technique used was non-probability sampling with a consecutive sampling method where 50 subjects were required. Bivariate analysis used the Pearson correlation test and the linear relationship between the lactate-albumin ratio value and the SOFA score used linear regression. A 95% confidence interval with a p value <0.05 was considered significantly significant Results :The results of the research on the first day found that the average LAR H1 was 0.59 + 0.51 (0.12-2.26) and the average SOFA H1 score was 7.32 + 1.88 (7) where an r value of 0.726 was obtained. indicates a high and significant correlation between Lactate Albumin Ratio and SOFA Score as a predictor of sepsis patients (p value = 0.000, p<0.05). On the third day, the average LAR H3 score was 0.12 + 0.29 (0.21-0.47) and the average SOFA H3 score was 9.58 + 2.01 (10) where an r value of 0.33 was found which indicates Very low and insignificant correlation between Lactate Albumin Ratio and SOFA Score as a predictor of sepsis patients (p value = 0.818, p > 0.05). Conclusion:The lactate-albumin ratio was strongly correlated with the SOFA score on the first day of adult patients diagnosed with sepsis in the integrated inpatient ward and intensive care ward.
Correlation of Postoperative Cerebral Oxygen Saturation and Duration of Intensive Care Unit Stay Following Heart Valve Surgery Putri, Deby Yuliananda Rosa; Irina, Rr. Sinta; Tanjung, Qadri Fauzi
Jurnal Anestesi Perioperatif Vol 14, No 1 (2026)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v14n1.4034

Abstract

Background: Postoperative neurological complications and prolonged recovery are key concerns in heart valve surgery, and monitoring regional cerebral oxygen saturation (rScO₂) using Near–Infrared Spectroscopy (NIRS) offers a non–invasive way to assess cerebral oxygenation. This study aimed to evaluate the relationship between perioperative rScO₂ and ICU length of stay and its potential clinical significance.Methods: A cross–sectional, observational, analytic study was conducted in 48 patients undergoing heart valve surgery at Haji Adam Malik General Hospital, Medan. Regional cerebral oxygen saturation was measured at three time points: preoperative (T0), immediately postoperative (T1), and 8 hours post–extubation (T2).Results: Spearman correlation analysis revealed a significant negative relationship between right rScO₂ at T1 and ICU length of stay (r=–0.406; p=0.034), and similarly, left rScO₂ at T1 (r=–0.343; p=0.017), indicating that lower postoperative cerebral oxygenation correlates with longer ICU stays, emphasizing its potential clinical relevance.Discussion: These findings suggest that the immediate postoperative period may represent a critical window in which cerebral oxygenation reflects hemodynamic stability and early recovery trajectory. However, interpretation should be cautious due to the cross–sectional design, small sample size, and lack of adjustment for potential confounders, limiting causal inference.Conclusion: Lower immediate postoperative rScO₂ is associated with prolonged ICU length of stay, suggesting its potential role as an early indicator of recovery trajectory, although causal interpretation remains limited.
Co-Authors Agus Prima, Agus Ester Lantika Ronauli Silaen Hamdi, Tasrif Hanafie, Achsanuddin Irina, Rr. Sinta Ishadi, Hendi Karim, Tengku Abdul Pohan, Alfindy Maulana Putri, Deby Yuliananda Rosa Rina Amelia Simanjuntak, Ikrar Rananta Sinaga, Ade Yunanda, Yuki