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All Journal Jurnal Anestesi Perioperatif Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan The Journal of Society Medicine (JSOCMED)
Erlangga, Erias
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Management of Dengue Fever and Morbidly Obese in Pregnancy after C-Section Mohtar, Dear; Erlangga, Erias
Journal of Society Medicine Vol. 2 No. 10 (2023): October
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i10.97

Abstract

Introduction: Dengue is endemic to the Southeastern geographical area of Asia (SEA), spreading through the mosquito vector Aedes aegypti. There is also evidence to suggest a higher percentage of severe dengue infections happening to pregnant women than non-pregnant women. Case Report: The patient was 28 years old, weight 120 kg, height 162 cm, admitted to the Emergency Department (ED) of Hasan Sadikin Hospital (RSHS) with dyspnea in pregnancy. Anamnesis obtained that the patient complained of fever since 5 days ago, the last 1 day felt increasing shortness of breath. Intraoperatively lasted 3 hours with bleeding 4300 ml. The patient was admitted to the ICU for 5 days of treatment and was extubated on the 4th day Conclusion: Dengue Fever with morbid obese in pregnancy is a threat of morbidity and mortality. The main pathophysiology that occurs is changes in hematological and respiratory physiology in pregnancy which will aggravate the patient's condition. The principle of therapeutic management in the ICU lies in optimization, stabilization and evacuation of fluids and handling mechanical ventilation
KORELASI ANTARA DOPPLER-BASED RENAL RESISTIVE INDEX DAN NILAI KREATININ PADA PASIEN SAKIT KRITIS Tanto, Dedi; Pradian, Erwin; Erlangga, Erias
Jurnal Anestesi Perioperatif Vol 12, No 3 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v12n3.3779

Abstract

Indeks resistriksi renal/renal resistive index (RRI) merupakan pemeriksaan ultrasonografi non invasif untuk menilai renovascular dan dapat dilakukan dengan prinsip point-of-care testing (POCT) RRI merefleksikan perubahan aliran darah arteri intrarenalis, yang dapat terganggu pada pasien dengan gangguan fungsi ginjal, yang tercermin dalam peningkatan nilai kreatinin serum. Penelitian ini bersifat observasional analitik dengan desain potong lintang, bertujuan untuk mengetahui hubungan antara RRI dan nilai kreatinin serum pada pasien sakit kritis di ICU RSUP Dr. Hasan Sadikin, Bandung, dari Mei hingga Agustus 2023. Sebanyak 51 pasien berusia 18–65 tahun menjalani pemeriksaan RRI dan kreatinin serum pada 24 jam pertama dan kedua setelah masuk ICU. Analisis korelasi menunjukkan nilai R sebesar 0,538, koefisien determinasi (r²) sebesar 0,298, dan nilai p<0,001. Hasil ini menunjukkan korelasi positif moderat antara RRI dan nilai kreatinin serum.
Lactate-to-Albumin Ratio (LAR) as a Predictor of Mortality in Sepsis Patients in the Intensive Care Unit at Dr. Hasan Sadikin General Hospital, Bandung. maharani, geeta; Sujud, Reza Widianto; Erlangga, Erias
Syifa'Medika Vol 16, No 2 (2026): Syifa Medika: Jurnal Kedokteran dan Kesehatan
Publisher : Faculty of Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/sm.v16i2.10698

Abstract

Sepsis remains a major cause of mortality, particularly in developing countries, underscoring the need for simple, easily accessible biomarkers with strong prognostic value to facilitate early identification of high-risk patients in the ICU. The Lactate to Albumin Ratio (LAR) is an index that integrates information on metabolic stress through lactate levels and inflammation and nutritional status through serum albumin levels, offering the potential to serve as a more comprehensive prognostic marker than single parameters alone. This study aimed to evaluate the ability of LAR to predict mortality among septic patients admitted to the intensive care unit. A prospective cohort study was conducted involving 113 adult patients with sepsis treated in the ICU of Dr. Hasan Sadikin General Hospital, Bandung, throughout 2025. Within the first 24 hours of admission, serum lactate and albumin levels were measured to calculate the LAR, and patients were followed for 28 days to determine survival status. The findings demonstrated that the mean LAR was significantly higher in non-survivors than in survivors, with a cut-off value of 0.81 yielding a sensitivity of 81.0% and a specificity of 76.5% for predicting 28-day mortality. The area under the curve (AUC) of 0.86 indicated strong prognostic accuracy. These results suggest that LAR is significantly associated with mortality in septic patients in the ICU and may serve as a simple, cost-effective biomarker that can be easily incorporated into daily clinical practice to support risk stratification and guide management decisions in critically ill patients with sepsis. 
Co-Authors Erwin Pradian maharani, geeta Mohtar, Dear Reza Widianto Sudjud Tanto, Dedi