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Arifin, Achmad Reza
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Medicine & Pharmacology

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Manajemen dan Stabilisasi Pasien dengan Edema Paru Akut Jufan, Akhmad Yun; Adiyanto, Bowo; Arifin, Achmad Reza
Jurnal Komplikasi Anestesi Vol 7 No 3 (2020): Volume 7 Number 3 (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.v7i3.7475

Abstract

Acute pulmonary edema is a condition when there is accumulation of fluid in the lungs (insterstitial space and alveoli). This fluid fills the alveoli in the lungs which makes it difficult for someone to breathe. The most common cause of pulmonary edema is caused by heart problems. However, the accumulation of fluid in the lungs can be caused by several reasons including pneumonia, some poisons, or drugs. The number of deaths for one year for patients hospitalized with acute pulmonary edema reaches 40%. The most common causes of acute pulmonary edema include myocardial ischemia, cardiac arrhythmias (eg atrial fibrillation), cardiac valve dysfunction and excess fluid volume. It can also be caused by other causes including pulmonary embolism, renal artery stenosis, non-compliance with previous disease treatments and side effects from medications can also trigger pulmonary edema. Management in patients with pulmonary edema we first look for diseases that underlie the occurrence of edema. Because it is a very important factor in treatment, so it needs to know the cause immediately. Because specific therapy cannot always be given until the cause is known, supportive therapy is very important. The general goal is to maintain basic physiological and cellular functions. Namely by improving the airway, adequate ventilation, and oxygenation
Faktor-Faktor yang Berhubungan Dengan Mortalitas dan Morbiditas pada Pasien Geriatri yang Menjalani Prosedur Anestesi Di RSUP Dr. Sardjito Arifin, Achmad Reza; Widyastuti, Yunita; Sudadi
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.v10i2.8299

Abstract

Background: Geriatrics is defined as someone who reaches the age of 60 years and over. With the increase in the level of the economy and health, the geriatric population will increase. So that surgery and anesthesia in geriatric patients also increased. Geriatric patients tend to have more comorbidities accompanied by a decrease in physiological function and cognitive function so that it has an impact on mortality and morbidity. Objective: To identify the factors related to mortality and morbidity in geriatric patients undergoing anesthesia procedures at Dr. Sardjito General Hospital. Method: This study was conducted in a prospective analytical observational to identify risk factors in geriatric patients undergoing anesthesia at Dr. Sardjito General Hospital. The affordable population was all geriatric patients aged 60 years and over, who underwent anesthesia in the operating room and the time of the study was carried out for 3 months. In this study, variables that are thought to have a relationship with mortality and morbidity of geriatric patients will be tested using a univariate test using the Student's t-test if the data is numerical, while if the data is categorical using the Chi Square test. If the results of p<0.25 will be continued with the logistic regression test of each variable. And if p<0.05 then the variable is included in the multivariate analysis and if p<0.05 is considered significant. Results: The factors identified as factors affecting mortality of geriatric patients undergoing anesthesia at Dr. Sardjito General Hospital are age ≥75 years, dementia, and digestive surgery with p <0.05 in both univariate and multivariate tests. In the multivariate logistic regression test, factors affecting morbidity of geriatric is digestive surgery with p < 0,05. Conclusion: Patients’ age≥75 years, dementia and digestive surgery are the identified factors affecting mortality and morbidity of geriatric patients undergoing anesthesia at Dr. Sardjito General Hospital.
Co-Authors Akhmad Yun Jufan Bowo Adiyanto Sudadi Yunita Widyastuti