Article Per Year (5 Year)
p-Index From 2021 - 2026
3.649
P-Index
This Author published in this journals
All Journal Jurnal Anestesiologi Indonesia Jurnal Anestesi Perioperatif Folia Medica Indonesiana Indonesian Journal of Tropical and Infectious Disease Majalah Kesehatan FKUB Health Notions Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Nurse and Health: Jurnal Keperawatan Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Journal Orthopaedi and Traumatology Surabaya (JOINTS) Indonesian Journal of Anesthesiology and Reanimation (IJAR) Majalah Biomorfologi (Biomorphology Journal) Jurnal Layanan Masyarakat (Journal of Public Service) Jurnal Syntax Transformation Indian Journal of Forensic Medicine & Toxicology Jurnal Neuroanestesi Indonesia JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Jurnal Inovasi Global Jurnal Komplikasi Anestesi
Semedi, Bambang Pujo
Departemen Anestesiologi Dan Reanimasi, Fakultas Kedokteran, Universitas Airlangga/ RSUD Dr. Soetomo Surabaya
Humanities Astronomy Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

Published : 38 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 38 Documents
Search

 1   2   3   4 
Preliminary Survey in preparation for the implementation of ERAS at Dr Soetomo Hospital Veterini, Anna; Firdaus, Khildan Miftahul; Semedi, Bambang Pujo; Putri, Herdiani Sulistyo; Fitritati, Mariza; Mutiar, Airi
Jurnal Komplikasi Anestesi Vol 11 No 1 (2023)
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.v11i1.9952

Abstract

Background Medical science has developed rapidly. One of them is ERAS (Enhanced Recovery After Surgery) which is a multidisciplinary team development pathway for perioperative methods that offer a variety of benefits. Some of the advantages of the ERAS method are speeding up the post-operative recovery period, economic benefits, and shortening the Length of Stay (LOS) by minimizing surgical stress so that the patient quickly returns to a normal physiological state. Objective This study aims to analyze the readiness of the team that will support the ERAS application at General Academic Hospital (RSUD) Dr Soetomo. Methods This is an observational analytic study with a cross-sectional design using a questionnaire. Patient baseline data were taken from the examination at the anesthesiology outpatient clinic. Assessment for patient understanding was carried out directly after a brief explanation of ERAS method by the researcher. The patient's level of understanding was assessed by two investigators and rated on a scale of 1 to 5. Primary data and assessment of understanding of doctors and medical personnel were filled in independently by research subjects on online forms and rated on a scale of 1 to 5. Data was collected from March 23 to April 14 2022, at RSUD Dr. Soetomo Surabaya. The analysis results are considered significant if the p-value is less than 0.05. The analysis was carried out using SPSS 19 software. Results Most patients planned to undergo surgery in the field of urology (82.9%), followed by caesarean section (14.6), and almost all patients or their families agreed to surgery using the ERAS method (95.1%). The medical team consists of 110 doctors from 4 areas of expertise, namely specialist doctors and residents in anesthesiology, urology surgery, obstetrics and gynecology, as well as orthopedics and traumatology. The health team consists of 56 personnel, namely anesthesiologists, surgeons, recovery room nurses, nutritionists and pharmacists. The majority (61%) of health workers had heard about ERAS and stated that ERAS was ready to be implemented at RSUD Dr. Soetomo (89%). Most doctors stated that ERAS was ready to be implemented at Dr. Soetomo and its human resources and facilities are considered qualified. Conclusion The ERAS method at RSUD Dr. Soetomo is considered quite ready to start, especially the Obsgyn study program, which is supposed to have an excellent level of understanding of ERAS and is enthusiastic to begin immediately. The patient group can be said to understand and accept the ERAS method well as a perioperative method for handling their cases.
EMERGENCY RESPONSE TRAINING FOR FLOOD TIDES: ENHANCING PREPAREDNESS OF THE KEDUNG COWEK COASTAL COMMUNITY, SURABAYA Pujo Semedi, Bambang; Kriswidiyatomo, Prihatma; Surgean Veterini, Anna; Sumartono Waloejo, Christrijogo; Abbas, Kun Arifi; Perdhana, Fajar; Mutiar, Airi; Rahmanto, Ilham; Rifqi, Muhammad Andika
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 9 No. 3 (2025): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/.v9i3.2025.495-506

Abstract

Tidal flooding is one of the hydrometeorological disasters caused by extreme weather that frequently affects the coastal area of Kampung Nelayan, Kedung Cowek Subdistrict, Surabaya City. Based on risk analysis, the community’s level of knowledge and attitude in responding to disasters plays a crucial role in mitigation efforts; thus, training and the initiation of a disaster response community are necessary. This community service program aimed to provide theoretical education and practical training on Basic Life Support (BLS), accompanied by the initiation of a fishermen disaster response community for 35 people of Kampung Nelayan, Kedung Cowek. The program was conducted at the Kedung Cowek Village Hall and included: (1) BLS education through presentations, (2) practical simulation of chest compressions using a mannequin and evacuation with a stretcher, (3) distribution of personal protective equipment for fishermen, and (4) the establishment of a disaster response community. Improvements in knowledge and attitude were measured using pre- and post-test questionnaires and analyzed with the Wilcoxon Signed-Rank test in SPSS with significance level at 0,05. The results showed a significant increase in knowledge (68.66 ± 21.68 vs 95.33 ± 2.61) and attitude (50.71 ± 14.24 vs 64.95 ± 3.27) (p < 0.01). The initiation of a disaster response coastal community is expected to strengthen the tidal flood management system through adequate BLS provision, so the capacity and resilience of coastal communities are sustainably maintained.
Early Application of Neuromuscular Electrical Stimulation Prevents Excessive Muscle Wasting in Critically Ill Patients in the Intensive Care Unit Utama Hutapea, Johannes Diandra Indra; Subadi, Imam; Arfianti, Lydia; Semedi, Bambang Pujo; Melaniani, Soenarnatalina
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 14 No. 2 (2025): October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v14i2.2025.77-83

Abstract

Background: Intensive Care Unit-Acquired Weakness (ICU-AW) is a common neuromuscular complication in critically ill patients, leading to muscle atrophy, prolonged mechanical ventilation and impaired functional recovery. Effective rehabilitation strategies play crucial role in maintaining muscle strength. Neuromuscular electrical stimulation (NMES) had shown potential in preserving quadriceps femoris muscle thickness. This study aimed to examine the effect of NMES to quadriceps femoris muscle thickness in patient with ICU-AW.Methods: Patients that stayed in ICU more than 48 hours and used mechanical ventilation for at least 24 hours enrolled in one-group pretest-posttest design. Neuromuscular electrical stimulation applied to bilateral quadriceps femoris for 30 minutes daily over five consecutive days. Bilateral quadriceps femoris muscle thickness were assessed with USG day before and after therapy.Results: Twenty ICU-AW patients were enrolled from December 2023 to June 2024, and 13 of them completed the study. There were no significant changes in the thickness of the right and left quadriceps femoris muscle before and after 5-days of NMES therapy (p = 0.910 and p = 0.519, respectively). However, we preserved less than 5% decreased of muscle thickness.Conclusions: Early 5-days of NMES therapy did not increase quadriceps femoris muscle thickness but effectively prevented further muscle degradation in ICU-AW patients. The potential benefits of rehabilitation therapy in ICU-AW patients should be further explored in future studies with controlled indicators and larger sample sizes.
EuroSCORE II as Predictor of Mortality and Morbidity in Post-CABG Patient in Dr. Soetomo General Academic Hospital Rianda, Rama Azalix; Semedi, Bambang Pujo; Subagjo, Agus; Avidar, Yoppie Prim
Indonesian Journal of Anesthesiology and Reanimation Vol. 4 No. 1 (2022): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.453 KB) | DOI: 10.20473/ijar.V4I12022.14-21

Abstract

Introduction: European System for Cardiac Operative Risk Evaluation (EuroSCORE) is a scoring system to predict mortality risk after cardiac surgery. EuroSCORE II was introduced to replace and show superiority over EuroSCORE I which tends to overestimate the risk of heart surgery procedures and have a low discrimination ability. Meanwhile, this is the first study to analyze EuroSCORE II as a predictor of mortality and morbidity in Indonesians. Objective: This study aims to analyze EuroSCORE II as a predictor of mortality and morbidity in Indonesians. Methods: This is a retrospective study using medical records of CABG patients in Dr. Soetomo General Academic Hospital from January 2016 to December 2017. Results: Out of 39 Patients who have performed CABG surgery, most were male (89.7%) with the highest age range of 46-65 years (59%). Deceased patients had an average EuroSCORE II of 22.36% and SD±26.97%7%, while 27 patients who survived had an average EuroSCORE II of 6.78% and SD±6.4%. Based on morbidity assessment, EuroSCORE II only accurately predicted the risk of kidney failure and did not properly assess the length of inotropic use, vasopressors, hospitalization time, the risk of arrhythmias, low cardiac output syndrome, Durante-operative bleeding, and the need for blood transfusion. These inaccuracies occurred because the samples that were included varied based on their standard deviation and pattern-less graph. Conclusion: EuroSCORE II is inadequate to predict morbidity and mortality in postoperative patients, therefore, it is considered less effective.
Effectiveness and Safety of Prolonged Needle Decompression Procedures in Tension Pneumothorax Patients with COVID-19 Koeshardiandi, Mirza; Wicaksana, Zulfikar Loka; Semedi, Bambang Pujo; Avidar, Yoppie Prim
Indonesian Journal of Anesthesiology and Reanimation Vol. 4 No. 1 (2022): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (305.887 KB) | DOI: 10.20473/ijar.V4I12022.47-54

Abstract

Introduction: Coronavirus disease-19 (COVID-19) has become a pandemic that is still ongoing today. This is a new challenge for health workers in handling emergency cases. Several COVID-19 patients arrived at the hospital with severe respiratory problems. Meanwhile, other pathological conditions causing respiratory failure must also be considered, such as pneumothorax. Objective: This study aimed to examine the effective emergency procedures to treat COVID-19 cases with tension pneumothorax. Case Report: A 45-year-old male patient arrived with a referral letter from a pulmonologist with a diagnosis of simple pneumothorax and pneumonia. The patient also presented a positive SARS COV-2 PCR test result. The patient complained about a worsening of shortness of breath. A symptom of dry cough for 14 days was also reported. Chest radiograph examination subsequently indicated right tension pneumothorax. In the emergency ward, needle decompression procedure connected to the vial containing sterile intravenous fluids was performed. Re-examination of the chest x-ray demonstrated right pulmonary re-expansion. The patient was monitored and after four days, needle decompression was removed and no chest tube was inserted because complete resolution of the lungs had occurred. This case illustrates that tension pneumothorax causes worsening of the patient's condition with COVID-19 diagnosis. In another case of tension pneumothorax in a COVID-19 patient, needle decompression of the 2nd intercostal space and the mid-clavicular line was performed as initial treatment followed by chest tube insertion as definitive treatment. However, in this case, chest tube approach was not carried out because the patient had demonstrated clinical and radiological improvement and a worsening condition had not occurred. Conclusion: Prolonged needle decompression connected to a vial containing sterile intravenous fluids as deep as 2 cm from the water surface is an effective procedure in the management of tension pneumothorax even without the installation of a chest tube.
The Difference in Neutrophil-Lymphocyte Ratio (NLR), Platelet-Lymphocyte Ratio (PLR), and Lactate Levels Between Sepsis and Septic Shock Patients Who Died in The ICU Rachmawati, Dwi; Utariani, Arie; Notopuro, Paulus Budiono; Semedi, Bambang Pujo
Indonesian Journal of Anesthesiology and Reanimation Vol. 5 No. 2 (2023): 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.V5I22023.64-71

Abstract

Introduction: Sepsis and septic shock are organ dysfunctions caused by the dysregulation of the body's response to infection and are the most common causes of death. Objective: This study aims to describe the neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, and lactate levels in patients with sepsis and septic shock who died in the Intensive Care Unit (ICU). Methods: An observational retrospective study was conducted by examining the medical record data of sepsis and sepsis shock patients who were hospitalized in the ICU of Dr. Soetomo General Academic Hospital Surabaya from January to December 2019. Results: The study sample was 28 patients: 16 with sepsis and 12 with septic shock. Fifteen patients (53.6%) were women. The patients' mean age was 53.18 ± 13.61 years, and most patients (8 patients, 28.6%) belonged to the late adult age group (36-45 years). The most common comorbidities were diabetes mellitus and hypertension (30.8%). The highest incidence of infection in both groups occurred in the lungs (42.9%). Most of the patients had high SOFA scores, in the moderate (7-9) to severe (≥ 10) category (39.3%). Almost all patients (82.1%) were treated for less than one week. The hematological examination within the first 24 hours showed a leukocyte value of 16,995 (Leukocytosis) and a platelet value of 279,500 (Normal). The NLR of septic shock patients (31.38±55.61) was higher than the NLR of sepsis patients (23.75±22.87). The PLR of septic shock patients (534.02±1000.67) was lower than the PLR of patients (802.93±1509.89). Lastly, the lactate levels in septic shock patients (3.84±1.99) were higher than in sepsis patients (1.97±1.06). Conclusion: There were no significant differences in the NLR and PLR values "‹"‹between sepsis and septic shock patients, but there were significant differences in their initial lactate levels.
Perioperative Management of Marfan Syndrome in Pregnancy and Congestive Heart Failure Koeshardiandi, Mirza; Mudianto, Fajar Tri; Himawan, Muhammad Wildan Afif; Abuajwa, Ahmed Eliaan Shaker; Semedi, Bambang Pujo
Indonesian Journal of Anesthesiology and Reanimation Vol. 6 No. 1 (2024): 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.V6I12024.42-49

Abstract

Introduction: A mutation in fibrillin-1 (FBN1) leads to the autosomal dominant condition known as Marfan Syndrome (MFS). The condition of pregnancy with MFS may increase morbidity and mortality during pregnancy and delivery. Due to a greater frequency of maternal problems and fetal involvement, pregnancy with Marfan syndrome (MFS) provides challenges to healthcare professionals and patients and requires special treatment. Objective: This study aimed to analyze the perioperative management of Marfan syndrome in pregnancy and congestive heart failure (CHF). Case report: A 27-year-old primigravida with 38-39 weeks gestation presented with a referral letter with a diagnosis of G1P0A0 with scoliosis and peripartum cardiomyopathy. The patient complained of shortness of breath accompanied by cold sweat since the second trimester of gestation. Physical examination revealed the presence of arachnodactyly and spine deformity. The patient underwent an emergency cesarean section with general anesthesia. Breathing problem appeared the next day after cesarean section, the patient was intubated in the ICU. Chest X-ray depicted bilateral pulmonary edema. A mechanical ventilator was set up and fluid restriction had been done. The patient was extubated after showing breathing improvement in the second week in the ICU. The diagnosis of MFS in this patient was defined based on the revised Ghent Nosology. MFS with spine deformity causes breathing problems because of the altered geometry of the thoracic cavity. MFS in pregnancy may worsen the breathing problem due to autotransfusion that leads to pulmonary edema. A mechanical ventilator with a specific setting accompanied by fluid restriction is recommended to reduce the fluid overload in the lungs. Conclusion: Mechanical ventilators with specific settings and fluid restriction are effective perioperative management to reduce pulmonary edema on MFS in pregnancy and congestive heart failure.
COMPLICATIONS OF POSTOPERATIVE ANESTHESIA IN PEDIATRIC PATIENTS Krishna Adjie Arsana, Wahyu; Pujo Semedi, Bambang; Wahyu Martanto, Tri; Sri Rejeki, Purwo
Jurnal Inovasi Global Vol. 2 No. 1 (2024): Jurnal Inovasi Global
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jig.v2i1.49

Abstract

Penelitian komplikasi pasca operasi di RSUD berfokus pada pasien anak dengan tujuan utama memahami karakteristik demografi dan kejadian komplikasi pasca operasi tertentu. Dari segi demografi, mayoritas responden adalah laki-laki yaitu sebesar 61,8% sampel dengan rata-rata usia pasien 8 tahun. Rentang usia responden bervariasi, mulai dari usia minimal 2 tahun hingga maksimal 17 tahun. Selain itu, aspek riwayat kesehatan juga dievaluasi. Tidak ada satu pun responden yang memiliki riwayat infeksi saluran pernapasan atas (ISPA) atau penyakit refluks gastroesofagus (GERD), dua kondisi yang dapat mempengaruhi hasil pembedahan. Dalam konteks komplikasi pasca operasi, hasil penelitian menunjukkan bahwa tidak ada kejadian croup, bradikardia, atau desaturasi pada responden. Hal ini menunjukkan tingkat keberhasilan yang baik dalam manajemen bedah dan pemulihan pasca operasi. Namun ada catatan khusus terkait hipotermia. Sebanyak 34,7% sampel mengalami hipotermia pasca operasi, sedangkan hanya 0,8% yang tidak mengalaminya. Komplikasi ini menyoroti pentingnya memantau suhu pasien setelah operasi. Secara keseluruhan temuan ini menyoroti bahwa meskipun keberhasilan dalam mencegah beberapa komplikasi serius, masih ada aspek tertentu dari pemulihan pasca operasi yang memerlukan perhatian lebih, seperti penanganan hipotermia.
Co-Authors Abbas, Kun Arifi Abdul Khairul Rizki Purba Mustofa Indwiani Astuti Abuajwa, Ahmed Eliaan Shaker Aditea Etnawati Putri Agustina Salinding Airi Mutiar Alivery Raihanada Armando Andre Ferdinand Karema Anna Surgean Veterini Ardiansyah Arifoel Hajat Aryati Aryati Avidar, Yoppie Prim Bambang Herwanto Bambang Purwanto Bambang Purwanto Betty Agustina Tambunan Budiono Budiono Christrijogo Soemartono Waloejo Cita Rosita Sigit Prakoeswa Cornellius Hendra Purnama Aria Sumantrie Damayanti Tinduh Eddy Rahardjo Edwar, Pesta Parulian Maurid Elizeus Hanindito Fachry Abda El Rahman Faizatuz Azzahrah Syamsudi Fajra Arif Hatman Firdaus, Khildan Miftahul Fitritati, Mariza Habibah Teniya Ariq Fauziyah Hamzah Hamzah Hanif Hanif Hardiono Hardiono Harida Zahraini Herdiani Sulistyo Putri Himawan, Muhammad Wildan Afif IG Eka Sugiartha IGAA Putri Sri Rejeki Imam Subadi Imam Susilo Inna Maya Sufiyah Khildan Miftahul Firdaus Koeshardiandi, Mirza Krishna Adjie Arsana, Wahyu Kriswidiyatomo, Prihatma Kuntaman Kuntaman Lila Tri Harjana Lucky Andriyanto Lukman Hakim Lydia Arfianti Marsha Zahrani Marsheila Harvy Mustikaningtyas Martanto, Tri Wahyu Maulydia, Maulydia Mohd Yusoff , Narazah Mudianto, Fajar Tri Muh Kemal Putra Mutiar, Airi Nanang Nurofik Ninik Asmaningsih Soemyarso Notopuro, Paulus Budiono Nugroho Setia Budi Nurofik, Nanang Perdhana, Fajar Prananda Surya Airlangga Pratama Ananda Prihatma Kriswidyatomo Pudji Lestari Puspa Wardhani Puspa Wardhani Puspitasari, Yessy Putu Laksmi Febriyani Rahmanto, Ilham Rahmat Sayyid Zharfan Rehatta, Nancy Margarita Rezki Muhammad Hidayatullah Rianda, Rama Azalix Rifqi, Muhammad Andika Robby Dwestu Nugroho Salmah Bt Noordin, Siti Samuel Hananiel Rory Sandi Ardiya Rasitullah SATRIYAS ILYAS Setiawan, Philia Soenarnatalina Melaniani Soni Sunarso Sulistiawan Sri Rejeki, Purwo Subagjo, Agus Sulistiawan, Soni Sunarso Sumartono Waloejo, Christrijogo Sundari Indah Wiyasihati Teguh Sylvaranto Utama Hutapea, Johannes Diandra Indra Utariani, Arie Verio Damar Erlantara Putra Veterini, Anna Vincent Geraldus Enoch Lusida Wahyu Mananda Wicaksana, Zulfikar Loka Widodo Widodo Yopie Wiguna