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All Journal Smart Medical Journal Jurnal Respirasi (JR) Indonesian Journal of Anesthesiology and Reanimation (IJAR) SEMAR Solo Journal of Anesthesi, Pain and Critical Care
Eko Setijanto
Sebelas Maret University
Humanities Chemical Engineering, Chemistry & Bioengineering Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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Factors Associated with Outcomes of Acinetobacter baumannii Infection in Ventilator-Associated Pneumonia in the ICU of Dr. Moewardi General Hospital, Surakarta Putra, Lutfi Lafil Cahya; Saptawati, Leli; Setijanto, Eko; Maryani, Maryani; Maarif, Athok Shofiudin
Jurnal Respirasi Vol. 11 No. 3 (2025): September 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.3.2025.201-207

Abstract

Introduction: Acinetobacter baumannii is a nosocomial pathogen with high mortality rates in intensive care units (ICUs) and is commonly associated with ventilator-associated pneumonia (VAP). Due to declines in physiological and immune functions, A. baumannii can trigger septic shock complications, thereby increasing mortality risk. This study aimed to identify the risk factors associated with outcomes in VAP patients in the ICU of Dr. Moewardi General Hospital, Surakarta. Methods: This retrospective cohort study was conducted at Dr. Moewardi General Hospital, Surakarta, using patient medical records. Data were analyzed with Chi-square and Mann-Whitney U tests, followed by multiple logistic and linear regression to determine correlations between risk factors and outcomes (recovery, mortality, length of stay/LOS). Results: This study included 80 patients with VAP caused by A. baumannii. Most patients were under 60 years old (52.5%), had good nutritional status (75%), were on ventilators for less than 10 days (63.75%), and had mild comorbidities (51.25%). Moderate-severe comorbidities (p=0.001) and malnutrition (p=0.005) were significantly associated with increased mortality. In addition, ventilator use ≥10 days was significantly associated with LOS (p<0.001). Conclusion: Moderate-severe comorbidities and malnutrition were risk factors for mortality in patients with A. baumannii-related VAP, while ventilator use ≥10 days was a risk factor for prolonged hospitalization. Identifying these factors can help medical personnel manage conditions that worsen VAP outcomes and reduce the risk of A. baumannii-related mortality.
Regional Anesthesia Subarachnoid Blockade (RASAB) in Scoliosis Patients Setijanto, Eko; Putra, Kiel Pino
Indonesian Journal of Anesthesiology and Reanimation Vol. 5 No. 1 (2023): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V5I12023.51-63

Abstract

Introduction: Scoliosis is a three-dimensional spinal deformity that is mainly determined based on the lateral curvature of the spine. Furthermore, regional anesthesia often infiltrates the peripheral nerves with an anesthetic agent and blocks transmission to avoid or relieve pain. A previous study revealed that scoliosis in patients is one of the factors affecting the success of spinal anesthesia. Objective: To obtain a theoretical basis that can support the solution to the RASAB problem. The acceptance of the theory is the first step to providing a better understanding of the study problem based on the scientific framework of thinking. Furthermore, the similarities, differences, and views of several pieces of literature that discussed related issues were evaluated in this review. Review: Regional anesthesia subarachnoid blockade (RASAB) or spinal anesthesia, is a procedure, which involves the administration of local anesthetic drugs into the subarachnoid space. Furthermore, the process is carried out between the lumbar (L) vertebrae L2-L3, L3-L4, or L4-L5. Spinal anesthesia is often used in surgical procedures involving the lower abdomen, pelvis, perineum, and lower extremities. Conclusion: In the setting of scoliosis, spinal anesthesia is challenging, but is not an absolute contraindication. Patients with scoliosis have unique characteristics, hence, anesthetists need to understand the impact of the disease on the body.
Comparison between SIRS and qSOFA Score for Predicting Mortality and Length of Stay Sepsis Patients in ICU of Dr Moewardi Hospital Surakarta Tameru, Rahma Pramatama; Supraptomo, Rth; Setijanto, Eko
Smart Medical Journal Vol 5, No 1 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i1.40216

Abstract

Introduction: Sepsis is still one of the causes of morbidity and mortality in patients who are hospitalized. Early recognition and therapy is needed to prevent deterioration of the disease and predict outcomes. The Third International Consensus Definitions for Sepsis and Septic Shock in 2016 issued the latest definition for sepsis and recommended qSOFA score to replace the previous assessment system, SIRS criteria. This study was conducted with the aim of knowing the accuracy of the SIRS criteria, the accuracy of the qSOFA score, and the comparison between the two for predicting the mortality rate and length of stay of sepsis patients at the ICU of Dr Moewardi Hospital SurakartaMethods: This research was an observational analytic study with cross sectional approach, conducted in Dr Moewardi Hospital on September-November 2018. The samples were 106 sepsis patients. The data were collected by reading the medical record of sepsis patients who were hospitalized in ICU during of period July 2017 until June 2018 and analyzed statistically by and ROC curve analysis, chi square analysis test, and zero-truncated regression poisson testResult: qSOFA Score Pre-ICU (Sens 67.9%, Spe 50%, p=0.120, OR=2.111), qSOFA Score ICU (Sens 63.1%, Spe 77.3%, p=0.001, OR=5.813), SIRS Criteria Pre-ICU (Sens 88.1%, Spe 18.2%, p=0.439, OR=1.644), and SIRS Criteria ICU (Sens 84.5%, Spe 40.9%, p=0.009, OR=3.781). AuROC in predict mortality for qSOFA Pre-ICU, SIRS Pre-ICU, qSOFA ICU, and SIRS ICU were 0.625, 0.503, 0.754, and 0.644 consecutively. AuROC in predict length of stay in ICU > 3 days for qSOFA Pre-ICU, SIRS Pre-ICU, qSOFA ICU, and SIRS ICU were 0.580, 0.566, 0.681 and 0.639 consecutively. Conclusion: The qSOFA score has poor sensitivity and moderate specificity, while the SIRS criteria has high sensitivity but low specificity. But, qSOFA is superior to SIRS for predicting mortality and length of stay in ICU > 3 days. Keyword : Sepsis, ICU, SIRS, qSOFA,mortality
Bantuan Hidup Dasar Dan Edukasi Tatalaksana Nyeri Di Lingkungan Sekolah Menengah Atas Karanganyar Purwoko, Purwoko; Nugroho, Andy; Santosa, Sugeng Budi; Supraptomo, R. Th; Setijanto, Eko; Purnomo, Heri Dwi; Arianto, Ardana Tri; Thamrin, Muhammad Husni; Hananto, Arif Zuhal Amin; Ihsaniar, Aura
SEMAR (Jurnal Ilmu Pengetahuan, Teknologi, dan Seni bagi Masyarakat) Vol 13, No 1 (2024): Mei
Publisher : LPPM UNS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/semar.v13i1.79286

Abstract

Keadaan kegawatdaruratan adalah suatu keadaan dimana korban akan mengalami kecacatan atau bahkan kematian, bila tidak mendapatkan pertolongan dengan segera. Salah satu jenis masalah kegawatdaruratan yang dapat menimbulkan kematian mendadak biasanya ditemui diakibatkan oleh henti jantung (cardiac arrest). Penanggulangan kegawatdaruratan merupakan aspek yang penting dan tidak terbatas pada tenaga medis terlatih. Nyeri adalah sensasi yang sangat tidak menyenangkan dan sangat individual yang tidak dapat dibagi dengan orang lain. Siswa Sekolah Menengah Atas (SMA) adalah pelajar yang menduduki masa pendidikan formal sebelum memasuki bangku perkuliahan. Masih minimalnya pengetahuan siswa SMA akan manajemen nyeri menyebabkan seringkali penanganan dan tindaklanjut mengenai keluhan nyeri tidak adekuat. Hal ini yang menjadi dasar dilakukannya kegiatan ini sehingga siswa SMA dapat lebih teredukasi dan dapat menangani kondisi nyeri dengan baik serta memberikan edukasi berlanjut terutama kepada masyarakat. Departemen Anestesiologi dan Terapi Intensif Rumah Sakit Umum Daerah Dr. Moewardi bermaksud mengadakan pelatihan tentang Bantuan Hidup Dasar (BHD) bagi masyarakat dalam lingkup wilayah SMA untuk melakukan BHD pada korban henti jantung dan memberikan penyuluhan terkait manajemen nyeri dengan harapan agar para peserta lebih teredukasi mengenai kondisi nyeri dan bagaimana cara menanganinya. An emergency is a situation where the victim will experience disability or even death if they do not receive immediate help. One type of emergency problem that can cause sudden death most commonly occurs due to cardiac arrest (cardiac arrest). Emergency management is essential and not limited to trained medical personnel. Pain is a very unpleasant and highly individual sensation that cannot be shared with other people. High School (SMA) students are students who complete a period of formal education before entering college. High school students lack knowledge about pain management, so treatment and follow-up regarding pain complaints are often inadequate. This is the basis for carrying out this activity so that high school students can be more educated, handle pain conditions well, and provide ongoing education, especially to the community. Department of Anesthesiology and Intensive Therapy, Dr. Regional General Hospital. Moewardi intends to hold training on Basic Life Support (BHD) for the community within the SMA area to carry out BHD for cardiac arrest victims and provide counseling regarding pain management with the hope that the public will be more educated about pain conditions and how to handle them. 
Therapeutic Plasma Exchange in High Care Unit for Patient with a Snake bite : a Case Report Setijanto, Eko; Pambayun, Isma Angger; Utama, Sigit Prasetya; P, Septian Adi
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 5, No 1 (2025): April 2025
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v5i1.77939

Abstract

Background : Snake bites are one of the commonest occupational hazards in tropical countries and viperine bites are potential to cause systemic toxicity. Hemolitik anemia, coagulopathies, and acute kidney injury (AKI) have been documented, main therapy on snake bite with antivenom, when it combine with plasmapheresis it shown promising result. This case reports highlight the effective use of plasmapheresis for snake bite therapy.Case Illustration : A 40-year old presented following 7-days at HCU Dr Moewardi Hospital of snake bite with the right hand is swollen, blistered, painful, weakness, nausea, the yellowish body, icteric conjunctiva, and dark brown colored urin. A patient has anemia, leukocytosis, thrombocytopenia, increased total bilirubin, direct bilirubin, indirect bilirubin, elevate liver enzyme, and uremia. The patient was treated for 7 days in the HCU. Patient received 10 cc of antivenom in 500 cc 0,9% normal saline every 8 hours for 3 days. Patient also received one times therapeutic plasma exchange (TPE) on 2nd of admission, TPE with 2.500 ml output of plasma. The patient had received 8 flash 5% albumin therapy, with each flash contains 250 cc of 5% albumin and 1 flash 0,9% normal saline, with each flash contains 500 cc of 0,9% normal saline, with total liquid intake is 2500 cc. Patient with GCS E4V5M6.Conclusion : Most patients with snake bite present with hemolitik anemia, coagulopathies, and acute kidney injury (AKI). The management of snake bite is mainly with antivenom. In addition plasmapheresis not only eliminate the venom circulating in the blood, would also eliminate the toxins diffused into extravascular spaces and target organs after redistribution phenomenon. Therefore, therapeutic plasma exchange should be utilized as part of a tailored treatment plan that considers the patient's overall clinical condition and needs. This case report a 40-year-old as show evidence for the effectiveness of plasmapheresis treatment.
Management of Intracranial Pressure Control in Reciprocal Grade 3 Astrocytoma Patient In Dr. Moewardi General Hospital Surakarta: Case Report Setijanto, Eko; Wijaya, Teddy
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 1, No 2 (2021): October 2021
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (726.568 KB) | DOI: 10.20961/soja.v1i2.49731

Abstract

Surgery in patients with astrocytoma is performed based on the size of the tumor in the brain and the functional status of the patients. Management of patients with intracranial hypertension can be guided by monitoring intracranial pressure (ICP) perioperatively. A variety of ventricular, intraparenchymal, and subdural equipment can be installed by neurosurgeons to provide ICP measurements.We reported a 50-year-old female patient, with a complaint of having a speech disorder since four years ago. Preoperative physical examination showed GCS E4V5M6, patient's body mass index was 29.29 kg/m2 (obese). Patient’s physical status was assessed with ASA 3. There was no significant abnormality in laboratory examination. MRI Brain contrast examination showed solid cystic lesion in supratentorial left temporal lobe with size 2.3x3.5x4.7cm accompanied by broad perifocal edema in the left frontal, temporal and parietal lobe. The chest X-ray showed cardiomegaly and pneumonia. Electrocardiography showed normal sinus rhythm.Craniotomy in patients with astrocytoma is performed based on the size of the tumor in the brain and the functional status of the patient. Preoperative evaluation for patients undergoing craniotomy should be carried out to determine the presence or absence of intracranial hypertension. In principle, postoperative management in the ICU is to control the respiratory system, optimize the cardiovascular system, and prevent possible complications.Management of intracranial pressure control in reciprocal grade 3 astrocytoma patient should be paid attention to various things and consider the condition of the patients. Preoperative preparations, as well as perioperative and postoperative monitoring, should be carefully observed to prevent complications that will adversely affect patients. 
Co-Authors Ardana Tri Arianto Hananto, Arif Zuhal Amin Ihsaniar, Aura Leli Saptawati Leli Saptawati Maarif, Athok Shofiudin Maryani Maryani Muhammad Husni Thamrin, Muhammad Husni Nugroho, Andy P, Septian Adi Pambayun, Isma Angger Purnomo, Heri Dwi Purwoko Purwoko Putra, Kiel Pino Putra, Lutfi Lafil Cahya Rizky Saraswati Indraputri Santosa, Sugeng Budi Supraptomo, R. Th Supraptomo, RTH Tameru, Rahma Pramatama Utama, Sigit Prasetya Wijaya, Teddy