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All Journal Jurnal Anestesiologi Indonesia Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat Journal SAGO Gizi dan Kesehatan Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) The Journal of Society Medicine (JSOCMED)
Irina, Rr Sinta
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Comparison of The Effects of Fentanyl versus Ketamine on The Quality of Recovery Post General Anesthesia with QoR-40 Scoring in Laparotomy Surgery Syahputra, Imam; Irina, Rr Sinta; Lubis, Bastian
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 2 (2025): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.68607

Abstract

Background: Evaluating recovery after general anesthesia is vital to assess the success of anesthesia procedures. The quality of recovery-40 (QoR-40) questionnaire comprehensively measures post-anesthesia recovery. Poor postoperative pain management can lead to complications and chronic pain. Researchers studied ketamine because of its potential to enhance standard analgesics, improve pain control, and promote better recovery outcomes.Methods: This double-blind, randomized controlled trial involved 42 patients undergoing laparotomy at Haji General Hospital, Medan. Participants were randomized into two groups: one receiving fentanyl at 0.7 µg/kg body weight (BW) and the other receiving ketamine at 0.2 mg/kg BW. Consecutive sampling was used for participant selection, including patients who met specific inclusion and exclusion criteria. The QoR-40 questionnaire, validated in Indonesian, was administered postoperatively to assess recovery across five dimensions: comfort, feelings, support, independence, and pain.Results: The results of the study showed that the total QoR-40 score for fentanyl use had an average of 172.4762 + 3.81601, while in the group using ketamine, the average score was 174.7619 + 3.37498, which had a significant difference between the fentanyl group and the ketamine group with p <0.05.Conclusion: Ketamine provides a superior quality of recovery compared to fentanyl, as evidenced by higher comfort and total QoR-40 scores. These findings support ketamine's use as an effective alternative in anesthetic protocols for laparotomy procedures, promoting better recovery and reducing dependence on opioids.
The Effect of Midazolam Sedation on Agitation Incidence in Post-Operative Patients Who Are Intubated in the ICU of Adam Malik General Hospital Medan Adnani, Muhammad Ivanny; Irina, Rr Sinta; Zainumi, Cut Meliza
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 3 (2025): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.68368

Abstract

Background: Agitation in critically ill patients is a phenomenon that can endanger patient safety and assistance during treatment in the intensive care unit (ICU). It is characterized by increased motor and mental activity that manifests as inappropriate behavior, disorganized thoughts, and loss of self-control over actions.Objective: Evaluating the effect of midazolam sedation on the incidence of agitation in post-operative intubated patients in the ICU at Adam Malik General Hospital, Medan.Methods: This is a retrospective analytical study with a cross-sectional design using a scoring approach to determine the relationship between midazolam use and agitation in postoperative patients intubated in the ICU after surgery at Adam Malik General Hospital, Medan. The subject selection technique used was non-probability sampling with a consecutive sampling method, where 115 subjects were needed. Bivariate analysis for numeric variables used the Independent T-test if the data were normally distributed, or the Mann-Whitney U test if the data were not normally distributed. The results of the analysis were said to be significant if p <0.05, with a confidence level of 95%.Result: The results of the study the dose of midazolam given to postoperative patients intubated in the ICU of Adam Malik General Hospital, Medan had a minimum dose of 0.017 mg/kg/hour, a maximum of 0.031 mg/kg/hour and an average of 0.023 mg/kg/hour which was related to the incidence of patient agitation during the ICU obtained a significant relationship p <0.05.Conclusion: The effect of midazolam sedation on the incidence of agitation in postoperative patients who were intubated in the ICU of Adam Malik General Hospital, Medan, patients who experienced agitation had a statistically significant difference in the dose of midazolam. And there were side effects of agitation in the form of release of invasive instruments/devices, such as endotracheal tubes, in patients who did not receive sufficient sedation.
Intrathecal Dexmedetomidine-Fentanyl Combination versus Fentanyl Alone as Adjuvant to Bupivacaine in Spinal Anesthesia: A Comparative Study at Haji Adam Malik General Hospital Saputra, Firdaus; Hamdi, Tasrif; Irina, Rr Sinta
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 2 (2025): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.68960

Abstract

Background: Spinal anesthesia is a regional analgesia that blocks nerve cells in the subarachnoid space by local anesthetic drugs. Bupivacaine is the most common agent, however, the duration of analgesia is often short. However, this advantage is hampered by the limited duration of spinal anesthesia and the uncomfortable postoperative period when the effect wears off. To prolong the duration of analgesia, various drugs such as opioids and α2 adrenergic agonists can be used as adjuvants for intrathecal local anesthetics to improve the quality of spinal anesthesia. One of the most widely used opioids is fentanyl, while the α2 adrenergic agonist is dexmedetomidine.Objective: To analyze the difference in effectiveness of the combination of dexmedetomidine 5µg and fentanyl 25µg intrathecally with fentanyl 25µg as an adjuvant to bupivacaine in spinal anesthesia.Method: This study is a double-blind randomized clinical trial to assess the comparison of the combination of dexmedetomidine 5µg and fentanyl 25µg intrathecally with fentanyl 25µg as an adjuvant to bupivacaine on the onset of block, duration of action, and side effects in surgery with spinal anesthesia.Results: There were 32 samples with a distribution of 16 samples in each group. There was a significant difference in sensory and motor duration (p<0.001). The average sensory duration in the fentanyl group was 2 hours 45 minutes, and in dexmedetomidine + fentanyl, 4 hours 25 minutes. In comparison, the motor duration in the fentanyl group was 2 hours 30 minutes, and in the dexmedetomidine + fentanyl was 4 hours 2 minutes.Conclusion: There is a comparison of the effectiveness of administering dexmedetomidine 5 mcg + fentanyl 25 mcg intrathecally and fentanyl 25 mcg intrathecally as an adjuvant to 0.5% bupivacaine in the spinal, where the dexmedetomidine group had a longer duration of anesthesia than the fentanyl group.
Tingkat pengetahuan tentang bantuan hidup dasar (BHD) pada pengemudi kendaraan umum Kota Medan: Studi kuasi-eksperimental Lubis, Andriamuri Primaputra; Irina, Rr Sinta; Akbar, Hera Zein; Elfazi, Tazzya Shailla
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 2 (2025): Agustus
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i2.2643

Abstract

Background: Basic Life Support (BLS) knowledge is essential, particularly for public transport drivers who frequently encounter medical emergencies. Adequate education on BLS can enhance their preparedness in responding to such situations.Objectives: This study aims to assess the level of knowledge among public transport drivers in Medan City regarding BLS before and after an educational interventionMethods: This study employed a quasi-experimental design using a one-group pretest-posttest approach. The sample consisted of 521 public transportation drivers in Medan City, divided into four groups: angkot drivers (125), online motorcycle taxi drivers (201), motorized rickshaw drivers (125), and rental car drivers (50). Data were collected using a structured questionnaire containing items assessing basic knowledge of Basic Life Support (BLS), administered both before and after an educational intervention. Data were analyzed descriptively to summarize respondent characteristics, and paired t-tests and Chi-Square tests were used to assess statistical differences in knowledge scores before and after the intervention and between driver groups.Results: The majority of participants were male (n = 451, 86.56%), with the most common age range being 31–40 years (n = 250, 47.98%). Most respondents had completed junior high school (n = 251, 47.98%), and the largest driver category was online motorcycle taxi drivers (n = 201, 38.57%). The initial assessment indicated that most participants had a limited understanding of BLS. However, post-intervention analysis demonstrated a statistically significant improvement, with the majority achieving higher knowledge scores in the posttest.Conclusion: Educational interventions on Basic Life Support significantly enhance the knowledge levels of public transport drivers in Medan City, as evidenced by the substantial difference between pretest and posttest scores. 
Comparison of Neck Circumference to Thyromental Distance as A Predictor of Difficulty Visualizing The Larynx in Elective Surgery Patients At Haji Adam Malik General Hospital Adzim, Teuku Fauzan; Winata, Ade; Irina, Rr Sinta
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 3 (2025): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.69090

Abstract

Background: Airway management is the responsibility of anesthesiologists, but clinical assessment documentation is often incomplete. Difficult laryngoscopy and intubation occur in 1% to 15% of cases. Intubation is considered difficult if it takes more than ten minutes for a trained anesthesiologist to achieve successful endotracheal intubation. In Indonesia, difficult laryngeal visualization occurs in 10.1% of Malay patients. Common predictors include Mallampati classification, thyromental distance (TMD), obstructive sleep apnea (OSA), male gender, and age.Objective: This study aims to compare neck circumference (NC) to TMD as a predictor of difficulty visualizing the larynx.Methods: This diagnostic study aimed to evaluate the sensitivity and specificity of NC and TMD as predictors of difficult laryngeal visualization in patients undergoing elective surgery at Haji Adam Malik General Hospital, Medan. The sample consisted of 85 patients, aged 18 years or older, with ASA classifications of 1-2, who were undergoing general anesthesia. Exclusion criteria included limited mouth opening, acute burns, airway tumors, or anatomical abnormalities.Result: The mean age of participants was 54.97 ± 14.41 years, with a mean body mass index (BMI) of 26.63 ± 3.12 kg/m², and an average NC/TMD ratio of 6.37 ± 0.87. Patients with an NC/TMD ratio > 5 had difficult intubation in 87.5% of cases, while those with an NC/TMD ratio < 5 had easy intubation in 94.6% of cases. Fisher's Exact test showed a significant association (p < 0.001). The NC/TMD ratio had a sensitivity of 95.45%, specificity of 85.36%, positive predictive value (PPV) of 87.5%, negative predictive value (NPV) of 94%, and an area under the curve (AUC) of 90%.Conclusion: The NC/TMD ratio is a significant and accurate predictor of difficult intubation, supporting its use as a simple, non-invasive preoperative tool.
Characteristics of ICU and Operating Room Patients at Satellite Hospitals Study Program Anesthesiology and Intensive Care Faculty of Medicine Universitas Sumatera Utara Primaputra Lubis, Andriamuri; Irina, Rr Sinta; Ginting, Ananta Septriandra
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 1 (2023): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v8i1.13575

Abstract

Characteristics patient of admission to the intensive care unit and operating room are needed for better team development and achievement competence. The purpose of this study was to describe the characteristics of critical patients in the intensive critical unit and operating room. This research method is quantitative with a descriptive design using secondary data. The data were obtained from the medical records of the ICU of the public hospitals in Sibolga City, Central Tapanuli Regency and Padangsidempuan City. The results of research in the ICU showed that the majority of critical patients were female (51.17%), aged 56-65 years (25.76%), primary diagnoses of disorders of the neurological system (24.36%), and the patient's prognosis moved to the emergency room. treated or referred (61.31%). The results of the study in the operating room found that the majority of the sexes were male (54.20%), the largest sample aged 56-65 years (31.52). The most common surgical procedures were surgery on the nervous system (42, 86). The prognosis of patients after surgery is that more patients are transferred to the ward or ICU (57.14%) However, further research is needed on other characteristics to provide a more comprehensive understanding.
Co-Authors Adnani, Muhammad Ivanny Adzim, Teuku Fauzan Akbar, Hera Zein Bastian Lubis Elfazi, Tazzya Shailla Etania, Cassandra Ginting, Ananta Septriandra Hamdi, Tasrif Harahap, Juliandi Juliara, Faura Dwika Karim, T. Abdul Lubis, Andriamuri Primaputra Lubis, Bastian Muhammad Ihsan Muhammad Luthfi Munawar, Riza Nasution, Putra Fajar Pratama, Dicko Kanugrahan Primaputra Lubis, Andriamuri Saputra, Firdaus Suzy Indharty Syahputra, Imam Syaputra, Adhika Wijaya, Dadik Wahyu Winata, Ade Zainumi, Cut Meliza