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All Journal Jurnal EduHealth Fakumi Medical Journal The International Journal of Medical Science and Health Research
Muhammad Wirawan Harahap
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Management Of Fluid Resuscitation In Burn Wounds Kirene Dwinilasari Paemba; Berry Erida Hasbi; Muhammad Wirawan Harahap
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

The World Heath Organization (WHO) states that women in the Southeast Asia region have a high incidence of burns, which is 27% of the total number globally. The Burn Incidence Fact Sheet of the American Burn Association (ABA) states that in 2016, 486,000 people sought burn care in the United States. Most burns are small with 67% occupying less than 10% of the total body surface area according to the National Burn Repository of the ABA . Resuscitation is needed to restore respiratory function and blood circulation in someone who has experienced cardiac or respiratory arrest. This research method uses a literature review with a narrative review design. Based on the review obtained, crystalloids are the type of fluid that is widely used for burn patient therapy and for colloid fluids that are widely used are 20% albumin. The importance of calculating the need for fluid intake with fluid output is seen from urine output in patients using one of the most common formulas, namely the Parkland formula because the amount of fluid entered is higher than the recommended amount indicating the potential risk of excess fluid which can increase complications
Blok Supraclavicular pada Tindakan Amputasi Setinggi Humerus Dextra pada Pasien CKD Grade 5 Ismi Nurlaely; Muhammad Wirawan Harahap; Nurhikmawati
Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran Vol. 5 No. 1 (2025): Maret
Publisher : Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/fmj.v5i1.544

Abstract

Anestesi regional memiliki berbagai macam teknik penggunaan salah satu teknik yang digunakan yaitu blok supraclavicula. Kami melaporkan seorang pasien perempuan, 60 tahun, didiagnosis dengan Chronic Kidney Disease (CKD) Stage V + Ulkus ganggren antebrachii dextra + ulkus pedis sinistra + DM Tipe 2 + gangguan elektrolit, rencana dilakukan tindakan setinggi humerus dextra. Blok anestesi dilakukan pada blok supraclavicula menggunakan agen Bupivacain 0,25% volume 20ml dengan guideline USG dengan lama operasi dua jam. Hemodinamik stabil tanpa penyulit dan komplikasi. Pasca bedah dengan NRS 2/10. Blok supraclavicula menjadi pilihan anestesi pada pasien dengan operasi extremitas superior. Salah satu dari beberapa teknik yang digunakan untuk membius pleksus brakialis adalah blok supraklavikula. Blok supraklavikula merupakan pilihan yang sangat baik untuk bedah bagian siku dan tangan karena memberikan anestesi dan analgesia pada ekstremitas atas di bawah bahu. Pendekatan supraklavikula untuk blok pleksus brakialis sering disebut sebagai anestesi tulang belakang pada ekstremitas atas karena merupakan teknik yang aman, dengan onset yang cepat dan memberikan anestesi yang dapat diandalkan untuk pembedahan ekstremitas atas. Tingkat di mana blok ini dilakukan adalah pada tingkat batang pleksus brakialis, pada titik ini hampir seluruh persarafan sensorik, motorik, dan simpatis ekstremitas atas dibawa hanya dalam tiga struktur saraf yang terbatas pada area permukaan yang sangat kecil. Teknik pendekatan ini biasanya memberikan blok yang dapat diprediksi dan padat dengan onset yang cepat.
Scalp Nerve Block In Reconstructive Craniotomy: A Case Report Milhiandana Mitresna Salsabila; H. Andi Husni Tanra; Muhammad Wirawan Harahap
The International Journal of Medical Science and Health Research Vol. 13 No. 1 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/edjcv167

Abstract

Scalp block is an option in head surgery with certain procedures, namely when patient awareness is required, or techniques that require patient functional assessment and craniotomy. This block is performed on the supra orbital nerve, supra trochlea, zygomaticum temporal, auriculo temporal, auricular major, greater occipital and lesser occipital. We report a case of a 55-year-old man with Mild Traumatic Brain Injury GCS 14 + fracture of the Os Frontalis Sinistra, anterior wall of the Sinus Maxillaris dextra et sinisra and Os Zygomaticum sinistra, simultaneously for reconstructive craniotomy with scalp block anesthesia technique for post-surgical pain management. During the operation, hemodynamics were stable without complications. Post-surgery the patient was moved to the recovery room without complaints.
Co-Authors Berry Erida Hasbi H. Andi Husni Tanra Ismi Nurlaely Kirene Dwinilasari Paemba Milhiandana Mitresna Salsabila Nurhikmawati