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All Journal Jurnal Anestesiologi Indonesia Nusantara Science and Technology Proceedings Jurnal Komplikasi Anestesi
Palupi, Isnafianing
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Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Economics, Econometrics & Finance Engineering Health Professions Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Public Health

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The Important Implications of Patient Centered Care in Anesthesia: Literatur Review Palupi, Isnafianing; Rosa, Elsye Maria
Nusantara Science and Technology Proceedings The 1st International Conference Muhammadiyah Yogyakarta – Hospital & Healthcare Management
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2024.4207

Abstract

This literature review study is motivated by the problem of implementing patient centered care in anesthesia services in hospitals which is still rarely carried out. However, the application of patient centered care in anesthesia has several important implications. This literature aims to theoretically analyze the important implications of patient centered care in anesthesia. The literature review method was carried out on twelve articles obtained from two databases, namely PubMed and Science Direct. The results of the literature review are that the application of patient centered care anesthesia has several important implications. The results of the review article are: 1) Reducing stress and anxiety, increasing patient experience, comfort and satisfaction; 2) Helping patients make their own decisions; 3) Understand the patient's needs holistically, understand the patient's emotions, and respect the patient's choices and wishes; 4) Provide information and education about informed consent, risks and benefits of anesthesia; 5) Involving the patient's family in perioperative. The results of this literatur review prove the important implications of patient centered care in anesthesia. The conclusion from this literature review is that the implications of patient centered care in anesthesia services are very important. This literature review recommends that patient centered care in anesthesia services should be implemented in hospitals.
Comparison between the Apfel Score and the Koivuranta Score in Predicting the Occurrence of Postoperative Nausea and Vomiting during General Anesthesia Palupi, Isnafianing; Suwondo, Bambang Suryono
Jurnal Komplikasi Anestesi Vol 11 No 1 (2023): Volume 11 Number 1 (2023)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v11i1.11714

Abstract

Abstract Background: PONV is one of the side effects that often occur after general anesthesia, occurs in the first 24 hours post surgery and occurs in as many as 30-70% of hospitalized patients. PONV greatly avoided by most patients and anesthesiologists. Recent risk score for prediction of PONV has been used as a way to classify patients according to risk prediction and provide prophylaxis in accordance with this classification. For everyday clinical purposes, a simple risk score in easy to do and shows the correlation between the predicted incidence of PONV in patients hospitalized. In the clinical practice known various risk score for prediction of PONV as Apfel scores, Koivuranta scores, Sinclair scores, Palazzo scores, Gan scores, and Scholz scores varying accuracy. Methods: The research design was a cohort study with the total of 80 patients recruited. Ordinal and nominal data was analyzed using chi-square test. P value < 0,05 was declared significant with 95% confidence level. Measurements taken are incidence of PONV between Apfel scores to Koivuranta scores with PONV scores. Results: Incidence of PONV in patients who carried the scoring with Apfel scores higher (80%) than Koivuranta scores, and statistically highly significant differences (p < 0,01). The results said that Apfel scores are more accurate than the Koivuranta scores, indicated by results of PONV scores positive (>1) on the Apfel scores 32 people (80%) and on the Koivuranta scores 12 people (30%), whereas PONV scores negative (≤ 1) on the Apfel scores 8 people (20%) and on the Koivuranta scores 28 people (70%). Conclusions: Apfel scores are more accurate than the Koivuranta scores in predicting the occurrence of PONV in patients with general anesthesia.
Nutrition Therapy in Post-Hartmann’s Procedure Patients in The Intensive Care Unit Palupi, Isnafianing; Adiyanto, Bowo; Wisudarti, Calcarina Fitriani Retno
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 2 (2025): Jurnal Anestesiologi Indonesia (Issue in Progress)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.67337

Abstract

Background: The Hartmann procedure is a surgical procedure for treating colorectal cancer that is widely used in emergencies because it is fast and has a minimal risk of anastomotic leakage. This procedure is usually performed on rectosigmoid cancer. Colorectal cancer patients who undergo gastrointestinal surgery are considered at risk of malnutrition, so adequate nutritional therapy is needed.Case: We report a 51-year-old male patient who came to the intensive care unit (ICU) with an unconscious condition, was intubated, received Norepinephrine support, and had a reddish black product in the nasogastric tube (NGT). The patient was referred with a diagnosis of post-operative Hartmann’s procedure day-3 (D-3) for indications of high obstructive ileus due to rectosigmoid tumor, septic shock, acute kidney injury (AKI), and peptic ulcer. During treatment in the ICU, the patient received antibiotic therapy (Meropenem and Metronidazole), proton pump inhibitors (PPIs), and parenteral nutrition via a central venous catheter (CVC).Discussion: Parenteral nutrition was given from the beginning of admission to the ICU because oral and enteral nutrition could not be provided due to gastrointestinal bleeding (peptic ulcer). Moreover, the patient was considered at risk of malnutrition with evidence of critical illness more than 48 hours post-gastrointestinal surgery due to cancer. Also, there was a post-operative fasting period, usually for several hours to 1-2 days, depending on the patient's condition.Conclusion: Nutritional therapy, as part of the management of critically ill patients, should be given at the right time, in the most effective way, and in appropriate doses for each individual to avoid malnutrition during treatment.
Co-Authors Bambang Suryono Suwondo Bowo Adiyanto Calcarina Fitriani Retno Wisudarti Elsye Maria Rosa