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All Journal Jurnal Cakrawala Ilmiah Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Thopan Heri Wibowo
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Humanities Economics, Econometrics & Finance Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Other

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Asuhan Keperawatan Anestesiologi pada Pasien Otitis Media Supuratif Kronis Dilakukan Timpanoplasti dengan General Anestesi Intubasi di Kamar Operasi RSUD Arosuka Kabupaten Solok Rahmiwati Aprian; Made Suandika; Thopan Heri Wibowo
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8416

Abstract

Chronic Suppurative Otitis Media (CSOM) is a middle ear disease characterized by tympanic membrane perforation and persistent ear discharge, often leading to hearing loss and a higher risk of severe complications. The management of CSOM through tympanoplasty requires comprehensive anesthetic care to ensure patient safety and comfort. This case study aims to describe the anesthesiology nursing care for CSOM patients undergoing tympanoplasty with general anesthesia and intubation. A qualitative case study approach was applied to five patients at RSUD Arosuka, Solok Regency, covering the stages of assessment, identification of anesthetic health problems, interventions, implementation, and evaluation. The findings indicated that although the patients were generally fit for surgery, potential anesthetic problems were identified, including preoperative anxiety, difficult intubation, respiratory and cardiovascular risks, thermoregulation disorders, delayed recovery, fall risk, and postoperative shivering. All interventions were systematically carried out based on evidence-based practice, successfully preventing complications and supporting optimal recovery. This study emphasizes the critical role of nurse anesthetists, not only in technical skills but also in risk detection, patient education, and collaborative care. Comprehensive, planned, and evidence-based anesthetic nursing care proved effective in maintaining perioperative stability and improving surgical safety outcomes for tympanoplasty patients.
GAMBARAN FAKTOR HIPOTENSI PADA PASIEN SPINAL ANESTESI DI RSUD KOTA BANDUNG Abdurrohman Rasyid; Wilis Sukmaningtyas; Thopan Heri Wibowo
Jurnal Cakrawala Ilmiah Vol. 3 No. 6: Februari 2024
Publisher : Bajang Institute

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Abstract

Hipotensi merupakan komplikasi tersering selama anestesi spinal dengan insidensi yang mencapai lebih dari 80%. Angka kejadian hipotensi tersebut tetap tinggi meskipun telah diberikan cairan preloading, posisi pasien left lateral tilt, dan penggunaan vasopressor. Penelitian bertujuan untuk mengetahui gambaran faktor hipotensi pada pasien spinal anestesi di RSUD Kota Bandung. Metode penelitian ini adalah deskriptif dengan rancangan retrospektif. Tehnik sampling dengan consecutive sampling didapatkan 30 responden. Analisis data menggunakan analisis deskriptif. Hasil penelitian menunjukkan 70% pasien spinal anestesi mengalami hipotensi yaitu 21 orang (70%), berumur antara 56-65 tahun (26,7%), jenis kelamin laki-laki orang (53,3%), menjalani puasa kurang dari 2 jam dan mengalami hipotensi yaitu 12 orang (40%).
Co-Authors Abdurrohman Rasyid Made Suandika Rahmiwati Aprian Wilis Sukmaningtyas