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All Journal Jurnal Komplikasi Anestesi
Adi, Danis Woro Kuncoro
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Medicine & Pharmacology

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Manajemen Anestesi pada Neonatus dengan Atresia Oesophagus Adi, Danis Woro Kuncoro; Sari, Djayanti; Widyastuti, Yunita
Jurnal Komplikasi Anestesi Vol 5 No 3 (2018): Volume 5 Number 3 (2018)
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.v5i3.7340

Abstract

A 12-day-old male neonate diagnosed with atresia oesophagus type C was planned to undergo decompression gastrostomy and feeding jejunostomi surgery. The patient’s mother complained that her child always vomit when given breast milk and said the child’s stomach was bloated. Patient was born from G1P1A0 mother with a history of aterm pregnancy, history of routine ANC, birth through normal delivery in midwife with clear amniotic fluid and APGAR SCORE 7/9. Birth weight 2382 grams and body weight is now 2282 grams. Anesthesia management performed under general anesthesia with conscious intubation technique ET No. 2.5 uncuff facilitate with 5mg ketamine. Maintenance anesthesia with O2, air, and sevoflurane. hemodynamics are stable during surgery. The operation lasts for 45 minutes. After the surgery is completed the patient is again treated at the NICU.
Efek Pemberian Premedikasi Deksametason Terhadap Durasi Rokuronium Dibanding Placebo pada Anestesi Umum Intubasi Adi, Danis Woro Kuncoro; Uyun, Yusmein; Apsari, Ratih Kumala Fajar
Jurnal Komplikasi Anestesi Vol 7 No 2 (2020): Volume 7 Number 2 (2020)
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.v7i2.7447

Abstract

Background: Dexamethasone is often used as prevention and treatment for postoperative nausea and vomiting, reducing the severity of postoperative pain and analgesic requirements. The study of dexamethasone effects on the rocuronium duration might be beneficial in patients who have contraindications to neostigmine or atropine reversal. Purpose: To evaluate the relation between rocuronium duration with dexamethasone premedication compare with placebo in patient with general anesthesia intubation procedure with rocuronium neuromuscular blocking agent in GBST RSUP Dr. Sardjito. Methods: An experimental research design, randomized clinical trial with double blind. The sample was chosen using the non-probability sampling method in a consecutive manner in 3 months. Sample was divided into two groups: group receiving dexamethasone premedication and group receiving placebo NaCl 0.9%. Time monitoring starts after the TOF shows the number 0 until it reaches TOF 0.9. Results: The study was conducted on 58 research subjects. Numeric data was analysed using independent T test and categorical data was analysed using chi square. Dexamethasone premedication was found to reduce the duration of rocuronium with the time needed to reach TOF 0.9 was 111±14.33 minutes compared with 123±14.57 minutes in the placebo group (P = 0.003). Conclusion: Dexamethasone premedication shortens the duration of rocuronium compared to the administration of placebo under intubation general anesthesia.
Co-Authors Djayanti Sari Ratih Kumala Fajar Apsari Yunita Widyastuti Yusmein Uyun