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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina E-Jurnal Medika Udayana Jurnal Anestesiologi Indonesia Bali Journal of Anesthesiology Syntax Literate: Jurnal Ilmiah Indonesia ISM (Intisari Sains Medis) : Jurnal Kedokteran Bioscientia Medicina : Journal of Biomedicine and Translational Research PREPOTIF : Jurnal Kesehatan Masyarakat Neurologico Spinale Medico Chirurgico JOURNAL LA MEDIHEALTICO Archives of The Medicine and Case Reports Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal of Anesthesiology and Clinical Research Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Journal of Global Pharma Technology Eduvest - Journal of Universal Studies Jurnal Komplikasi Anestesi Journal of Medicine and Health Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif
Tjokorda Gde Agung Senapathi
Departemen Anestesiologi Dan Terapi Intensif Fakultas Kedokteran Universitas Udayana – RSUP Sanglah Denpasar, Indonesia
Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Anesthesia Management in Patients with Moyamoya Disease with Superficial Temporal ArteryMiddle Cerebral Artery Bypass: Case Report Virayanti, Luh Putu Diah; Suarjaya, I Putu Pramana; Ryalino, Christopher; Surya Panji, Putu Agus; Senapathi, Tjokorda Gde Agung
Jurnal Neuroanestesi Indonesia Vol 14, No 1 (2025)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v14i1.637

Abstract

Moyamoya Disease (MMD) is a rare unknown disease that causes occlusion of the blood vessels of the brain in adults and children. There are several methods of operation that can be used for therapy, such as direct bypass and indirect bypass. Direct bypass is a method to connect the branches of the external carotid artery, usually the superficial temporal artery (STA), to the branching of the internal carotid artery, generally the Middle Cerebral Artery. Its potentially created several problems such as secondary brain injury and changes in hemodynamic. We use general anesthesia based on neuroanesthesia concepts to protect brain perfusion and maintain the patient's hemodynamic stability. In this patient, induction was carried out using remifentanil TCI Minto mode 4-6 ng/ml, Propofol TCI Schneider target effect 46 mcg/ml and Rocuronium 40 mg IV. We also add SCALP Block with Bupivacaine 0.25% volume of 23 ml. Before induction, an arterial line was installed on the right radial artery to determine hemodynamic changes, to protect cerebral perfusion pressure. The patient was stable during the operation and extubated immediately after the surgery. The patient returned to his initial state of consciousness and was admitted to the ICU for 48 hours.
Nebulized Dexmedetomidine to Reduce Delirium after General Anesthesia Sevoflurane Inhalation in Preschool Children Undergoing Elective Surgery Wongkar, Jimmy; Kurniyanta, I Putu; Suarjaya, I Putu Pramana; Tjokorda Gde Agung Senapathi; Widnyana, I Made Gede
Journal La Medihealtico Vol. 6 No. 2 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i2.1965

Abstract

Surgery in children remains a major challenge, particularly due to complications such as post-anesthetic delirium, with an incidence rate of up to 80%, especially in preschool-aged children when sevoflurane is the primary agent. Nebulized dexmedetomidine has been shown to reduce the incidence of post-anesthetic delirium with minimal risk of side effects. This study aims to evaluate the effectiveness of nebulized dexmedetomidine in reducing the incidence of post-anesthetic delirium in preschool-aged children undergoing elective surgery, as part of enhancing recovery after pediatric surgery (ERAPS). This research was a double-blind, randomized controlled trial, involving 72 pediatric patients aged 2–6 years undergoing elective surgery under general anesthesia with sevoflurane. Subjects were randomly divided into two groups; Treatment group receiving nebulized dexmedetomidine 2 mcg/kg (n=36) and Control group receiving nebulized normal saline (n=36). The primary outcome was the incidence of delirium during recovery at 15, 30, 60, and 120 minutes, assessed using the Pediatric Anesthesia Emergence Delirium (PAED) Scale. Statistical analysis revealed a significantly lower incidence of post-anesthetic delirium in the nebulized dexmedetomidine group (19.4%) compared to the control group (52.8%) at 15, 30, and 60 minutes (p<0.05), with a reduction in proportion by 33.4% (p=0.003). Relative risk analysis (RR = 0.427, 95% CI: 0.218–0.835; PF = 0.631) demonstrated that dexmedetomidine provides protective effects and significantly reduces the incidence of post-anesthetic delirium in preschool-aged children undergoing elective surgery with sevoflurane inhalational anesthesia. No side effects requiring intervention were observed during this study.
Comparison of Inflammation, Pain, and Recovery in Colorectal Cancer Patients Undergoing Surgery with General Anesthesia and Combined Epidural Kenzi, Ignatio Armando; Hartawan, IGAG Utara; Sidemen, IGP Sukrana; Agung Senapathi, Tjokorda Gde; Gede Widnyana, I Made
Journal La Medihealtico Vol. 6 No. 2 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i2.2002

Abstract

Colorectal cancer has a high incidence and mortality rate. Surgery can increase the cytokine IL-6 which triggers inflammation and metastasis. The combination of general and epidural anesthesia has the potential to suppress IL-6, improve the tumor microenvironment, provide analgesia and improve postoperative recovery. To compare the effectiveness of postoperative analgesia quality in colorectal cancer patients receiving general anesthesia with combined epidural anesthesia. The single blind RCT study involved 44 patients who underwent surgery on colorectal cancer at Prof. Ngoerah Hospital. The study subjects were divided into two groups, group K who received general anesthesia and group P who received general anesthesia combined with epidural anesthesia. Patients' IL-6 will be evaluated preoperatively and 6 hours postoperatively. VAS and QOR-15 will be assessed 24 hours postoperatively. Of the 44 patients analyzed, the combined general anesthesia with epidural anesthesia group showed a significantly lower difference in IL-6 levels compared to the general anesthesia alone group of -14.69 [95% CI, p = <0.001]. The 24-hour postoperative VAS score was significantly lower than conventional general anesthesia, both in stationary and mobile conditions. In postoperative recovery, it was found that conventional general anesthesia combined with epdiural anesthesia gave greater QOR-15 results compared to conventional general anesthesia. General anesthesia combined with epidural anesthesia in colorectal cancer patients undergoing surgery can provide a lower difference in IL-6, lower VAS and higher QOR-15 postoperative satisfaction than the general anesthesia group.
Telaah Sistematis Terhadap Analisis Penggunaan Algoritma Machine Learning untuk Acute Kidney Injury pada Pasien dengan Infark Miokard Cindryani Ra Ratumasa, Marilaeta; Suryana, I Ketut; Senapathi, Tjokorda Gde Agung; Hadiwijono, Vanessa Juventia
Majalah Anestesia & Critical Care Vol 43 No 1 (2025): Februari
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v43i1.432

Abstract

Acute kidney injury (AKI) merupakan kondisi yang umum terjadi dan memiliki kontribusi terhadap morbiditas dan mortalitas yang tinggi pada pasien yang mengalami infark miokard. Identifikasi dini dan intervensi yang tepat pada pasien berisiko AKI sangat penting, terutama dalam konteks prosedur kardiovaskular seperti angiografi koroner dan bedah jantung. Machine learning (ML) tentunya berpotensi besar dalam mendukung deteksi dini AKI pada pasien dengan cedera miokard. Oleh karena itu, telaah sistematis ini bertujuan untuk menganalisis studi-studi terkini mengenai penggunaan machine learning untuk deteksi dini AKI pada pasien yang mengalami infark miokard dalam konteks angiografi koroner hingga bedah jantung. Dengan memahami peran teknologi ini, diharapkan dapat ditemukan cara-cara baru untuk meningkatkan deteksi dan pengelolaan AKI, serta mengurangi komplikasi yang terkait dengan cedera ginjal pada pasien kardiovaskular. Tinjauan sistematis ini dibuat berdasarkan dari panduan Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Basis data didapatkan dari Pubmed, Cochrane Central (Wiley), Embase (Elsevier), serta ClinicalTrials.gov menggunakan operator Boolean AND dan OR dimana dibatasi pencarian dari tahun 2014-2024. Penilaian kualitas studi menggunakan skor QUADAS. Teknologi machine learning dan AI menawarkan alat yang menjanjikan untuk meningkatkan akurasi prediksi, memungkinkan pengawasan yang lebih baik, dan intervensi yang lebih tepat waktu. Namun, beragam jenis algoritma dengan pendekatan yang berbeda dilibatkan dalam studi ini.Penelitian lebih lanjut diperlukan untuk mengintegrasikan teknologi ini ke dalam praktik klinis sehari-hari dan meningkatkan penanganan pasien dengan risiko tinggi AKI.
Lidocaine 2% and Xylocaine Spray as A Combination in Successful Awake Intubation in Difficult Airway: How to Do it? Murti, Dede Taruna Kreisnna; Senapathi, Tjokorda Gde Agung; Pradhana, Adinda Putra; Labobar, Otniel Adrians
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i1.56380

Abstract

Awake intubation is a technique used to insert an endotracheal tube while maintaining the patient's consciousness. It is particularly beneficial for patients with difficult airway anatomy, as it allows better visualization using a fiber optic bronchoscope, reduces discomfort with local anesthesia, and ensures the preservation of spontaneous breathing. This approach is critical in high-risk procedures such as total thyroidectomy. This case report aims to describe the application of awake intubation in a high-risk patient undergoing total thyroidectomy due to a thyroid mass causing tracheal narrowing. A 47-year-old female with airway management difficulties (LEMON 3/10, MOANS 0/5) was scheduled for a 3–4-hour total thyroidectomy. Preoperative preparation included fasting, informed consent, and ensuring complete anesthesia equipment. Airway preparation involved Xylocaine spray and Lidocaine nebulization, followed by premedication with Dexamethasone, Diphenhydramine, and Midazolam. Induction was achieved using Propofol, and intubation was performed with an endotracheal tube guided by a fiber optic bronchoscope. Maintenance of anesthesia utilized Oxygen, Sevoflurane, and Atracurium. The results show the patient tolerated the awake intubation procedure well, with no episodes of desaturation or significant bleeding during surgery. Postoperative management included analgesia with Fentanyl and Ketamine, as well as respiratory therapy intervention (RTI) during recovery. Awake intubation, combined with effective airway preparation and anesthesia protocols, provides a safe and reliable approach for managing patients with difficult airways, particularly in high-risk procedures like total thyroidectomy. The technique ensured patient comfort, maintained oxygenation, and minimized perioperative complications.
Evaluating The Efficacy of MGSO4 as an Adjuvant to 0.5% Bupivacaine in Supraclavicular-Intercostobrachial Nerve Blocks for Upper Extremity Hemodialysis Vascular Access Surgery Albert, Albert; Senapathi, Tjokorda Gde Agung; Sucandra, I Made Agus Kresna
Eduvest - Journal of Universal Studies Vol. 5 No. 6 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i6.51263

Abstract

Magnesium sulfate (MgSO₄) has garnered increasing attention as an adjunct to regional anesthesia, particularly for patients with compromised kidney function requiring upper limb surgery for hemodialysis access. While peripheral nerve blocks are commonly selected for their safety and efficacy in such populations, their delayed onset of action can pose a clinical drawback. To address this issue, a randomized clinical study was conducted at RSUP Prof. I.G.N.G. Ngoerah to investigate the benefits of adding 200 mg of 20% MgSO₄ to supraclavicular-intercostobrachial nerve blocks. A total of 28 participants were randomized into two groups: one receiving the magnesium additive and another as a control. The study assessed onset time for full sensory and motor block as well as analgesia duration. Results indicated that patients in the MgSO₄ group experienced faster sensory (average 10.08 minutes) and motor block onset (average 17.98 minutes), compared to the control group (17.19 and 25.19 minutes, respectively). Moreover, the duration of pain relief was substantially extended in the MgSO₄ group, exceeding 470 minutes on average. Secondary observations also revealed a lower intraoperative requirement for fentanyl and a potential regulatory effect on inflammation-related biomarkers, such as neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios. Overall, the findings suggest that MgSO₄ can serve as a valuable and safe enhancer of nerve block performance, especially in vulnerable surgical populations.
Korelasi Mean Arterial Pressure terhadap Renal Resistive Index, Serum Kreatinin, dan Produksi Urin pada Pasien Operasi Tulang Belakang yang Dilakukan Pembiusan Umum dengan Teknik Hipotensi Terkendali di RSUP Prof. Dr. I.G.N.G Ngoerah I Made Prema Putra; Sidemen, IGP Sukrana; Kurniyanta, I Putu; Tjokorda Gde Bagus Mahadewa; Tjokorda Gde Agung Senapathi
Majalah Anestesia & Critical Care Vol 43 No 2 (2025): Juni
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v43i2.440

Abstract

Latar Belakang: Teknik hipotensi terkendali dilakukan pada beberapa operasi mayor termasuk pada operasi tulang belakang. Perlu untuk mengetahui rentang mean arterial pressure (MAP) pada hipotensi terkendali yang dapat mempertahankan laju filtrasi glomerulus dengan mengevaluasi renal resistive index (RRI), serum kreatinin, dan produksi urin. Metode : Penelitian analitik korelatif ini dilakukan selama empat bulan. Semua pasien yang memenuhi kriteria eligibilitas dan memberikan persetujuan dimasukkan dalam studi. Data primer dikumpulkan saat pasien berada di ruang rawat inap, meliputi usia, jenis kelamin, indeks massa tubuh (IMT), produksi urin, serum kreatinin, dan nilai RRI. Selama operasi, dicatat nilai rentang dan rerata MAP selama anestesi umum dengan teknik hipotensi terkendali. Pemeriksaan RRI, serum kreatinin, dan produksi urin diulang pascaoperasi. Hasil: Terdapat korelasi negatif kuat antara rerata MAP dan RRI, dengan koefisien korelasi (r) -0,625 (p < 0,001), yang menunjukkan bahwa semakin rendah rerata MAP, semakin tinggi nilai RRI, dan sebaliknya. Korelasi positif sedang ditemukan antara rerata MAP dan produksi urin (r = 0,433; p <0,001), serta korelasi negatif rendah antara MAP terendah dan serum kreatinin (r = -0,243; p = 0,040). Analisis kurva ROC menunjukkan AUC sebesar 0,916. Cut-off MAP optimal untuk mempertahankan nilai RRI normal adalah ≥ 52,5 mmHg (sensitivitas 0,955 dan 1-spesifisitas 0,560). Simpulan : Terdapat korelasi negatif kuat yang signifikan antara rerata MAP dan RRI, korelasi negatif rendah yang signifikan antara rerata MAP dan serum kreatinin, serta korelasi positif sedang yang signifikan antara rerata MAP dan produksi urin pada pasien yang menjalani operasi tulang belakang.
PENGARUH MANAJEMEN NYERI AKUT TERHADAP INTENSITAS NYERI 72 JAM, SKOR MPQ DAN EFEK SAMPING PASCAOPERASI ORTOPEDI DI RSUP PROF. DR. I.G.N.G NGOERAH DENPASAR Johanes, Kevin Paul; Sinardja, Cynthia Dewi; Widnyana, I Made Gede; Senapathi, Tjokorda Gde Agung
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.46773

Abstract

Latar belakang : Nyeri pascaoperasi merupakan risiko yang harus dihadapi pasien yang akan menjalani operasi ortopedi.Upaya untuk menangani nyeri dilakukan dengan manajemen nyeri dengan pendekatan multimodal baik dengan agenopioid serta anestesi lokal, tetapi efek dari terapi multimodal ini masih belum dievaluasi kembali pada pasien ortopedi. Untuk menilai efektivitas dari terapi multimodal yang dijalankan untuk menurunkan nyeri, efek samping, dan skor nyeri McGill, maka evaluasi akan dilakukan evaluasi melalui penelitian ini. Metode : Studi ini merupakan sebuah studi Observational Cohort. Dua ratus pasien dewasa berusia 18 tahun keatas yang memenuhi kriteria eligibilitas yang menjalani operasi ortopedi dengan anestesi di RSUP Prof. Dr. I.G.N.G Ngoerah Denpasar selama periode penelitian (November – Desember 2024), direkrut ke dalam penelitian. Setelah data pasien dicatat, pasien akan diikuti sampai 3 hari setelah operasi selesai untuk pengumpulan data. Subjek akan dibagi menjadi kelompok dengan terapi multimodal analgesia regional-based (MMR) atau kelompok dengan terapi multimodal analgesia opioid-based (MMO). Uji statistik perbandingan kategorik dan numerik, serta analisis kovariat dilakukandengan software SPSS. Hasil : Terdapat 200 subjek yang datanya dapat digunakan untuk Analisa. Uji statistik menunjukkan skor VAS yang lebih rendah pada kelompok MMR dibandingkan kelompok MMO. Terdapat insiden mual yang rendah (5%) pada kelompokkedua kelompok. Subjek yang menerima multimodal analgesia pascaoperasi menunjukkan skor MPQ yang rendahterutama pada pada kelompok MMR. Kesimpulan : Manajemen nyeri akut multimodal analgesia menunjukkan intensitas nyeri yang lebih rendah secara statistik pada subjek dengan terapi regional analgesia dengan anestesi lokal tetapi secara klinis kedua kelompok menunjukkan nilai nyeri yang rendah. Multimodal analgesia baik dengan terapi opioid atau regional analgesia menunjukkan tingkat mual yang rendah. Multimodal analgesia dengan terapi regional analgesia menunjukkan skor MPQyang lebih rendah.
PERBANDINGAN SUHU INTI, KEJADIAN HIPOTERMIA, KEJADIAN SHIVERING, KADAR IL-6, IL-10, DAN RASIO IL- 10/IL-6 ANTARA UNDERBODY DENGAN OVERBODY RESISTIVE WARMING DAN SELIMUT HANGAT PADA OPERASI UROLOGI DENGAN ANESTESI SPINAL Patricia, Yoshie; Suarjaya, Putu Pramana; Dewi, Dewa Ayu Mas Shintya; Budiarta, Gede; Senapathi, Tjokorda Gde Agung
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.46774

Abstract

Hipotermia merupakan salah satu komplikasi yang sering terjadi selama operasi, terutama pada tindakan dengan anestesi spinal yang mengganggu mekanisme termoregulasi akibat blok saraf eferen, sehingga panas tubuh berpindah dari inti ke perifer. Pada operasi urologi, penggunaan cairan irigasi semakin memperberat terjadinya hipotermia. Resistive warming (RW) adalah metode pemanasan aktif yang bertujuan mengurangi perbedaan suhu antara inti dan perifer. Penggunaan RW secara overbody (OB) dan selimut hangat (SH) lebih umum dipakai selama perioperatif, namun penggunaan underbody (UB) RW masih jarang diteliti, meskipun memiliki keuntungan tidak mengganggu akses kerja tenaga medis. Hipotermia intraoperatif dapat menyebabkan shivering, meningkatkan morbiditas kardiovaskular, dan memicu respons inflamasi dengan peningkatan IL-6 serta penurunan IL-10, yang berpotensi menyebabkan infeksi, demam, dan urosepsis pasca operasi. Penelitian ini merupakan non-blind randomized clinical trial pada 42 pasien operasi urologi yang dibagi menjadi tiga kelompok: UB, OB, dan SH. Suhu inti dicatat setiap 15 menit, dan kadar IL-6 serta IL-10 diukur sebelum serta 6 jam setelah operasi. Hasil menunjukkan bahwa kelompok UB memiliki suhu inti lebih tinggi, insidensi hipotermia dan shivering lebih rendah, penurunan IL-6 yang signifikan, serta rasio IL-10/IL-6 yang lebih tinggi secara bermakna dibanding kelompok lainnya. Underbody RW terbukti efektif mencegah hipotermia dan respon inflamasi pascaoperasi.
MANAJEMEN ANESTESI PADA PASIEN DENGAN ARTERIOVENOUS MALFORMATION SPINE Sidabutar, Beny Pratama; Suarjaya, I Putu Pramana; Senapathi, Tjokorda GA
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.46810

Abstract

Manajemen anestesi pada pasien dengan arteriovenous malformation (AVM) spinal yang menjalani operasi laminektomi memerlukan pendekatan multidisipliner dan pemantauan ketat untuk menghindari komplikasi neurologis dan hemodinamik. AVM spinal merupakan kelainan vaskular kompleks yang meningkatkan risiko perdarahan intraoperatif, hipotensi spinal, dan iskemia medula spinalis. Oleh karena itu, strategi anestesi harus difokuskan pada stabilitas hemodinamik, penghindaran perubahan tekanan intratekal yang mendadak. Penggunaan teknik anestesi umum yang seimbang, pemilihan agen anestesi yang minimal mengganggu pemantauan neurofisiologis, serta kolaborasi erat dengan tim bedah dan neurofisiologi menjadi kunci keberhasilan manajemen anestesi pada prosedur ini. Kami memaparkan kasus manajemen anestesi yang sukses pada pasien laki-laki usia 31 tahun dengan diagnosa Paraparese dan Tumor Intramedullary ec Suspek Intramedullary Spinal AVM dengan rencana tindakan laminektomi + Reseksi AVM + Stabilisasi Fusi dengan anestesi umum.
Co-Authors A A Gde Putra Semara Jaya Adinda Putra Pradhana Albert Albert Anak Agung Gde Agung Adistaya Andi Irawan Andi Kusuma Wijaya, Andi Anggreni, Anak Agung Ayu Aprilnita, Aida Aryasa EM, Tjahya Astawa N. M., Astawa N. Astawa P., Astawa Astuti, Mira Kusuma Astuti, Mira Kusuma Bayu Saputra, Ida Bagus Prema Satia Brillyan Jehosua Toar Budiadnyana, I Made Pasek Budiarta, Gede Cahyono, Ardy Wibowo Christopher Ryalino Christopher, Michael Cindryani Ra Ratumasa, Marilaeta Cung Flavyanto, Eugenius Silvester Cynthia Dewi Sinardja D.H., Asterina David Rendra Mahardika Dewa Ayu Mas Shintya Dewi Dewi, Dewa Ayu Mas Shintya Dewi, I Dewa Ayu Mas Shintya Doddy Setiawan Ekaputra Ekaputra, Ekaputra Elisma Nainggolan, Elisma EM, Tjahya Aryasa Emkel Perangin Angin, Emkel Eric Makmur, Eric Ery Oktadiputra Estrada, Ronald Eugenia, Michelle Ferry, Ferdinand Gede Semarawima, Gede Gede Wirya Kusuma Duarsa Giovanni, Malvin Hadiwijono, Vanessa Juventia Hartanto, Wijaya Hartawan , I.G.A.G. Utara Hartawan, IGAG Utara Hengky Hengky, Hengky Humianto, Michael I Dewa Made Sukrama I Gede Budiarta I Gede Prima Julianto I Gusti Agung Gede Utara Hartawan I Gusti Ayu Putri Purwanthi I Gusti Ngurah Mahaalit Aribawa I Ketut Sinardja I Ketut Wibawa Nada I Made Agus Kresna Sucandra I Made Bakta I Made Darma Junaedi, I Made I Made Gede Widnyana I Made Prema Putra I Made Subagiartha I Made Wiryana, I Made I Putu Agus Surya Panji I Putu Fajar Narakusuma I Wayan Aryabiantara, I Wayan I Wayan Suranadi Ida Bagus Krisna Jaya Sutawan IGNA Putra Arimbawa, IGNA Putra Jayantha Ananda, I Gusti Ngurah Bagus Jeanne, Bianca Jhoni Pardomuan Pasaribu Jimmy Wongkar Johanes, Kevin Paul Junaedi, I Made Darma Kadek Agus Heryana Putra Kadek Agus Heryana Putra, Kadek Agus Kamaswari, Ida Ayu Dwi Kenzi, Ignatio Armando Ketut Semara Jaya, Ketut Semara Ketut Wibawa Nada Ketut Yudi Arparitna, Ketut Yudi Komang Ady Widayana Komang Alit Artha Wiguna Komang Alit Artha Wiguna Kurnia, Prajnaariayi Prawira Kurniyanta, I P Kurniyanta, I Putu Kusuma, Oscar Indra Labobar, Otniel Adrians Leo, Joseph Nelson Lesmana, Pita Mora Leton, Yohanes PT Made Agus Kresna Sucandra Made Agus Kresna Sucandra, Made Agus Kresna Made Bagus Cahya Maha Putra Made Widnyana Made Wiryana Marilaeta Cindryani Marilaeta Cindryani Lolobali, Marilaeta Cindryani Marilaeta Cindryani, Marilaeta Marting, Millenia Mauritius Septa Murti, Dede Taruna Kreisnna Nada, I Ketut Wibawa Nandaswari, Ni Made Nilam Narakusuma, I Putu Fajar Ni Nyoman Sri Budayanti Ni Putu Novita Pradnyani, Ni Putu Novandi Kurniawan Pande Nyoman Kurniasari, Pande Panji, I PAS Patricia, Yoshie Pontisomaya Parami Pramana, Putu Bagus Gin Gin Pranoto, Theodorus Pascalis Yullie Pratana, Yolanda Jenny Putu Agus Surya Panji Putu Herdita Sudiantara, Putu Herdita Putu Kurniyanta Putu Pramana Suarjaya Ra Ratumasa, Marilaeta Cindryani Raka-Sudewi A. A. Ratumasa, Marilaeta Cindryani Ra Reynaldi Reiky Hadiwijaya Riko Riko Santo, Budi Saputra, Darmawan Jaya Satoto D., Satoto Satria Pinanditas S Sidabutar, Beny Pratama Sidemen, I Gusti Ayu Eka Para Santi Sidemen, I.G.P.Sukrana Sidemen, IGP Sukrana Sonni Soetjipto, Sonni Sri Maliawan Stefanus Taofik stefanus taofik, stefanus Suarjaya, I PP Suastika, I Gede Juli Sucandra, I Made Agus Kresna Sucandra, I MK Sumanti, Alan F. A. Sunanda Naibaho Suranadi , I Wayan Suryadi N. T., Suryadi N. Suryana, I Ketut Syamsuddin, Johanis Bosco Troy Tanuwijaya, Tommy M Tirta, Ian Tjahya Aryasa Tjahya Aryasa Tjahya Aryasa E M Tjokorda Gde Bagus Mahadewa Togi Stanislaus Patrick Virayanti, Luh Putu Diah W. A., W. Wardani, Dinar Kusuma Welly, Julian Widnyana, I MG Widyana, I Made Gede Wiryana M., Wiryana Yadikusumo, Andrian Yustisia, Putu Ngurah Krisna Denta