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All Journal Jurnal Komplikasi Anestesi
Wicaksono, Galih Sahid
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Medicine & Pharmacology

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Manajemen Anestesi pada Anak dengan Sindrom Mowat-Wilson Sari, Djayanti; Widodo, Untung; Wicaksono, Galih Sahid
Jurnal Komplikasi Anestesi Vol 6 No 2 (2019): Volume 6 Number 2 (2019)
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.v6i2.7352

Abstract

Sindromaa Mowat-Wilson adalah penyakit genetik yang disebabkan oleh mutasi heterozigot atau delesi dari gen ZEB2 dan ditandai oleh ciri-ciri klinis yang khas. Malformasi kongenital yang khas dari sindroma ini memerlukan prosedur diagnostik dan pembedahan dini yang memerlukan anestesi umum, tetapi sedikit informasi tentang manajemen anestesi pada pasien dengan sindroma tersebut. Sindromaa Mowat-Wilson melibatkan kelainan sistem ganda. Kelainan yang paling sering ditemukan adalah deformitas wajah, keterbelakangan mental, dan penyakit Hisprung. Kami melaporkan manajemen anestesi pada kasussindroma Mowat-Wilson dengan jalan nafas yang sulit yang menjalani prosedur biopsi rectum et causa penyakit hisprung.
Cost Effectiveness General Anesthesia Combined with Scalp Block Compared to General Anesthesia in Patients Undergoing Removal Tumor Craniotomyin Dr. Sardjito Hospital Wicaksono, Galih Sahid; Sudadi; Uyun, Yusmein
Jurnal Komplikasi Anestesi Vol 11 No 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.v11i1.10199

Abstract

Background. Providers of anesthesia services have many opportunities to reduce these costs, of course with the aim of maintaining balance between profit, security and costs. Craniotomy surgery removal of the scalp block tumor is an alternative option that can be combined with general anesthesia. The scalp block itself can blunt stress response in craniotomy and can maintain unwanted hemodynamic instability. Purpose. Find out the cost effectiveness of the scalp block in craniotomy patients removing tumors at Dr. SARDJITO Hospital. Method. Method. Twenty patients ranging in age from 18 - 65 years with intracranial tumors who underwent tumor binding craniotomy at RSUP Dr. SARDJITO is grouped into two treatment groups with general anesthesia and general anesthesia with a combination of scalp blocks, both techniques are calculated using drugs and consumables during the operation. Results. Total cost on the general anesthesia combined scalp block was Rp. 1,347,276 lower Rp. 377,833 compared to general anesthesia Rp. 1,725,109 with a significant difference (p = 0.005). Similarly, the hourly cost of the group in the combined general anesthesia scalp block was Rp. 286,351 Rp. 97,107 lower than general anesthesia Rp. 383,457 with a significant difference (p = 0.038). Conclusion. Combination of general anesthesia and scalp block using 0.5% levobupivacaine more cost effective than general anesthesia and scalp block with placebo in supratentorial tumor patients undergoing tumor removal craniotomy.
Co-Authors Djayanti Sari Sudadi Untung Widodo, Untung Yusmein Uyun