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All Journal Jurnal Anestesiologi Indonesia Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M)
Ajie, Astrandaya
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Education Health Professions Medicine & Pharmacology Public Health Social Sciences

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Anesthetic Management of Supraglottic Tumors Undergoing Direct Laryngoscopy Ajie, Astrandaya; Listiarini, Dian Ayu; Alfaruq, Ahmad Umar
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 1 (2025): 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.v0i0.63062

Abstract

Background: Supraglottic tumors are a type of tumor in the larynx that often causes airway obstruction. Comorbidities such as pulmonary tuberculosis (TB) and malnutrition can threaten patient safety during surgery. Comprehensive special perioperative anesthetic management involving multidisciplinary procedures and good communication between anesthesiologists and surgeons is needed. The aim of this case report is to understand the anesthetic management of a patient with a supraglottic laryngeal tumor with comorbid pulmonary TB, atelectasis and malnutrition.Case: A 44-year-old man came to the ear, nose and throat (ENT) clinic with complaints of shortness of breath since the previous month accompanied by pain while swallowing. The patient had a history of smoking and pulmonary TB. Computed tomography (CT) revealed a supraglottic tumor that was suspected to be malignant. The patient was programmed to undergo direct laryngoscopy for tissue biopsy.Discussion: The patient was intubated with a size 5 nonkinking endotracheal tube (ET tube) on the inside, which was connected to a size 7 kinking ET tube on the outside because the glottis rima was narrowed because of a tumor in the supraglottis so that only a small ET tube could pass to secure the airway. In this patient, induction therapy was performed with propofol and opioids. Muscle relaxants are not given to maintain respiratory muscle tone, especially in patients with pulmonary TB and atelectasis, who require full function of the respiratory muscles due to impaired lung development.Conclusion: Special perioperative management is needed in patients with supraglottic tumors with comorbid pulmonary TB, atelectasis and malnutrition. Airway management and the drugs and anesthesia induction techniques chosen must be agents that have minimal side effects on the respiratory tract and maintain respiratory muscle tone.
Pemeriksaan hemoglobin dan konsultasi kesehatan untuk pencegahan anemia Suparmi, Suparmi; Latifah, Fadzil; Hussana, Atina; Ratnawati, Ratnawati; Abduh, Saugi; Riasari, Naili Sofi; Ajie, Astrandaya
Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M) Vol. 6 No. 3 (2025)
Publisher : Universitas Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33474/jp2m.v6i3.24100

Abstract

Peran serta masyarakat, terutama dalam pembentukan kader "Cegah Anemia," sangat dibutuhkan sebagai bentuk keterlibatan komunitas dalam mendukung keberlanjutan program. Keterlibatan aktif warga dibutuhkan untuk membangun kesadaran dan kepedulian bersama terhadap kesehatan komunitas, khususnya dalam mencegah anemia dan hipertensi. Tujuan kegiatan pengabdian kepada masyarakat (PkM) adalah pemeriksaan kadar Hb dan penyuluhan kesehatan untuk mengatasi anemia. Tempat di Perumahan Sembungharjo Permai, Genuk, Kota Semarang dengan peserta 67 orang. Hasil pengukuran tekanan darah menunjukkan bahwa kondisi pra hipertensi (tekanan sistolik 120-139 mmHg dan diastolik / 80-89 mmHg) dialami oleh 19,4% peserta (laki-laki) dan 23,9% peserta (perempuan). Data kadar hemoglobin menunjukkkan bahwa anemia ringan dialami oleh 4,5% peserta laki-laki, dan 17,9% peserta wanita. Pemeriksaan tekanan darah,  kadar hemoglobin, konsultasi, dan edukasi kesehatan bermanfaat bagi warga sebagai skrining awal penyakit hipertensi dan anemia, serta upaya pencegahannya. Hasil PkM ini diharapkan dapat menurunkan prevalensi stunting dan anemia di Indonesia.  Upaya berkelanjutan yang mendukung program pencegahan anemia dan stunting perlu dilakukan secara sistematis dan menyeluruh.
Co-Authors Alfaruq, Ahmad Umar Dian Ayu Listiarini Fadzil Latifah, Fadzil Hussana, Atina Ratnawati Ratnawati Riasari, Naili Sofi Saugi Abduh Suparmi Suparmi