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RACHMAT HIDAYAT
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INDONESIA
Journal of Anesthesiology and Clinical Research
Published by HM Publisher
ISSN : -     EISSN : 27459497     DOI : https://doi.org/10.37275/jacr
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience
Journal of Anesthesiology and Clinical Research/JACR that focuses on anesthesiology; pain management; intensive care; emergency medicine; disaster management; pharmacology; physiology; clinical practice research; and palliative medicine.
Arjuna Subject : Kedokteran - Anesthesiology and Pain Medicine
Articles 118 Documents
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The Effect of Lavender Aromatherapy on Reducing Afterpain in Postpartum Mothers in Purwakarta Regency, Indonesia Resa Reviani; Amalia, Mayta Tazkiya
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.520

Abstract

Introduction: Afterpain is cramping pain that occurs in the stomach of postpartum mothers after giving birth. This pain can interfere with activities and reduce the mother's quality of life. Lavender aromatherapy has been proven effective in reducing pain in several conditions. This study aims to determine the effectiveness of lavender aromatherapy in reducing afterpain in postpartum mothers in Purwakarta Regency. Methods: This research uses a quasi-experimental design with a pre-test and post-test design. A total of 60 postpartum mothers were randomly divided into two groups: the intervention group (lavender aromatherapy) and the control group (no intervention). The intervention group was inhaled with lavender aromatherapy for 30 minutes twice a day for 3 days. The control group was not given any intervention. Afterpain was measured using the visual analogue scale (VAS) on the first, third, and seventh days postpartum. Results: The results showed that there was a significant difference in the reduction of afterpain between the intervention group and the control group on the third (p=0.002) and seventh (p=0.001) postpartum day. Conclusion: Lavender aromatherapy is effective in reducing afterpain in postpartum mothers in Purwakarta Regency.
The Effect of Baby Gym on Improving Baby Development in Purwakarta Regency, Indonesia Desty Budi Lestari; Lova, Nova Rati
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.521

Abstract

Introduction: Infancy is a critical period for physical, cognitive, and social-emotional development. Baby gym is a stimulation program designed to improve baby development through various physical, sensory, and social activities. This research aims to analyze the effectiveness of baby gym in improving baby development in Purwakarta Regency, Indonesia. Methods: Quasi-experimental research design with pre-test and post-test. A sample of 60 babies aged 6-12 months was divided into two groups: intervention (n=30) who participated in the baby gym program for 3 months and controls (n=30) who did not participate in the baby gym program. Infant development was measured using the Denver developmental screening test (DDST) before and after intervention. Results: There was a significant difference in the development of babies in the intervention group compared to the control group (p<0.05). The intervention group showed a higher increase in the DDST total score and gross motor, fine motor, language, and personal social subdomains. Conclusion: The baby gym program is effective in improving baby development in Purwakarta Regency, Indonesia.
Analysis of Factors Influencing the Decision of Couples of Childbearing Age to Participate in the Family Planning (KB) Program in Purwakarta Regency, Indonesia Khalifah, Intan Noor
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.522

Abstract

Introduction: The family planning (KB) program is a government program that aims to control the rate of population growth. In Indonesia, the family planning program has been launched since 1970 and has shown significant results in reducing birth rates. However, there are still several obstacles in implementing the family planning program, one of which is the low participation rate of couples of childbearing age (PUS). Methods: This study used a cross-sectional design with 384 PUS as respondents. Data was collected through questionnaires and analyzed using logistic regression. Results: The results of the study showed that the factors that significantly influenced PUS' decision to take part in the family planning program in Purwakarta Regency were knowledge about family planning (OR = 2.89; 95% CI: 1.73-4.82), husband's support (OR = 2.15 ; 95% CI: 1.28-3.59), and access to family planning services (OR = 1.83; 95% CI: 1.10-3.05). Conclusion: Factors that significantly influence PUS's decision to participate in the family planning program in Purwakarta Regency are knowledge about family planning, husband's support, and access to family planning services.
Analysis of Experiences and Coping Strategies of Pregnant Women with Hyperemesis Gravidarum in Purwakarta Regency, Indonesia Lathifah, Maulida; Sopiah Sri Rahayu
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.523

Abstract

Introduction: Hyperemesis gravidarum (HG) is a pregnancy complication characterized by excessive nausea and vomiting. HG can cause dehydration, malnutrition, and other serious complications. In Indonesia, data regarding the experiences and coping strategies of pregnant women with HG is still limited. Methods: This research uses a qualitative design with a phenomenological approach. Data was collected through in-depth interviews with 10 pregnant women who experienced HG in Purwakarta Regency. Data were analyzed using qualitative data analysis methods. Results: The research results show that pregnant women with HG experience various kinds of physical and emotional symptoms. The most common physical symptoms are nausea, vomiting, fatigue, and dizziness. The most common emotional symptoms are anxiety, depression, and stress. Pregnant women use various coping strategies to deal with HG. The most common coping strategies are problem-focused coping strategies, such as seeking information about HG, consulting a doctor, and trying home remedies. Other coping strategies used are coping strategies that focus on emotions, such as seeking social support and relaxation. Conclusion: This research shows that pregnant women with HG experience a variety of physical and emotional symptoms. Effective coping strategies can help pregnant women to overcome HG and improve their quality of life.
Analysis of Risk Factors for Postoperative Delirium in Geriatric Patients at Skopje Macedonia Hospital: An Observational Study Pekovska, Konstantina; Igor Mitevska
Journal of Anesthesiology and Clinical Research Vol. 5 No. 2 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i2.533

Abstract

Introduction: Postoperative delirium (DPO) is a complication that often occurs in geriatric patients and can increase morbidity and mortality. Risk factors for DPO in geriatric patients are multifactorial, including advanced age, history of DPO, dementia, comorbidities, and use of certain medications. Methods: This study was carried out prospectively on 100 geriatric patients undergoing surgery at Skopje Macedonia Hospital. Patient data was collected using questionnaires, interviews, and physical examinations. DPO is defined using the confusion assessment method (CAM). Results: Of 100 patients, 20 (20%) experienced DPO. Risk factors for DPO identified in this study were elderly (OR = 2.5; 95% CI 1.2-5.1), history of DPO (OR = 3.0; 95% CI 1.4-6.2), dementia (OR = 4.0; 95% CI 1.8-8.8), and use of anticholinergic drugs (OR = 2.2; 95% CI 1.1-4.4). Conclusion: Elderly, history of DPO, dementia, and use of anticholinergic drugs are risk factors for DPO in geriatric patients. Efforts to prevent DPO in geriatric patients should focus on modifying these risk factors.
Effectiveness of Dexmedetomidine vs Propofol in Post-Open Heart Surgery Patients: A Prospective, Randomized, Double-Blind Study at the PLA Army Central Hospital in Beijing, China Shen, Li
Journal of Anesthesiology and Clinical Research Vol. 5 No. 2 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i2.534

Abstract

Introduction: Dexmedetomidine and propofol are sedation drugs commonly used in patients after open heart surgery. The aim of this study was to compare the effectiveness of dexmedetomidine and propofol in patients after open heart surgery in terms of sleep quality, delirium, and hemodynamics. Methods: A prospective, randomized, double-blind study was conducted on 120 patients after open heart surgery at the PLA Army Central Hospital in Beijing, China. Patients were randomized to receive dexmedetomidine (n = 60) or propofol (n = 60). Sleep quality was measured using the Pittsburgh Sleep Quality Scale (PSQI), delirium was measured using the confusion assessment method for the intensive care unit (CAM-ICU), and hemodynamics were monitored continuously. Results: Patients receiving dexmedetomidine had lower PSQI scores (p < 0.05) and a lower incidence of delirium (p < 0.05) compared with patients receiving propofol. There were no significant differences in hemodynamic parameters between the two groups. Conclusion: Dexmedetomidine is more effective than propofol in improving sleep quality and reducing delirium in patients after open heart surgery.
The Effect of Implementing the Sepsis Early Goal-Directed Therapy (EGDT) Protocol on Patient Mortality in the Hospital ICU in Cairo, Egypt Gabbar, Mohammed Abdel; Amr Hassan
Journal of Anesthesiology and Clinical Research Vol. 5 No. 2 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i2.535

Abstract

Introduction: Sepsis is a life-threatening systemic inflammatory syndrome with a high mortality rate. Early goal-directed therapy (EGDT) is a structured therapy protocol that aims to improve tissue perfusion and oxygenation in sepsis patients. Methods: This retrospective observational study analyzed data on sepsis patients in the ICU of a Cairo hospital, Egypt (2020-2023). Patient mortality was compared before and after the implementation of the EGDT protocol. Results: Of the 220 sepsis patients, 120 were treated before and 100 after EGDT implementation. Patient mortality in the EGDT group was significantly lower (12% vs 25%, p<0.05). Conclusion: Implementation of the EGDT protocol can reduce the mortality of sepsis patients in the hospital ICU in Cairo, Egypt.
Intravenous Lidocaine Efficacy in Preventing Succinylcholine-Induced Postoperative Myalgia in Surgical Adult Patients at Tikur Anbessa Specialized Hospital Aligaz, Esubalew Muluneh; Senait Aweke Yadeta; Amanuel Sisay Endeshaw; Mulualem Sitot Fekede; Hirbo Samuel Hirbo
Journal of Anesthesiology and Clinical Research Vol. 5 No. 2 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i2.536

Abstract

Introduction: Medical professionals exclusively utilize succinylcholine as a depolarizing muscle relaxant. Some of the negative symptoms include fasciculation, myalgia, muscle spasms, and hyperkalemia. The study aimed to evaluate the efficacy of intravenous lidocaine in preventing succinylcholine-induced postoperative myalgia. Methods: A prospective cohort study was undertaken on 80 elective surgery patients. Participants were categorized into two groups: one group received intravenous lidocaine (the exposed group), and the other did not receive lidocaine (the control group). The study participant was chosen using a rigorous random sampling procedure. Data collectors monitored patients for post-operative myalgia at 12, 24, and 48 hours following the procedure. We analyzed the data using SPSS version 26. A P-value below 0.05 indicated statistical significance. Results: Demographic and clinical data in both groups are similar, with a p-value greater than 0.05. The total incidence rate of succinylcholine-induced postoperative myalgia was 39.3%. 22.5% of the group that received lidocaine experienced postoperative myalgia, compared to 60% of the group that did not receive lidocaine. The group that received lidocaine had lower postoperative myalgia severity generated by succinylcholine compared to the group that did not receive lidocaine, with percentages of 42.9% against 53.3% for mild myalgia, and 15.8% versus 84.3% for moderate myalgia, respectively, with a p-value of 0.001. Conclusion: Administering lidocaine intravenously prior to surgery effectively reduced the occurrence and intensity of succinylcholine-induced muscle pain after the operation.
Comparison of the Effectiveness of Total Intravenous Anesthesia (TIVA) vs Inhalation Techniques in Patients with Morbid Obesity at Dr. M. Djamil General Hospital, Padang, Indonesia Mutholib, Abdul; Zuriatinah
Journal of Anesthesiology and Clinical Research Vol. 5 No. 2 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i2.539

Abstract

Introduction: Morbidly obese patients (BMI ≥ 40 kg/m²) present unique challenges in anesthesia. Total intravenous anesthesia (TIVA) and inhalation techniques have their respective advantages and disadvantages in this group of patients. This study aims to compare the effectiveness and safety of TIVA and inhalation anesthesia in morbidly obese patients at Dr. M. Djamil General Hospital Padang. Methods: A prospective, randomized study was conducted on 80 morbidly obese patients undergoing elective surgery. Patients were randomized to receive TIVA with propofol and remifentanil or inhalation anesthesia with sevoflurane and desflurane. Results: The TIVA group demonstrated faster recovery time (p = 0.02) and less postoperative opioid requirements (p = 0.01) than the inhalation group. There was no significant difference in the incidence of intraoperative or postoperative complications. Conclusion: TIVA is an effective and safe option for morbidly obese patients undergoing elective surgery. TIVA offers faster recovery and fewer postoperative opioid requirements than inhalation anesthesia.
Overview of Acute Kidney Injury (AKI) in the Intensive Care Unit: Observational Study at Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia Pontisomaya Parami; Tjokorda Gde Agung Senapathi; Gede Wirya Kusuma Duarsa; Pramana, Putu Bagus Gin Gin
Journal of Anesthesiology and Clinical Research Vol. 5 No. 3 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i3.555

Abstract

Introduction: Acute kidney injury (AKI) is a serious clinical syndrome with complications that can be life-threatening. AKI is associated with increased length of stay and mortality in patients in the intensive care unit (ICU). This study aims to determine the incidence and characteristics of AKI in ICU patients at Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar. Methods: This descriptive observational research was conducted by collecting data from medical records of ICU patients for three months. Data were analyzed to determine the incidence of AKI, stage of severity, and mortality rate. Results: Of the 388 patients treated in the ICU, 87 (22.37%) experienced AKI. The mortality rate in AKI patients was 12.9% (n=50). A total of 11.05% (n=25) of AKI patients were classified as stage 1, 5.91% (n=17) as stage 2, and 5.40% (n=8) as stage 3. Conclusion: The incidence of AKI in the ICU of Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar. is quite high (22.37%). AKI is associated with a significant mortality rate (12.9%). This study provides a preliminary description of the incidence and characteristics of AKI in the ICU of this hospital, which may be useful for improving the quality of patient care and prevention of AKI.

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