Article Per Year (5 Year)
p-Index From 2020 - 2025
0.444
P-Index
This Author published in this journals
All Journal Jurnal Anestesi Obstetri Indonesia Journal of Anesthesiology and Clinical Research
Isngadi isngadi
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Terapi Penggantian Ginjal Berkelanjutan pada Pasien Eklampsia dengan Komplikasi Sepsis dan Distres Pernapasan Akut Steven Martin Fuliman; Ruddi Hartono; Isngadi isngadi
Jurnal Anestesi Obstetri Indonesia Vol 5 No 2 (2022): Juli
Publisher : Indonesian Society of Obstetric Anesthesia and Critical Care (INA-SOACC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47507/obstetri.v5i2.98

Abstract

Eklampsia telah didokumentasikan selama lebih dari 2400 tahun dengan gambaran awal sindrom prodromal yaitu pre-eklampsia (sebelumnya disebut sebagai toksemia dalam kehamilan). Pasien dengan eklampsia tidak jarang dibarengi dengan berbagai macam komplikasi sehingga memperburuk keluaran dari pasien, dan memerlukan perawatan intensif dan tatalaksana lebih lanjut. Ibu hamil usia 36 tahun dengan usia kehamilan 36–37 minggu dirujuk ke Rumah sakit dengan diagnosis eklampsia dengan distres pernafasan akut akibat edema paru. Pasien dilakukan intubasi saat di ruang gawat darurat dan seksio sesarea cito. Pasca operasi pasien di rawat di intensive care unit untuk tatalaksana lebih lanjut. Terapi penggantian ginjal berkelanjutan atau Continuous Renal Replacement Therapy (CRRT) digunakan untuk memberikan dukungan ginjal pada pasien sakit kritis dengan gagal ginjal akut, terutama pasien dengan hemodinamik tidak stabil. Pada Ibu hamil dengan eklampsia tidak jarang dapat berkembang ke komplikasi seperti distres pernafasan akut akibat edema pulmonum, pneumonia hingga sepsis yang dapat membuat gagal ginjal akut pada pasien. Modalitas pada terapi penggantian ginjal salah satunya dapat memodulasi cytokine sebagai terapi tambahan pada sepsis selain memperbaiki fungsi ginjal, yang diharapkan bisa memperbaiki keluaran pada pasien. Terapi penggantian ginjal berkelanjutan pada pasien saat hari ke tiga perawatan di ICU dengan hasil keluaran yang baik, pasien dilakukan ekstubasi pada hari ke enam perawatan di ICU. Pasien diperbolehkan keluar dari rumah sakit saat perawatan hari kesepuluh dan tidak memerlukan dialisis lebih lanjut.
Determinants of Postoperative ICU Admission in the Elderly: A Prospective Multicenter Study of Elective Surgeries in Indonesia Alief Ilman Zaelany; Isngadi Isngadi; Taufiq Agus Siswagama; Buyung Hartiyo Laksono
Journal of Anesthesiology and Clinical Research Vol. 6 No. 2 (2025): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v6i2.809

Abstract

Introduction: The increasing global geriatric population presents significant challenges for surgical care, particularly regarding the allocation of Intensive Care Unit (ICU) resources. This study aimed to identify determinants of postoperative ICU admission among elderly patients in Indonesia, a setting with a rapidly aging demographic. Methods: We conducted a prospective, multicenter cohort study across 15 Indonesian hospitals from February to April 2021. Patients aged ≥60 years undergoing elective surgery were enrolled via consecutive sampling. Data on patient demographics, American Society of Anesthesiologists (ASA) physical status, Charlson Comorbidity Index (CCI), and type of anesthesia (general vs. regional) were collected. The primary outcome was postoperative ICU admission. Multivariate logistic regression was used to identify independent predictors. Results: Of 893 patients enrolled, 18.8% required postoperative ICU admission. The final multivariate model revealed that a higher ASA physical status was the strongest predictor of ICU admission (Odds Ratio [OR] 4.13; 95% CI 2.88-5.92; p < 0.001). The administration of general anesthesia was also independently associated with a significantly increased likelihood of ICU admission compared to regional anesthesia (OR 2.77; 95% CI 1.83-4.19; p < 0.001). While the CCI was a significant factor in unadjusted analyses, its effect was attenuated after inclusion of the ASA score. Conclusion: ASA physical status and the choice of general anesthesia are powerful, independent determinants of postoperative ICU admission in the Indonesian geriatric surgical population. These findings highlight the critical role of preoperative physiological assessment and suggest that the choice of anesthetic technique has significant implications for postoperative resource needs.
Co-Authors Alief Ilman Zaelany Buyung Hartiyo Laksono Ruddi Hartono Steven Martin Fuliman Taufiq Agus Siswagama