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Zaenal Mustofa
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Jurnal Ilmu Kesehatan dan Gizi
Published by Pusat Riset dan Inovasi Nasional
ISSN : 29620325     EISSN : 29647819     DOI : 10.55606
Core Subject : Health,
Health Professions
Gizi klinik Gizi masyarakat Gizi olahraga Gizi molekuler Biokimia gizi Pangan fungsional Pelayanan dan manajemen gizi Ilmu Kesehatan
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 302 Documents
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Perbandingan Anestesi Epidural dengan Subarachnoid Block terhadap Kualitas Pemulihan Pasien Bedah Ortopedi: Systematic Literature Review Adista Veradina; Made Suandika; Tophan Heri Wibowo
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 3 (2026): Juli: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i3.9272

Abstract

Fractures and orthopedic surgeries are common procedures that require optimal regional anesthesia techniques to support patient recovery. This study aims to compare the effectiveness of epidural anesthesia and subarachnoid block (SAB) on the quality of recovery in orthopedic surgery patients through a systematic literature review. The literature search was conducted in the PubMed, ScienceDirect, and Google Scholar databases for the period 2015–2025, using the PRISMA guidelines. A total of 6 studies that met the inclusion criteria were analyzed narratively. The results indicate that epidural techniques and spinal-epidural combinations such as CSEA, CSA, and SCSE tend to yield better recovery outcomes compared to SAB, particularly regarding hemodynamic stability, duration of analgesia, postoperative pain control, and early mobilization. Additionally, the incidence of hypotension, urinary retention, and back pain is lower with epidural or combination techniques. However, SAB remains superior in terms of rapid onset of action and ease of technique. In conclusion, epidural techniques better support multidimensional recovery quality in orthopedic patients compared to SAB.
Case Study: Bronkopneumonia disertai Perimiokarditis pada Anak Usia 16 Bulan Diyah Arum Setiasih; Lita Farlina; Kiki Rizki Maharani
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 3 (2026): Juli: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i3.9282

Abstract

Bronchopneumonia remains a major cause of morbidity and mortality in children, particularly in early life, and may be accompanied by cardiac complications such as perimyocarditis. This report describes the clinical presentation, diagnostic findings, management, and outcome of a 16 month old female child admitted with progressive shortness of breath, high fever, productive cough, and rhinorrhea. The patient presented with initial symptoms of lower respiratory tract infection with respiratory distress and suspected cardiac involvement as indicated by a heart murmur and gallop on auscultation. Chest radiography showed bilateral bronchopneumonia with cardiomegaly. During hospitalization, the patient developed rapid clinical deterioration with decreased consciousness, respiratory failure, and shock, requiring transfer to the Pediatric Intensive Care Unit. Further evaluation by echocardiography demonstrated left ventricular dilatation, global hypokinetic left ventricle, ejection fraction of 30%, moderate mitral regurgitation, and minimal pericardial effusion. Based on the clinical and supporting  findings, the final diagnosis was perimyocarditis with bronchopneumonia. The patient's condition showed significant clinical improvement after being given oxygenation therapy, antibiotics and heart failure therapy. This case highlights the importance of early recognition of cardiac involvement in children with bronchopneumonia, especially in those with rapid deterioration and hemodynamic instability.

Page 31 of 31 | Total Record : 302

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