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ADDUCTOR CANAL BLOCK SEBAGAI MANAJEMEN NYERI POST OPERASI PADA PASIEN YANG MENJALANI PROSEDUR TOTAL KNEE ARTHROPLASTY : CASE REPORT Efendy, Annisa Al Adawiyah; Harahap, Muhammad Wirawan; Irna, Ade
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.45555

Abstract

Total Knee Arthroplasty (TKA) merupakan salah satu prosedur yang paling sering dilakukan dalam bidang bedah ortopedi, terutama pada pasien dengan osteoartritis lutut stadium lanjut. Meskipun prosedur ini umumnya memberikan hasil klinis yang sangat baik dalam jangka panjang, fase pascaoperasi tetap menjadi tantangan tersendiri, terutama terkait manajemen nyeri. Nyeri pascaoperasi yang tidak terkontrol dapat menghambat mobilisasi dini, memperlambat pemulihan fungsional, serta meningkatkan durasi rawat inap di rumah sakit. Penatalaksanaan nyeri yang efektif menjadi aspek penting dalam menunjang keberhasilan pemulihan pasca-TKA. Salah satu teknik manajemen nyeri yang kini banyak digunakan adalah blok saraf perifer, seperti blok kanal adduktor. Dalam laporan ini, disajikan kasus seorang laki-laki berusia 56 tahun dengan diagnosis osteoartritis lutut kiri derajat lanjut yang direncanakan menjalani prosedur Left Total Knee Arthroplasty. Sebagai bagian dari protokol manajemen nyeri multimodal, dilakukan blok kanal adduktor dengan agen anestesi lokal berupa Bupivakain 0,25% sebanyak 30 mg. Prosedur pembedahan berlangsung tanpa komplikasi intraoperatif. Evaluasi nyeri pascabedah menggunakan Visual Analog Scale (VAS) menunjukkan skor 1–2 dari 10 dalam 24 jam pertama, mengindikasikan efektivitas blok kanal adduktor dalam mengendalikan nyeri pascaoperasi. Temuan ini mendukung penggunaan teknik blok kanal adduktor sebagai strategi analgesia regional yang efektif, aman, dan mendukung mobilisasi dini pasca-TKA.
INTRODUKSI Trichoderma sp. PADA TANAMAN CABAI (Capsicum frutescens) Irna, Ade; Hafsan, Hafsan; Alfian, Alfian
Teknosains Vol 17 No 1 (2023): Januari-April
Publisher : Fakultas Sains dan Teknologi Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/teknosains.v17i1.34817

Abstract

Chili (Capsicum frutescens) is one of the most widely cultivated vegetable commodities in Indonesia. The community's need for chilies is increasing every year, but the production of chilies in Indonesia is still not sufficient for national food needs because of the high market demand. Trichoderma sp. is an antagonistic fungus that can control the growth of pathogenic fungi and increase crop production. This study aims to determine the effect of giving Trichoderma sp. as a biological agent on the growth of chili (Capsicum frutescens). This research was conducted at the South Sulawesi Horticultural Plant Seed Center. This research is a quantitative study with an experimental approach by inducing Trichoderma sp. different concentrations of 0 g, 5 gr, 10 g, and 15 g. This research uses Completely Randomized Design (CRD). The results showed that the dose of Trichoderma sp. in the treatment of 15 g/plant significantly affected the growth of chili plants. The highest concentration used as the application dose of Trichoderma sp has a positive effect on the growth of chili plants (Capsicum frutescens).
Initial Emergency Management of Trauma: A Literature Review Ahmad, St. Lutfiah; Swarga, Tirta; Irna, Ade
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2614

Abstract

Trauma continues to be one of the leading causes of mortality and disability worldwide, including in Indonesia, with the most critical period occurring within the golden hour. Elevated mortality rates are often linked to delayed medical response, the absence of standardized treatment protocols, and limited healthcare resources. Objective: This review aims to assess the effectiveness of internationally recognized, protocol-driven interventions that have been adapted to the Indonesian context in enhancing trauma care outcomes. A systematic-narrative literature review was conducted in accordance with the PRISMA 2020 guidelines. Sources included SINTA, Scopus, ClinicalKey, as well as conference proceedings and dissertations published between 2023 and 2024. Each study was evaluated for methodological rigor, strength of evidence, and applicability to emergency care settings in Indonesia. Thematic analysis was applied to synthesize the findings. Adaptations of ATLS protocols, interdisciplinary simulation-based training, and the implementation of digital technologies for triage and prehospital communication demonstrated the potential to reduce trauma-related mortality by up to 30%. Furthermore, the early administration of tranexamic acid (TXA), application of tourniquets, and whole blood transfusion proved highly effective in managing severe trauma cases. The integration of international trauma care protocols with locally contextualized innovations and digital health technologies holds significant promise for improving the quality and effectiveness of trauma management in Indonesia.