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All Journal E-Jurnal Medika Udayana Bali Journal of Anesthesiology Syntax Literate: Jurnal Ilmiah Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Neurologico Spinale Medico Chirurgico Journal of Anesthesiology and Clinical Research Jurnal Neuroanestesi Indonesia Journal of Global Pharma Technology Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif
Christopher Ryalino
Departemen Anestesiologi Dan Terapi Intensif, Fakultas Kedokteran, Universitas Udayana, Denpasar, Bali
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Physics Public Health Social Sciences Other

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Udayana One Health Collaborating Center (OHCC) initiated Bali’s first mass, integrated basic life support training Sudewi, Anak Agung Raka; Budayanti, Nyoman Sri; Wiryana, Made; Senapathi, Tjokorda Gde Agung; Ryalino, Christopher; Pradhana, Adinda Putra
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (174.494 KB) | DOI: 10.15562/bjoa.v3i1.136

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ABSTRACTBasic Life Support (BLS) is a first-aid training that can be utilized in case of emergency until the victims are retained by medical professionals. Mastering BLS skills can be the difference between life and death. A cardiopulmonary resuscitation (CPR) performed by a passer-by is important to ensure a successful resuscitation in out-of-hospital cardiac arrest. Yet, improving the survival rate for out-of-hospital cardiac arrest is still a major problem. Starting in 2019, Udayana One Health Collaborating Center (Udayana OHCC) will implement the first mass and integrated BLS training in Bali. The goals are to introduce BLS to more people and to produce BLS-friendly environment in Bali.
General anesthesia combined with thoracic epidural anesthesia: an anesthesia technique option in modified radical mastectomy Sidemen, I Gusti Ayu Eka Para Santi; Senapathi, Tjokorda Gde Agung; Widnyana, I Made Gede; Aribawa, I Gusti Ngurah Mahaalit; Ryalino, Christopher
Bali Journal of Anesthesiology Vol 3: in press (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v3i0.128

Abstract

The incidence of breast cancer has been increasing, and currently, it is the most common cancer in females. Surgery is the primary treatment, and the current tendency is toward less extensive procedure with axillary dissection for removal of lymph nodes to guide further treatment, in this case, the method called modified radical mastectomy (MRM).  The anesthetic technique for MRM should provide adequate intraoperative anesthesia, muscle relaxation, and postoperative analgesia without collateral effects, nausea, and vomiting with the minimum hospitalization time. In this report, we present a case of a woman who underwent MRM under general anesthesia combined with thoracic epidural anesthesia.
Awake Intubation Fiberoptic Bronchoscope on Pregnancy Patient Undergo Decompression Laminectomy and Cervical Fusion Stabilization Saputra, Darmawan Jaya; Senapathi, Tjokorda Gde Agung; Aribawa, I Gusti Ngurah Mahaalit; Ryalino, Christopher
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.816 KB) | DOI: 10.15562/bjoa.v3i2.185

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The traumatic and ankylosing cervical spine being rare in pregnancy can cause serious problems continuing pregnancy. Extensive neurological involvement which is rapidly progressive due to compression should be considered for immediate decompression. We present a case of a patient in the 19th weeks with diagnosis C5 compression fracture and paracervical abscess C5 et causa suspect TB spondylosis, complaints with paralysis in all four limbs. Surgical intervention was deemed necessary and was performed in the prone position. The early operative treatment and appropriate anaesthetic procedure resulted in good clinical outcome with improvement of neurological recovery.
Anaesthesia management on pregnancy with co-morbid asthma undergoing non-obstetric surgery Aryasa, Tjahja; Senapathi, Tjokorda GA; Ryalino, Christopher; Pranoto, Theodorus Pascalis Yullie
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.479 KB) | DOI: 10.15562/bjoa.v3i0.141

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In the pregnancy process, there is a significant physiological change in the mother. Physiological changes, pre-pregnancy conditions, or those that arise during the pregnancy process will affect the delivery outcome. Also, it turns out that the presence of this preexisting condition will affect the outcome process, especially the anaesthetic technique used, the chosen anaesthetic technique is determined based on the age of the pregnancy, surgical procedures to be performed, surgery site, and overall patient condition. Whatever technique is selected, it must use the right method based on clinical decisions and accordingly to the existing guidelines. This condition is a challenge for an anesthesiologist.
Procalcitonin and white blood cell as predictors of urosepsis in urinary tract obstruction patients at Sanglah Hospital Denpasar Gatot Triwono; Anak Agung Gde Oka; Desy Permatasari; Christopher Ryalino
Neurologico Spinale Medico Chirurgico Vol 2 No 2 (2019)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (536.844 KB) | DOI: 10.36444/nsmc.v2i2.7

Abstract

Introduction: Patients with urinary tract obstruction are often accompanied by urinary tract infections. In some cases, it develops into urosepsis that increases mortality. Early detection capability is essential. The purpose of this study was to determine the role of serum procalcitonin (PCT), nitrite urine (NU) and white blood cell (WBC) as urosepsis predictors in patients with urinary obstruction. Methods: This is a cross-sectional study involving 36 samples carried out at our hospital using consecutive sampling technique from December 2016 to February 2017. Statistical analyses used were a bivariate test and multivariate test using Poisson regression. Results: From the bivariate test analysis, serum PCT level of ≥0.25 ng/ml, positive result for NU, and a WBC amount of ≥12,000 cells/mm3 were predictors for urosepsis. In the multivariate test, we obtained a PCT serum level of ≥0.25 ng/ml, and WBC of ≥12,000 cells/mm3 were true predictors of urosepsis in patients with urinary tract obstructions with infections. Conclusion: Serum PCT and WBC can be used as a predictor of urosepsis in patients with urinary tract obstruction.
Diagnostic validity of Thoracic trauma severity score in patient with blunt thoracic trauma for predicting mortality rate Ngakan Gede Dwija Hermawan; I Nyoman Semadi; I Gede Raka Widiana; Desy Permatasari; Christopher Ryalino
Neurologico Spinale Medico Chirurgico Vol 2 No 1 (2019)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.314 KB)

Abstract

Introduction: The high incidence of blunt thoracic trauma is still a serious concern in emergency services. Mild to severe cases of blunt thoracic trauma that come to the emergency department are not those that can be considered simple but need to be reviewed for the possibility that can lead to the occurrence of advanced complications. This study aims to predict mortality in patient with blunt thoracic trauma with TTS (Thoracic trauma severity) score. Patients and Methods: This is a retrospective study with 52 subjects of blunt thoracic trauma patients treated at our University Hospital from January 2016 to May 2017. Eligible data were collected from medical record analyzed by receiver operating characteristics curve and cross tabulation. Results: The age of the subjects are 48.03±15.62, with male 42 subjects (80.8%) and female ten subjects (19.2%). The mean point of Thoracic trauma severity score (TTSS) was 8.32 ± SD: 2.69. The outcome was three patients dead (5.8%) and 49 patients discharged (94,2%). The sensitivity of TTSS 100 %, specificity 89.7%, positive predictive value (PPV) 37.5%, negative predictive value (NPV) 100%, and accuracy rate 90.3%. Highly sensitivity and specificity results for Thoracic Trauma Severity Score is valid for the screening of Blunt Thoracic Trauma. Conclusion: At 11.5 cut-off point, the TTSS was an excellent tool to predict the mortality rate of patients with blunt thoracic trauma. It has a 100% sensitivity and 89.7% specificity, as well as 37.5% PPV and 100% NPV.
Ethanolic Extracts of Young Papaya Seed (Carica papaya, Linn) Decrease Spermatocytes, Leydig Cells, and Androgen Receptor of Leydig Cells of Adult Mice (Mus musculus) Christopher Ryalino
Journal of Global Pharma Technology Volume 12 Issue 01
Publisher : Journal of Global Pharma Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (446.598 KB)

Abstract

Background: Uncontrolled population growth is one of the problems in Indonesia. Among the various types of wild plants that can be used as anti-fertility drugs are papaya plants. This study aims to determine the effect of extracts on the number of spermatozoa, Leydig cells and androgen receptor (AR) expression on Leydig cells as an anti-fertility mechanism.  Materials and Methods: This was an experimental, randomized posttest-only controlled group study. We used a total of 36 Wistar rats as the subjects of this study. The rats were classified equally into two groups by simple random sampling method. Group E rats received 0.5 mL ethanol extract of papaya seeds for 50 days (orally), and the rats in Group C (control) received 0.5 cc aquabidest for 50 days. Results: The treatment group showed a decrease in the number of spermatozoa (201.86 vs. 94.3, p <0.001), a decrease in the number of Leydig cells (7.61 vs. 3.32, p <0.001), and decreased AR expression of Leydig cells (46.19 vs. 18.48, p <0.001) compared to the control group. Conclusion: ethanol extracts of young papaya seeds significantly reduce the number of spermatocytes, Leydig cells, and the AR expression of the Leydig cells.Keywords: Young papaya seed, Male anti-fertility, Androgen receptor, Leydig cells.
TINGKAT PENGETAHUAN MAHASISWA PENDIDIKAN DOKTER FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA TERHADAP PEMBERIAN RESUSITASI JANTUNG PARU (RJP) PADA KEADAAN OUT OF HOSPITAL CARDIAC ARREST (OHCA) Suwardana, Muhammad Bayu; Pradhana, Adinda Putra; Heryana, Kadek Agus; Ryalino, Christopher
E-Jurnal Medika Udayana Vol 12 No 2 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i02.P15

Abstract

OHCA merupakan suatu keadaan dimana terjadinya henti jantung di luar rumah sakit dan dinilai semakin meningkat dengan rata-rata 55 kejadian tiap 100.000 orang per-tahun. Mahasiswa kedokteran yang merupakan salah satu orang dengan edukasi medis memiliki peran dalam memberikan pertolongan pertama pada saat terjadi kejadian OHCA. Maka dari itu dilakukan penelitian untuk memperoleh deskripsi seberapa besar pengetahuan mahasiswa pendidikan dokter Fakultas Kedokteran Universitas Udayana dalam melakukan tindakan RJP pada keadaan OHCA. Penelitian ini merupakan penelitian yang menggunakan metode deskriptif dengan pendekatan cross sectional yang dilakukan secara daring melalui kuesioner dengan sampel mahasiswa pendidikan dokter Fakultas Kedokteran Universitas Udayana. Dengan total 724 sampel didapatkan hasil tingkat pengetahuan yang luar biasa secara keseluruhan. Tingkat pengetahuan tertinggi dihasilkan pada jenis kelamin laki-laki, usia 21 tahun, pengetahuan yang bersumber dari BSO, rentang waktu pelatihan 1-2 tahun terakhir, serta tingkatan tahun ketiga. Kata kunci: pengetahuan, mahasiswa kedokteran, henti jantung, OHCA.
Angka kejadian nyeri kepala pasca anestesia spinal pada pasien paskaoperasi seksio sesarea Parami, Pontisomaya; Wiryana, Made; Senapathi, Tjokorda Gde Agung; Ryalino, Christopher; Pradhana, Adinda Putra; Narakusuma, I Putu Fajar
E-Jurnal Medika Udayana Vol 11 No 12 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i12.P02

Abstract

Nyeri kepala pasca anestesia spinal merupakan salah satu resiko dari anestesi neuraksial yang terjadi setelah prosedur anestesi spinal akibat tusukan dural atau robekan selama dilakukannya anestesi yang dapat disertai dengan gejala mual, muntah, serta gangguan pendengaran dan penglihatan. Tujuan penelitian ini adalah untuk melihat angka kejadian nyeri kepala pasca spinal anestesia pada pasien pasca operasi seksio sesarea di RSUP Sanglah Denpasar. Penelitian ini merupakan penelitian deskriptif potong lintang yang dilakukan terhadap semua pasien yang menjalani operasi dengan teknik anestesia spinal di RSUP Sanglah Denpasar selama periode tiga bulan di tahun 2021. Sebanyak tiga sampel dieksklusi karena sebelumnya telah memiliki riwayat nyeri kepala, sehingga diperoleh total 109 sampel. Kuisioner diisi sesuai jawaban responden pada hari ke-2 dan ke-5 paskaoperasi. Hasil penelitian menunjukkan angka kejadian nyeri kepala pasca anestesia spinal pada hari kedua dan hari kelima paskaoperasi adalah sama yaitu sebesar 2%, seluruhnya merupakan nyeri kepala dengan derajat ringan.
PREVALENSI PASIEN SYOK SEPSIS DI RUANG TERAPI INTENSIF RSUP SANGLAH TAHUN 2016-2020 Farha, Nabilla; Pradhana, Adinda Putra; Ryalino, Christopher; Suranadi, I Wayan
E-Jurnal Medika Udayana Vol 12 No 1 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i01.P17

Abstract

Sepsis ialah keadaan disfungsi organ yang dapat menimbulkan kematian akibat tidak teraturnya respon tubuh terhadap infeksi yang dapat memburuk menjadi syok sepsis. Syok sepsis merupakan keadaan sepsis disertai hipotensi yang menetap, sehingga memerlukan vasopresor untuk mempertahankan tekanan arteri rerata ?65 mm Hg. Salah satu penyebab utama kematian di ruang terapi intensif adalah syok sepsis. Maka dari itu, dilakukan penelitian mengenai prevalensi pasien syok sepsis di ruang terapi intensif (RTI) RSUP Sanglah Denpasar pada tahun 2016-2020 agar dapat mengetahui gambaran permasalahan syok sepsis sehingga dapat membantu dalam perencanaan sistem kesehatan mengenai penatalaksanaan syok sepsis. Penelitian ini merupakan penelitian dengan desain deskriptif retrospektif dengan menggunakan data sekunder berupa rekam medis pasien yang dirawat di RTI RSUP Sanglah Denpasar periode 2016-2020 yang didapat dari instalasi rekam medik RSUP Sanglah Denpasar. Pada penelitian ini teknik sampling yang digunakan adalaj purposive sampling yang disesuaikan dengan kriteria penelitian. Berdasarkan penelitian ini didapatkan prevalensi pasien syok sepsis sebesar 3% dengan karakteristik 50% pasien berjenis kelamin laki-laki dan 50% berjenis kelamin perempuan, mayoritas berada pada rentang usia 18-65 tahun (64%), dan mengalami kematian (52%). Melalui hasil tersebut, dapat disimpulkan angka kematian pasien syok sepsis masih tinggi. Kata kunci: kematian, prevalensi, ruang terapi intensif, sepsis, syok sepsis
Co-Authors Adinda Putra Pradhana Agung Senapathi, Tjokorda Gede Agustina, Mona Anak Agung Gde Oka Cristy, Nadia Assecia Cynthia Dewi Sinardja Desy Permatasari Desy Permatasari Dewi, Christina Angelia Maharani Elizeus Hanindito Estrada, Ronald Farha, Nabilla Gatot Triwono Haithami, Guntur Mu Ammar Heryana, Kadek Agus I Gde Raka Widiana I Gede Budiarta I Gusti Agung Gede Utara Hartawan I Gusti Ngurah Mahaalit Aribawa I Ketut Sinardja I Ketut Suyasa I Made Gede Widnyana I Made Subagiartha I Nyoman Semadi I Putu Agus Surya Panji I Wayan Aryabiantara, I Wayan I Wayan Suranadi Ida Bagus Krisna Jaya Sutawan Junaedi, I Made Darma Junaedi, Made Darma Labobar, Otniel Adrians Leton, Yohanes PT Made Wiryana Mahaalit, I Gusti Ngurah Narakusuma, I Putu Fajar Ngakan Gede Dwija Hermawan Ni Nyoman Sri Budayanti Pontisomaya Parami Pradnyani, Ni Putu Novita Pranoto, Theodorus Pascalis Yullie Putu Agus Surya Panji Putu Diah Virayanti, Luh Putu Kurniyanta Putu Pramana Suarjaya Raka-Sudewi A. A. Saputra, Darmawan Jaya Sidemen, I Gusti Ayu Eka Para Santi Suwardana, Muhammad Bayu Tjahya Aryasa Tjokorda Gde Agung Senapathi Utariani, Arie Virayanti, Luh Putu Diah Wanda, Aprilia