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
 21   22   23   24   25 
Perbedaan Pengaruh Morphin Controlled Release 30 mg dan Oxycodone Controlled Release 20 mg Oral terhadap Nyeri Kanker Abdul Hakim Ritonga; Yutu Solihat; Ade Veronica
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 (671.14 KB) | DOI: 10.15851/jap.v5n3.1163

Abstract

Morfin-CR dan oksikodon-CR merupakan opioid oral untuk mengatasi nyeri kanker. Penelitian ini bertujuan mempelajari efek morfin-CR dan oksikodon-CR pada nyeri kanker dengan pengukuran visual analogue scale (VAS). Uji klinis dengan desain uji terkontrol acak tersamar ganda untuk membandingkan pengaruh analgetik morfin-CR oral dengan oksikodon-CR oral pada pasien kanker. Pasien yang telah memenuhi kriteria inklusi dibagi menjadi 2 kelompok (n=22), kelompok morfin-CR 30 mg/12jam oral dan  kelompok oksikodon-CR 20 mg/12 jam oral, ditambahkan parasetamol 1.000 mg/6 jam oral. Penilaian skala nyeri dilakukan pada 4 jam, 12 jam, 24 jam, dan 48 jam setelah  pemberian obat. Uji statistik menggunakan uji T berpasangan  untuk  sebelum  perlakuan dan uji T independen untuk sesudah perlakuan pada kedua kelompok. Data karakteristik subjek VAS pada kedua kelompok homogen dan dapat diuji. Nilai VAS antara kelompok morfin-CR dan kelompok oksikodon-CR berbeda bermakna sebelum pemberian obat dengan 4 jam, 12 jam, 24 jam dan 48 jam setelah pemberian obat pertama. Tidak terdapat perbedaan bermakna antara kelompok morfin-CR dan kelompok oksikodon-CR setelah 4 jam, 12 jam, 24 jam, dan 48 jam setelah  pemberian obat (p>0.05). Simpulan, terdapat perbedaan nilai VAS pada tiap-tiap kelompok sebelum dengan 4 jam, 12 jam, 24 jam, 48 jam setelah pemberian, namun tidak terdapat  perbedaan antara kelompok morfin CR dan oksikodon Cr sebelum dengan 4 jam, 12 jam, 24 jam,  dan 48 jam setelah pemberian.Difference between the Effects of 30 mg Oral Morphine Controlled Release 30 mg and 20 mg Oral Oxycodone Controlled Release on Cancer PainMorphine-CR and oxycodone-CR are oral opioids to treat cancer pain. This study aimed to study the effects of Morphine-CR and Oxycodone-CR on cancer pain using the visual analogue scale (VAS). This was a double-blind randomized control clinical trial  comparing the effect of oral morphine-CR analgesic to that of oral oxycodone-CR in cancer patients. Patients who met the inclusion were divided into 2 groups (n=22), the 30 mg/12 hours oral morphine-CR group and the 20 mg/12 hours oral oxycodone-CR added with 1,000 mg/6 hours oral aracetamol. The pain scale assessment was performed at 4 hours, 12 hours, and 48 hours after the administration of the drug. Statistical analysis using the paired T test was performed for the before treatment data and independent T test was performed for the after treatment data in both groups. The subject characteristics were homogeneous; hence, testing can be done. The VAS values between the morphine-CR group and oxycodone-CR group were significantly different between before drug administration and 4 hours, 12 hours, 24 hours, and 48 hours after the first drug administration. There was no significant difference between the morphine CR-group and oxycodone-CR group after 4 hours, 12 hours, and 48 hours of drug administration (p>0.05). Hence, there is a difference in VAS values of both groups between before drug administration and after 4 hours, 12 hours, 24 hours, and 48 hours after drug administration but no differences are found between the two groups after 4 hours, 12 hours, 24 hours, and 48 hours of drug administration. 
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.438 KB) | DOI: 10.15851/jap.v6n3.1344

Abstract

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 antara Sevofluran dan Enfluran terhadap Kontraksi Uterus, Jumlah Perdarahan, dan Skor APGAR pada Seksio Sesarea Elektif RR. Pramada Resvita; Ike Sri Redjeki; Tatang Bisri
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 (1230.456 KB)

Abstract

Anestetika volatil memiliki sifat fisikokimia yang berbeda-beda yang akan memberikan pengaruh berbeda juga terhadap kontraksi uterus,  jumlah perdarahan dan skor APGAR. Tujuan penelitian ini adalah menilai perbedaan pengaruh antara sevofluran dan enfluran terhadap kontraksi uterus, jumlah perdarahan, dan skor APGAR. Penelitian ini adalah randomized controlled trial (RCT) pada 36 pasien seksio sesarea elektif di Rumah Sakit Melinda pada Juni–Agustus 2011. Pasien dibagi dalam dua kelompok: kelompok I (sevofluran) dan kelompok II (enfluran). Analisis data hasil penelitian dilakukan dengan melakukan uji-t,  Fisher’s Exact Test, dan Uji Mann-Whitney. Hasil penelitian menunjukkan bahwa kontraksi uterus lebih baik pada kelompok sevofluran (p<0,05) dan jumlah perdarahan lebih sedikit pada kelompok sevofluran (p<0,05). Tidak didapatkan perbedaan yang signifikan untuk skor APGAR (p>0,05). Simpulan penelitian ini adalah kontraksi uterus pada seksio sesarea dengan sevofluran lebih baik dibandingkan dengan enfluran dan jumlah perdarahan lebih sedikit pada sevofluran. Skor APGAR pada kedua kelompok tidak menunjukkan perbedaan.Kata kunci: Enfluran, jumlah perdarahan, kontraksi uterus (LAS), seksio sesarea, sevofluran, skor APGARComparison between Sevoflurane and Enflurane Effects on Uterine Contraction, Amount of Bleeding, and APGAR Score in Elective Caesarean SectionAbstractDifferent volatile agents with different physicochemical properties affect uterine contraction, amount of bleeding, and APGAR score in different ways. The objective of this study was to evaluate the effects of different volatile agents, i.e., sevoflurane and enflurane, on  uterine contraction, amount of bleeding, and APGAR score. A randomized controlled trial (RCT) was conducted on 36 patients undergoing elective caesarean section. These patients were randomly divided into two groups, group I (sevoflurane) and group II (enflurane). The data were analyzed using t-test, Mann-Whitney, and fisher exact tests. The result of this study showed that there was a significant difference in the strength of uterine contraction among the sevoflurane group and the enflurane group (p<0.05) and also a significant difference in the amount of bleeding among the two groups (p<0.05), with better results seen ion the sevoflurane group. However, there was no significant difference found oin the APGAR score among the two groups. It is concluded in this study that sevoflurane gives better results in terms of uterine contraction with less bleeding compared to the enflurane group. No difference is found in the APGAR score in sevoflurane and enflurane groups.Key words: Amount of bleeding,  APGAR score, caesarean section, enflurane, sevoflurane, uterine contraction (LAS) DOI: 10.15851/jap.v3n1.381  
Hubungan antara Durasi Puasa Preoperatif dan Kadar Gula Darah Sebelum Induksi pada Pasien Operasi Elektif di Rumah Sakit Dr. Hasan Sadikin Bandung Budi Hartanto; - Suwarman; Ruli Herman Sitanggang
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 (444.209 KB)

Abstract

Puasa preoperatif merupakan keharusan sebelum dilakukan tindakan anestesi. Alasan utamanya adalah untuk mengurangi volume lambung, tingkat keasaman lambung, dan mengurangi risiko aspirasi paru. Namun, puasa preoperatif sering kali lebih lama daripada yang direkomendasikan karena berbagai sebab. Tujuan penelitian ini mengetahui durasi puasa preoperatif pada pasien operasi elektif dan hubungan antara durasi puasa preoperatif dan kadar gula darah sebelum induksi pasien operasi elektif di Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian observasional dilakukan selama 1–31 Juni 2014 dengan melakukan wawancara pasien sebelum induksi anestesi dan pengukuran kadar gula darah menggunakan glukometer. Analisis korelasi menggunakan Uji Mann-Whitney. Hasil penelitian pada 371 pasien didapatkan lama puasa dari makanan padat, durasi minimum adalah 4 jam, maksimum 20,5 jam, dan rata-rata 10,42 jam. Pada puasa dari minuman, durasi puasa minimum adalah 2 jam, maksimum 18 jam dengan rata-rata 8,06 jam. Terdapat 8 pasien dengan kadar gula darah kurang dari 70 mg/dL dengan rentang kadar gula darah 59–70 mg/dL dan rentang durasi puasa 6–18 jam. Tiga di antaranya orang lanjut usia di atas 60 tahun. Sebanyak 253 pasien berpuasa makanan padat >8 jam dan 357 pasien berpuasa minuman >2 jam. Simpulan, tidak terdapat hubungan antara durasi puasa dan kadar gula darah sebelum induksi.Kata kunci: Durasi puasa preoperatif, kadar gula darah, operasi elektifCorrelation between Preoperative Fasting Duration and Blood Glucose Level before Induction in Elective Surgery Patients in Dr. Hasan Sadikin General Hospital BandungPreoperative fasting is a requisite before anesthesia. The main reason for preoperative fasting is to reduce gastric volume and acidity and, thus, decrease the risk of pulmonary aspiration. However, preoperative fasting is usually prolonged beyond the recommended time for various reasons. Despite the many adverse effects of prolonged fasting, patients sometimes fast for a prolonged time when the surgery is delayed for different reasons. The aim of this study was to assess the duration of preoperative fasting for elective surgery and its correlation with blood glucose after preoperative fasting in Dr. Hasan Sadikin General Hospital Bandung. An observational study was conducted from 1- 31 June 2014. Patients were interviewed before induction, and blood glucose level was measured using a glucometer. A correlation analysis was performed using Mann-whitney test. All 371 elective surgery patients admitted during the study period were included. The minimum, maximum, and mean fasting hours for food were 4, 20.5, and 10.42, respectively. The minimum, maximum, and mean fasting hours for fluid were 2, 18, and 8.06, respectively. Only 8 patients had blood a glucose level below 70 mg/dL with blood glucose levels range from 59 to 70 mg/dL and duration of fasting range from 6 to 18 hours. Three of elderly patients, who was above 60 years old, participated in this study. There were 253 patients (68.2%) fasted from solid food more than 8 hours and there were 357 (96.2%) fasted from clear fluid more than 2 hours. It is concluded that there is no correlation between duration of fasting and blood sugar level before induction.Key words: Duration of preoperative fasting, elective surgery, blood glucose level DOI: 10.15851/jap.v4n2.822
Penutupan Defek Septum Ventrikel Secara Transtorakalis Minimal Invasif dengan Panduan Transesophageal Echocardiography (TEE) Fredi Heru Irwanto; Yusni Puspita; Rudy Yuliansyah
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 (837.819 KB) | DOI: 10.15851/jap.v5n2.1113

Abstract

Defek septum ventrikel (ventricular septal defect/VSD) merupakan penyakit jantung bawaan yang paling sering ditemukan pada bayi dan anak. Penutupan defek ini masih memberikan tantangan tersendiri.  Penanganan VSD dengan metode minimally invasive transthoracic merupakan perkembangan inovatif penutupan defek ventrikel. Laporan kasus ini bertujuan memperkenalkan metode terbaru dalam penanganan kasus VSD yang dilakukan di RSUP Dr. Mohammad Hoesin Palembang. Kami melaporkan serial kasus penutupan VSD menggunakan metode minimally invasive transthoracic dengan panduan transesophageal echocardiography (TEE). Transesophageal echocardiography digunakan selama prosedur sebagai panduan penempatan alat dan mengevaluasi hasil operasi. Empat pasien pada periode November 2015 menjalani prosedur penutupan defek, dua pasien laki-laki dan dua perempuan, usia 2 tahun sampai 4 tahun dengan berat badan 12–22 kg, dengan  diameter VSD berdasar atas pemeriksaan ekokardiografi 4–7 mm. Penutupan VSD menggunakan metode minimally invasive transthoracic dengan panduan TEE melalui mini sternotomi menunjukkan prosedur yang aman dan efektif. Penggunaan TEE memberikan informasi yang sangat berguna selama periode intraoperatif.Kata kunci: Defek septum ventrikel, minimal invasif, transesophageal echocardiography Minimally Invasive Transthoracic Ventricular Septal Defect Closure Using Transesophageal Echocardiography GuidanceVentricular septal defect (VSD) is the most common congenital heart disease found in infants and children. Up until now, management of VSD closure remains as a challenge for clinician. Ventricular septal defect closure with minimally invasive transthoracic method is an innovative development of ventricular defect closure. This case report aims to introduce the method of minimally invasive transthoracic VSD closure, which is the latest method in handling cases of VSD conducted at Dr. Mohammad Hoesin General Hospital Palembang. We report a case series VSD closure by the method of minimally invasive transthoracic with transesophageal echocardiography (TEE) guidance. Transesophageal echocardiography is used during the procedure as guidance for the placement of the device, and to evaluate the results of operations. Four patients of the period November 2015. Two girls patients and two boys, ages 2 years to 4 years old weighing 12–22 kg, with a diameter of VSD echocardiography examination between 4–7 mm. The closure of VSD using minimally invasive transthoracic under TEE guiding through mini-sternotomy indicate a safe and effective procedure. The use of TEE provides very useful information during the intraoperative period.Key words: Minimally invasive, transesophageal echocardiography, venticular septal defect
Perbandingan Numeric Rating Scale antara Infiltrasi Analgesia Tramadol 1 mg/kgBB dan Bupivakain 0,25% Pascaoperasi Hernia Inguinalis Reponibel Dadang Mulyawan; - Suwarman; Ruli Herman Sitanggang
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 (1218.698 KB)

Abstract

Pencegahan dan penatalaksanaan nyeri akut pascaoperasi merupakan faktor yang menentukan untuk mengurangi kemungkinan terjadinya nyeri kronik. Penelitian ini bertujuan untuk membandingkan tramadol 1 mg/kgBB dengan bupivakain 0,25% yang diberikan secara infiltrasi subkutan sebelum penutupan kulit terhadap nyeri pascaoperasi hernia inguinalis reponibel. Penelitian dilakukan terhadap 32 orang yang terbagi secara acak ke dalam 2 kelompok dengan usia 18–65 tahun, status fisik American Society of Anesthesiologist (ASA) I–II yang menjalani operasi hernia inguinalis reponibel secara uji acak terkontrol buta ganda dalam anestesi umum di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Juni 2012. Penilaian skala nyeri dilakukan pada jam ke-0, 1, 2, 3, 4, 5, 6, 8, 10, dan selanjutnya sampai tercapainya nilai NRS>4. Analisis statistik menggunakan independent t-test dan chi-kuadrat. Hasil penelitian ini mendapatkan nilai NRS kelompok tramadol yang lebih rendah pada jam ke-3 dan jam ke-4 dibandingkan dengan kelompok bupivakain. Pada kelompok tramadol ditemukan durasi analgesi yang lebih panjang daripada kelompok bupivakain dengan perbedaan bermakna (p<0,05). Simpulan penelitian ini adalah pemberian infiltrasi subkutan tramadol 1 mg/kgBB menurunkan nilai NRS lebih baik daripada bupivakain 0,25% pascaoperasi hernia inguinalis reponibel dan durasi analgesi yang lebih panjang tanpa ada perbedaan efek samping yang bermakna.Kata kunci: Bupivakain, infiltrasi subkutan, numeric rating scale, nyeri pascaoperasi, tramadolNumeric Rating Scale Comparison between 1 mg/kgBW Tramadol and 0.25% Bupivacaine Infiltration Analgesia after Reducible Inguinal Hernia SurgeryPrevention and management of acute postoperative pain is an essential factor contributing to the likelihood of chronic pain development. The objective of this study is to compare 1 mg/kgBW tramadol and 0.25% bupivacaine administered as a subcutaneous infiltration prior to wound closure for post operative pain after reducible inguinal hernia surgery. Study was conducted on 32 patients (18–65 years) ASA I–II who underwent reducible inguinal hernia surgery at Dr. Hasan Sadikin Hospital Bandung during June 2012. Pain scale assessment was done using a numeric rating scale (NRS) and were recorded at 0, 1, 2, 3, 4, 5, 6, 8, 10, hours and thereafter until it reaches the value of NRS >4. NRS on the tramadol group was significantly lower during the 3rd and 4th hour compared to the bupivacaine group. Duration of analgesia was longer in the tramadol compared to bupivacaine group. In conclusions, the subcutaneous infiltration of tramadol 1 mg/ kgBW is better compared to bupivacaine 0.25% in reducing postoperative NRS value in reducible inguinalhernia surgery and provides a longer duration of analgesia, with no significant differences in side effects.Key words: Bupivacain, post operative pain, subcutaneous infiltration, tramadol, visual analogue scale DOI: 10.15851/jap.v2n1.235
Pemberian Strepsils® Sebagai Lozenge Praoperasi untuk Mengurangi Nyeri Tenggorok Pascaintubasi Pipa Endotrakeal Reko Priyonggo; - Suwarman; Abdul Muthalib Nawawi
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 (1123.823 KB)

Abstract

Nyeri tenggorok pascaoperasi atau post operative sore throat (POST) terjadi karena iritasi dan inflamasi lokal di daerah faring, laring, dan trakea akibat trauma pemasangan pipa endotrakeal. Penelitian ini bertujuan mengetahui efek tablet hisap Strepsils® untuk mengurangi POST pada pasien yang dilakukan anestesi umum dengan intubasi pipa endotrakeal. Penelitian dilakukan di Rumah Sakit Dr. Hasan Sadikin Bandung selama bulan Oktober–November 2013, terhadap 66 pasien status fisik American Society of Anesthesiologist (ASA) I–II secara prospektif single blind randomized controlled trial. Pasien dibagi menjadi dua kelompok, yaitu kelompok I, sebanyak 33 orang mendapatkan Strepsils® dan kelompok II, sebanyak 33 orang mendapatkan plasebo. Pasien diminta untuk mengulum permen sebelum induksi. Data dianalisis dengan uji-t, uji chi-kuadrat, dan Uji Mann-Whitney. Keluhan POST lebih banyak terjadi pada kelompok II dibandingkan dengan kelompok I. Secara statistik pada T0 didapatkan hasil perbedaan yang bermakna (p<0,05). Pada kelompok II, POST dengan skor 1 sebesar 14 (42%) kasus, dibandingkan dengan kelompok I sebesar 3 (9%) kasus dan tidak ada skor 2. Pada T2 didapatkan hasil perbedaan bermakna (p<0,05), POST sebesar 11 (33%) pada kelompok II, sedangkan kelompok I didapatkan 2(6%) kasus. Pada T4 didapatkan perbedaan tidak bermakna (p>0,05), POST pada kelompok II sebesar 3 (9%) kasus, sedangkan kelompok I skor 1 sebesar 1 (3%) kasus. Simpulan, pemberian Strepsils® praoperasi dengan anestesi umum mengurangi kejadian dan derajat POST.Kata kunci: Analgetik, antiinflamasi, Strepsils®, post operative sore throat Strepsils® as Pre-operative Lozenge to Attenuate Post-endotracheal Tube Intubation Related Sore Throat AbstractPost- operative sore throat (POST) is caused by local inflammation and irritation at pharynx and larynx due to traumatic endotracheal tube installation. Sixty six patients, ASA I–II, who underwent elective surgery under general anesthesia and installation of endotracheal tube were enrolled in this single blind randomized controlled trial. Patients were randomly allocated into two groups of 33 subjects: receiving Lozenge and receiving placebo. Designated as Group I (Strepsils®  group) and Group II (Placebo group). Patients were asked to suck the candy slowly in the mouth before the induction of anesthesia.  Data were analyzed with t-test, Chi-square test and Mann-Whitney test using SPSS ver. 13 program for Windows. The results were POST 9.1% and 42.4% at T0, 6.1% and 33.3% at T2 for Strepsils®  and Placebo groups, respectively, which were statistically significant (p<0.05). In T4 and T24, non-significant differences were found (p>0.05). In conclusion, dissolving Strepsils® slowly in the mouth before induction of anesthesia pre-operatively reduces POST following general anesthesia.Key words: Analgetic, antiinflammatory, Strepsils®, post operative sore throat DOI: 10.15851/jap.v2n3.334
Perbandingan Antiseptik Chlorhexidine Alkohol dengan Povidone Iodine terhadap Penurunan Pertumbuhan Koloni Bakteri pada Kateter Epidural yang Dipasang di Kamar Operasi Rumah Sakit Dr. Hasan Sadikin Bandung Andie Muhari Barzah; Erwin Pradian; Tatang Bisri
Jurnal Anestesi Perioperatif Vol 4, No 1 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (569.915 KB) | DOI: 10.15851/jap.v4n1.742

Abstract

Chlorhexidine alkohol dan povidone iodine digunakan sebagai zat antiseptik pada anestesi epidural. Aseptik dan antiseptik sebelum tindakan epidural harus dilakukan secara optimal untuk menurunkan komplikasi infeksi pascatindakan. Tujuan penelitian ini menilai perbedaan penurunan pertumbuhan koloni bakteri pada kateter epidural di Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian single blind randomized controlled trials pada 76 pasien yang dilakukan anestesi epidural di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan November 2014–Februari 2015. Subjek penelitian dibagi menjadi 2 kelompok, yaitu chlorhexidine alkohol dan povidone iodine. Dilakukan pemeriksaan kultur apus kulit sebelum dan sesudah tindakan aseptik dan antiseptik kemudian dilakukan pemeriksaan kultur kateter epidural pada hari ke-3 setelah pemasangan. Data hasil penelitian dianalisis dengan menggunakan uji-t, chi-kuadrat, dan Uji Mann-Whitney. Hasil penelitian ini didapatkan kultur positif bakteri dari pemeriksaan sebelum tindakan aseptik dan antiseptik 33 dari 38 pada chlorhexidine alkohol dan 35 dari 38 pada povidone iodine. Kultur positif bakteri menjadi 4 dari 38 pada chlorhexidine alkohol dan povidone iodine setelah pemberian aseptik dan antiseptik. Kultur pascapemasangan kateter epidural positif bakteri 7 dari 38 pada chlorhexidine alkohol dan 5 dari 38 pada povidone iodine (p<0,05). Simpulan penelitian ini menunjukkan zat antiseptik chlorhexidine alkohol lebih lebih rendah pertumbuhan kumannya bila dibanding dengan povidone iodine pada kateter epidural.Kata kunci: Antiseptik, chlorhexidine alkohol, povidone iodineComparison between Chlorhexidine-Alcohol and Povidone Iodine in Reducing Catheter Tip Bacterial Colonization in Dr. Hasan Sadikin General Hospital BandungAbstractChlorhexidine-alcohol and povidone iodine are commonly used as antiseptic solutions in epidural anesthesia. Aseptic and antiseptic procedures must be performed before any epidural procedure to lower infection complications after the procedure. The objective of this study was to investigate the lowest bacterial growth on epidural catheter after chlorhexidine-alcohol or povidone iodine application as the antiseptic solution in Dr. Hasan Sadikin General Hospital Bandung. This was a single blind randomized controlled trial on 78 patients underwent epidural anesthesia in the period of November 2014–February 2015. The subjects were divided in to 2 groups, each consisted of 38 patients. Aseptic and antiseptic procedures were performed using chlorhexidine-alcohol or povidone iodine with skin swab culture collected before and after the procedure. Epidural catheter culture was performed in the 3rd days after the installment. Data were analyzed using t-test, chi-square test, and Mann Whitney test. The result of this study showed positive bacterial cultures prior to aseptic and antiseptics, 33 from 38 in chlorhexidine-alcohol and 35 from 38 in povidone iodine. Positive bacterial cultures became 4 from 38, both in chlorhexidine-alcohol and povidone iodine. Positive bacterial culture on the 3rd days after epidural catheter placement was 7 from 38 after chlorhexidine-alcohol and 5 from 38 after povidone iodine (p< 0.05). It is concluded that the ability of chlorhexidine-alcohol to reduce bacterial growth on epidural catheter is lower than povidone-iodine with regards to reducing infection after catheter epidural installment.Key words: Antiseptic, chlorhexidine-alcohol, povidone iodine DOI: 10.15851/jap.v4n1.742
Perbandingan Pemberian 20 mL dengan 30 mL Bupivakain 0,5% terhadap Mula Kerja dan Lama Kerja Blokade Saraf Iskiadikus Pendekatan Parasakral Menggunakan Alat Stimulasi Saraf pada Operasi Ekstremitas Bawah Canang Irving Amrizal; Dedi Fitri Yadi; Rudi Kurniadi Kadarsah
Jurnal Anestesi Perioperatif Vol 5, No 1 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (554.584 KB) | DOI: 10.15851/jap.v5n1.1004

Abstract

Blokade saraf iskiadikus pendekatan parasakral merupakan salah satu pilihan anestesi untuk operasi ekstremitas bawah. Blokade ini memiliki angka keberhasilan yang tinggi dan membutuhkan anestetik lokal yang lebih sedikit. Penelitian ini bertujuan membandingkan pemberian 20 mL dengan 30 mL bupivakain 0,5% terhadap mula kerja dan lama kerja blokade saraf iskiadikus pendekatan parasakral menggunakan alat stimulasi saraf di Rumah Sakit Dr. Hasan Sadikin Bandung dan RSD Dr. Slamet Garut selama periode bulan Oktober–November 2015. Penelitian eksperimental secara randomized controlled trial dilakukan pada 36 pasien dewasa yang menjalani operasi ekstremitas bawah. Pasien dibagi dalam dua kelompok secara acak, tiap-tiap kelompok terdiri atas 18 pasien. Kelompok A mendapatkan bupivakain 0,5% sebanyak 20 mL dan kelompok B mendapatkan 30 mL. Hasil menunjukkan bahwa mula kerja blokade sensorik dan motorik pada kedua kelompok tidak berbeda bermakna (p>0,05). Hasil penelitian menggunakan uji-t dan uji Mann Whitney menunjukkan bahwa lama kerja blokade sensorik dan motorik pada kelompok A lebih singkat bermakna dibanding dengan kelompok B (p<0,05). Simpulan penelitian ini adalah pemberian 20 mL bupivakain 0,5% pada blokade saraf iskiadikus pendekatan parasakral menghasilkan mula kerja blokade sensorik dan motorik yang sama cepat dan lama kerja blokade sensorik dan motorik yang lebih singkat dibanding dengan pemberian 30 mL bupivakain 0,5%.Kata kunci: Blokade saraf iskiadikus, bupivakain, lama kerja blokade, mula kerja blokade, pendekatan parasakralComparison of Onset and Duration of Action between 20 mL with 30 mL of 0.5% Bupivacaine on Ischiadicus Nerve Block with Parasacral Approach Assisted by a Nerve Stimulator for Lower Ekstremity SurgeryIschiadicus nerve block with parasacral approach is an anesthetic option for surgery in the lower extremity. This method offers many advantages such as high rate of successful block and less use of local anesthetic agent. The purpose of this study was to compare the onset and duration of action of ischiadicus nerve block with parasacral approach assisted by a nerve stimulator using 20 mL of 0.5% bupivacaine to 30 mL of 0.5% bupivacaine in Dr. Hasan Sadikin General Hospital Bandung and Dr. Slamet Hospital Garut between the period of October to November 2015. This experimental randomized controlled study was performed on 36 adult patients undergoing lower extremity surgeries. Patients were divided randomly into two groups consisting of 18 patients. Group A was given 20 mL of 0.5% bupivacaine while group B was given 30 mL of 0.5% bupivacaine. The onset and duration of action of sensory and motoric blocks were recorded. The t-test and Mann Whitney test used in this study showed that the duration of sensory and motoric blocks in group A was significantly shorter than that of group B (p<0.05). It is concluded that the ischiadicus nerve block with parasacral approach using 20 mL of 0.5% bupivacaine has the same onset but shorter duration of sensory and motoric blocks compared to 30 mL of 0.5% bupivacaine.Key words: Bupivacaine, duration of block, ischiadicus nerve block, onset of block, parasacral approach 
Perbandingan Waktu Induksi, Perubahan Tekanan Darah, dan Pulih Sadar antara Total Intravenous Anesthesia Profopol Target Controlled Infusion dan Manual Controlled Infusion Vick Elmore Simanjuntak; Ezra Oktaliansah; Ike Sri Redjeki
Jurnal Anestesi Perioperatif Vol 1, No 3 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1134.641 KB)

Abstract

Target controlled infusion (TCI) memberikan kemudahan bagi dokter anestesi dalam pelaksanaan total intravenous anesthesia (TIVA). Penelitian ini bertujuan untuk membandingkan waktu induksi, perubahan tekanan darah, dan waktu pulih sadar antara TIVA propofol TCI dan manual controlled infusion (MCI) pada ekstirpasi fibroadenoma payudara. Penelitian dilakukan terhadap 32 wanita (18–40 tahun), status fisik ASA I, yang menjalani operasi ekstirpasi fibroadenoma payudara di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Juli–September 2012, secara uji acak terkontrol buta tunggal dalam anestesi umum. Subjek dibagi menjadi dua kelompok yaitu 16 orang dilakukan anestesi umum dengan TIVA propofol TCI dan 16 orang dengan TIVA propofol MCI. Waktu induksi TCI (61,44 detik) lebih singkat daripada MCI (78,5 detik) dan perubahan tekanan darah pada TCI (15,6 %) lebih kecil daripada MCI (24,1%). Tidak berbeda bermakna (p>0,05) dalam hal waktu pulih sadar pada kedua kelompok (TCI 8,95 menit dan MCI 9,90 menit). Simpulan, TIVA propofol TCI memberikan waktu induksi yang lebih singkat dan perubahan tekanan darah yang lebih kecil bila dibandingkan dengan TIVA MCI, namun tidak didapatkan perbedaan dalam hal waktu pulih sadar.Kata kunci: Manual controlled infusion target controlled infusion, waktu induksi, waktu pulih sadar Comparison of Induction Time, Changes in Blood Pressure, and Emergence between Target Controlled Infusion and Manual Controlled Infusion of Propofol Total Intravenous AnesthesiaAbstractTarget controlled infusion (TCI) offers anesthesiologists an easier way to conduct total intravenous anesthesia (TIVA). This study was done to compare the induction time, blood pressure and recovery time between propofol TIVA with TCI and the manual controlled infusion (MCI) in patients undergoing breast fibroadenoma extirpation. This study was done on 32 women (aged 18–40 years old), ASA I physical status, who underwent breast fibroadenoma extirpation in Dr. Hasan Sadikin Hospital Bandung within July–September 2012, by single blind randomized controlled trial in general anesthesia. Subjects were allocated into 2 groups, the TCI and MCI group, each consisted of 16 women. TCI’s induction time (61.44 seconds) were much shorter compared to MCI (78.5 seconds) and the blood pressure changes, TCI (15.6%) showed smaller changes compared to MCI (24.1%). There were no significant difference (p>0.05) in the recovery time in both groups (TCI 8.95 minutes and MCI 9.90 minutes). In conclusion, propofol TIVA with TCI showed a shorter induction time and less blood pressure changes compared to MCI, but there was no significant difference in recovery time. The adverse effect of postoperative nausea and vomitting did not occur in both groups.Keywords: blood pressure changes, induction time, manual controlled infusion, recovery time DOI: 10.15851/jap.v1n3.194

Page 23 of 49 | Total Record : 484

 21   22   23   24   25 

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