I Nengah Kuning Atmajaya
Associate Professor, Division Of Traumatology And Acute Care Surgery, Department Of Surgery, Sanglah Hospital, Udayana University, Denpasar, Bali, Indonesia

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Late Diagnosis of Traumatic Diaphragmatic Rupture: Experience in Developing Country Sutanto Koerniawan, Heru; Kuning Atmadjaya, Nengah; Wiargitha, Ketut
Cermin Dunia Kedokteran Vol 47, No 12 (2020): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.76 KB) | DOI: 10.55175/cdk.v47i12.1244

Abstract

Diaphragm is a dome-shaped muscular structure that can be divided into right and left hemi-diaphragm. Rupture of diaphragm can be caused by penetrating trauma or blunt trauma to chest and abdomen. A 32 year-old man with sustained traumatic rupture of diaphragm due to blunt abdominal trauma because of traffic accident. Diaphragm repair was performed at the 6th day.Diafragma adalah struktur otot berbentuk kubah yang dapat dibagi menjadi hemi-diafragma kanan dan kiri. Pecahnya diafragma dapat disebabkan oleh trauma tembus atau trauma tumpul pada dada dan perut. Seorang pria 32 tahun dengan trauma pecah diafragma karena trauma tumpul pada perut karena kecelakaan lalu lintas. Perbaikan diafragma dilakukan pada hari ke-6.
SEPARATION OF MECHANICAL VENTILATION Ida Bagus Wisnu Parbawa Kusuma; I Nengah Kuning Atmajaya
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.622 KB)

Abstract

The weaning from mechanical ventilation can be defined as the process of letting theventilator either directly or in stages. Indication of weaning from mechanicalventilation, seen from several parameters such as disease processes, PaO2, PEEP,FiO2, pH, Hb, awareness, body temperature, cardiac function, lung function, drugssedative agent or paralysis agent, and psicologic status of patient. Based on thelength of the weaning, can be devided into two, long-term weaning dan short-termweaning. Short-term weaning, such as T-Piece, CPAP, SIMV, and PSV. Long-termweaning, such as T-Piece and Intermitten Mandatory Ventilation. There are two thataffect the length of weaning, such as nonventilator factor and ventilator factor.Nonventilator factor such as sedation drug abuse, malnutision, lack of psychologicalsupport, and lack of support if there is damage to the left ventricle. Ventilator factorsuch as over ventilation and under ventilation. Factor that lead to failure in weaningaffected by respiratory control center, respiratory muscle strength, and load on therespiratory muscles.
Late Diagnosis of Traumatic Diaphragmatic Rupture: Experience in Developing Country Heru Sutanto Koerniawan; Nengah Kuning Atmadjaya; Ketut Wiargitha
Cermin Dunia Kedokteran Vol 47, No 12 (2020): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i12.1244

Abstract

Diaphragm is a dome-shaped muscular structure that can be divided into right and left hemi-diaphragm. Rupture of diaphragm can be caused by penetrating trauma or blunt trauma to chest and abdomen. A 32 year-old man with sustained traumatic rupture of diaphragm due to blunt abdominal trauma because of traffic accident. Diaphragm repair was performed at the 6th day.Diafragma adalah struktur otot berbentuk kubah yang dapat dibagi menjadi hemi-diafragma kanan dan kiri. Pecahnya diafragma dapat disebabkan oleh trauma tembus atau trauma tumpul pada dada dan perut. Seorang pria 32 tahun dengan trauma pecah diafragma karena trauma tumpul pada perut karena kecelakaan lalu lintas. Perbaikan diafragma dilakukan pada hari ke-6.
Late Diagnosis of Traumatic Diaphragmatic Rupture: Experience in Developing Country Heru Sutanto Koerniawan; Nengah Kuning Atmadjaya; Ketut Wiargitha
Cermin Dunia Kedokteran Vol. 47 No. 10 (2020): Dermatologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i10.550

Abstract

Diaphragm is a dome-shaped muscular structure that can be divided into right and left hemi-diaphragm. Rupture of diaphragm can be caused by penetrating trauma or blunt trauma to chest and abdomen. A 32 year-old man with sustained traumatic rupture of diaphragm due to blunt abdominal trauma because of traffic accident. Diaphragm repair was performed at the 6th day. Diafragma adalah struktur otot berbentuk kubah yang dapat dibagi menjadi hemi-diafragma kanan dan kiri. Pecahnya diafragma dapat disebabkan oleh trauma tembus atau trauma tumpul pada dada dan perut. Seorang pria 32 tahun dengan trauma pecah diafragma karena trauma tumpul pada perut karena kecelakaan lalu lintas. Perbaikan diafragma dilakukan pada hari ke-6.
Late Diagnosis of Traumatic Diaphragmatic Rupture: Experience in Developing Country Heru Sutanto Koerniawan; Nengah Kuning Atmadjaya; Ketut Wiargitha
Cermin Dunia Kedokteran Vol 47 No 10 (2020): Dermatologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i10.550

Abstract

Diaphragm is a dome-shaped muscular structure that can be divided into right and left hemi-diaphragm. Rupture of diaphragm can be caused by penetrating trauma or blunt trauma to chest and abdomen. A 32 year-old man with sustained traumatic rupture of diaphragm due to blunt abdominal trauma because of traffic accident. Diaphragm repair was performed at the 6th day. Diafragma adalah struktur otot berbentuk kubah yang dapat dibagi menjadi hemi-diafragma kanan dan kiri. Pecahnya diafragma dapat disebabkan oleh trauma tembus atau trauma tumpul pada dada dan perut. Seorang pria 32 tahun dengan trauma pecah diafragma karena trauma tumpul pada perut karena kecelakaan lalu lintas. Perbaikan diafragma dilakukan pada hari ke-6.