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All Journal Jurnal Anestesi Perioperatif The Journal of Society Medicine (JSOCMED)
Erlangga, Erias
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Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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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.
Co-Authors Erwin Pradian Mohtar, Dear Tanto, Dedi