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Jurnal Anestesi Perioperatif

jap
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Published by Universitas Padjadjaran

ISSN : 23377909 EISSN : 23388463 DOI : 10.15851/jap

Core Subject : Health, Education,

Education Health Professions

Jurnal Anestesi Perioperatif (JAP)/Perioperative Anesthesia Journal is to publish peer-reviewed original articles in clinical research relevant to anesthesia, critical care, case report, and others. This journal is published every 4 months with 9 articles (April, August, and December) by Department of Anesthesiology and Intensive Care Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung.

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Kesesuaian Pengkajian Nyeri Pascaoperasi dan Tidak Lanjutnya dengan Standar Prosedur Operasional Asesmen Nyeri pada Pasien Pediatrik di RSUP Dr. Hasan Sadikin Bandung Tahun 2016 Iervan Churniawan Tanjung; Doddy Tavianto; Suwarman Suwarman
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Nyeri bukan hanya persepsi sensorik, tetapi juga emosi, kognitif, dan perubahan perilaku Pengkajian nyeri pada anak dinilai dengan berbagai sistem skoring. Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung telah membuat Standar Prosedur Operasional untuk menilai nyeri di ruang perawatan. Penelitian bertujuan mengetahui kesesuaian pengkajian nyeri pascaoperasi dan tindak lanjutnya dengan SPO asesmen nyeri pada pasien pediatrik di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung pada tahun 2016. Penelitian menggunakan metode deskriptif observasional retrospektif terhadap 158 rekam medis pasien pediatrik yang dirawat pada tahun 2016. Penelitian dilakukan di RSUP Dr. Hasan Sadikin sejak Februari sampai dengan Maret 2018. Hasil penelitian mengungkapkan bahwa pengkajian nyeri sesuai SPO adalah 150 pasien (94,9%), tidak sesuai SPO 8 pasien (5,1%). Tindak lanjut pengkajian nyeri yang sesuai SPO adalah 138 pasien (87,4%), tidak sesuai SPO 13 pasien (8,2%), dan tidak dilakukan tindak lanjut 7 pasien (4,4%). Evaluasi ulang setelah tindak lanjut pengkajian nyeri sesuai SPO adalah 130 pasien (82%) dan tidak sesuai SPO 28 pasien (18%). Simpulan penelitian ini bahwa pengkajian nyeri pascaoperasi dan tindak lanjutnya sebagian besar sudah sesuai dengan Standar Prosedur Operasional. Kata kunci: Nyeri pascaoperasi, pediatrik, pengkajian nyeriCompliance of Postoperative Pain and Follow Up Assessment with Painful Assessment Standard Operating Procedures in Pediatric Patientsin Dr. Hasan Sadikin Bandung Year 2016Pain does not only involve sensoric perception. It also involves emotional, cognitive, and behavioral changes. Pain assessment inf children is performed using various scoring systems. Dr. Hasan Sadikin General Hospital Bandung has developed Standard Operating Procedures to assess pain in treatment rooms. The objective of this study was to determine the compliance of postoperative pain assessment and its follow-up to the SOP on pediatric pain assessment in Dr. Hasan Sadikin General Hospital Bandung in 2016. This was a retrospective observational descriptive study on 158 medical records of pediatric patients who were treated during the period of 2016. The study was conducted from February to March 2018. It was revealed that pain assessment was assessed in compliance to the SOP in 150 patients (94.9%) while the remaining 8 patients (5.1%) were not assessed according to the SOP. The follow-up of pain assessment was performed in compliance with the SOP in 138 patients (87.4%), Thirteen patients (8.2%) were followed up using procedures that are not in compliance with the SOP while 7 patients (4.4%) were not followed up at all. Reevaluation after pain assessment follow up was performed in compliance with the SOP in 130 patients (82%) while the remaining 28 patients (18%) were reevaluated without using the SOP. It is concluded that most postoperative pain assessments and their follow-up are conducted in compliance with the Standard Operating Procedures.Key words: Postoperative pain, pediatric, pain assessment

Gambaran Penggunaan, Obat, Teknik, dan Permasalahan yang Dihadapi pada Blokade Kaudal di Kota Bandung Tahun 2016 Handoyo Harsono; Doddy Tavianto; Suwarman Suwarman
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Penanganan nyeri pada pasien anak merupakan tantangan yang cukup besar bagi dokter spesialis anestesi. Blokade kaudal merupakan salah satu teknik anestesi regional yang mudah dan sangat efektif sebagai analgetik pada anak yang menjalani operasi di bawah umbilikus. Data yang diperoleh dari Inggris dan Irlandia selama bulan April sampai dengan Juni 2008 menunjukkan bahwa penggunaan blokade kaudal masih rendah ( 61% ). Tujuan penelitian ini adalah mengetahui penggunaan, obat, teknik, dan masalah yang dihadapi pada blokade kaudal di Kota Bandung. Penelitian dilakukan selama bulan Maret hingga April 2018. Penelitian ini bersifat deskriptif dengan menggunakan kuesioner yang diberikan kepada 70 dokter spesialis anestesi di kota Bandung yang direspons oleh 64 orang (78%) dengan mengembalikan kuesioner. Dari penelitian ini didapatkan dokter spesialis anestesi yang melakukan blokade kaudal pada tahun 2016 sebesar 55%. Blokade kaudal digunakan untuk kombinasi anestesi dan analgesik pascaoperasi pada 62% responden. Teknik yang digunakan dalam blokade kaudal ini adalah blind technique tanpa alat bantu. Obat yang paling sering digunakan adalah bupivakain (91%). Permasalahan yang dihadapi di Kota Bandung yang mengakibatkan rendahnya penggunaan blokade kaudal adalah keterbatasan waktu tindakan (20%) dan ketersediaan obat dan alat (23%).Kata kunci: Blokade kaudal, bupivakain, teknik butaOverview on Usage, Drug, Technique and Problems on Caudal Blockade Procedure in Bandung City on 2016Pediatric pain management in pediatric is a big challenge for anesthesiologists. The caudal blockade is one of the easy and highly effective analgesic approaches for surgical procedure below umbilicus in children. Data from Ireland and United Kingdom show that the application of caudal blockade is relatively low (61%). The aim of this study was to explore the drug, technique, and challenges faced in caudal blockade application in Bandung City. This study was conducted from March to April 2018. This was a descriptive study using a questionnaire distributed to 70 anesthesiologist in Bandung city. The response rate was 77.65% (64 persons). This study found that 59.09% anesthesiologist had performed caudal block during 2016 which was used for anesthesia and post-operative analgesics by 61,54% respondents. Blind technique was used in this procedure without using additional equipment. The most frequently used was bupivacaine (97.44%). The low application of caudal block in Bandung during 2016 was caused by the limited time for the procedure (23.44%) and the availability of drug and equipment (23.44%).Key words: Caudal block, Bupivacaine, Blind technique

GAMBARAN ACUTE PHYSIOLOGIC AND CHRONIC HEALTH EVALUATION (APACHE) II, LAMA PERAWATAN, DAN LUARAN PASIEN DI RUANG PERAWATAN INTENSIF RUMAH SAKIT UMUM PUSAT DR. HASAN SADIKIN BANDUNG PADA TAHUN 2017 Bramantyo Pamugar; Erwin Pradian; Iwan Fuadi
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Skor acute physiologic and chronic health evaluation (APACHE) II, lama perawatan, dan luaran pasien merupakan indikator penting di Intensive Care Unit (ICU). Ketiga indikator ini dapat berbeda dari satu dengan tempat lain. Ketiga indikator ini dapat dibandingkan di tempat lain untuk meningkatkan pelayanan ICU. Tujuan penelitian ini adalah mengetahui gambaran skor APACHE II, lama perawatan, dan angka mortalitas pada pasien yang dirawat di ICU RSUP Dr. Hasan Sadikin Bandung pada tahun 2017. Metode yang digunakan adalah deskriptif observasional yang dilakukan secara retrospektif terhadap 303 objek penelitian. Objek penelitian diambil di bagian rekam medis pada bulan April 2018. Penelitian ini memperoleh hasil skor APACHE II berkisar 0−56 dengan rerata 16,68, angka mortalitas sebesar 130 (42,3%), dan lama perawatan berkisar 2−79 hari dengan rerata 9,89 hari. Data skor APACHE II terhadap angka kematian berbeda dengan Amerika Serikat yang dapat dikarenakan perbedaan acuan prediksi mortalitas, underestimation derajat keparahan pasien cedera kepala, bias yang disebabkan oleh penatalaksanaan pasien pre-ICU, dan satu waktu pemeriksaan skor APACHE II.Kata kunci: APACHE II, ICU, lama perawatan, luaran pasienOverview of Acute Physiologic and Chronic Health Evaluation (APACHE) II, Length of Stay, and Patient Outcome in the Intensive Care Unit of Dr. Hasan Sadikin General Hospital in 2017The APACHE II score, length of stay, and patient outcome are important indicators in Intensive Care Unit (ICU). Those indicators could be different from one place to another and can be compared to increase the quality of health services in ICU. The purpose of this study was to describe acute physiologic and chronic health evaluation (APACHE) II, length of stay, and mortality rate of patients at the ICU of Dr. Hasan Sadikin General Hospital Bandung from January 1 to December 31, 2017. This was a retrospective descriptive observational study on 303 patient medical records. It was revealed that the APACHE score was ranging from 0−56 (mean =16.68); the mortality rate was 42.9% (n=130); and the length of stay was 2−79 days (mean 9.89 days). This suggests a gap in these indicators between Dr. Hasan Sadikin General Hospital and hospitals in the United States of America which may be due to differences in the the standard that is used to predict the mortality rate, underestimation of severity of head injury, treatment before admission to ICU, and single time assessment of APACHE II.Key words: APACHE II, ICU, length of stay, outcome

Perbandingan Ketepatan Ukuran Classic Laryngeal Mask Airway antara Metode Berat Badan dan Lebar Lidah Abdul Rahman; Iwan Fuadi; Iwan Abdul Rachman
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Classic laryngeal mask airway (CLMA) merupakan alat yang digunakan untuk manajemen jalan napas, baik untuk pengganti ventilasi sungkup wajah maupun intubasi endotrakeal. Pemilihan ukuran yang tepat penting untuk efektivitas penggunaan CLMA. Saat ini pemilihan ukuran berdasar atas metode berat badan. Menurut sebuah studi terbaru metode pengukuran lebar lidah lebik baik daripada metode berat badan. Tujuan penelitian ini adalah mengetahui ketepatan ukuran CLMA antara metode berat badan dan lebar lidah yang dinilai dengan skor fiberoptik dan oropharyngeal leak pressure di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini dilakukan pada bulan Februari 2018 menggunakan uji eksperimental analitik crossection setiap subjek mendapat dua perlakuan yang berbeda antara kedua metode. Uji statistik menggunakan uji chi-square untuk skor fiberoptik dan uji t berpasangan untuk oropharyngeal leak pressure. Hasil penelitian skor fiberoptik lebih optimal daripada metode lebar lidah. Oropharyngeal leak pressure pada metode berat badan rerata 23,00±1,732 CmH20 sedangkan metode lebar lidah rerata 19,13±1,684 CmH20. Secara statistik diperoleh nilai p<0,05. Simpulan, metode pengukuran lebar lidah adalah alternatif yang mudah dan baik dalam pemilihan ukuran CLMA pasien dewasa.Kata kunci: Classic laryngeal mask airway, pemilihan ukuran CLMA, metode berat badan, metode lebar lidahComparison of Classic Laryngeal Mask Airway Size Accuracy between Body Weight Method and Tongue width MethodClassic laryngeal mask airway (CLMA) is an airway management device that can be used to replace bag valve mask ventilation or endotracheal intubation. Choosing the right size of CLMA is important for the effectiveness of CLMA. Currently, the size of CLMA is selected based on the body weight. However, a recent study suggested that tongue width is a better indicator for size selection than the body weight. The purpose of this study was to assess the accuracy of CLMA size selection using the body weight method and tongue-width method. The assessment was performed using the fiberoptic score and oropharyngeal leak pressure. This was an experimental analytic cross-sectional study conducted in Dr. Hasan Sadikin General Hospital Bandung in February 2018. Each subject in this study received two different treatments using the two methods. The results were analyzed using chi-square for the fiberoptic score and paired t test for the oropharyngeal leak pressure. The fiberoptic score was more optimum when tongue width method was used when compared to the weight method. The oropharyngeal leak pressure in the weight method group was 23.00±1.732 CmH20 while the pressure in the tongue-width method was 19.13±1.684 CmH20 (p value <0.05). In conclusion, the tongue width measurement is an easy and good alternative in the selecting the CLMA size in adult patients.Key words: Classic laryngeal mask airway, size selection CLMA, body weight method, tongue width method

Survei Penggunaan, Jenis, Teknik, serta Obat Blok Saraf Perifer di Jawa Barat Tahun 2016 Ayu Puji Lestari; Suwarman Suwarman; M. Andy Prihartono
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Blok saraf perifer merupakan salah satu teknik regional anestesi yang memiliki banyak manfaat. Penggunaan blok saraf perifer di Asia, Eropa, Amerika, dan Australia sudah mulai meningkat. Data yang ada saat ini menunjukan bahwa penggunaan, jenis, teknik, dan obat untuk blok saraf perifer di negara lain sangat bervariasi. Di Indonesia khususnya wilayah Jawa Barat belum terdapat data mengenai penggunaan, jenis, teknik, dan obat blok saraf perifer. Tujuan penelitian ini adalah mengetahui penggunaan, jenis, teknik, dan obat yang digunakan untuk blok saraf perifer di Jawa Barat. Penelitian dilakukan selama bulan Maret 2018. Penelitian bersifat deskriptif dengan menggunakan kuesioner yang dikirimkan kepada 120 dokter spesialis anestesi di Jawa Barat, 66 melalui jasa pos dan 54 kuesioner diberikan langsung kepada dokter spesialis anestesi yang bekerja di Bandung. Angka respons yang didapatkan sebesar 51,3%. Dari penelitian ini didapatkan dokter spesialis anestesi yang melakukan blok saraf perifer pada tahun 2016 sebesar 44%, blok ankle sebanyak 56%, blok wrist sebanyak 53%, 71% menggunakan blind technique, serta obat paling banyak digunakan adalah bupivakain sebesar 91%. Permasalahan dokter spesialis anestesi di Jawa Barat yang berkaitan dalam pelaksanaan tindakan blok saraf perifer pada tahun 2016 paling banyak disebabkan dokter anestesi yang tidak familiar dengan tindakan blok saraf perifer sebesar 45%.Kata kunci: Blok saraf perifer, Jawa Barat, surveySurvey on Use, Type, Technique, and Drugs Used for Peripheral Nerve Block in West JavaPeripheral nerve block is a beneficial regional anesthesia technique. The use of peripheral nerve block across Asia, Europe, America and Australia has been increasing. Current data have shown a wide variety in the use, technique, and drugs selected for peripheral nerve block. In Indonesia, especially in West Java, no data available yet on the use, technique and drugs selected for peripheral nerve block. This study aimed to explore the use, technique, and drugs selected for peripheral nerve block in West Java. This was a descriptive study using a questionnaire as data collection tool to collect data on peripheral nerve block done in 2016. One hundred and twenty questionnaires were distributed to anesthesiologists in West Java area with 66 were sent via air mail and 54 were given directly to the anesthesiologists who work in Bandung area during the month of March 2018. The response rate was 51.3%. Result shown that in 2016, 44% anesthesiologists performed peripheral nerve blocks. Of these,56% were ankle block and 53% were wrist block with 71% of the respondents chose to usethe blind technique. The most widely used agent was bupivacaine, which was used in 91% of the procedures. The main challengeof peripheral nerve block implementation in West Java is unfamiliarity with the approach that 45% anesthesiologist are not used to use this technique.Key words: Peripheral nerve block, survey, West Java

Efek Parasetamol Intravena terhadap Regresi Sensorik Anestesi Spinal dengan Bupivakain Hiperbarik 0,5% Hadi Sumitro Jioe; Maribelle A. Reyes
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Penggunaan anestesi spinal untuk operasi besar saat ini umum dilakukan dan telah dipraktikkan dalam jangka waktu cukup lama. Parasetamol merupakan obat analgetik yang telah dikenal cukup lama dan saat ini digunakan untuk mengontrol nyeri baik selama operasi maupun pascaoperasi. Parasetamol memiliki efek analgetik pada susunan saraf pusat (SSP) melalui penghambatan jalur siklo-oksigenase dan berpengaruh secara tidak langsung terhadap sistem serotoninergik serta ditemukan dalam konsentrasi yang signifikan dalam cairan serebrospinal setelah pemberian melalui infus. Penelitian ini bertujuan mengevaluasi pengaruh pemberian parasetamol intravena dosis tunggal sebelum operasi terhadap regresi blok anestesi spinal pada pasien yang akan dilakukan operasi besar. Sebanyak 30 pasien dengan klasifikasi American Society of Anesthesiologist (ASA) I dan II dengan rentang usia 18–55 tahun yang dilakukan operasi besar dengan anestesi spinal diikutsertakan ke dalam uji acak terkontrol buta ganda yang dilakukan periode Februari–Juni 2015 di Operating Theatre-East Avenue Medical Center, Quezon City, Philippines. Pasien dialokasikan menjadi 2 grup secara acak dan diberikan infus 100 mL parasetamol 1 gram (Grup A; n=15) atau 100 mL NaCl 0,9% (Grup P; n=15) selama 20 menit sebelum pemberian obat pada anestesi spinal. Penilaian nyeri dinilai menggunakan visual analog scale (VAS), serta dicatat pada saat diberikan bantuan obat analgetik. Data dianalisis dengan uji chi-kuadrat dengan nilai p<0,05 dianggap bermakna. Regresi blok sensorik tertunda secara signifikan pada Grup A pada jam ke-2 (T5–T7; n=11) dibanding dengan grup P pada jam ke-2 (T5–T7; n=2) dengan nilai p<0,05. Simpulan, pemberian infus parasetamol intravena 20 menit sebelum dilakukan anestesi spinal dengan bupivakain hiperbarik 0,5% dapat menunda regresi blok sensorik.Kata kunci: Anestesi spinal, bupivakain hiperbarik, parasetamol intravena, regresi sensorikEffect of Intravenous Paracetamol on Sensory Regression of Spinal Anesthesia with Bupivacaine Heavy 0.5%Spinal anesthesia is a long-accepted anesthesia that is commonly used for major surgery. Paracetamol intravenous infusion is a known analgesics that is recently used for intra-operative as well as post-operative pain control. Paracetamol has an analgesic effect, primarily to the central nervous system (CNS), through the cyclooxygenase pathway, and probably has an indirect influence on the serotoninergic system which is supported by the fact that paracetamol is found in significant concentration in the cerebrospinal fluid (CSF) after infusion. This study was designed to evaluate the effect of single pre-operative intravenous infusion of paracetamol on sensory regression of spinal blockade in patients undergoing major surgery. Thirty ASA I and II patients aged 18–55 years undergoing major surgery under spinal anesthesia were included in this randomized controlled trial double blind study during the period of February–June 2015 at the Operating Theatre – East Avenue Medical Center, Philippines. Patients were randomly allocated to receive either 1 gr/100 mL Paracetamol (Group A; n=15) or 100 mL Normal Saline (Group P; n=15) drip for 20 minutes before administration of spinal anesthesia. The intensity of pain was assessed by Visual Analog Scale (VAS) Score. Time of rescue analgesic administration was also recorded. Data were analyzed by Chi-Square Test with p value of <0.05 considered significant. Sensory regression was delayed in Group A (T5-T7; n=11) when compared to Group P (T5 – T7; n=2), which was statistically significant (p<0.05). Therefore, the administration intravenous Paracetamol 20 minutes prior to spinal anesthesia administration with Bupivacaine Heavy 0.5% can delay regression of sensory blockade.Keywords: Bupivacaine heavy, intravenous paracetamol, sensory regression, spinal anesthesia

Perbandingan Pemberian Informasi Verbal dengan Presentasi Video Terhadap Pengetahuan Prosedur Anestesi Umum pada Pasien yang Akan Menjalani Operasi di RSUP Dr. Hasan Sadikin Bandung Yodi Suryo Arnanto; Ruli Herman Sitanggang; Nurita Dian Kestriani Saragi Sitio
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Informasi mengenai indikasi, tujuan, prosedur, risiko, manfaat, dan alternatif tindakan anestesi yang akan dilakukan harus disampaikan kepada pasien. Pemberian informasi dilakukan secara verbal atau lisan pada saat proses persetujuan tindakan kedokteran. Kemampuan pasien yang berbeda-beda dalam menerima dan memahami informasi dapat menjadi penyebab tujuan penyampaian informasi tidak tercapai. Penelitian ini bertujuan membandingkan pemberian informasi verbal dengan presentasi video terhadap pengetahuan prosedur anestesi umum pada pasien yang akan menjalani operasi di RSUP Dr. Hasan Sadikin Bandung. Penelitian dilakukan pada 6 Februari–31 Maret 2018 dengan metode cross-sectional randomized study dan melibatkan 40 orang pasien yang akan menjalani operasi di RSUP Dr. Hasan Sadikin Bandung. Dilakukan penilaian pengetahuan subjek mengenai prosedur anestesi umum dengan menggunakan kuesioner. Data numerik dianalisis dengan uji t tidak berpasangan dan data kategorik dianalisis menggunakan uji chi-square. Penelitian ini memberikan hasil bahwa tidak terdapat perbedaan signifikan antara pemberian informasi dan metode verbal maupun presentasi video terhadap pengetahuan prosedur anestesi umum pada pasien (p>0,05). Sebagai simpulan, penelitian ini menunjukkan bahwa presentasi video yang tidak dibuat sesuai dengan kaidah pembelajaran kognitif dan teori multimedia tidak memberikan pengetahuan yang lebih baik dibanding dengan metode verbal.Kata kunci: Pengetahuan prosedur anestesi umum, pemberian informasi verbal, persetujuan tindakan kedokteran, presentasi videoComparison of Verbal and Video Presentation Method of Information Disclosure on Knowledge on General Anesthesia Procedure among Patients Undergoing Surgery in Dr. Hasan Sadikin General Hospital BandungInformation on the indication, purpose, procedure, risks, benefits, and alternatives of any medical action should be disclosed to the patient. Patient should be given verbal information on any medical action he/she was about to undergo during the informed consent process. The variations in patient’s ability to accept and understand information given to them could hinder the purpose of information disclosure during informed consent. The aim of this study was to assess the effect of video presentation on general anesthesia procedure on the knowledge of patients who were going to undergo surgery. This was a randomized cross-sectional study conducted from February 6–March 31, 2018 involving 40 patients who were about to undergo surgery in Dr Hasan Sadikin General Hospital. Afterwards, patient knowledge on the general anesthesia procedure was assessed. The numerical data were analyzed by unpaired t test and categorical data were analyzed using Chi-Square analysis. This study showed that there was no significant difference between verbal and video presentation method of giving information on patient’s knowledge regarding the general anesthesia procedure (p>0.05). In conclusion, a video presentation which is designed without paying attention to the principles of cognitive learning and multimedia theories does not lead to better knowledge compared to the verbal method.Key words: Informed consent, patient’s knowledge about general anesthesia procedure, verbal disclosure, video presentation

Sindrom Burnout pada Peserta Program Pendidikan Dokter Spesialis Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran Dessy Sutoyo; Rudi Kurniadi Kadarsah; Iwan Fuadi
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Sindrom burnout didefinisikan sebagai kelelahan kronik yang mencakup tiga komponen, yaitu kelelahan emosional, depersonalisasi, dan berkurangnya kepuasan terhadap pencapaian pribadi. Peserta Program Pendidikan Dokter Spesialis (PPDS) berisiko tinggi mengalami kelelahan dan sindrom burnout akibat beban kerja yang tinggi yang dihadapi baik dalam hal melakukan pelayanan dalam bidang anestesi dan beban dalam pendidikannya. Penelitian ini bertujuan mengetahui angka kejadian sindrom burnout pada peserta PPDS Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran (FK Unpad). Penelitian ini menggunakan metode deskriptif dan pendekatan kuesioner yang dilakukan pada peserta PPDS Anestesiologi dan Terapi Intensif FK Unpad yang masih aktif dan memberikan pelayanan di Rumah Sakit Umum Pusat (RSUP) Dr. Hasan Sadikin Bandung pada bulan April 2018 sebanyak 89 orang. Dilakukan penilaian menggunakan kuesioner yang mencakup data demografik, pendidikan dan pekerjaan, pencapaian prestasi pribadi, serta maslach burnout inventory yang sudah diterjemahkan. Hasil penelitian didapatkan angka kejadian sindrom burnout pada peserta PPDS Anestesiologi dan Terapi Intensif FK Unpad adalah 44%. Simpulan penelitian ini adalah angka kejadian sindrom burnout pada peserta PPDS Anestesiologi dan Terapi Intensif FK Unpad cukup tinggi, yaitu 44%. Kata kunci: Depersonalisasi, kelelahan emosional, maslach burnout inventory, peserta PPDS Anestesiologi dan Terapi Intensif, sindrom burnoutBurnout Syndrome among Anesthesiology Residents in Universitas PadjadjaranBurnout syndrome is defined as chronic exhaustion that is characterized by emotional exhaustion, depersonalization, and a sense of low professional accomplishment. The main component of this syndrome is emotional exhaustion. Residents who are being trained in anesthesiology and intensive therapy department have s high risk to exhaustion that will lead to burnout syndrome due to stressful environment and high work load in both medical service and medical education. The purpose of this study was to assess the incidence of burnout syndrome among residents in Anesthesiology and Intensive Therapy Department, Faculty of Medicine, Universitas Padjadjaran. This was a cross-sectional descriptive study on 89 residents that was performed in April 2018. Assessment was performed using a questionnaire on demographic, education, personal achievement, and medical service data as well as the translated Maslach Burnout Inventory to reveal the incidence of burnout syndrome among residents of Anesthesiology and Intensive therapy department, faculty of medicine, Universitas Padjadjaran. From the analysis, it was discovered that 44% of the residents experienced burned out syndrom. In conclusion, the incident of burn out syndrome among residents of Anesthesiology and Intensive Therapy Department, Faculty of Medicine, Universitas Padjadjaran is high. Key words: Anesthesiology and intensive care residents, burnout syndrome, depersonalization, emotional exhaustion, Maslach burnout inventory

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Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
-

Contact Email
-

Phone
-

Journal Mail Official
jap.anestesi@gmail.com

Editorial Address
Departemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung Jalan Pasteur No. 38 Bandung 40161, Indonesia

Location
Kota bandung,

Jawa barat

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name -

Contact Email -

Phone -

Journal Mail Official jap.anestesi@gmail.com

Editorial Address Departemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung Jalan Pasteur No. 38 Bandung 40161, Indonesia

Location Kota bandung, Jawa barat INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
-

Contact Email
-

Phone
-

Journal Mail Official
jap.anestesi@gmail.com

Editorial Address
Departemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung Jalan Pasteur No. 38 Bandung 40161, Indonesia

Location
Kota bandung,

Jawa barat

INDONESIA