Taneo, Desy Chery Marlyn
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Tatalaksana Anestesi pada Pediatrik dengan Obesitas Widyastuti, Yunita; Pratomo, Bhirowo Yudo; Taneo, Desy Chery Marlyn
Jurnal Komplikasi Anestesi Vol 6 No 3 (2019): Volume 6 Number 3 (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.v6i3.7358

Abstract

Anesthetic management of obese pediatric patients is challenging. With increasing prevalence, more childwith severely obese and comorbidities present for surgery everyday. Definition of obesity is based on bodymass index percentiles spesific to age and sex. The precursors of adult obesity-related comorbidities are often seen in obese children. Respiratory and cardiovascular comorbidities increase perioperative risk in the severely obese child. Optimal and safe anesthetic management of an obese child requires thoughtful pre prosedure assessment and meticulous perioperative management tailored to associated comorbidities, with hieghtened wareness of potential perioperative complications. There are remains a need for improved guidelines for risk stratification, drug dosing and postoperative disposition in this patient population.
Glasgow Coma Scale (GCS) Sebagai Prediktor Kematian dan Kualitas Hidup Pasien Cedera Otak Traumatik di RSUP Dr. Sardjito Taneo, Desy Chery Marlyn; Sudadi; Wisudarti, Calcarina Fitriani Retno
Jurnal Komplikasi Anestesi Vol 9 No 2 (2022): Volume 9 Number 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.v9i2.8343

Abstract

Background: Glasgow Coma Scale (GCS) as one of the most important predictors and a key measure in neurological assessment after brain injury. Apart from mortality, GCS is also a predictor of quality of life that can be measured using the Extended Glasgow Outcome Scale (GOSE). GOSE is a global assessment of independent living and social reintegration that is widely used as an outcome measure in brain injury research, to analyze long-term functional outcomes. Methods: This study used a retrospective cohort observational study design that aimed to predict mortality and quality of life using the Glasgow Coma Scale. This research has been conducted at the Medical Record Installation of Dr. Sardjito Hospital Yogyakarta using data from patients whom are treated with a diagnosis of traumatic brain injury at Dr. Sardjito Hospital from January 1, 2020 to December 31, 2020 retrospectively. Quality of life was calculated using the GOSE interview questionnaire. The relationship of GCS variables to mortality and quality of life was tested by the unpaired correlative hypothesis test followed by multivariate analysis with logistic regression methods. Results: There were 174 research subjects with a mean age of 37.51 (± 14.17) years, 124 male (71,3%) and 50 female (28.7%). Subjects GCS score < 8 had a higher risk of death than those with GCS score 13-15 (p<0.001, RR=18.3). Subjects with GCS score 9-12 had a higher risk of death than those with GCS score 13-15 (p<0.001, RR=9.71). Subjects with GCS score < 8 had a higher risk of unfavourable outcome than those with GCS score 13-15 (p<0.001, RR=9.49). Subjects with GCS score 9-12 had a higher risk of unfavourable outcome than those with GCS score 13-15 (p=0.001, RR=4.93). Conclusion: GCS on admission can be a predictor of mortality and quality of life for traumatic brain injury patients