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All Journal Jurnal Anestesiologi Indonesia Jurnal Anestesi Perioperatif Folia Medica Indonesiana Nusantara Medical Science Journal Bali Journal of Anesthesiology Indonesian Journal of Anesthesiology and Reanimation (IJAR) Journal of Anesthesiology and Clinical Research Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Jurnal Komplikasi Anestesi Jurnal Widya Medika
Elizeus Hanindito
Department Anesthesiology And Reanimation, Faculty Of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Public Health Other

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Current Anesthesia Management of Congenital Diaphragmatic Hernia: A Narrative Literature Review Syukur, Rusmin Bolo; Elizeus Hanindito
Journal of Anesthesiology and Clinical Research Vol. 4 No. 2 (2023): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.276

Abstract

Congenital diaphragmatic hernia (CDH) is a congenital disorder characterized by a defect in the diaphragm, which causes the contents of the stomach to protrude into the chest cavity. Increased survival of CDH patients related to initial management in the form of a ventilator strategy, management of pulmonary hypertension, improvement of surgical and anesthetic techniques, and use of extracorporeal membrane oxygenation (ECMO) when indicated. Early stabilization of the patient is a priority before performing a surgical intervention for the hernia organ. This narrative literature review aimed to explain the current management, especially in the field of anesthesia in a congenital diaphragmatic hernia. In conclusion, the current management aims to improve survival rates and reduce the morphology of CDH patients.
Optimizing Post Discharge Pain Management in Pediatric Elizeus Hanindito
Jurnal Komplikasi Anestesi Vol 1 No 1 (2013): Volume 1 Number 1 (2013)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v1i1.5531

Abstract

Nyeri adalah masalah yang paling sering dan paling bermakna bagi pasien pediatrik walaupun pada prosedur operasi minor dan masalah ini dapat diterapi dengan efektif. Penilaian keparahan nyeri secara berkala menggunakan beberapa teknik seperti numeric rating scales atau faces scale of Bieri untuk anak yang lebih besar dan behaviour pain scale seperti FLACC untuk usia ‘non-verbal’ dapat membantu mengoptimalkan penanganan nyeri. Penilaian nyeri post operasi untuk orang tua dapat digunakan jika pasien pediatrik sudah keluar dari ruang pemulihan. Nonsteroidal anti-inflammatory drug (NSAID) memberikan analgesia yang baik setelah prosedur operasi minor dan dapat menurunkan jumlah analgesi opioid yang dibutuhkan setelah prosedur yang lebih ekstensif apabila waktu pemberian obat diberikan secara benar. Meskipun kontrol nyeri yang baik umumnya diperoleh setelah operasi, perbaikan dari management nyeri post keluar dari ruang pemulihan seharusnya dioptimakan dengan meningkatkan penggunaan analgesi multimodal seperti standar perawatan, pemberian instruksi post operasi standard yang tertulis, penggunaan guideline analgesia pediatrik khusus untuk masing-masing prosedur operasi, karena laporan dan skor nyeri secara bermakna lebih tinggi pada perawatan di rumah dibandingkan di Rumah Sakit.
Perioperative Pediatric Transfusion Strategy Ahmad Nur Islam; Elizeus Hanindito; Muhammad Ramli Ahmad; Maman Surya Permana; Hanna Aulia Namirah
Nusantara Medical Science Journal Volume 9 Issue 2, July - December 2024
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.vi.42398

Abstract

Introduction: In the modern healthcare system, blood transfusion is an essential treatment that plays a significant role in the clinical improvement of adult and pediatric patients. Given the physiological and hematological differences between children and adults, careful planning and an individualized approach are essential to maximize its effectiveness and avoid serious side effects. Method:  A thorough review of the literature was performed, utilizing PubMed, Embase, and the Cochrane Library, to gather evidence on pediatric perioperative transfusion practices. The search encompassed studies published between 2013 and 2024, employing a combination of terms and free-text keywords, as well as Boolean operators, to refine the results. Conclusion: Intraoperative blood loss in pediatric patients requires special attention with an approach that includes pre to postoperative management. This approach must be adapted to the anatomical and physiological differences of children compared to adults. Research, development of universal transfusion strategies, and education and training for medical personnel are essential to improve blood management and prevention of complications.      
Incidence of Emergence Agitation in Pediatric Patient after General Anesthesia Andriyanto, Lucky; Utariani, Arie; Hanindito, Elizeus; Santoso, Kohar Hari Santoso Hari; Hamzah, Hamzah; Puspita, Eka Ari
Folia Medica Indonesiana Vol. 55 No. 1 (2019): March
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (151.507 KB) | DOI: 10.20473/fmi.v55i1.24340

Abstract

Post anesthesia agitation is common problem in pediatric post anesthesia care unit. The incidences range from 10 to 80%. EA has been described as a dissociated state of consciousness in which the child is inconsolable, irritable, and uncooperative typically thrashing, crying, moaning or incoherent. This study was done to determine the incidence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. This descriptive and analytic study was performed on 105 pediatric patient aged 1-12 years that underwent general anesthesia for various elective diagnostic and surgeries at Dr. Soetomo Hospital between January and February 2016. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium (PAED) scale. The factors that linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software with logistic regression. p - values less than 0.05 were considered as significant. Forty two (40%) children had Emergence Agitation. Preoperative anxiety (p = 0.006) and Pain (p=0.035) were associated with higher rates of post anesthetic emergence agitation. This study identified preoperative anxiety and pain as risk factors, which are associated with emergence agitation in children. To minimize the incidence of post anesthetic emergence agitation, these risk factors should be considered in the routine care by anesthetist.
ACHIEVEMENT OF COMPETENCY DURING PEDIATRIC ROTATION OF ANESTHESIOLOGY RESIDENTS ACCORDING TO THE EDUCATIONAL STANDARD OF ANESTHESIOLOGY IN FACULTY OF MEDICINE AIRLANGGA UNIVERSITY Meilissa Eka Susanti; Arie Utariani; Elizeus Hanindito
JURNAL WIDYA MEDIKA Vol. 7 No. 1 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i1.2781

Abstract

Background: The advancement and development of science and technology in the field anesthesiology and intensive therapy, has become the basis for the need of quality national guideline that is ethically and professionally accountable. This operational guideline can serve as a national guideline in providing anesthesia and intensive therapy services to patients. Until today, there is still no standardize educational evaluation for the pediatric division of anesthesiology to assess whether it is following the expected standards. Aim: To analyze the competency of anesthesiology residents in the pediatric division based on logbook according to the type of cases and procedures, and the number of patients based on the standard curriculum of the pediatric division of anesthesiology Surabaya. Methods: This study was an observational study with retrospective design, evaluating the competency of anesthesiology residents of Airlangga University in pediatric rotation according to the type of cases and procedures, and the number of patients treated and recorded in residents’ logbook based on the standard curriculum of the pediatric division of anesthesiology Surabaya. Data collection was performed by taking secondary data from April 2018-April 2020. Result: Median total of eletive cases during rotation and emergency cases during shift treated by anesthesiology resident of pediatric division was 9 (5-13) neonates, 35 (26-44) infants, and 56 (48-62) children. Target of neonates cases was achieved by 35%, infants by 100%, and children by 95% residents. Target of caudal anesthesia was achieved by 100%, inhalation induction by 55%, and IV line insertion by 100%. No resident achieved target for CVC insertion. Conclusion: A more formal and comprehensive guideline to standardize log case recording can be beneficial as it can evaluate residents based on the data collected electronically.
Manajemen Anestesi Perioperatif pada Pembedahan Skoliosis Yahya, Corry Quando; Elizeus Hanindito; Hori Hariyanto
Majalah Anestesia & Critical Care Vol 43 No 2 (2025): Juni
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v43i2.436

Abstract

Anestesi pada pembedahan skoliosis merupakan tantangan tersendiri. Skoliosis mempengaruhi banyak organ seperti gangguan muskuloskeletal, penurunan densitas tulang, serta penurunan fungsi jantung dan paru. Koreksi skoliosis adalah operasi mayor yang terkait dengan komplikasi serius seperti perdarahan masif, atelektasis, kesulitan penyapihan ventilator dan nyeri kronik. Oleh sebab itu, pemahaman mendalam terhadap implikasi dari skoliosis merupakan kunci dalam mempersiapkan tatalaksana secara holistik. Penanganan dan target optimalisasi pada pasien yang akan menjalani pembedahan skoliosis mulai dari fase praoperatif, intraoperatif hingga pascaoperatif akan disajikan pada ulasan artikel ini.
Anemia Profile in Pediatric Patients at Pediatric Intensive Care Unit (PICU) of Dr. Soetomo General Academic Hospital Larasati, Sarah Ayu; Setyaningtyas, Arina; Hanindito, Elizeus; Andarsini, Mia Ratwita
Indonesian Journal of Anesthesiology and Reanimation Vol. 4 No. 2 (2022): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V4I22022.80-86

Abstract

Introduction: Anemia often occurs in critically ill children and is associated with increased morbidity and mortality in women and children and impaired cognitive and behavioral development in children. Objective: This study aims to understand the profile and characteristics of anemia patients in the critical care population. Methods: This is a retrospective, descriptive study of the patient's medical records. Data were collected by the total sampling technique. Results: Among 203 patients, 52% were anemic at admission to the Pediatric Intensive Care Unit (PICU), while 45% were anemic at discharge. Anemia tends to be more common in older age and male individuals with their chief complaints being respiratory symptoms, higher mean Red Cell Distribution Width (RDW) levels, and poorer nutritional status. There were 84 patients (41%) who received Packed Red-Cells (PRC) transfusions, among them there were 54 patients (51%) who were anemic at PICU admission. Of the 84 patients who received PRC transfusions during their PICU stay and 43 patients (47%) were anemic on PICU discharge. Conclusion: Anemia is quite common in critically ill children and is dominated by male patients aged under 5 years. Anemia also mostly happens in patients with higher organ dysfunction scores and poorer nutritional status than nonanemic patients. Half of the patients with anemia at the PICU also received PRC blood transfusion.
Co-Authors Abdul Kadir Munsy Agustina Salinding Ahmad Nur Islam Arina Setyaningtyas Christopher Ryalino Corry Quando Yahya, Corry Quando Dian Raseka Parna Hamzah Hamzah Hamzah Hamzah Hanna Aulia Namirah Herdiani Sulistyo Putri Herdy Sulistyono Hori Hariyanto Johaan Pawe Siampa Kapuangan, Christopher Khildan Miftahul Firdaus Larasati, Sarah Ayu Lucky Andriyanto Lupi Lestari Maman Surya Permana Maulydia, Maulydia Meilissa Eka Susanti Mia Ratwita Andarsini Muhammad Ramli Ahmad Nanang Nurofik Nurofik, Nanang Prananda Surya Airlangga Puspita, Eka Ari Puspita, Eka Ari Putu Kurniyanta Rehatta, Nancy Margarita Santoso, Kohar Hari Santoso, Kohar Hari Santoso Hari SATRIYAS ILYAS Semedi, Bambang Pujo Sulistiawan, Soni Sunarso Syukur, Rusmin Bolo Teguh Sylvaranto Utariani, Arie