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All Journal Jurnal Anestesiologi Indonesia JISIP: Jurnal Ilmu Sosial dan Pendidikan
Wicaksono, Indrawan
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Comparison of Laryngeal Mask Airway and Endotracheal Tube on Intraocular Pressure in Vitrectomy Villyastuti, Yulia Wahyu; Wicaksono, Indrawan
JAI (Jurnal Anestesiologi Indonesia) Vol 16, No 3 (2024): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.65469

Abstract

Background: Increased intraocular pressure (IOP) is a common complication after vitrectomy. Tracheal intubation and insertion of a laryngeal mask airway (LMA) are noxious stimuli that can increase IOP.Objective: To analyze the difference between the use of LMA and an endotracheal tube (ETT) on the increase in IOP in vitrectomy.Method: Experimental study with a randomized controlled trial design in 28 patients undergoing vitrectomy who met the inclusion and exclusion criteria. Subjects were divided into 2 groups with the use of LMA and ETT. Intraocular pressure (IOP) was measured using a Schiotz tonometer before induction of anesthesia, 5 minutes after intubation, 5 minutes before extubation, 5 minutes after extubation and 24 hours after vitrectomy in healthy eyes. The analysis was carried out with the unpaired T-test and the alternative Mann Whitney test, the results were significant if the p value <0.05.Results: The mean IOP in the LMA group was 11.71 ± 1.90 mHg before induction of anesthesia; 11.04 ± 1.71 mmHg 5 min after induction; 10.86 ± 1.44 mmHg 5 min before discharge; 12.11 ± 1,49 mmHg after removal and 12.21 ± 2.63 mmHg 24 hours after discharge. The mean IOP in the ETT group was 11.05 ± 2.57 mHg before induction of anesthesia; 14.26 ± 2.59 mmHg 5 min after induction; 11.71 ± 1.90 mmHg 5 min before extubation; 14.70 ± 0,98 mmHg after extubation and 12.74 ± 1.82 mmHg 24 hours after extubation. A significant difference in IOP was found after ETT intubation and extubation (p < 0.05).Conclusion: Endotracheal tube (ETT) significantly increases IOP compared to LMA during intubation and extubation in vitrectomy surgery.
Mengoptimalkan Kualitas Program Pelatihan Mekanik Alat Berat melalui Metode QFD dan Perancangan Business Model Canvas: Studi Kasus LPK PT. IMPP Balikpapan Wicaksono, Indrawan
JISIP: Jurnal Ilmu Sosial dan Pendidikan Vol 7, No 3 (2023): JISIP (Jurnal Ilmu Sosial dan Pendidikan) (Juli)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/jisip.v7i3.5246

Abstract

Penelitian ini bertujuan untuk meningkatkan kualitas peserta pelatihan Mekanik Alat Berat (MAB) dan merancang Business Model Canvas (BMC) untuk kelanjutan bisnis Lembaga Pelatihan Kerja (LPK) PT. IMPP. Penelitian ini menggunakan metode House of Quality (HOQ) untuk mengetahui kebutuhan pelanggan dan respons teknis, serta metode Service Quality (Servqual), Customer Satisfaction Index (CSI), dan gap 5 untuk melihat tingkat kepuasan pelanggan dan perbaikan kualitas pelatihan. Metode survei digunakan untuk memperoleh masukan perbaikan dari para stakeholders. Pendekatan penelitian ini adalah kuantitatif deskriptif dengan pengambilan sampel purposive. Hasil penelitian ini mencakup prioritas perbaikan dari HOQ, nilai preposisi pada BMC, hasil Servqual dan tingkat kepuasan pelanggan, perbaikan yang perlu dilakukan berdasarkan gap 5, dan hasil survei dari stakeholders. Perbaikan pada metode HOQ mencakup penerimaan peserta perempuan, perluasan jaringan rekanan di industri alat berat, perluasan bidang usaha dengan man power supply untuk MAB, pelatihan dasar operator alat berat, dan video praktikum untuk setiap unit
Co-Authors Yulia Wahyu Villyastuti