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All Journal Jurnal Anestesiologi Indonesia Jurnal Anestesi Perioperatif Bali Journal of Anesthesiology Farmasains : Jurnal Ilmiah Ilmu Kefarmasian Majalah Anestesia dan Critical Care Majalah Anestesia & Critical Care (MACC) Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute
Kapuangan, Christopher
Departemen Anestesiologi Dan Terapi Intensif, Fakultas Kedokteran Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo, Jakarta, Indonesia
Education Health Professions Medicine & Pharmacology Neuroscience Public Health Other

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Case Report: Excision of Left Maxillary Osteosarcoma in a 16-Year-Old Boy Under General Anesthesia with Difficult Airway Procedure Julia, Listyo Lindawati; Kapuangan, Christopher
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 8 No. - (2024): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v8i-.251

Abstract

Osteosarcoma is a rare, malignant bone tumor commonly found in adolescents, affecting the long bones. Maxillary involvement, though less frequent, can present significant challenges in surgical resection and anesthetic management. This case describes a 16-year-old male with a maxillary osteosarcoma sinistra undergoing excision under general anesthesia, performed with difficult airway intubation devices. Endotracheal tube (ETT) insertion via nasal intubation is performed with awake intubation. At the end of surgery, the patient was extubated uneventfully and referred to ICU.
Case Report: Resuscitation in Intraoperative Third Space Loss in Pediatric Patient with Paracentesis for Massive Ascites Astrid; Kapuangan, Christopher
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 8 No. - (2024): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v8i-.252

Abstract

The accuracy of intraoperative fluid resuscitation is one of the important factors influencing the outcome of surgery. In action conditions with the occurrence of fluid loss from massive "third space loss" in a fast period of time can affect fluid regulation causing ascites re-accumulation hyponatremia, hepato-renal function disorders, to shock. This case report evaluated the success of fluid replacement during massive paracentesis and post-procedure monitoring in the recovery unit. Case description: 5-year-old girl, with massive ascites suspicious of malignancy planned to undergo a paracentesis procedure. The patient had clinical abdominal distention, mild-moderate dehydration, vomiting, and decreased skin turgor. Another abnormality found was a hydrocephalus post-VP Shunt in 2023. The patient was assessed as ASA 3 based on his physical status. Maintenance fluids are calculated to meet basal metabolic needs during surgery based on the Holliday-Segar formula using the 4-2-1 rule. Fluid resuscitation during procedure can be performed with crystalloid, typically 40-60 mL/kg, with a bolus of 10-20 mL/kg to assess fluid responsiveness. In conclusion, fluid administration was carried out using goal-directed fluid therapy, where fluid resuscitation is adjusted based on various hemodynamic parameters.
Colorado Pediatric Airway Score (COPUR) as a Predictor of Intubation Difficulty in Children Aged 1-8 Years Kapuangan, Christopher; Perdana, Aries; Fadhila, Fulki; Ramlan, Andi Ade Wijaya; Zahra, Raihanita; Ferdiana, Komang Ayu; Rahendra, Rahendra
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 2 (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.v0i0.70707

Abstract

Background: Airway management is critical in pediatric anesthesia, as failure can lead to severe complications, including cardiac arrest. Anticipating and preparing for difficult intubation is essential, particularly in children with unique anatomical and physiological characteristics. The Colorado Pediatric Airway Score (COPUR) is a predictive tool for assessing intubation difficulty in pediatric patients.Objective: This study evaluates the validity of COPUR in predicting difficult intubation in children.Methods: A cross-sectional diagnostic study was conducted on 121 pediatric patients (aged 1–8 years) undergoing general anesthesia at Cipto Mangunkusumo Hospital. COPUR assesses jaw structure, mouth opening, prior intubation history, uvula visibility, neck movement, and additional modifying factors (macroglossia, obesity, mucopolysaccharidosis, and protruding teeth). A COPUR score >7 was used to predict difficult intubation, while intubation difficulty was defined by an Intubation Difficulty Score (IDS) >5.Results: A COPUR score ≥8 predicted difficult intubation in 15.7% of patients, whereas actual difficult intubation occurred in 9.92%. A COPUR threshold of ≥7 provided optimal sensitivity (83.3%) and specificity (61.47%), outperforming the original cutoff of 8 (50% sensitivity, 87% specificity). The score demonstrated good discriminative ability (AUC-ROC: 0.770, 95% CI: 0.685–0.842) and suitable calibration (Hosmer-Lemeshow test, p = 0.584).Conclusion: The COPUR score is a valid tool for predicting difficult intubation in pediatric patients aged 1–8 years, demonstrating fairly good discrimination and calibration values.
Co-Authors , Khamelia Aktara, Betardi Alantas, Anas Andi Ade Wijaya Andi Ade Wijaya Ramlan Andria, Krisna Arif H. M. Marsaban Astrid Edwin, Fahmi Agnesha Elizeus Hanindito Fadhila, Fulki Ferdiana, Komang Ayu Firdaus, Muhammad Fikry Julia, Listyo Lindawati Kadek Yogi Mahendra Kuncoro, Daviet Dwi Manggala, Sidharta Kusuma Perdana, Aries Perdana, Aries Rahendra Rahendra, Rahendra Raihanita Zahra Ramlan, Andi Ade Wijaya Ros Sumarny Tantri, Aida Rosita Utariani, Arie Wardhani, Yosi Dwi Wawaimuli Arozal Yulian, Anggadria Iqbal Zahra, Raihanita