cover
Article Per Year (5 Year)
All
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
Jurnal Anestesi Perioperatif
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.
Arjuna Subject : -
Articles 484 Documents
 17   18   19   20   21 
Perbandingan Efektivitas antara Gabapentin 600 mg dan Gabapentin 900 mg Kombinasi dengan Ketorolak 30 mg/8 Jam sebagai Analgesia Pascabedah pada Total Abdominal Histerektomi dengan Anestesi Umum Mumya Camary; Mhd. Ihsan; Dadik Wahyu Wijaya
Jurnal Anestesi Perioperatif Vol 4, No 3 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.288 KB)

Abstract

Gabapentin berkembang untuk penanganan nyeri akut pascabedah. Tujuan penelitian adalah menilai efektivitas gabapentin 600 mg dan 900 mg per oral kombinasi ketorolak 30 mg/8 jam intravena sebagai analgesia pascabedah pada total abdominal histerektomi dengan anestesi umum. Penelitian uji klinis acak tersamar ganda dilakukan di Rumah Sakit Umum Pusat H. Adam Malik Medan, RSUD Dr. Pirngadi Kota Medan, RS. Haji Medan, dan RS. Putri Hijau selama bulan Oktober 2015–Januari 2016. Terdapat 30 subjek penelitian, usia 18–60 tahun, status fisik American Society of Anesthesiologists (ASA) I–II yang menjalani operasi total abdominal histerektomi dengan anestesi umum. Subjek dibagi menjadi 3, yaitu kelompok A mendapat plasebo, kelompok B mendapat gabapentin 600 mg, dan kelompok C mendapat gabapentin 900 mg kombinasi ketorolak 30 mg/8 jam. Uji Kruskal Wallis digunakan untuk menilai efektivitas skor visual analogue scale (VAS) pascabedah serta uji chi-kuadrat untuk menilai kebutuhan rescue analgetia petidin selama 24 jam pascabedah. Pada perbandingan nilai VAS antara gabapentin 600 mg dan gabapentin 900 mg kombinasi dengan ketorolak 30 mg/8 jam tidak ditemukan perbedaan nilai yang signifikan antara kedua kelompok studi (p>0,05). Simpulan, efek gabapentin 600 mg dengan gabapentin 900 mg kombinasi ketorolak 30 mg/8 jam sebagai analgesia pascabedah tidak berbeda efektivitasnya dalam mengurangi nilai VAS dan kebutuhan rescue analgetia petidin selama 24 jam pascabedah.Kata kunci: Gabapentin, kebutuhan rescue analgetia, visual analogue scaleEffectiveness of Gabapentin 600 mg and 900 mg Combined Ketorolak as Postoperative Analgesics for Hysterectomy under General AnesthesiaAbstractGabapentin is developed recently to manage postoperative acute pain. The purpose of this study was to assess the efficacy of 600 mg and 900 mg oral gabapentin combined with 30 mg/8 hours intravenous ketorolak as the postoperative analgesics for total abdominal hysterectomy under general anesthesiaon visual analogue scale (VAS) and the need of pethidin in 24 hours postoperatively. A double blind controlled trial was performed to 30 subjects in H. Adam Malik Hospital Medan, Dr. Pirngadi Hospital Medan,Haji Hospital Medan,and Putri Hijau Hospital Medan. The study was performed during the period of October 2015 to January 2016. Patients were 18 to 60 years old with PS-ASA I–II who underwent total abdominal hysterectomy under general anesthesia. Subjects were divided into 3 groups.: Group A who received placebo, group B who received 600 mg of gabapentin, and group C who received 900 mg of gabapentin combined with 30 mg/8 hours ketorolak. The efficacy was assessed with post operative visual analogue scale (VAS) using Kruskal Wallis test, and the need for rescue analgesics pethidin in 24 hours postoperatively using chi-square test. The VAS scores of the group that received600 mg gabapentin and the group that received 900 mg gabapentin combined with 30 mg/hour ketorolak were not significantly different (p>0.05). In conclusion, the effects of 600 mg gabapentin and 900 mg gabapentin combined with 30 mg/8 hours ketorolak as the postoperative analgesics for total abdominal hysterectomy under general anesthesia are not different in terms of decreasing VAS score and the need for rescue analgesia pethidine in 24 hours postoperativelyKey words: Gabapentin, the need of analgesia rescue, visual analogue score DOI: 10.15851/jap.v4n3.898
Blok Aksilar dengan Panduan Ultrasonografi pada Operasi Debridement Lengan Bawah Pasien Systemic Lupus Erythematosus, Gagal Ginjal Kronik, Sirosis Hepatis, dan Gagal Jantung Mohamad Andy Prihartono; Dedi Fitri Yadi; Erwin Pradian
Jurnal Anestesi Perioperatif Vol 1, No 2 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (528.82 KB)

Abstract

Blok aksilar sangat menguntungkan dilakukan pada operasi daerah lengan bawah. Pasien wanita berusia 28 tahun dengan diagnosis systemic lupus erithematosus (SLE), gagal ginjal kronik, sirosis hepatis dan gagal jantung, direncanakan operasi nekrotomi debridement di lengan bawah di Rumah Sakit Dr. Hasan Sadikin Bandung pada Maret 2012. Dilakukan anestesi blok aksilar dengan panduan ultrasound Sonosite M Turbo menggunakan high frequency probe linear, jarum stimulasi 50 mm dan nerve stimulator dengan obat anestesi lokal bupivakain 0,5% dengan adjuvan epinefrin 1:200.000. Keberhasilan blok aksiler dikonfirmasi dengan menstimulasi sensoris dan nervus motorik yang telah diblok. Blok tercapai secara sempurna dalam waktu ±15 menit. Operasi dilakukan setelah blok tercapai dan operasi berlangsung selama 1 jam. Simpulan, blok aksilar dengan panduan ultrasound memberikan hasil yang memuaskan dengan angka keberhasilan yang tinggi. Pada pasien ini sangat menguntungkan dilakukan anestesi regional blok saraf perifer dibandingkan dengan anestesi umum karena komplikasi penyakit yang banyak.Kata kunci: Blok aksilar, systemic lupus eritematosus, ultrasounografiAxillary Block with Ultrasound Guided for Debridement of the Forearm in Patient with Systemic Lupus Erythematous, Chronic Renal Failure, Hepatic Cirrhosis, and Congestive Heart DiseaseAxillary block is beneficial when applied to a forearm operation. A 28-year-old female patient diagnosed with systemic lupus erythematosus, chronic renal failure, hepatic cirrhosis and heart failure, was planned for necrotomy debridement operation of the forearm in Dr. Hasan Sadikin Hospital-Bandung in March 2012. An axillary block anesthesia was done with Sonosite M Turbo ultrasound guidance that used high frequency linear probe, 50 mm stimulating needle, and nerve stimulator containing bupivacaine 0.5% and epinephrine adjuvant 1:200,000. The operation can be initiated after the block was achieved and the duration of operation was 1 hour. In conclusions, axillary block with ultrasound guidance gives satisfying result with higher success rate. Peripheral nerve block (regional anesthesia) is more beneficial to this patient than general anesthesia due to multiple complications.Key words: Axillary block, systemic lupus erythematosus, ultrasound   DOI: 10.15851/jap.v1n2.124
Perbandingan Ketinggian Bantal 4,5 cm dan 9 cm terhadap Visualisasi Glotis Saat Laringoskopi di Rumah Sakit Dr. Hasan Sadikin Bandung Mohamad Deny Saeful Alam; Suwarman Suwarman; Ike Sri Redjeki
Jurnal Anestesi Perioperatif Vol 5, No 3 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.71 KB) | DOI: 10.15851/jap.v5n3.1170

Abstract

Intubasi ialah prosedur baku mempertahankan patensi jalan napas dengan melihat secara langsung glotis melalui alat laringoskop. Visualisasi glotis akan lebih jelas pada saat tindakan laringoskopi langsung pada sniffing position. Ketinggian bantal yang berbeda akan memberikan visualisasi glotis yang berbeda pula. Penelitian ini merupakan penelitian eksperimen kuasi. Jumlah sampel penelitian 30 orang dengan 2 perlakuan berbeda, yaitu bantal dengan ketinggian 4,5 cm dan 9 cm. Pemilihan subjek penelitian dilakukan secara consecutive sampling dengan mengambil setiap subjek penelitian yang memenuhi kriteria inklusi. Subjek penelitian semua pasien yang menjalani operasi elektif dengan anestesi umum di Rumah Sakit Dr. Hasan Sadikin Bandung periode Juli 2015 yang memenuhi kriteria inklusi. Tujuan penelitian ini adalah mengetahui pengaruh pemakaian bantal 4,5 cm dibanding dengan bantal 9 cm terhadap nilai visualisasi glotis.  Visualisasi glotis dengan ketinggian bantal yang berbeda pada saat tindakan laringoskopi langsung dinilai menggunakan skala kelas Cormarck–Lehane (CL) dan skor percentage of glotic opening (POGO). Distribusi data dengan uji Shapiro Wilks, nilai p ditentukan menggunakan uji Wilcoxon dan bermakna jika p<0,05. Hasil penelitian ini menunjukkan bahwa nilai skala CL modifikasi kedua bantal berada pada kisaran  skala 1 hingga 2c (p=0,007). Skor  POGO bantal ketinggian 4,5 cm berada pada kisaran  20–100% dengan rata-rata 69,33±21,48%. Bantal ketinggian 9 cm skor POGO berada pada kisaran 30,00–80,00% dengan nilai rata-rata 58,333±15,33% (p=0,001). Simpulan, penggunaan bantal ketinggian 4,5 cm memberikan visualisasi glotis yang lebih baik saat laringoskopi langsung dibanding dengan  bantal ketinggian 9 cm.Comparison of 4.5 cm and 9 cm Pillow Height in Glottis Visualization on Laryngoscopy at Dr. Hasan Sadikin General HospitalIntubation is a standard procedure to maintain patency of the airway by  directly visualizing glottis with a laryngoscope. Visualization of the glottis will be clearer when direct laryngoscopy is performed in sniffing position. Different pillows heights will provide different visualization of the glottis. This study was a quasi-experimental study on 30 subjects who were divided into 2 experimental groups of 4.5 cm and 9 cm pillow heights. Subjects were sampled consecutively according to the inclusion and exclusion criteria. The population was all patients underwent elective surgery with general anesthesia at Dr. Hasan Sadikin Hospital Bandung during the period of July 2015. The purpose of this study was to determine the effect of using a pillow height of 4.5 cm when compared to 9 cm pillow height on glottis visualization based on an assessment using Cormarck–Lehane (CL) scale and percentage of glotic opening (POGO) scores. Data distribution was tested by Shapiro Wilks while the p values were determined using Wilcoxon test and was considered meaningful if p<0.05. The results showed that the value of modified CL–class scale for both pillow heights were in the range scale of 1 to 2c (p=0.007). The POGO scores of the 4.5 cm pillow height was in the range of 20–100% with an average percentage of 69.33±21.48%, while the POGO scores of the 9 cm pillow height were in the range of 30.00–80.00% with an average score of 58.333±15.33% (p=0.001). Therefore, the use of 4.5 cm pillow height gives better glottis visualization in direct laryngoscopy compared to the 9 cm pillow height.
Perbandingan Pengaruh Pemberian Granisetron 1 mg Intravena dengan Plasebo (Salin) untuk Mencegah Kejadian Menggigil Pascaanestesi Spinal pada Seksio Sesarea Heru Wishnu Manunggal; Ezra Oktaliansah; Tinni T. Maskoen
Jurnal Anestesi Perioperatif Vol 2, No 2 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (372.215 KB)

Abstract

Menggigil pascaanestesi merupakan komplikasi yang sering terjadi pada tindakan anestesi. Tujuan penelitian ini untuk mengkaji pemberian granisetron 1 mg intravena dalam mengurangi kejadian menggigil pada pasien yang menjalani seksio sesarea dengan anestesi spinal. Metode penelitian klinis acak terkontrol tersamar ganda pada 38 pasien yang menjalani seksio sesarea di Rumah Sakit Dr. Hasan Sadikin Bandung pada April–September 2011, usia 20–35 tahun, status fisik American Society of Anesthesia (ASA)  II dan  dikelompokkan secara random menjadi  2 kelompok, yaitu kelompok yang menerima granisetron 1 mg intravena atau salin sebelum dilakukan anestesi spinal dengan bupivakain 12,5 mg. Kejadian menggigil dicatat berdasarkan derajat 0–4. Hasil penelitian menunjukan secara statistik data karakteristik pasien dan suhu tubuh inti tidak berbeda antara kedua  kelompok. Kejadian menggigil lebih sedikit pada kelompok granisetron (21,1%) dibandingkan dengan kelompok plasebo (52,6%) dengan hasil statistik bermakna (p<0,05). Simpulan penelitian ini menunjukkan bahwa pemberian granisetron 1 mg intravena sebelum anestesi spinal pada seksio sesarea mengurangi kejadian menggigil pascaanestesi yang dibandingkan dengan plasebo.                                          Kata kunci: Granisetron, menggigil, pascaanestesi spinalEffect of  Granisetron 1 mg Intravenously  to Prevent of Shivering After Spinal Anesthesia for Cesarean SectionPost anesthesia shivering is one of the complications that often occur in anesthetic action. The purpose of this study was to assess the administration of intravenous granisetron 1 mg in reducing the incidence of shivering in patients undergoing caesarean section with spinal anesthesia. Clinical research methods in double-blind randomized controlled 38 patients who underwent seksios esarea at Dr. Hasan Sadikin Hospital Bandung during April–September 2011, aged 20–35 years overall status American Society of Anesthesia (ASA) II physical and random into two groups: the group that received granisetron 1 mg intravenously or saline prior to spinal anesthesia with bupivacaine 12.5 mg. Incidence of shivering recorded by degrees 0–4. The results showed statistically significant patient characteristic data and core body temperature did not differ between the two groups. Shivering less in granisetron group (21.1%) than the placebo group (52.6%) with statistically significant results (p<0.05).The conclusions of this study indicate that administration of granisetron 1 mg intravenously before spinal anesthesia in Caesarean section reduces the incidence of shivering postanesthesia.Key words: Granisetron, shivering, post anesthesia spinal DOI: 10.15851/jap.v2n2.303
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (805.121 KB) | DOI: 10.15851/jap.v6n3.1347

Abstract

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
Prevalensi dan Faktor Risiko Nyeri Punggung Bawah di Lingkungan Kerja Anestesiologi Rumah Sakit Dr. Hasan Sadikin Bandung Meilani Patrianingrum; Ezra Oktaliansah; Eri Surahman
Jurnal Anestesi Perioperatif Vol 3, No 1 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1262.611 KB)

Abstract

Nyeri punggung bawah (NPB) merupakan masalah kesehatan yang banyak dialami oleh tenaga kesehatan. Tujuan penelitian ini untuk mengetahui prevalensi dan faktor risiko nyeri punggung bawah di lingkungan kerja anestesiologi dan terapi intensif Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung. Penelitian ini merupakan penelitian deskriptif dengan rancangan studi potong silang. Subjek penelitian meliputi seluruh peserta pendidikan dokter spesialis (PPDS) dan konsulen anestesiologi di RS Dr. Hasan Sadikin Bandung periode bulan April─Juni 2014. Analisis data dilakukan dengan uji chi-kuadrat, Eksak Fisher dan Kolmogorov Smirnov. Hasil penelitian menunjukkan bahwa prevalensi nyeri punggung bawah yang timbul setelah masuk dalam lingkungan kerja anestesiologi di RSHS adalah 35,7%. Faktor risiko yang signifikan adalah kebiasaan merokok (RR 1,35)  dan kurang olahraga (RR 80,04). Faktor posisi saat melakukan tindakan anestesi signifikan menimbulkan nyeri punggung bawah. Simpulan, prevalensi nyeri punggung bawah setelah masuk lingkungan kerja anestesiologi RSHS Bandung adalah 35,7% dengan faktor risiko adalah merokok dan kurang olahraga. Faktor posisi selama melakukan tindakan anestesi bersama-sama dengan faktor risiko lain mungkin turut memperberat nyeri punggung bawah. Kata kunci: Anestesi, faktor risiko, nyeri punggung bawah, prevalensiPrevalence and Risk Factors of Lower Back Pain in the Anesthesiology Workplace in Dr. Hasan Sadikin General Hospital BandungAbstractLower back pain (LBP) is a common health problem in many health professionals. The purpose of this study was to determine the prevalence and risk factors causing lower back pain in the anesthesiology workplace at Dr. Hasan Sadikin Hospital General Bandung. This research is a descriptive study with cross-sectional design. Subjects on this research were the anesthesiology residents and consultants in Dr. Hasan Sadikin General Hospital Bandung between April and June 2014. Data analysis was performed by chi-square, Exact Fisher and Kolmogorov Smirnov. The results showed that the prevalence of lower back pain that arises after entering the anesthesiology workplace in Dr. Hasan Sadikin General Hospital Bandung was 37.5%. The significant risk factors were smoking (RR 1.348)  and lack of exercise (RR 80.04) while the position factor during conducting anesthesia did not significantly cause lower back pain. The conclusions of this study indicate that the prevalence of low back pain that arises after entering the anesthesiology and intensive therapy workplace in Dr. Hasan Sadikin General Hospital Bandung is 37.5%.  In addition, the risk factors that significantly cause lower back pain in the anesthesiology and intensive therapy workplace in Dr. Hasan Sadikin General Hospital Bandung were smoking and lack of exercise. The position factor during conducting anesthesia together with other risk factors may contribute to the arising of lower back pain. Key words: Anesthesia, lower back pain, prevalence, risk factors DOI: 10.15851/jap.v3n1.379  
Pengaruh Tes Elevasi Tungkai Secara Pasif terhadap Variasi Pletismograf untuk Penilaian Responsivitas Cairan pada Pasien yang Dilakukan Pembedahan dengan Anestesi Umum Bahtiar Susanto; Erwin Pradian; Tatang Bisri
Jurnal Anestesi Perioperatif Vol 4, No 2 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (459.826 KB)

Abstract

Penilaian responsivitas terhadap cairan sangat berguna untuk optimalisasi cairan perioperatif. Variasi pletismograf (respiratory variations in the pulse oximetry plethysmographic waveform amplitude; ∆POP) dan elevasi tungkai secara pasif (passive leg raising; PLR) merupakan parameter dinamis yang akurat dalam menilai responsivitas terhadap cairan. Tujuan penelitian ini adalah menilai pengaruh elevasi tungkai secara pasif terhadap variasi pletismograf untuk menilai responsivitas terhadap cairan pada pasien setelah induksi anestesi umum. Penelitian ini merupakan uji klinis pada 30 pasien yang menjalani operasi dengan anestesi umum, usia 18–60 tahun, dan status fisik American society of anesthesiologist (ASA) I atau II pada bulan Februari–Maret 2015 di Instalasi Bedah Sentral Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian ini diuji dengan uji-t berpasangan, Wilcoxon, dan uji ANOVA. Setelah dilakukan induksi anestesi umum, variasi pletismograf dicatat sebelum, saat, dan sesudah elevasi tungkai secara pasif. Hasil penelitian menunjukkan efek elevasi tungkai secara pasif akan menurunkan variasi pletismograf. Penurunan variasi pletismograf yang signifikan pada responden yang memiliki responsivitas terhadap cairan 6/30 dengan variasi pletismograf >13% sebelum dilakukan elevasi tungkai secara pasif. Perbedaan ini bermakna secara statistik (p<0,05). Elevasi tungkai secara pasif akan menurunkan variasi pletismograf yang dapat digunakan untuk menilai responsivitas terhadap cairan pada pasien yang menjalani operasi dengan anestesi umum.Kata kunci: Anestesi umum, elevasi tungkai secara pasif, responsivitas terhadap cairan, variasi pletismografEffect of Passive Leg Raising Test on Respiratory Variations in Pulse Oximetry Plethysmographic Waveform in Assessing Fluid Responsiveness of Surgery Patients under General AnesthesiaFluid responsiveness assessments have shown to be an important matter in perioperative fluid optimization. Respiratory variations in pulse oximetry plethysmographic waveform amplitude (∆POP) and passive leg raising have been shown as promising indicators due to the ability to predict fluid responsiveness. The aim of this study was to assess the effect of passive leg raising (PLR) on ∆POP to predict fluid responsiveness in mechanically ventilated patients after induction of general anesthesia. This was a trialon 30 patients referred for surgery under general anesthesia, aged 18–60 years and ASA physical status I or II, during the period of February–March 2015 at the Central Surgical Installation of Dr. Hasan Sadikin General Hospital Bandung. Patients were studied immediately after the induction of general anesthesia. This trial use the paired t test, Wilcoxon test, and ANOVA for statistical analysis. Vital signs and ∆POP were recorded at baseline, before, and after PLR. PLR induced changes in ∆POP with a ∆POP greater than 13% compared to the initial PLR allowed discrimination between responders and nonresponders to 6/30. There was a significant decrease in ∆POP in responders when compared to the nonresponders(p<0.05). ∆POP can be reduced by PLR and fluid responsiveness can be predicted noninvasively in mechanically ventilated patients during general anesthesia.Key words: Fluid responsiveness, general anesthesia, passive leg raising, respiratory variations in the pulse oximetry plethysmographic waveform amplitude DOI: 10.15851/jap.v4n2.821
Angka Mortalitas pasien Neonatus yang Menjalani Operasi berdasar atas Kenaikan Berat Badan Pascaoperasi yang Dirawat di Neonatal Intensive Care Unit (NICU) Asep Deden Komara; Ezra Oktaliansah; Budiana Rismawan
Jurnal Anestesi Perioperatif Vol 5, No 2 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.698 KB) | DOI: 10.15851/jap.v5n2.1112

Abstract

Salah satu faktor risiko mortalitas pada neonatus yang menjalani operasi adalah regulasi cairan intraoperatif. Tujuan penelitian ini mengetahui angka mortalitas pada neonatus yang menjalani operasi berdasar atas kenaikan berat badan pascaoperasi yang dirawat di NICU. Metode penelitian adalah deskriptif dengan pendekatan retrospektif. Penelitian ini melibatkan 95 subjek penelitian, yaitu neonatus yang menjalani operasi dan dirawat di NICU RSHS Bandung selama tahun 2010‒2015. Data diambil dari rekam medis, pengambilan data mulai tanggal 1 Februari–29 Maret 2017.  Subjek dibagi tiga kelompok, yaitu neonatus yang telah menjalani prosedur operasi yang mengalami kenaikan berat badan pascaoperasi kurang 10% (I), neonatus yang menjalani prosedur operasi yang mengalami kenaikan berat badan 10‒20% (II), dan kelebihan berat badan ≥20% (III). Neonatus pacaoperasi dengan kenaikan berat badan  ≤10% sebanyak  46 pasien dan yang meninggal  sebanyak 10 pasien pada  kenaikan  berat badan 10‒20%  sebanyak 38 pasien, pasien yang meninggal sebanyak 23 pasien, angka mortalitasnya sebesar 60,5%, sedangkan  pada pasien dengan kenaikan berat badan sama dengan atau lebih dari 20% sebanyak 11 pasien atau 11,5% yang meninggal  sebanyak 10 pasien, angka mortalitasnya sebesar 90,9%. Simpulan angka mortalitas pasien neonatus yang menjalani operasi di RSHS dan pascaoperasi dirawat di NICU RSHS selama periode 2010–2015 adalah 45,3%. Kata kunci: Kenaikan berat badan, mortalitas, neonatus The Mortality Rate in Neonatal Patients which Underwent Surgical Procedures-Defined by the Escalation of Postoperative Weight and Those Who were Admitted in Neonatal Intensive Care Unit (NICU) One of the risk factors contributed to this number was the inappropriate management of intraoperative fluid resuscitation. The aim of this study is to understand the mortality rate in neonatal patients which underwent surgical procedures–defined by the escalation of postoperative weight and those who were admitted in NICU. The research method used in this study was a retrospective approach presented in a descriptive manner. The study involved 95 research subjects, which were neonatal patients which underwent surgical procedures and admitted in NICU RSHS Bandung from 2010‒2015. Data collection from Februari 1st–March 29th  2017. The research subjects were classified into three groups, neonatal patients which had escalation of weight postoperative less than 10% and underwent surgical procedure (I), neonatal patients which had escalation of weight postoperative ranging from 10‒20% and underwent surgical procedure (II), meanwhile consist of neonatal patients which had escalation of weight postoperative ≥20% and underwent surgical procedure (III). Result of the study showed there were 46 neonatal patients with 10% weight escalation and 10 out of 46 patients were ceased, meanwhile there were 38 neonatal patients with 10‒20% weight escalation and 23 out of 38 were ceased, and there were 11 neonatal patients with ≥20% weight escalation and 10 out of 11 were ceased. The conclusions of this study found a mortality rate of neonatal patients who underwent surgery and postoperative treated in  NICU RSHS during the period 2010 to 2015 is 45.3%. Key words: Weight gain, mortality, neonatal
Perbandingan Visual Analog Score antara Teknik Injeksi Air Steril Intrakutan Satu Titik dan Empat Titik untuk Mengurangi Nyeri Persalinan Spontan Faisal Rosady; Erwin Pradian; Eri Surahman
Jurnal Anestesi Perioperatif Vol 2, No 1 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1156.005 KB)

Abstract

Hampir sepertiga para wanita yang menjalani persalinan menderita nyeri persalinan terutama di daerah pinggang belakang yang sifatnya kontinu. Tujuan penelitian ini untuk membandingkan efektivitas antara injeksi satu titik dan empat titik dalam mengurangi nyeri persalinan diukur menggunakan visual analogue scale (VAS). Penelitian ini dilaksanakan bekerjasama dengan Departemen Obstetri dan Ginekologi di Rumah Sakit Dr. Hasan sadikin Bandung terhadap 50 orang wanita primipara yang menjalani persalinan spontan normal pada bulan April–Mei 2012. Disain penelitian ini menggunakan metode klinis acak terkontrol buta tunggal. Data hasil penelitian dianalisis menggunakan uji-t, chi-kuadrat, dan Mann-Whitney dengan tingkat kepercayaan 95% dan dianggap bermakna bila p<0,05. Teknik injeksi satu titik dapat menurunkan skor VAS paling banyak rata-rata dari 85,40 (4,3) menjadi 47,60 (7,2) dibandingkan dengan menggunakan teknik injeksi empat titik, yaitu rata-rata 84,60 (4,3) menjadi 48,4 (8,5) pada menit ke-10. Simpulan penelitian ini tidak terdapat perbedaan penurunan skor VAS antara teknik injeksi air steril intrakutan secara empat titik dibandingkan dengan teknik injeksi satu titik.Kata kunci: Injeksi air steril intrakutan, nyeri persalinan, visual analog scaleComparison of Visual Analogue Score (VAS) between One Point and Four Points Sterile Intracutaneous Water Injection Technique to Reduce Spontaneous Delivery PainAlmost one third of women suffer from continuous lower back pain during labour. Therefore, the aim of this study was to compare the effectivity between single and four injections in reducing labour pain measured by visual analogue scale (VAS). The study was conducted in collaboration with Obstetry and Gynaecology Department in Dr. Hasan Sadikin Hospital Bandung on 50 primipara women presenting at term. This study was a single blind randomised controlled trial. Study data was analyzed using t-test, chi-square test and Mann Whitney U test with 95% confidence interval and p<0.05 as statistically significant. One point injection technique can lower VAS scores from an average of 85.40 (4.3) to 47.60 (7.2) as compared to using four-point injection technique, from an average 84.60 (4.3) to 48.4 (8.5) at the 10th minute. In conclusion, there is no difference between one and four points sterile intracutaneous water injection technique in reducing pain as measured by VAS score.Key words: Intradermal sterile water injections, labour pain, visual analogue scale DOI: 10.15851/jap.v2n1.233
Letak Conus Medularis terhadap Vertebra Menggunakan Hasil Pencitraan Magnetic Resonance Imaging di Rumah Sakit Dr. Hasan Sadikin Bandung untuk Anestesi Spinal - Nurfitriani; Abdul Muthalib Nawawi; Dedi Fitri Yadi; Farhan Anwary
Jurnal Anestesi Perioperatif Vol 2, No 3 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1164.456 KB)

Abstract

Kepentingan dari conus medularis bagi dokter spesialis anestesi adalah saat dilakukan tindakan anestesi spinal yang memiliki risiko terjadi trauma medula spinalis yang serius. Conus medularis dapat diidentifikasi melalui hasil pencitraan magnetic resonance imaging (MRI). Penelitian yang dilakukan sekarang bertujuan untuk mengetahui distribusi letak ujung conus medularis pada orang Indonesia secara observasional deskriptif dengan menggunakan hasil pencitraan magnetic resonance imaging (MRI) lumbosakral. Penelitian dilakukan melalui pemeriksaan terhadap letak ujung conus medularis secara retrospektif pada 135 hasil pencitraan MRI pasien usia 18–65 tahun dari bulan Januari 2013 hingga Maret 2014 di Departemen Radiologi Rumah Sakit Dr. Hasan Sadikin Bandung. Dari penelitian ini didapatkan letak ujung conus medularis paling banyak berada setinggi sepertiga tengah L1, dengan rentang mulai dari setinggi sepertiga tengah T12 hingga sepertiga bawah L2. Berdasarkan parameter jenis kelamin didapatkan distribusi letak conus medularis pada perempuan cenderung lebih kaudal dibandingkan dengan laki-laki.Kata kunci: Conus medularis, magnetic resonance imaging, orang IndonesiaDetermination of Conus Medullaris Position within the Vertebra using Magnetic Resonance Imaging in Dr. Hasan Sadikin General Hospital Bandung for Spinal Anesthesia PurposeAbstractThe position of conus medullaris is important to be identified by anesthesiologists during spinal anesthesia to avoid serious spinal cord trauma risk. Conus medullaris can be accurately identified through magnetic resonance imaging (MRI) images. The aim of this study was to determine the distribution of conus medullaris in Indonesians through a descriptive observation using magnetic resonance imaging (MRI) images of lumbosacral. The locations of conus medullaris were observed retrospectively on 135 MRI images scanned, aged 18–65 years, during the period of January 2013 to March 2014 at the Departement of Radiology, Dr. Hasan Sadikin General Hospital Bandung. From this study, it was revealed that the conus medullaris are mostly located at the middle third of L1, ranging from the middle third of T12 to the lower third of L2. With gender as a parameter, it was shown that the distribution of conus medullaris in women tends  to be more caudal than in men.Key words: Conus medullaris, Indonesian, magnetic resonance imaging DOI: 10.15851/jap.v2n3.333

Page 19 of 49 | Total Record : 484

 17   18   19   20   21 

Filter by Year

2013 2025


Reset
Filter By Issues
All Issue Vol 13, No 2 (2025) Vol 12, No 3 (2024) Vol 12, No 2 (2024) Vol 12, No 1 (2024) Vol 11, No 3 (2023) Vol 11, No 2 (2023) Vol 11, No 1 (2023) Vol 10, No 3 (2022) Vol 10, No 2 (2022) Vol 10, No 1 (2022) Vol 9, No 3 (2021) Vol 9, No 2 (2021) Vol 9, No 1 (2021) Vol 8, No 3 (2020) Vol 8, No 2 (2020) Vol 8, No 1 (2020) Vol 7, No 3 (2019) Vol 7, No 2 (2019) Vol 7, No 1 (2019) Vol 6, No 3 (2018) Vol 6, No 3 (2018) Vol 6, No 2 (2018) Vol 6, No 2 (2018) Vol 6, No 1 (2018) Vol 6, No 1 (2018) Vol 5, No 3 (2017) Vol 5, No 3 (2017) Vol 5, No 2 (2017) Vol 5, No 2 (2017) Vol 5, No 1 (2017) Vol 5, No 1 (2017) Vol 4, No 3 (2016) Vol 4, No 3 (2016) Vol 4, No 2 (2016) Vol 4, No 2 (2016) Vol 4, No 1 (2016) Vol 4, No 1 (2016) Vol 3, No 3 (2015) Vol 3, No 3 (2015) Vol 3, No 2 (2015) Vol 3, No 2 (2015) Vol 3, No 1 (2015) Vol 3, No 1 (2015) Vol 2, No 3 (2014) Vol 2, No 3 (2014) Vol 2, No 2 (2014) Vol 2, No 2 (2014) Vol 2, No 1 (2014) Vol 2, No 1 (2014) Vol 1, No 3 (2013) Vol 1, No 3 (2013) Vol 1, No 2 (2013) Vol 1, No 2 (2013) Vol 1, No 1 (2013) Vol 1, No 1 (2013) More Issue