Meta Restu Synthana
Departemen Anestesiologi Dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Terapi Oksigen Hiperbarik Synthana, Meta Restu; Wisudarti, Calcarina Fitriani Retno; Pratomo, Bhirowo Yudo
Jurnal Komplikasi Anestesi Vol 4 No 2 (2017): Volume 4 Number 2 (2017)
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.v4i2.7296

Abstract

Terapi oksigen hiperbarik merupakan terapi dengan memberikan 100% oksigen pada dua sampai tiga kali dari tekanan pada level air laut. Terapi oksigen hiperbarik efektif dalam mengatasi berbagai penyakit antara lain luka karena trauma akut, ulserasi yang tidak membaik dengan terapi, crush injury, luka bakar, gas gangren, dan sindrom kompartemen dapat pula digunakan pada kasus-kasus keracunan gas misal keracunan gas karbonmonoksida. Terapi oksigen hiperbarik memiliki komplikasi dan efek toksik karena hiperoksia. Terapi ini sering digunakan pada pasien-pasien kritis misal karena keracunan karbonmonoksida, luka bakar, gas gangren, abses intrakranial, emboli, sehingga klinisi khususnya anestesiologist perlu mengetahui mekanisme, efek serta komplikasi terapi oksigen hiperbarik.
Manajemen Extracorporeal Membrane Oxygenation (ECMO) pada Pasien COVID-19 Derajat Kritis Synthana, Meta Restu; Kurniawaty, Juni; Wisudarti, Calcarina Fitriani Retno
Jurnal Komplikasi Anestesi Vol 10 No 2 (2022)
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.v10i2.8304

Abstract

We reported 42 years old male patient with weight 84 kg, height 167 cm, and BMI of 30.1 kg/m2 with a diagnosis of severe COVID-19 and ARDS. The patient was previously known to have comorbids of type 2 DM, stage 1 hypertension, cardiac arrhythmias, and grade 1 obesity. On the 7th day of care, the patient clinically and radiologically worsened and we decided to intubate and support with mechanical ventilation. An ECMO indication was assessed, the patient was indicated to have ECMO, so that ECMO was installed immediately after the patient was intubated. ECMO was successfully running 7 hours after the patient was intubated. During hospitalized the patient also received renal replacement therapy, hemadsorption therapy, and plasma exchange. The patient deceased on 31st day of ECMO.