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All Journal Jurnal Justitia : Jurnal Ilmu Hukum dan Humaniora Jurnal Komplikasi Anestesi
Hendra, Maijoni
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Humanities Education Environmental Science Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Social Sciences Other

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Manajemen Anestesi pada Seksio Sesaria Emergensi dengan Kelainan Faktor Koagulasi Uyun, Yusmein; Apsari, Ratih Kumala Fajar; Hendra, Maijoni
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.v7i3.7476

Abstract

The selection of anesthesia techniques for caesarian section is determined by various factors, namely the indication of the operation, the choice of the patient and surgeon, and the technical ability (skill) of the surgeon. Clinical evaluation of patients with coagulopathy is very important to determine the anesthetic technique. Clinical evaluation must be individualized, taking into account the risks and benefits of anesthesia techniques. The risk of spinal hematoma or epidural in patients has not been completely eliminated, but it remains a factor that must be considered individually in determining whether neuraxial anesthesia is appropriate for that patient.
Faktor Risiko Mortalitas Pasien Geriatri yang Dirawat Di ICU RSUP Dr. Sardjito Yogyakarta Hendra, Maijoni; Akhmad Yun; Widodo, Untung
Jurnal Komplikasi Anestesi Vol 10 No 2 (2023): Volume 10 Number 2 (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.v10i2.8306

Abstract

Background: Nowadays, many geriatric patients need intensive care. In intensive care geriatric patients will show geriatric syndromes such as delirium, sensory disturbances and frailty which are closely related to morbidity and mortality. Until now in Indonesia there has been no specific study that examines the risk of death in geriatric patients treated in the ICU. Objective: To identify the risk factors that influence the mortality of geriatric patients in the ICU, as a reference material in the management of geriatric patients in the ICU. Method: This study is a retrospective cohort observational study. The study sample consisted of 162 patients who were treated at ICU Dr. Sardjito General Hospital from 1 January 2020 to 31 December 2020. The identified risk factors were then analyzed and tested using the student's t-test for numerical data and the chi square test for categorical data. The results of the analysis with p <0.25 were then carried out with a logistic regression test. Variables with p <0.05 in multivariate analysis were considered significant. Data were analyzed statistically with the SPSS 25.0 application. Results: Factors identified as risk factors for mortality in geriatric patients in the ICU Dr. Sardjito General Hospital were kidney comorbidities in the form of acute kidney injury and chronic kidney disease (p=0.019, OR 0.364), the use of inotropic vasopressor drugs such as dopamine, dobutamine, norepinephrine, epinephrine, vasopressin (p=0.003, OR 0.277) and the use of mechanical ventilation (p=0.004, OR 0.890) were the variables that had the most significant effect simultaneously on the mortality of geriatric patients in the ICU. Conclusion: The identified risk factors for geriatric patients’ mortality in the ICU of Dr. Sardjito General Hospital are renal comorbidities, the use of invasive mechanical ventilation and the use of inotropic and vasopressor drugs.
Tantangan dan Implementasi Arbitrase sebagai Alternatif Penyelesaian Sengketa Medis di Indonesia Widyansyah, Aliffiani; Anggraeni, Happy Yulia; Hatima, Husnul; Hendra, Maijoni; Juwita, Ratna
JUSTITIA : Jurnal Ilmu Hukum dan Humaniora Vol 8, No 1 (2025): JUSTITIA Jurnal Ilmu Hukum dan Humaniora
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/justitia.v8i1.302-311

Abstract

Di Indonesia, penyelesaian sengketa medis seringkali dilakukan melalui litigasi, yang merupakan proses yang panjang dan sulit dan dapat mengakibatkan reputasi buruk bagi tenaga medis dan rumah sakit. Dalam banyak kasus sengketa medis, pasien, tenaga medis, dan rumah sakit tidak selalu memiliki pilihan lain selain melakukan litigasi di pengadilan. Arbitrase, sebagai alternatif penyelesaian sengketa, tidak hanya bersifat rahasia tetapi juga sangat efektif. Namun, untuk menerapkan arbitrase dalam sengketa medis di Indonesia, masih ada banyak masalah dan hambatan. Ini termasuk kurangnya pemahaman publik dan tenaga medis, kurangnya regulasi, dan sedikit ahli arbitrase yang kompeten, terutama di bidang medis. Dalam konteks hukum kesehatan Indonesia, masalah dan peluang implementasi arbitrase dibahas dalam artikel ini.
Co-Authors Akhmad Yun Hatima, Husnul Ratih Kumala Fajar Apsari Ratna Juwita Untung Widodo, Untung Widyansyah, Aliffiani Yusmein Uyun