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All Journal Pendas : Jurnah Ilmiah Pendidikan Dasar Vitamin: Jurnal Ilmu Kesehatan Umum
Rio Kristian Nugroho
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Manajemen Airway pada Pembedahan Laminectomy dengan General Anestesi Endotracheal Tube (ETT) Serli Ayuning Tias; Rio Kristian Nugroho
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 3 (2025): Juli: Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i3.1410

Abstract

Laminectomy surgery requires optimal airway management due to the prone position of the patient. General anesthesia using Endotracheal Tube (ETT) is commonly used to maintain airway patency and adequate ventilation throughout the procedure. This is a descriptive observational study involving five patients with lumbar spinal stenosis who underwent laminectomy surgery under general anesthesia with ETT at RSUD Pandan Arang Boyolali. All patients were successfully intubated with nom kinking ETT using the MILI technique and video laryngoscope. During surgery, ventilation and hemodynamics remained stable with continuous monitoring of ETCO₂, SpO₂, MAP, and CVP. No major airway complications were reported. A systematic airway management approach using non kinking ETT, MILI technique, and invasive monitoring proved safe and effective for laminectomy surgery in the prone position.
Pengaruh Pemberian Dexmedetomidine Pada General Anestesi Terhadap Stabilitas Nadi Durante Operasi Open Reduction and Internal Fixation (ORIF) Oivhianti Pagala; Hafizh Difa Salsabil; Reyhan Micho Atallah; Mukti Sejati; Yusrina; Maulina Galuh Arifah; Rio Kristian Nugroho
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 11 No. 01 (2026): Volume 11 No. 01 Maret 2026 Published
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v11i01.43941

Abstract

Open Reduction and Internal Fixation (ORIF) is a surgical procedure commonly performed to treat fractures by restoring anatomical bone alignment and stabilizing bone fragments using internal fixation devices. During surgical procedures performed under general anesthesia, maintaining hemodynamic stability is essential to ensure patient safety and optimal surgical outcomes. Heart rate is one of the important indicators used to assess the hemodynamic condition of patients during surgery. Dexmedetomidine is a selective α2-adrenergic agonist widely used as an anesthetic adjuvant because of its sedative, analgesic, and sympatholytic properties that can suppress sympathetic responses and maintain cardiovascular stability during surgery. Objective: To determine the effect of dexmedetomidine administration during general anesthesia on heart rate stability during ORIF surgery at RSUD Ibu Fatmawati Soekarno Surakarta. Methods: This study used a descriptive observational approach conducted in the operating room of RSUD Ibu Fatmawati Soekarno Surakarta. The research sample consisted of five patients undergoing ORIF surgery under general anesthesia with dexmedetomidine administration. Data were collected through intraoperative monitoring of heart rate using standard anesthesia monitoring equipment. Results: The results showed that intraoperative heart rate ranged between 53–62 beats per minute, indicating relatively stable hemodynamic conditions during surgery. Conclusion: The administration of dexmedetomidine during general anesthesia may help maintain heart rate stability during ORIF surgery.
Co-Authors Hafizh Difa Salsabil Maulina Galuh Arifah Mukti Sejati Oivhianti Pagala Reyhan Micho Atallah Serli Ayuning Tias yusrina