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All Journal Green Medical Journal Fakumi Medical Journal
Faisal Sommeng
Universitas Muslim Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Prevalensi Kejadian Mati Mendadak Tahun 2020 – 2021 Andi Nurul Hikmah R Agussalim; Fendy Dwimartyono; Nurhikmawati; Faisal Sommeng; Sumarni
Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran Vol. 4 No. 3 (2024): Maret
Publisher : Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/fmj.v4i3.397

Abstract

Kematian mendadak merupakan suatu proses terkait dengan waktu kematian yang terjadi secara instan dalam suatu kejadian atau peristiwa. Berdasarkan data di Amerika Serikat, setidaknya 300.000 individu mengalami kematian mendadak setiap tahun. Penelitian ini menggunakan pendekatan cross-sectional dengan karakteristik deskriptif retrospektif dan menerapkan teknik total sampling. Alasan pemilihan penelitian ini adalah untuk mengeksplor prevalensi kejadian mati mendadak di Rumah Sakit Bhayangkara Makassar selama tahun 2020-2021. Hasil penelitian mengindikasikan bahwa pada tahun 2021 terdapat peningkatan jumlah pasien yang mengalami kematian mendadak, mencapai 19 orang (59.37%). Kejadian ini cenderung lebih sering terjadi pada kelompok usia 46-55 tahun (21.87%), dengan laki-laki mendominasi sebanyak 26 orang (81.25%). Adapun penyebab kematian mendadak yang paling umum adalah masalah pada sistem kardiovaskular (43.75%).
Gagal Napas Akut dengan Hipoksemia Refrakter pada Preeklampsi Berat Aplikasi “PEEP Tinggi dan Balans Cairan Negatif” di ICU Faisal Sommeng
Green Medical Journal Vol 1 No 1 (2019): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1793.893 KB) | DOI: 10.33096/gmj.v1i1.16

Abstract

Introduction: Acute pulmonary edema in pregnancy due to preeclampsia is a life-threatening event and a form of maternal morbidity. The hypoxemia is clinical manifestation feature. Refractory hypoxemia is an increasing in the partial pressure of oxygen in the arteries (PaO2) <5 mmHg with a 10% increase in FiO2 or PaO2 <60 mmHg or P/F ratio <100 on FiO2 80-100% with PEEP> 10-20 cmH20 at more than 12- 24 hours. In this case, a 35-year-old female patient entered to the ICU Wahidin Sudirohusodo General Hospital from the emergency room operating teater with acute pulmonary edema ec PEB + Post Sectio cesarian, mechanical ventilation (VM) PCV+ Pins 20 mode, PEEP 10, PS 15, RR 20, Vt 350 – 400 ml, FiO2 100% was performed and maximum SpO2 produced only up to 96%, P/F ratio 95,2. After 11 hours of mechanical ventilation, blood gas analysis obtained pH 7.52, PaCO2 28.5, sat 89.6%, PaO2 50.1 HCO3 23.2 BE 2.2 P/F ratio 62 with 100% FiO2 and airway pressure 30 cmH2O and was diagnose refractory hypoxemic. Therapy: Sedation, administration of muscle relaxants, changes in high PEEP ventilator settings and fluid evacuation. setting high PEEP up to 25 cmH2O by increasing the A / W pressure every 2 minutes periodically until 55 cmH2O hold for 2 minutes and setting ventilator PCV: Pinsp 20, PEEP 15-20, FiO2 80%. and fluid evacuation with diuretics is carried out. Results: Improvement of P / F ratio up to 139 at the time of recruitment maneuver and P / F ratio improved up to 244 after 6 hours of the maneuver. the patient was weaning from the ventilator at 5th day care with P / F ratio 313 and tranfer to ward care on the 6th day care.
Co-Authors Andi Nurul Hikmah R Agussalim Fendy Dwimartyono Nurhikmawati Sumarni