Meilani Patrianingrum
Bagian Anestesi Rumah Sakit Umum Mitra Plumbon, Jl. Raya Plumbon km 11, Cirebon

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Prevalensi dan Faktor Risiko Nyeri Punggung Bawah di Lingkungan Kerja Anestesiologi Rumah Sakit Dr. Hasan Sadikin Bandung Patrianingrum, Meilani; Oktaliansah, Ezra; Surahman, Eri
Jurnal Anestesi Perioperatif Vol 3, No 1 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Nyeri punggung bawah (NPB) merupakan masalah kesehatan yang banyak dialami oleh tenaga kesehatan. Tujuan penelitian ini untuk mengetahui prevalensi dan faktor risiko nyeri punggung bawah di lingkungan kerja anestesiologi dan terapi intensif Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung. Penelitian ini merupakan penelitian deskriptif dengan rancangan studi potong silang. Subjek penelitian meliputi seluruh peserta pendidikan dokter spesialis (PPDS) dan konsulen anestesiologi di RS Dr. Hasan Sadikin Bandung periode bulan April─Juni 2014. Analisis data dilakukan dengan uji chi-kuadrat, Eksak Fisher dan Kolmogorov Smirnov. Hasil penelitian menunjukkan bahwa prevalensi nyeri punggung bawah yang timbul setelah masuk dalam lingkungan kerja anestesiologi di RSHS adalah 35,7%. Faktor risiko yang signifikan adalah kebiasaan merokok (RR 1,35)  dan kurang olahraga (RR 80,04). Faktor posisi saat melakukan tindakan anestesi signifikan menimbulkan nyeri punggung bawah. Simpulan, prevalensi nyeri punggung bawah setelah masuk lingkungan kerja anestesiologi RSHS Bandung adalah 35,7% dengan faktor risiko adalah merokok dan kurang olahraga. Faktor posisi selama melakukan tindakan anestesi bersama-sama dengan faktor risiko lain mungkin turut memperberat nyeri punggung bawah. Kata kunci: Anestesi, faktor risiko, nyeri punggung bawah, prevalensiPrevalence and Risk Factors of Lower Back Pain in the Anesthesiology Workplace in Dr. Hasan Sadikin General Hospital BandungAbstractLower back pain (LBP) is a common health problem in many health professionals. The purpose of this study was to determine the prevalence and risk factors causing lower back pain in the anesthesiology workplace at Dr. Hasan Sadikin Hospital General Bandung. This research is a descriptive study with cross-sectional design. Subjects on this research were the anesthesiology residents and consultants in Dr. Hasan Sadikin General Hospital Bandung between April and June 2014. Data analysis was performed by chi-square, Exact Fisher and Kolmogorov Smirnov. The results showed that the prevalence of lower back pain that arises after entering the anesthesiology workplace in Dr. Hasan Sadikin General Hospital Bandung was 37.5%. The significant risk factors were smoking (RR 1.348)  and lack of exercise (RR 80.04) while the position factor during conducting anesthesia did not significantly cause lower back pain. The conclusions of this study indicate that the prevalence of low back pain that arises after entering the anesthesiology and intensive therapy workplace in Dr. Hasan Sadikin General Hospital Bandung is 37.5%.  In addition, the risk factors that significantly cause lower back pain in the anesthesiology and intensive therapy workplace in Dr. Hasan Sadikin General Hospital Bandung were smoking and lack of exercise. The position factor during conducting anesthesia together with other risk factors may contribute to the arising of lower back pain. Key words: Anesthesia, lower back pain, prevalence, risk factors DOI: 10.15851/jap.v3n1.379  
Airway Management in Patient Trauma Maxillofacialwith Mild Head Injury, Open Fracture Depressed, and Skull Base Fracture Sudjud, Reza Widianto; , suwarman; Patrianingrum, Meilani
Majalah Anestesia dan Critical Care Vol 33 No 2 (2015): Juni
Publisher : Perdatin Pusat

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Abstract

Establishing a secure airway in a trauma patient is essentials. Any law in airway management may lead to gravemorbidity and mortality. Maxillofacial trauma presents a complex problem with regard to the patient’s airway.Moreover, this patient sometimes accompanied with head injury and fracture cervical.In this case report, wereported male, 41 years old, came to the hospital Hasan Sadikin General Hospital with complaints wounds in thehead and face as a result of trafic accidents. This patient suffered trauma maksilofasialis with addition of minorhead injuries, open fractures depressed more than one tabula, incomplete cervical injury and skull base fractures.Management airway in this patient is spontaneous breathing that is achieved by administering propofol and gasgradually Sevolurane inhalation. Meanwhile, to prevent hemodynamic disturbances during laryngoscopy Fentanylwas given. The manual in-line stabilization was performed to prevent neck lexion when laryngoscopy intubation.In cases where airway is dificult to manage, intubation technique chosen is the one that anesthesiologist most feltcomfortable. Both of these factors are more relevant than the choice of technology.