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Manajemen Anestesi pada Seksio Sesar Pasien G5P4A0 dengan Severe Pulmonal Stenosis Uyun, Yusmein; Kurniawaty, Juni; Daniswara
Jurnal Komplikasi Anestesi Vol 7 No 1 (2019): Volume 7 Number 1 (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.v7i1.7378

Abstract

Pada pasien ini terdapat PS severe dan TR moderate yang menunjukan bahwa PS severe sudah cukup lama, tetapi tidak ada manifestasi klinisdari pasien, hanya ditemukan bising jantung saat dilakukan auskultasi dan tidak ada limitasi aktifitas pasien. Target hemodinamik pada pembiusan pasien dengan PS dan TR hampir sama, sehingga target tersebut digunakan untuk membius pasien seperti pada kasus ini yaitu dengan menjaga preload tinggi, heart rate tinggi, kontraktilitas normal, SVR normal, dan PVR normal rendah. Pemilihan pembiusan dari beberapa literatur menyebutkan bahwa dapat dilakukan dengan anestesi umum maupun regional dengan targettarget hemodinamik seperti diatas. Persiapan obatobatan untuk menjaga target hemodinamik juga harus ada sebelum operasi, bisa juga diberikan profilaksis seperti pada suatu case report yang sudah disebutkan diatas untuk menjaga SVR tetap normal.
Perbandingan Pengukuran Cardiac Output, Cardiac Index, dan Systemic Vascular Resistance Antara Menggunakan Non-Invasive Cardiometry (Icon®) dan Pressure-Recording Analytic Method (MOST- CARE®) pada Pasien Pascaoperasi Mayor di RSUP Dr. Sardjito Yogyakarta Daniswara; Wisudarti, Calcarina Fitriani Retno; Kurniawaty, Juni
Jurnal Komplikasi Anestesi Vol 8 No 3 (2021): Volume 8 Number 3 (2021)
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.v8i3.8372

Abstract

Background: Pulmonary Artery Catheter (PAC) is the gold standard for examining cardiac output (CO), cardiac index (CI), and systemic vascular resistance (SVR), however, PAC insertion is very invasive, causing complications. A less invasive method is currently being developed in the form of Most-Care® (pressure recording analytical method (PRAM)) and non-invasive ICON® (electrical cardiometry (EC)). Methods: The study sample was adult patients who were treated in the ICU Dr. Sardjito with age ≥ 18 years,post major surgery with an arterial line and central venous catheter (CVC). CO, CI, and SVR values were measured at the first hour after the patient arrived at the ICU using ICON® and Most-Care®. Collected data were processed and analyzed to compare between two of them using paired ttest. Results: From a total population of 49 patients, 23 subjects met the inclusion criteria, and the remaining 26 subjects were eliminated due to CHF, obesity, atrial fibrillation, tachycardia, bradycardia, and thoracic surgery. CO and CI of ICON® and Most-Care® are not significantly different (p>0.05). High SVR of ICON® and Most-Care® are not significantly different (p=0.667), but showed a significant difference in normal SVRp=0.015. Conclusion: The measurement of CO and CI between ICON® and Most-Care® showed no significant difference (p>0.05), but showed a significant difference (p=0.015) in the normal SVR category
Sosilaisasi Penggunaan Website Desa Bandar Pasir Mandoge Sebagai Sistem Administrasi dan Media Promosi Desa: Pengabdian Bambang Irwansyah; Daniswara; Reza Fahlevi; Eldo Yusri; Imam Arifin; Septi Nur Selase; Fajar Hardiansyah; M. Fikri Gunawan
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 1 (2025): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 1 (Juli 2025 -
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i1.2263

Abstract

Bandar Pasir Mandoge Village is a village within the administrative area of Bandar Pasir Mandoge District, Asahan Regency. Bandar Pasir Mandoge Village does not have a website-based administration system. Due to this problem, the village government is hampered and less than optimal in running village administration. The purpose of this community service activity is to increase the understanding of village officials and the community of Bandar Pasir Mandoge Village regarding the function and benefits of the village website as a modern administrative tool as well as a medium for promoting village potential. Through this activity, village officials are expected to be able to master the technical skills in managing and updating website content independently so that the information presented is always up-to-date and relevant. Administrative data will then be adjusted to the needs of the village. The results of the socialization of the village website with the link bandarpasirmandoge.com which was held on August 13, 2025 at the Bandar Pasir Mandoge Village Hall went smoothly and received a positive response from all participants. This activity was attended by village officials, community leaders, representatives of community organizations.