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Luthfi, Ahmad Angga
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Masalah yang kerap muncul Implementasi dari metode Enhanced Recovery after Caesarean Surgery Rizal, Raisha Rahmani; Redy Bintang Pratama; Luthfi, Ahmad Angga
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.911

Abstract

The problem that often arises in post sectio caesarea (SC) patients is fear of mobilizing earlier because of pain. Approximately 60% of patients have very severe pain, 25% moderate pain and 15% mild pain. The SC ERACS method is claimed to reduce postoperative pain, and allows for a faster recovery process. Enhanced recovery after caesarean surgery (ERACS) is a concept that combines evidence-based aspects of perioperative care to accelerate patient recovery. This standardizes perioperative management and achieves reproducible improvements in quality of care. Early studies on the ERACS protocol performed in colorectal surgery reported reduced hospital stays, hospitalizations, and postoperative complications coupled with improved patient satisfaction. The specific components of the ERACS protocol differ between surgical specialties and institutions, but the core principles remain the same. These principles involve interventions spanning the preoperative, intraoperative, and postoperative periods. It addresses common reasons that delay patient recovery from surgery and prolong hospital stay such as inadequate analgesia, slow return of bowel function, and delayed ambulation. Some are slower. In the study conducted, 84 patients were found using the ERACS method with a distribution of 42 people in each group. Length of Stay with an average of 6 days and 11 days respectively. This study aims to make a critical review to find out whether the application of the ERACS method can provide improvements to the length of stay in the hospital, postoperative mobilization time, return of bowel/digestive tract function, and pain free condition.
Sebuah Laporan Kasus Manajemen Anestesi pada Lansia dengan Peritonitis Sekunder: Sebuah Laporan Kasus Saputra, Baridi Adlan; M. Hidayatullah Saputra Amsia; Luthfi, Ahmad Angga
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1152

Abstract

Thyroid carcinoma is the most common malignancy of the endocrine system and ranks 9th out of the 10 most common cancers in Indonesia. Thyroid carcinoma can lead to possible difficulties in airway management and intubation as well as the possibility of thyroid storm although this is rare. Anesthesiologists should pay special attention to the preoperative, perioperative and postoperative measures of patients with thyroid carcinoma because primary tumors or metastases in the head neck, lung or mediastinum region can cause airway obstruction at the level of the larynx, trachea or bronchi. The American Society of Anesthesiologists (ASA) and the Difficult Airway Society (DAS) have created difficult airway and difficult intubation management algorithms to facilitate anesthesiologists in dealing with these conditions. This case report discusses a 55 year old male patient with right thyroid carcinoma who underwent radical neck dissection surgery using a long laryngoscope blade number 4. The patient was successfully intubated and underwent surgery with normal hemodynamic monitoring. The importance of good and correct preoperative, intraoperative and postoperative management, especially with regard to airway management, will make the operation run smoothly and safely and reduce morbidity and mortality in patients.
Co-Authors M. Hidayatullah Saputra Amsia Redy Bintang Pratama Rizal, Raisha Rahmani Saputra, Baridi Adlan