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All Journal Jurnal Anestesiologi Indonesia Sari Pediatri Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat Jurnal Biomedika dan Kesehatan Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Prima Medika Sains Indonesian Journal of Anesthesiology and Reanimation (IJAR) Indonesian Journal of Applied Research (IJAR) Journal SAGO Gizi dan Kesehatan Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Jurnal PADE: Pengabdian & Edukasi The Journal of Society Medicine (JSOCMED)

Lubis, Andriamuri Primaputra

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Author-ID : 7388868

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

Published : 23 Documents Claim Missing Document

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A Case Report Total Intravenous Anesthesia Combined with Peribulbar Block in Vitrectomy Operation with Heart Disorder Lubis, Andriamuri Primaputra; Lubis, Adhika Syaputra
Majalah Anestesia & Critical Care Vol 40 No 2 (2022): Juni
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Introduction: Vitrectomy is eye surgery to evaluate the retina by removing the vitreous gel which is principally carried out in three stages, namely retinal detachment repair, membrane peeling, and crystalline lens. In this operation, the anesthetic technique that needs to be emphasized is not increasing intraocular pressure and avoiding the oculocardiac reflex. This operation can be performed with a peribulbar or retrobulbar block, however, total intravenous anesthesia may also be considered in patients with other comorbidities.Case Presentation: Male, 55 years old, 96 kgs, with the chief complaint of blurred vision in the last 3 weeks ago. There were no other complaints but the patient has a history of hypertension, diabetes mellitus type II, congestive heart failure with a history of mitral valve replacement (MVR), and permanent pacemaker (PPM) usage from 2015. The patient had a history of warfarin and novamox usage 7 days ago. From the exam, the patient was diagnosed with ablatio retina + post-MVR and scheduled to have a vitrectomy. The patient was positioned supine with 300 heads up. The patient was given 3 liters of oxygen via nasal cannula, premedicated with fentanyl 50 mcg, then induced with propofol 100 mg bolus intravenously until sleep nonapnea before continuing with continuous propofol via syringe pump. The patient was maintained by propofol 0.5 mg/kg BW/hour. Next, the patient was given a peribulbar block with 2mL Lidocaine 2% and 2mL Bupivacaine 0.5%. During operation, there was no significant hemodynamic fluctuation until finished. Conclusion: The patient thus will undergo vitrectomy can be performed with peripheral nerve blocks such as retrobulbar anesthesia or peribulbar anesthesia. However, after knowing about the patient’s medical history, in this case, with a history of cardiac events and also undergone open-heart surgery, total intravenous anesthesia combined with a peribulbar block was considered the most suitable technique.

Pengaruh Pemberian Tiamin Intravena terhadap Kadar Tumor Necrosis Factor Alpha (TNF- α) pada Pasien COVID-19 di Ruang Isolasi Lubis, Andriamuri Primaputra; Annisa Syifanurhati; Muhammad Ihsan
Majalah Anestesia & Critical Care Vol 40 No 2 (2022): Juni
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Introduction : Many cytokines and inflammatory mediators play a role in the progression of COVID-19 disease, including the interleukins, interferons, and tumor necrosis factor-α (TNF-α.) groups. An intervention is needed to reduce the levels of this cytokine. Thiamine has the potential to reduce levels of proinflammatory cytokines, especially TNF-α. Objective: To determine the effect of intravenous thiamine administration on TNF-α levels in COVID-19 patients in the isolation room of RSUP H Adam Malik. Methods: This study used an analytical design of one group pre test - post test in the isolation room of Haji Adam Malik General Hospital Medan with a sample size of 16 people. Samples were given thiamine IV 200 mg/12 hours and then the levels of TNF-α were measured by ELISA method. Results: Characteristics of the sample obtained were equal in number of males and females (1:1), the mean age was 43 ±14.78 years, the mean BMI was 23.31 ± 6.55, the mean systolic was 122.50 ± 5.77 mmHg and diastolic 88.88 ± 6.55 mmHg. The majority of the sample (50%) had no comorbidities. Before administration of thiamine, the median TNF-α was 186.5 pg/mL with a minimum and maximum value (171-420 pg/mL) and after administration of thiamine, the median TNF-α was 180.50 pg/mL with a minimum and maximum value (122-200 pg/mL) obtained a p value of 0.001 < 0.05 (there is a significant effect). Conclusion: In this study, the mean TNF-α level was lower when given intravenous thiamine. This decrease in TNF-α levels was also found to be significant after intravenous thiamine administration.

Plasmapheresis in Myasthenia Gravis Crisis Rifani Masharto, Alegra; Lubis, Bastian; Lubis, Andriamuri Primaputra; Nadeak, Rommy
Majalah Anestesia & Critical Care Vol 41 No 3 (2023): Oktober
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v41i3.290

Introduction: Myasthenic crisis is the most lethal complication of myasthenia gravis. Referral to an intensive care unit is crucial in managing the myasthenic crisis. Hereby, we report a case of a myasthenic crisis in a 30-year-old female who underwent plasmapheresis. The patient underwent a 12-hour procedure for plasmapheresis and was discharged to a normal ward the next day. Although plasmapheresis is costly, its efficacy should be considered as the main treatment for myasthenic crisis. Case Illustration: Female, 30 years old, weighed 60 kgs, with myasthenia crisis. The patient came to an emergency department and was then intubated before being admitted to the intensive care unit. The physical diagnostic was normal and laboratory findings were leukocytosis. The patient was treated with normal saline, antibiotics, high-dose corticosteroids, and pyridostigmine. The patient was done plasmapheresis with synchronized intermittent mandatory ventilator mode. The patient was examined every 30 minutes. The physical examinations were relatively normal. The plasmapheresis procedure was ended in 12 hours. From the literature, plasmapheresis was found to have significant results for myasthenia gravis compared to conventional therapy because of its blood separation technique to remove autoantibodies. The next day patient was extubated with normal physical examinations and normal laboratory findings. The patient then moved from the intensive care unit to the normal ward and outpatient on the third day of hospital stay. The patient was given oral medicine that included antibiotics, corticosteroids, and pyridostigmine. Conclusion: From this case, we can see that plasmapheresis therapy has a really good outcome compared to other conventional therapy. However this therapy is expensive, so most healthcare providers don’t cover the payment. Hopefully, most hospitals and healthcare providers can cover up for this treatment to save many myasthenia gravis crisis. Keyword: Intensive Care Unit; myasthenic crisis; myasthenia gravis; plasmapheresis; treatment efficacy

Perbandingan Efektifitas Bisoprolol 2,5 mg dan Bisoprolol 5 mg dalam Mengontrol Denyut Jantung pada Pasien Sepsis di Ruang Rawat Intensif Pohan, Alfindy Maulana; Lubis, Bastian; Lubis, Andriamuri Primaputra
Majalah Anestesia & Critical Care Vol 42 No 2 (2024): Juni
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v42i2.339

Latar Belakang: Sepsis merupakan keadaan disfungsi organ yang mengancam jiwa di mana terjadi disregulasi respon tubuh terhadap infeksi. Sepsis dikaitkan dengan pelepasan katekolamin endogen masif yang memberikan hasil klinis buruk. Takikardia merupakan prognostik yang buruk pada pasien sepsis. Pasien sepsis dengan takikardi yang mendapat terapi beta-blocker dihubungkan dengan penurunan angka kematian. Bisoprolol merupakan antagonis selektif-ß1 yang mempunyai efek kronotropik negatif. Penggunaan beta-blocker dapat berkontribusi pada perlindungan sistemik dari lonjakan katekolamin yang terjadi selama sepsis. Bisoprolol menurunkan denyut jantung sehingga dapat mengurangi kontraktilitas miokard, lalu mengurangi kebutuhan oksigen miokard yang meningkat pada pasien sepsis.Metode: Penelitian ini merupakan randomized clinical trial (RCT) dengan double blind. Pengumpulan data dengan metode prospektif dilaksanakan di RSUP. H. Adam Malik Medan periode Desember 2022 – Februari 2023. Pemilihan sampel dengan consecutive sampling yang memenuhi kriteria inkusi dan eksklusi. Semua sampel akan diambil data denyut jantung, tekanan darah, tekanan arteri rata-rata (MAP), dan laktat yang nantinya akan dilakukan perhitungan secara statistik. lanjut dengan secara statistik.Hasil: Dengan uji T Independent pada denyut jantung, tekanan darah sistol, tekanan darah diastol, dan MAP pada 2 jam dan 12 jam setelah perlakuan terdapat perbedaan yang signifikan, didapatkan nilai p < 0,05. Hasil serupa didapatkan pada pemeriksaan laktat pada 24 jam setelah perlakuan, terdapat perbedaan yang signifikan, nilai p < 0,05.Simpulan: Berdasarkan hasil studi kami, terdapat perbedaan yang bermakna antara pemberian bisoprolol 2,5 mg dan bisoprolol 5 mg. Pada penelitian ini menunjukkan bahwa pada pemberian bisoprolol 5 mg lebih efektif dibandingkan dengan bisoprolol 2,5 mg dalam menurunkan denyut jantung pada pasien sepsis

Perbandingan Pemberian Fentanil dengan dan tanpa Lidokain Intravena terhadap Hemodinamik Pasca-Intubasi Endotrakeal dan Nilai Nyeri Tenggorokan Pascaoperasi di RSUP H. Adam Malik Medan Wijaya, Yudhi; Lubis, Andriamuri Primaputra; Wijaya, Dadik Wahyu
Majalah Anestesia & Critical Care Vol 42 No 3 (2024): Oktober
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v42i3.341

Latar Belakang: Intubasi endotrakeal dilakukan dalam berbagai situasi seperti kegagalan ventilasi noninvasif pada pasien perawatan intensif. Nyeri tenggorokan (postoperative sore throat) dan suara serak (hoarseness) merupakan komplikasi intubasi endotrakeal yang paling sering terjadi karena menyebabkan trauma mukosa jalan napas. Insiden nyeri tenggorokan dan suara serak akibat intubasi endotrakeal berkisar antara 5,7 – 90%, di mana 14,4 – 50% keluhan nyeri tenggorokan dan suara serak tersebut muncul segera setelah operasi. Metode: Desain penelitian ini menggunakan uji klinis acak terkontrol tersamar ganda (randomized double blind controlled clinical trial), untuk mengetahui pemberian fentanil dengan kombinasi lidokain dan fentanil terhadap hemodinamik pasca-intubasi endotracheal tube. Hasil: Usia rerata pada kelompok A yaitu 46-55 tahun, sedangkan pada kelompok B yaitu 26-35 tahun. Penurunan hemodinamik terutama mean arterial pressure (MAP) pasca-intubasi pada kelompok A (89,79 ± 8,74 mmHg) lebih kecil dibandingkan dengan kelompok B (91,81 ± 8,39 mmHg). Peningkatan visual analogue score (VAS) pada sore throat pasca-intubasi pada kelompok B (2,05 ± 0,74) lebih besar daripada kelompok A (1,81 ± 0,68). Pada uji normalitas didapatkan MAP pre-intubasi dan pasca-intubasi, serta sore throat pasca-intubasi terdistribusi normal (p > 0,05). Rerata sore throat kelompok A adalah 1,81 ± 0,68 dan kelompok B 2,05 ± 0,74 dengan nilai p sebesar 0,284 (p > 0,05). Simpulan: Tidak terdapat perbedaan bermakna sore throat pasca-intubasi pada kedua kelompok. Tidak terdapat perbedaan bermakna pada hemodinamik dan penilaian nyeri tenggorokan pascaoperasi pada pemberian fentanil dengan kombinasi lidokain intravena dan fentanil intravena pasca-intubasi endotracheal tube.

Hubungan Intra-abdominal Pressure Terhadap Gastric Residual Volume pada Pasien Sepsis Aulia, Miftah Furqon; Lubis, Bastian; Lubis, Andriamuri Primaputra
Majalah Anestesia & Critical Care Vol 43 No 1 (2025): Februari
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v43i1.375

Latar Belakang: Sepsis merupakan salah satu penyebab terjadinya Abdominal Compartment Syndrome (ACS). ACS muncul apabila disfungsi organ terjadi sebagai hasil dari hipertensi intra-abdominal lebih dari 20 mmHg atau tekanan perfusi abdomen kurang dari 60 mmHg. Hipertensi intra-abdominal (IAH) dan ACS telah menjadi penyebab serius terhadap morbiditas dan mortalitas pada pasien bedah dan medis kritis dalam 10 tahun terakhir. Peningkatan intra-abdominal pressure (IAP) menjadi salah satu elemen pengukuran parameter fisiologis rutin pada pasien kritis dan dapat menunjukkan prognosis. Metode: Penelitian ini merupakan penelitian analitik dengan desain cross-sectional untuk mencari hubungan antara IAP terhadap Gastric Residual Volume (GRV) pada pasien sepsis di Intensive Care Unit (ICU). Subjek penelitian diambil dengan teknik consecutive sampling hingga jumlah subjek penelitian terpenuhi. Hasil: Hubungan IAP terhadap GRV menunjukkan bahwa rerata IAP pada T0 sebesar 17,7 ± 1,62 berkorelasi dengan rerata GRV T0 sebesar 263,75 ± 11,34. Sementara itu, rerata IAP pada T1 sebesar 15,7 ± 1,26 berkorelasi dengan rerata GRV T1 sebesar 243,75 ± 12,79. Analisis statistik menunjukkan nilai p <0,05, yang mengindikasikan hubungan yang signifikan antara IAP dan GRV dengan nilai r=0,625. Korelasi ini bersifat positif, yang berarti semakin tinggi nilai IAP, maka semakin tinggi pula nilai GRV. Simpulan: Terdapat hubungan IAP terhadap GRV pada pasien sepsis di ICU RSUP H. Adam Malik Medan di mana dapat disimpulkan bahwa peningkatan IAP berkorelasi dengan peningkatan GRV.

Co-Authors Agus Pramono Akbar, Hera Zein Annisa Syifanurhati Ansari, Aulia Kamal Ardinata, Dedi - Aulia, Miftah Furqon Bastian Lubis Elfazi, Tazzya Shailla Elmeida Effendy Etania, Cassandra Hamdi, Tasrif Hanafie, Achsanuddin Harahap, Dhiny Yolanda Harahap, Juliandi Hasibuan, Muhammad Ramadhan Hutagalung, Sunna Vyatra Irina, Rr Sinta Irina, Rr. Sinta Karim, T. Abdul Ketaren, Aga Shahri Putera Khairani, Mitra Lubis, Adhika Syaputra Muhamad Soleh Muhammad Ihsan Mustafa Mahmud Amin Nadeak, Rommy Nadeak, Rommy Fransiscus Nasution, Afrida Aryani Nurchotijah, Nurchotijah Panggabean, Mathilda Paramita, Deryne Anggia Pohan, Alfindy Maulana Putra, Muhammad Irvan Triono Rifani Masharto, Alegra Rina Amelia Rusda, Muhammad Suherman, Jessen Syaputra, Adhika Tanjung, Ika Citra Dewi Tarigan, Randi Joel Oktavianus Taufik, Maulana Wahyuni, Arlinda Sari Wijaya, Dadik Wahyu Wijaya, Yudhi

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