Misturiansyah, Nurrul Izza
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Anesthesia in Low Ejection Fraction Patient : Case Report Gemawan, Taufiq; Handoko, Adelia; Misturiansyah, Nurrul Izza
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 2 (2023): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v17i2.6198

Abstract

Ejection fraction (EF) is the percentage of the difference between the end-diastolic volume and the end-systolic volume divided by the end-diastolic volume. This measurement is important in determining how well the heart is pumping out blood and in diagnosing heart failure (HF). Normally the percentage of EF is above 50%. A decrease in EF will make it difficult to perform anesthesia during surgery due to life-threatening irregular heartbeats, leading to sudden cardiac arrest and sudden death. Patients with a very low ejection fraction require identification of risk factors, preoperative evaluation and optimization, medical therapy, monitoring, and appropriate anesthetic technique and drugs. In this report, we present a 67-year-old woman with HFmrEF (estimated ejection fraction 46%) and coronary artery disease who underwent partial hip replacement surgery under general anesthesia. General anesthesia was performed on the patient and induction used fentanyl, midazolam, and atracurium. Management of patients is aimed at maintaining cardiac output and avoiding myocardial depression by maintaining a balance between oxygen supply and demand. Therefore good anesthetic management is needed to maintain the hemodynamic stability of the patient.
Allergic Contact Dermatitis with Underlying Disease Seborrhoeic Dermatitis: A Case Report Miranti, Umi; Yoga, R. Ristianto; Nuridah, Ayu Lilyana; Amien, M. Irsyad; Misturiansyah, Nurrul Izza
Journal of Agromedicine and Medical Sciences Vol 10 No 3 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i3.48892

Abstract

Seborrhoeic dermatitis is a skin disease with erythropopulosquamous morphology in areas of the skin that are rich in sebaceous glands such as the folds, scalp and face. The prevalence of seborrheic dermatitis worldwide is only around 5%, but the incidence of the non-inflammatory type of this disease (dandruff) reaches 50%. Seborrheic dermatitis can appear together with other types of dermatitis such as contact dermatitis, such as allergic contact dermatitis or irritant contact dermatitis. In this case, we will describe the incidence of seborrheic dermatitis accompanied by allergic contact dermatitis. Diagnosis in cases of seborrheic dermatitis accompanied by contact dermatitis must be carried out appropriately according to the subjective data and efflorescence obtained. The correct diagnosis influences appropriate management and a better prognosis for the patient. Keywords: Seborrhoeic dermatitis, allergic contact dermatitis
Diagnosis dan Tata Laksana Eritroderma Misturiansyah, Nurrul Izza; Miranti, Umi; Nuridah, Ayu Lilyana; Amien, Muhammad Irsyad; Yoga, R. Ristianto
Cermin Dunia Kedokteran Vol 51 No 6 (2024): Cardiology
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i6.1086

Abstract

Erythroderma, also known as exfoliative dermatitis, is a diffuse inflammation-related skin disorder characterized by redness and scales affecting more than 90% of the body surface area. Its incidence is around 1 per 100,000 adults, with a mortality rate of 16% each year, especially in immunodeficient patients. Several conditions as the main cause include psoriasis (23%), atopic dermatitis (16%), drug hypersensitivity reactions (15%), and cutaneous T-cell lymphoma (CTCL) or Sezary syndrome (5%). Erythroderma is a potentially life-threatening condition requiring diagnosis, identification of the etiology, and appropriate management.