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All Journal Jurnal Anestesiologi Indonesia Jurnal Anestesi Perioperatif JMM (Jurnal Masyarakat Mandiri) Journal of Health and Nutrition Research
Alfaruq, Ahmad Umar
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Anesthetic Management of Supraglottic Tumors Undergoing Direct Laryngoscopy Ajie, Astrandaya; Listiarini, Dian Ayu; Alfaruq, Ahmad Umar
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 1 (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.v0i0.63062

Abstract

Background: Supraglottic tumors are a type of tumor in the larynx that often causes airway obstruction. Comorbidities such as pulmonary tuberculosis (TB) and malnutrition can threaten patient safety during surgery. Comprehensive special perioperative anesthetic management involving multidisciplinary procedures and good communication between anesthesiologists and surgeons is needed. The aim of this case report is to understand the anesthetic management of a patient with a supraglottic laryngeal tumor with comorbid pulmonary TB, atelectasis and malnutrition.Case: A 44-year-old man came to the ear, nose and throat (ENT) clinic with complaints of shortness of breath since the previous month accompanied by pain while swallowing. The patient had a history of smoking and pulmonary TB. Computed tomography (CT) revealed a supraglottic tumor that was suspected to be malignant. The patient was programmed to undergo direct laryngoscopy for tissue biopsy.Discussion: The patient was intubated with a size 5 nonkinking endotracheal tube (ET tube) on the inside, which was connected to a size 7 kinking ET tube on the outside because the glottis rima was narrowed because of a tumor in the supraglottis so that only a small ET tube could pass to secure the airway. In this patient, induction therapy was performed with propofol and opioids. Muscle relaxants are not given to maintain respiratory muscle tone, especially in patients with pulmonary TB and atelectasis, who require full function of the respiratory muscles due to impaired lung development.Conclusion: Special perioperative management is needed in patients with supraglottic tumors with comorbid pulmonary TB, atelectasis and malnutrition. Airway management and the drugs and anesthesia induction techniques chosen must be agents that have minimal side effects on the respiratory tract and maintain respiratory muscle tone.
ANALISIS HUBUNGAN EARLY WARNING SCORE (EWS) DENGAN KEJADIAN IN HOSPITAL CARDIAC ARREST (IHCA) : STUDI RETROSPEKTIF DI RS PENDIDIKAN UTAMA Listiarini, Dian Ayu; Yulianti, Suryani; Alfaruq, Ahmad Umar; Safira, Alya
Jurnal Anestesi Perioperatif Vol 13, No 2 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n2.4062

Abstract

Henti jantung saat masih menjadi penyebab utama kematian di dunia. Kejadian in-hospital cardiac arrest (IHCA) perlu dideteksi sedini mungkin oleh tenaga kesehatan agar dapat segera dilakukan penaganan. Salah satu instrumen yang digunakan untuk mendeteksi perubahan klinis pasien ialah early warning sign (EWS). Nilai EWS yang tinggi dikaitkan dengan peningkatan risiko terjadinya IHCA. Penelitian ini bertujuan untuk menganalisis hubungan antara EWS dan kejadian IHCA di RS Islam Sultan Agung Semarang. Penelitian ini merupakan studi retrospektif dengan desain cross sectional menggunakan data sekunder dari rekam medis pasien di RS Islam Sultan Agung Semarang periode Mei–Juli 2023. Sebanyak 110 subjek pada penelitian ini diperoleh melalui metode non probability sampling dengan teknik consecutive sampling. Analisis data dilakukan menggunakan uji spearman untuk menilai hubungan dan keeratan antar variabel. Hasil penelitian menunjukan bahwa pasien dengan EWS risiko tinggi (skor>7) memiliki hubungan yang signifikan terhadap kejadian IHCA (p<0,001) dengan keeratan sedang (r=0,638). Temuan ini menunjukan bahwa pasien dengan skor EWS>7 berisiko tinggi mengalami IHCA. 
PENINGKATAN KUALITAS HIDUP MELALUI SKRINING TUBERCULOSIS PARU DAN PEMERIKSAAN KESEHATAN RUTIN Listiarini, Dian Ayu; Luailiyah, Afridatul; Suparmi, Suparmi; Alfaruq, Ahmad Umar
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 4 (2024): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i4.24468

Abstract

Abstrak: Tuberkulosis (TB) paru merupakan salah satu masalah kesehatan utama di Indonesia dengan angka kematian yang tinggi. Oleh karena itu, skrining TB paru sangatlah penting. Namun angka penemuan kasus baru TB paru mengalami penurunan khususnya di Kota Semarang. Tujuan dari layanan ini adalah untuk mengidentifikasi orang-orang yang berisiko tinggi terkena TBC paru sehingga dapat segera dilakukan tindakan lebih lanjut. Pengabdian dilakukan oleh tim Fakultas Kedokteran Universitas Islam Sultan Agung dengan menggunakan teknik edukasi dan wawancara medis mengenai tanda dan gejala tuberkulosis paru. Peserta diberikan pertanyan secara lisan setelah dilakukan edukasi untuk memastikan peserta sudah memahami materi yang disampaikan. Setelah itu dilakukan pemeriksaan kesehatan meliputi tekanan darah, pengukuran fisik, kadar glukosa darah acak (GDS), kadar kolesterol total, dan kadar asam urat. Sebanyak 166 orang mengikuti kegiatan ini. Dari hasil pengabdian tersebut, ditemukan 10 peserta yang berisiko tinggi terkena tuberkulosis paru. Peserta yang berisiko tinggi terkena tuberkulosis paru akan dirujuk ke fasilitas kesehatan terdekat untuk evaluasi lebih lanjut.Abstract: Pulmonary tuberculosis (TB) is one of the main health problems in Indonesia with a high mortality rate. Therefore, pulmonary TB screening is very important. However, the rate of discovery of new cases of pulmonary TB has decreased, especially in the city of Semarang. The aim of this service is to identify people who are at high risk of developing pulmonary TB so that further action can be taken immediately. The service was carried out by the Faculty of Medicine team at Sultan Agung Islamic University using educational techniques and medical interviews regarding the signs and symptoms of pulmonary tuberculosis. After that, a health examination was carried out including blood pressure, physical measurements, random blood glucose levels (RBG), total cholesterol levels and uric acid levels. A total of 166 people took part in this activity. From the results of this service, it was found that 10 participants were at high risk of developing pulmonary tuberculosis. Participants who are at high risk of developing pulmonary tuberculosis will be referred to the nearest health facility for further evaluation.
Association Between Uric Acid Levels and Stenosis Severity in Patients With and Without Renal Insufficiency Abduh , M Saugi; Prasada, Muh Adytia; Alfaruq, Ahmad Umar; Nabih, Dimas Irfan
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.842

Abstract

Hyperuricemia is associated with an increased risk of atherosclerosis and coronary stenosis, particularly in the presence of renal insufficiency. However, the independent relationship between serum uric acid levels and the severity of coronary stenosis, when stratified by renal function, remains poorly understood. This study aimed to evaluate the association between serum uric acid concentrations and the extent of coronary stenosis in patients with and without renal insufficiency. A cross-sectional study was conducted on 853 patients diagnosed with acute coronary syndrome (ACS) who underwent coronary angiography. Elevated uric acid was defined as ≥ 7.1 mg/dL, while renal insufficiency was defined as an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m². The associations between variables were analyzed using Chi-square tests and logistic regression models. The 853 patients, 386 (45.3%) presented with renal insufficiency. In the overall cohort, elevated uric acid levels were significantly associated with coronary stenosis of 50% or greater (p = 0.005). However, upon subgroup analysis, this association lost statistical significance in both the renal insufficiency (p = 0.319) and non-renal insufficiency (p = 0.154) groups. Conversely, traditional cardiovascular risk factors—specifically advanced age (p < 0.001), male sex (p < 0.001), and smoking history (p = 0.008)—remained significantly associated with coronary stenosis across both subgroups. While elevated serum uric acid levels correlate with coronary stenosis in the general ACS population, this relationship does not remain independently significant when patients are stratified by renal function. Traditional risk factors, such as age, sex, and smoking, serve as more robust predictors for the progression of coronary stenosis.
Co-Authors Abduh , M Saugi Ajie, Astrandaya Dian Ayu Listiarini Luailiyah, Afridatul Nabih, Dimas Irfan Prasada, Muh Adytia Safira, Alya Suparmi Suparmi Yulianti, Suryani