Trijoso Permono
Faculty of medicine Sriwijaya University

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

Hematocrit Changes as Parameters for Giving Mannitol in Severe Head Injury Donny Valensius Susanto; Trijoso Permono
Sriwijaya Journal of Surgery Vol. 1 No. 2 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.96 KB) | DOI: 10.37275/sjs.v1i2.8

Abstract

ABSTRACT Introduction. Incidence of head injuries is also quite high in Indonesia, around 1.4 million cases per year with a mortality rate of 15-20% in the population aged 5 to 35 years. Head injuries are commonly divided into two separate time periods namely primary and secondary brain injuries. Primary brain injury is physical damage to the parenchyma (tissue and blood vessels) that occurs during a traumatic event, thus causing compression of the surrounding brain tissue. Secondary brain injury is a continuation of the results of primary brain injury with the main complications of brain injury in the following hours and days. This study was aimed to asses the benefits of administration of mannitol in cases of severe head injury in South Sumatra, Indonesia. Methods. This research was a clinical trial without comparison by looking at hematocrit levels in patients with severe head injuries with intracranial hypertension before and after given mannitol therapy. Data analysis was performed with IBM SPSS Version 23. Data was presented in the form of narrative tables. Then the paired T test was performed. P value <0.05. Results. From 39 research subjects, the age of the subjects ranged between 6-88 years with an average of 33 years. Based on sex there were 28 male sufferers (71.8%) and there were 11 female sufferers 28.2%. GCS varies from 3 to GCS 8 intra-cranial abnormalities. From 39 research subjects with severe head injury without surgery, a hematocrit examination was performed before, after 10 minutes and 6 hours of injection of mannitol bolus 1 g / kg body weight. It was obtained that averaged hematocrit before mannitol administration was 34, after 10 minutes was 33 and after 6 hours was 35. Conclusion. There is a decrease in hematocrit levels after administration of bolus mannitol 1 g / kg BW at the beginning of mannitol administration and hematocrit will increase again after 6 hours of mannitol administration
Correlation between APACHE II Score on Mortality Severe Head Injury Patients in the Educational Room of Dr. Mohammad Hoesin General Hospital Palembang in 2019-2020 Anggi Ciptawan; Trijoso Permono; Erial Bahar
Sriwijaya Journal of Surgery Vol. 5 No. 1 (2022): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v5i1.70

Abstract

tissue due to trauma. Severe head injuries account for about 10% of the total head injuries. In addition to death caused by severe head injury itself, head injury patients are susceptible to complications that can occur while the patient is hospitalized. The purpose of this study was to determine the correlation between the APACHE II Score on the mortality of severe head injury patients who were treated in the GICU room, Dr. Mohammad Hoesin Palembang. This type of research is a quantitative research using a retrospective analytical study survey design. Between group variables are unpaired because no matching is done. The research sample is 30 respondents. Results of analysis in this study, after statistical testing using the Chi Square test, p value < 0. 002 was obtained which clarified that there was a relationship between APACHE II Score and mortality in respondents with severe head injuries who were treated in the GICU, Dr. Mohammad Hoesin Palembang. Severe head injury in the GICU room, Dr. Mohammad Hoesin Palembang (p=0.002). The higher the patient's APACHE II score, the more likely the patient to leave the GICU dead. From a total of 30 respondents who were treated in the GICU room, the highest APACHE II score was 28 and the lowest was 3 the more likely the patient to leave the GICU dead. From a total of 30 respondents who were treated in the GICU room, the highest APACHE II score was 28 and the lowest was 3 the more likely the patient to leave the GICU dead. From a total of 30 respondents who were treated in the GICU room, the highest APACHE II score was 28 and the lowest was 3.