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Dimas Kusnugroho Bonardo Pardede
Rumah Sakit Umum Pusat Ratatotok – Buyat, Minahasa Tenggara, Sulawesi Utara, Indonesia
Health Professions Medicine & Pharmacology Public Health

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Pencegahan Emergence Agitation Pascaoperasi pada Pasien Anak Dimas Kusnugroho Bonardo Pardede
Cermin Dunia Kedokteran Vol 47, No 1 (2020): Bedah
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i1.336

Abstract

Emergence agitation (EA) adalah gangguan perilaku pascaoperasi terkait pemulihan anestesi yang sering dijumpai pada pasien anak usia prasekolah. Meskipun hanya sementara, EA tetap berpotensi membahayakan pasien, menambah biaya perawatan dan ketidakpuasan orang tua pasien. Etiologi pasti belum jelas diketahui, diduga multifaktorial. Diagnosis EA dengan skala Pediatric Anesthesia Emergence Delirium (PAED). Manajemen anestesi yang baik melalui intervensi non-farmakologis dan farmakologis yang tepat dapat mencegah EA. Emergence agitation (EA) is an anesthetic recovery-related postoperative negative behaviour, usually in preschool pediatric patients. Although temporary and self-limited, it may increase the risk of self-harm, medical care costs and decrease parent’s satisfaction. The exact cause and underlying mechanism are yet to be determined but several factors may be involved. Diagnosis is by Pediatric Anesthesia Emergence Delirium (PAED) scale. Proper anesthetic management implementing non-pharmacological and pharmacological interventions may prevent EA.
Tinjauan atas Enhanced Recovery After Surgery (ERAS) Dimas Kusnugroho Bonardo Pardede
Cermin Dunia Kedokteran Vol 47, No 7 (2020): Bedah
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i7.594

Abstract

Pembedahan mayor dan beberapa protokol perawatan perioperatif konvensional dapat menyebabkan respons stres fisiologis dan deteriorasi fungsi fisiologis pascabedah. Enhanced recovery after surgery (ERAS) merupakan perubahan paradigma perawatan perioperatif berupa pendekatan multimodal, multidisiplin, berbasis bukti dengan tujuan memperbaiki luaran klinis dan efisiensi perawatan perioperatif dengan mengurangi stres pembedahan, mempertahankan fungsi fisiologis dan mempercepat proses pemulihan. Implementasi protokol ERAS bermanfaat mengurangi morbiditas, komplikasi, durasi rawat, biaya rawat dan mortalitas jangka panjang.Major surgery and conventional perioperative care induce physiological stress response and postoperative functional deterioration. Enhanced recovery after surgery (ERAS) is a paradigm shift in perioperative care involving a multimodal, multidisciplinary, evidence-based approach to improve clinical outcomes and perioperative care efficiency by attenuating surgical stress, maintaining physiological function and expedite return to baseline. Implementation of ERAS protocols is beneficial in reducing morbidity, complications, length of stay, costs and long-term mortality.
Pencegahan Emergence Agitation Pasca-operasi pada Pasien Anak Dimas Kusnugroho Bonardo Pardede
Cermin Dunia Kedokteran Vol 47 No 1 (2020): Bedah
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i1.6

Abstract

Emergence agitation (EA) adalah gangguan perilaku pasca-operasi terkait pemulihan anestesi yang sering dijumpai pada pasien anak usia prasekolah. Meskipun hanya sementara, EA tetap berpotensi membahayakan pasien, menambah biaya perawatan, dan ketidakpuasan orang tua pasien. Etiologi pasti belum jelas diketahui, diduga multifaktorial. Diagnosis EA dengan skala Pediatric Anesthesia Emergence Delirium (PAED). Manajemen anestesi yang baik melalui intervensi non-farmakologis dan farmakologis yang tepat dapat mencegah EA. Emergence agitation (EA) is an anesthetic recovery-related postoperative negative behaviour, usually in preschool pediatric patients. Although temporary and self-limited, it may increase the risk of self-harm, medical care costs and decrease parent’s satisfaction. The exact cause and underlying mechanism are yet to be determined but several factors may be involved. Diagnosis is by Pediatric Anesthesia Emergence Delirium (PAED) scale. Proper anesthetic management implementing non-pharmacological and pharmacological interventions may prevent EA.
Tinjauan atas Enhanced Recovery After Surgery (ERAS) Dimas Kusnugroho Bonardo Pardede
Cermin Dunia Kedokteran Vol. 47 No. 5 (2020): Bedah
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i5.375

Abstract

Pembedahan mayor dan beberapa protokol perawatan perioperatif konvensional dapat menyebabkan respons stres fisiologis dan deteriorasi fungsi fisiologis pascabedah. Enhanced recovery after surgery (ERAS) merupakan perubahan paradigma perawatan perioperatif berupa pendekatan multimodal, multidisiplin, berbasis bukti, dengan tujuan memperbaiki luaran klinis dan efisiensi perawatan perioperatif dengan mengurangi stres pembedahan, mempertahankan fungsi fisiologis dan mempercepat proses pemulihan. Implementasi protokol ERAS bermanfaat mengurangi morbiditas, komplikasi, durasi rawat, biaya rawat, dan mortalitas jangka panjang. Major surgery and conventional perioperative care induce physiological stress response and postoperative functional deterioration. Enhanced recovery after surgery (ERAS) is a paradigm shift in perioperative care involving a multimodal, multidisciplinary, evidence-based approach to improve clinical outcomes and perioperative care efficiency by attenuating surgical stress, maintaining physiological function, and expedite return to baseline. Implementation of ERAS protocols is beneficial in reducing morbidity, complications, length of stay, costs, and long-term mortality.
Pencegahan Emergence Agitation Pasca-operasi pada Pasien Anak Dimas Kusnugroho Bonardo Pardede
Cermin Dunia Kedokteran Vol 47 No 1 (2020): Bedah
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i1.6

Abstract

Emergence agitation (EA) adalah gangguan perilaku pasca-operasi terkait pemulihan anestesi yang sering dijumpai pada pasien anak usia prasekolah. Meskipun hanya sementara, EA tetap berpotensi membahayakan pasien, menambah biaya perawatan, dan ketidakpuasan orang tua pasien. Etiologi pasti belum jelas diketahui, diduga multifaktorial. Diagnosis EA dengan skala Pediatric Anesthesia Emergence Delirium (PAED). Manajemen anestesi yang baik melalui intervensi non-farmakologis dan farmakologis yang tepat dapat mencegah EA. Emergence agitation (EA) is an anesthetic recovery-related postoperative negative behaviour, usually in preschool pediatric patients. Although temporary and self-limited, it may increase the risk of self-harm, medical care costs and decrease parent’s satisfaction. The exact cause and underlying mechanism are yet to be determined but several factors may be involved. Diagnosis is by Pediatric Anesthesia Emergence Delirium (PAED) scale. Proper anesthetic management implementing non-pharmacological and pharmacological interventions may prevent EA.
Tinjauan atas Enhanced Recovery After Surgery (ERAS) Dimas Kusnugroho Bonardo Pardede
Cermin Dunia Kedokteran Vol 47 No 5 (2020): Bedah
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i5.375

Abstract

Pembedahan mayor dan beberapa protokol perawatan perioperatif konvensional dapat menyebabkan respons stres fisiologis dan deteriorasi fungsi fisiologis pascabedah. Enhanced recovery after surgery (ERAS) merupakan perubahan paradigma perawatan perioperatif berupa pendekatan multimodal, multidisiplin, berbasis bukti, dengan tujuan memperbaiki luaran klinis dan efisiensi perawatan perioperatif dengan mengurangi stres pembedahan, mempertahankan fungsi fisiologis dan mempercepat proses pemulihan. Implementasi protokol ERAS bermanfaat mengurangi morbiditas, komplikasi, durasi rawat, biaya rawat, dan mortalitas jangka panjang. Major surgery and conventional perioperative care induce physiological stress response and postoperative functional deterioration. Enhanced recovery after surgery (ERAS) is a paradigm shift in perioperative care involving a multimodal, multidisciplinary, evidence-based approach to improve clinical outcomes and perioperative care efficiency by attenuating surgical stress, maintaining physiological function, and expedite return to baseline. Implementation of ERAS protocols is beneficial in reducing morbidity, complications, length of stay, costs, and long-term mortality.
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