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All Journal E-Jurnal Medika Udayana Bali Journal of Anesthesiology Syntax Literate: Jurnal Ilmiah Indonesia Hearty : Jurnal Kesehatan Masyarakat Bioscientia Medicina : Journal of Biomedicine and Translational Research PREPOTIF : Jurnal Kesehatan Masyarakat Neurologico Spinale Medico Chirurgico Jurnal Kesehatan Tambusai Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal of Anesthesiology and Clinical Research Journal of Global Pharma Technology Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif

Adinda Putra Pradhana

Department Of Anesthesiology And Intensive Care, Faculty Of Medicine, Udayana University, Indonesia

Author-ID : 640091

Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

Published : 37 Documents Claim Missing Document

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Minimally invasive pain management in chronic musculoskeletal pain: A Community service at Blahkiuh I Health Center Parami, Pontisomaya; Suranadi, I Wayan; Utara Hartawan, I Gusti Agung Gede; Mahaalit, I Gusti Ngurah; Ryalino, Christopher; Pradhana, Adinda Putra
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

ABSTRACTPain is a common complaint found in the population. Inadequate knowledge about pain management is the most common reason that triggers the inadequate management of pain. Pharmacological pain management is also not without risk. Various risks from the use of pharmacological agents related to side effects that can arise may also cause new problems. Several medical intervention techniques with invasive procedures for pain have also been carried out, although they are still less popular, due to a lack of public knowledge of this technique. We conducted a cost-free, minimally invasive pain procedure in people with chronic musculoskeletal pain in a public health center in a rural area in Bali Island to alleviate their pain-associated symptoms and to introduce this minimally invasive pain management technique.

The correlation between the depth extent of Tuohy epidural needle with body mass index (BMI) to achieve loss of resistance in patients undergoing epidural anesthesia Hartawan, I Gusti Agung Gede Utara; Senapathi, Tjokorda Gde Agung; Aribawa, I Gusti Ngurah Mahaalit; Parami, Pontisomaya; Pradhana, Adinda Putra; Syamsuddin, Johanis Bosco Troy
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

ABSTRACTBackground: Anesthesia management in obesity is quite challenging. Epidural anesthesia become one of the choices. The attention should be addressed in order to prevent the misidentification of epidural space. The estimation of the depth extent of epidural space becomes crucial, especially in obese patients due to an accumulation of subcutaneous and epidural adipose tissue, which consequently complicate the epidural catheter insertion. This study aimed to analyze the correlation of the depth extent of Tuohy epidural needle to achieve loss of resistance between normal-weighted and obese patients.Method: This study was conducted with 56 adult patients aged 17 to 65 years who underwent elective surgery by epidural anesthesia inserted at level L2-L3 or L3-L4 interspace. Subjects are divided into normal and obese groups. Shapiro-Wilk and chi-square tests were used in the normality test. For normally distributed data, an independent t-test was used to test the hypothesis, otherwise, we used Mann-Whitney test Results: The results showed that the loss of resistance in epidural needle insertion procedures was 60 mm in a patient with BMI more than 30 kg/m2 and 50 mm in those with BMI <30 kg/m2 (p<0.001).Conclusion: The loss of resistance depth in epidural Tuohy needle insertion is significantly determined by BMI.

The use of echocardiography as a routine perioperative monitoring standard: The perspective of a cardiothoracic anesthesiologist Nada, I Ketut Wibawa; Pradhana, Adinda Putra
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

INTRODUCTIONIn the era of medicine that has been very advanced as it is today, we as anesthesiologists are required to be able to provide anesthetic services that are comfortable but still safe. Throughout the world, there are more than 300 million major surgery each year, and major cardiovascular adverse events are a significant cause of perioperative morbidity and mortality.1 This certainly relates to the nature of anesthetic agents that are mostly cardiovascular-depressant. Anesthetic agents such as propofol, ketamine, opioids, inhalation anesthetic agents, and many others, can directly affect the cardiovascular system.2While the major cardiac event occurred during perioperative events is also quite high. Especially for the patients in the perioperative period who will undergo non-cardiac surgery. This frequently reduces the alertness of an anesthesiologist, especially when performing perioperative monitoring. A study from Smilowitz et al.,1 showed that out of 10,581,621 patients admitted to hospital for major non-cardiac surgery plans, 317,479 (3%) patients had experienced major cardiac events. Which can be illustrated that major cardiac events occur in 1 in 33 patients treated for major non-cardiac surgery. Echocardiography is a safe, relatively inexpensive and well-tolerated action for patients.3Regular use of echocardiography in the perioperative period can certainly help to predict and even reduce major events adverse cardiac events. It is good to be used as a guide for making decisions in carrying out actions, as well as for monitoring the patient's condition regularly during the perioperative period. The use of echocardiography so far has been used for both diagnosis and management in the field of cardiology and is used by another specialist as well, although anesthesiologists do not use it in the perioperative period as a routine manner. Meanwhile, the role of an anesthesiologist as a perioperative doctor has become something that other specialties have begun to rely on.4

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.

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.

Role of flow velocity and transient hyperemic response evaluated by transcranial doppler for assesing brain autoregulation in mild traumatic brain injury: a case report Demoina, I Gede Patria; Wiryana, Made; Suarjaya, Putu Pramana; Pradhana, Adinda Putra
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Head injuries are a common case throughout the world, based on data from the Centers for Disease Control, emergency cases, hospitalization cases, and also deaths due to head injuries have increased in the decade 2001-2010. Cerebral autoregulation (CA) is a mechanism for cerebral blood flow (CBF) regulation if there is a change from cerebral perfusion pressure (CPP). The mechanism of brain autoregulation is negative feedback that holds back the increase in mean arterial pressure (MAP) by reducing the diameter of blood vessels so that CBF returns to normal, whereas if MAP falls, brain autoregulation tends to widen blood vessel diameter so that CBF is normal. Transcranial doppler examination can be one of the modalities of investigation that is very useful in patients with head injuries. Transcranial doppler in patients with a head injury can be used to measure mean flow velocity of cerebral artery media and transient hyperemic response test, both of which can assess the prognosis of a course of head injury.

Statement of Retraction Adinda Putra Pradhana
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.123

Article title: “Hemopneumothorax associated with pneumorrachis following blunt chest trauma” Authors: Putu Eka Mardhika, Tjokorda Gde Bagus Mahadewa, Citra Aryanti Bibliometrics: Volume 2, Issue 2, pages 33-36 DOI: 10.36444/nsmc.v2i2.10 Neurologico Spinale Medico Chirurgico with Indoscholar is retracting the paper titled “Hemopneumothorax associated with pneumorrachis following blunt chest trauma” by Putu Eka Mardhika, Tjokorda Gde Bagus Mahadewa, Citra Aryanti, published in Volume 2, Issue 2, pages 33-36. Upon investigation, it was determined that a similar article, titled the same was submitted by the authors and simultaneously published in another journal (redundant publication) As a result, the article published in Neurologico Spinale Medico Chirurgico has been retracted and should not be cited in the electronic or print version of the journal.

EXCISION OF GIANT CELL TUMOR FOLLOWED BY RECONSTRUCTION OF DISTAL RADIUS USING FREE VASCULARIZED FIBULAR GRAFT Prisca Oriana Sutanto; Agus Roy Rusli Hamid; Adinda Putra Pradhana
Neurologico Spinale Medico Chirurgico Vol 1 No 3 (2018)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1046.532 KB)

Giant cell tumor (GCT) of the distal radius is a rare and unpredictable lesion. The aim of treatment is complete removal of the tumor and preservation of the maximum function of the extremity. Lower rates of local recurrence have been noted after wide resection of the diseased bone. Its standard treatment has ranged from surgical curettage to wide resection. One method for closing the defect is using the head of the fibula as a substitute for the distal radius. The healing of vascularized fibular graft is very quick and without bone resorption. Thus, in the procedure for reconstruction and limb salvage after bone tumor resection of the distal radius, the free vascularized fibular graft with the fibular head is an ideal substitute. This case report will show a patient with GCT that successfully treated by an excision of GCT followed by reconstruction of distal radius using free vascularized fibular graft.

Perioperative temperature management in adult anesthesia Dewa Ayu Karunia Dewi; Eva Dharma Yanti; Adinda Putra Pradhana
Neurologico Spinale Medico Chirurgico Vol 2 No 3 (2019)
Publisher : Indoscholar

Body temperature management is very important to be controlled in surgery because there are so many effects that can be caused due to uncontrolled body temperature during operations such as decreased heart rate, breathing frequency and blood pressure, the skin becomes cyanotic, and even can cause disturbance of consciousness. The body already has a mechanism that can reduce the risk of a decrease in temperature during surgery such as skin vasoconstriction, changes in behavior, shivering and non-shivering thermogenesis. Many factors can influence changes in body temperature thermoregulation in the operating room such as operating room temperature, area of surgery wound, fluid, age, anesthesia, and the duration of the operation, so that we need to know perioperative temperature management.

Comparison between Low Flow and High Flow Sevoflurane Isocapnic Technique to Achieve Early Recovery after Surgery (ERAS) Adinda Putra Pradhana
Journal of Global Pharma Technology Volume 11 Issue 01.
Publisher : Journal of Global Pharma Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.797 KB)

Objective. The purpose of this study was to compare recovery time between low flow and high flow sevoflurane isocapnic anesthesia techniques, as well as the total consumption of sevoflurane.Design. This study was an observational single-blind randomized trialSetting. Operating room.Patients. Total 40 patients from both gender, 18 to 60 years old, BMI 18.5-29.99 kg/m2 with physical status ASA I or II, that scheduled for elective surgery under general anesthesia approximately between 3-5 hours were selected for this study.Intervention. Selected patients divided randomly into two groups (n=20 each). First group was given low flow sevoflurane, delivered with initial flow 6 L/min until MAC 0.9 or expiration level of sevoflurane 2.2 vol% then reduced flow to 0.5 L/min; second group with high flow technique 4L/min after induction.Measurement. The duration of operation, duration of anesthesia, time reaching of BIS 75, eye-opening with command, extubation, moving into the recovery room and when reaching Modified Aldrete score 10.Main Results: Based on statistics, sample characteristics, hemodynamic conditions, length of anesthesia and number of fentanyl were not significantly different. There was a significant difference on post anesthesia recovery time between low flow and high flow anesthesia time BIS 75: 1.7 (± 0.801) vs 7.05 (± 3.956), p<0.001, eye-opening time: 5.45 (± 3.82) vs. 14.86 (± 7.945 ), p<0.001, extubation time: 5.8 (± 2.783) vs. 15.29 (± 8.776), p<0.001, moving into recovery room: 15.35 (± 5.133) vs. 23.52 (± 12.213), p=0.021, time reaching modified aldrete 10: 8.95 (± 4.211) vs. 29 (± 18,091), p<0.001).Conclusion: Recovery time after general anesthesia using low flow sevoflurane isocapnic anesthesia technique is faster than the high flow anesthesia technique with less sevoflurane consumption.

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

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.

Co-Authors Agus Roy Rusli Hamid Amin, Yusuf Sidang Andi Irawan Andi Kusuma Wijaya, Andi Cahyono, Ardy Wibowo Christopher Ryalino Cynthia Dewi Sinardja Demoina, I Gede Patria Deni Salmon Dewa Ayu Karunia Dewi Dewa Ayu Mas Shintya Dewi Dwipayana, I Made Agus Yudha Eric Makmur, Eric Eva Dharma Yanti Farha, Nabilla Hartawan, IGAG Utara Heryana, Kadek Agus I Dewa Made Sukrama I Gede Budiarta I Gusti Agung Gede Utara Hartawan I Gusti Ngurah Mahaalit Aribawa I Gusti Putu Sukrana Sidemen I Ketut Sinardja I Made Darma Junaedi, I Made I Made Dwi Pramana I Made Gede Widnyana I Putu Agus Surya Panji I Wayan Aryabiantara, I Wayan I Wayan Suranadi Kadek Agus Heryana Putra, Kadek Agus Kamaswari, Ida Ayu Dwi Kapitan, Titin Agustin Ketut Wibawa Nada Labobar, Otniel Adrians Made Widnyana Made Wiryana Mahaalit, I Gusti Ngurah Mauritius Septa Murti, Dede Taruna Kreisnna Nada, I Ketut Wibawa Nantha Kusuma, Putu Eka Narakusuma, I Putu Fajar Ni Nyoman Sri Budayanti Ni Putu Novita Pradnyani, Ni Putu Novandi Kurniawan Pande Nyoman Kurniasari, Pande Pontisomaya Parami Prisca Oriana Sutanto Putra, Putu Enggi Pradana Putu Kurniyanta Putu Pramana Suarjaya Raka-Sudewi A. A. Rapa, Fransiscus Braveno Senapathi, Tjokorda Gede Agung Sonni Soetjipto, Sonni Sumanti, Alan F. A. Supono, Benny Suwardana, Muhammad Bayu Syamsuddin, Johanis Bosco Troy Tjokorda Gde Agung Senapathi Yadikusumo, Andrian

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