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All Journal Jurnal Komplikasi Anestesi
Atmanagara, Dikho
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Medicine & Pharmacology

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Diagnosis dan Tata Laksana Sepsis Maternal Jufan, Akhmad Yun; Wisudarti, Calcarina Fitriani Retno; Atmanagara, Dikho
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022): Volume 10 Number 1 (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.v10i1.8328

Abstract

Maternal sepsis is a common and potentially preventable cause of direct maternal death globally. A barrierto further progress has been the lack of consensus on the definition of maternal sepsis. Recognition and treatment of maternal sepsis are often delayed due to the physiological adaptations of pregnancy and vague or absent signs and symptoms during its initial presentation. Over the past decade, our understanding of sepsis has evolved and maternal early warning systems have been developed in an effort to help providers promptly identify and stratify parturients who are at risk. In addition, new consensus definitions and care bundles have recently been published by the World Health Organization and the Surviving Sepsis Campaign to facilitate earlier recognition and timely management of sepsis. Standardizing the criteria for maternal sepsis optimizes clinical finding. It may facilitate the evaluation of the role of different clinical parameters and biomarkers in the diagnosis, earlier recognition and management of maternal infection and sepsis. Further work is required to develop an international consensus on the criteria for diagnosing maternal sepsis and any associated organ dysfunction. In this narrative review, we summarize the available evidence about sepsis and provide an overview of the research efforts focused on maternal sepsis to date.
Rotasi Opioid dan Manajemen Nyeri pada Pasien Cancer Pain Akibat Kanker Serviks Stadium 4 dan Fistula Rectovagina Mahmud; Widyastuti, Yunita; Atmanagara, Dikho
Jurnal Komplikasi Anestesi Vol 9 No 3 (2022): Volume 9 Number 3 (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.v9i3.8337

Abstract

Pain is an unpleasant experience that will be felt by almost all cancer patients, which can result in reduced quality of life for cancer patients. Administration of opioid analgesics by increasing the dose to achieve the expected analgesia potentially followed by harmful side effects to the patient. In this situation, it is necessary to rotate the opioid to obtain an adequate dose of analgesia without increasing the risk of using the opioid. We present a case report of severe cervical cancer pain not controlled by oral opioid administration. The patient was assessed for the degree of pain and opioid rotation to control the cancer pain. After the rotation of opioids, it was found that pain was controlled by giving the new type and route of the opioid.
Diagnosis dan Tatalaksana Sepsis Maternal Jufan, Akhmad Yun; Wisudarti, Calcarina Fitriani Retno; Atmanagara, Dikho
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 2 (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.v8i2.8366

Abstract

Maternal sepsis is a common and potentially preventable cause of direct maternal death globally. A barrier to further progress has been the lack of consensus on the definition of maternal sepsis. Recognition and treatment of maternal sepsis are often delayed due to the physiological adaptations of pregnancy and vague or absent signs and symptoms during its initial presentation. Over the past decade, our understanding of sepsis has evolved and maternal early warning systems have been developed to help providers promptly identify and stratify parturients who are at risk. In addition, new consensus definitions and care bundles have recently been published by the World Health Organization and the Surviving Sepsis Campaign to facilitate earlier recognition and timely management of sepsis. Standardizing the criteria for maternal sepsis optimizes clinical findings. It may facilitate the evaluation of the role of different clinical parameters and biomarkers in the diagnosis, earlier recognition, and management of maternal infection and sepsis. Further work is required to develop an international consensus on the criteria for diagnosing maternal sepsis and any associated organ dysfunction.
Co-Authors Akhmad Yun Jufan Calcarina Fitriani Retno Wisudarti Siti Helmyati Yunita Widyastuti