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
 40   41   42   43   44 
ANESTESI KAUDAL PADA NEONATUS DENGAN SUSPEK SINDORM DOWN DAN HIPOTIROID KONGENITAL YANG DILAKUKAN TINDAKAN ANOPLASTI Ricky Aditya; Yazid Bustomi
Jurnal Anestesi Perioperatif Vol 10, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n2.3051

Abstract

Dokter anestesi menghadapi beberapa tantangan dalam manajemen anestesi untuk neonatus yang menjalani operasi di bawah anestesi umum karena ketidakmatangan berbagai organ, toleransi terhadap agen anestesi, dan cadangan oksigen rendah. Tindakan regional neuroaksial kaudal dapat digunakan sebagai alternatif yang aman pada neonatus yang dilakukan tindakan anoplasti. Laporan kasus ini bertujuan memaparkan keberhasilan penatalaksanaan anestesi pada neonatus yang menjalani operasi anoplasti dengan anestesi kaudal. Seorang bayi baru lahir aterm dengan usia 3 hari dan BB 2.800 gram disertai dengan suspek sindrom Down dan hipotiroid kongenital dikonsulkan untuk menjalani anoplasti. Pada pemeriksaan fisis didapatkan wajah tampak mongolid dengan abdomen yang distensi dan produksi orogastric tube kehijauan sebanyak 10 mL. Pada preoperatif, pasien dipuasakan dan diberikan maintenance cairan. Operasi dilakukan dengan tindakan regional kaudal menggunakan bupivakain 0,25% sebanyak 0,5 mL/kgBB. Untuk menjaga pasien tetap tenang saat intraoperatif, pasien diberikan dot. Efektivitas blok diperiksa menggunakan tes pinprick di bawah umbilikal. Tidak diberikan sedasi saat intraoperasi. Saat intaoperasi didapatkan bayi tenang dan operasi dapat diselesaikan dengan baik. Tindakan kaudal anestesi pada anoplasti dapat dilakukan dengan aman terutma pada pasien neonatus yang memiliki risiko tinggi untuk dilakukan tindakan general anestesi. Caudal Anesthesia for Anoplasty in Neonates with Suspected Down Syndrome and Congenital HypothyroidAnesthesiologists face several challenges in anesthetic management for neonates undergoing surgery under general anesthesia due to the immaturity of various organs, tolerance to anesthetic agents, and low oxygen reserves. Caudal anesthesia can be used as a safe alternative in neonates undergoing anoplasty. This case report aimed to describe the success of anesthetic management in neonates who underwent anoplasty surgery under caudal anesthesia. A term newborn baby aged three days and weighing 2800 grams with suspected Down syndrome and congenital hypothyroidism was consulted for anoplasty. On physical examination, the face appeared Mongolian, with a distended abdomen and ten ccs of greenish orogastric tube production. Preoperatively, the patient fasted and was given fluid maintenance. The operation was performed by caudal regional action using 0.25% bupivacaine as much as 0.5 mL/kgBW. The patient needed to be calm intraoperatively, so the patient was given a pacifier. The effectiveness of the block was checked using the pinprick test below the umbilical. No intraoperative sedation was given. At the intraoperative time, the baby was calm, and the operation was completed. Caudal anesthesia in anoplasty can be performed safely, especially in neonates who are at high risk for general anesthesia.
Perbandingan Adductor Canal Block Dan Femoral Nerve Block Terhadap Kekuatan Otot Quadriceps Femoris Pascaoperasi Total Knee Replacement Eva Srigita Tari; Iwan Fuadi; M Andy Prihartono
Jurnal Anestesi Perioperatif Vol 10, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n2.2428

Abstract

Abstrak Blokade saraf femoral telah digunakan terlebih dahulu dalam penatalaksanaan nyeri pascaoperasi total knee replacement (TKR). Penelitian ini bertujuan mengetahui perbedaan kekuatan otot paha pascaoperasi TKR antara femoral nerve block (FNB) dan adductor canal block ACB dengan mengukur nilai manual muscle test (MMT), selain itu penelitian ini membandingkan nilai numeric rating scale (NRS) dengan total kebutuhan patient controlled anlagesia (PCA) morfin yang digunakan pascaoperasi TKR. Penelitian dilakukan pada periode Oktober–November 2020 di RS Santosa Bandung. Penelitian ini menggunakan metode uji klinis acak terkontrol buta tunggal melibatkan 18 pasien yang menjalani operasi TKR. Pasien dibagi menjadi dua kelompok, kelompok kelompok ACB, n=9 dan kelompok FNB, n=9. Pemeriksaan MMT otot kuadrisep femoris dilakukan pada jam ke-24 pascaoperasi TKR. Analisis data numerik dengan uji T tidak berpasangan dan Mann Whitney. Data kategorik dengan uji chi square. Nilai NRS ACB lebih tinggi pada jam ke- 24 saat diam dan bergerak serta total kebutuhan PCA morfin lebih tinggi pada kelompok ACB, namun tidak bermakna secara statistik (p>0,05). Nilai MMT pascaoperasi TKR pada jam ke-24 pada kelompok ACB lebih tinggi dibanding dengan kelompok FNB dengan perbedaan bermakna (p<0,05). Adductor canal block sebagai modalitas penatalaksanaaan nyeri pascaoperasi total knee replacement memberikan efek analgetik yang tidak berbeda dengan femoral nerve block, namun lebih baik memulihkan kekuatan motorik otot kuadrisep femoris yang dibuktikan  dengan penilaian MMT yang lebih baik. Comparison of Adductor Canal Block and Femoral Nerve Block with Quadriceps Femoris Muscle Strength PostoperativeTotal Knee Replacement Femoral nerve blocks (FNB) were previously used in pain management post-total knee replacement (TKR). This study aimed to determine the differences in thigh muscle strength post-TKR surgery between patients with FNB and adductor canal block (ACB) by measuring manual muscle tests (MMT). In addition to MMT scores, this study also compared the NRS scores and total patient-controlled analgesia (PCA) of morphine required post-TKR surgery. The study was conducted in October-November 2020 at Santosa Hospital, Bandung. The study was a controlled, randomized, blinded study of 18 patients who underwent TKR surgery. Patients were divided into two groups, one ACB group, n=9, and one FNB recipient group, FNB n=9. Next, an MMT examination of the quadriceps femoris muscle was performed 24 hours post-TKR surgery. Numerical data were analyzed using the unpaired T-test and Mann-Whitney test. Categorical data using chi-square test. MMT measurements in the ACB group were higher than in the FNB group at 24 hours (p), whereas NRS scores in the ACB group were higher at 24 hours when idle and with movement. The total PCA morphine required was higher in the ACB group but was not statistically significant. MMT examination in postoperative TKR patients was better in ACB patients compared to FNB patients. Adductor canal block as a postoperative pain modality in total knee replacement procedure provides a similar analgesic effect as a femoral nerve block. However, it is better in restoring motor strength of the quadriceps femoris muscle, as evidenced by a better assessment of MMT.
perbandingan indeks massa tubuh tenaga kesehatan terhadap kedalaman kompresi jantung luar pada manekin Mahathir Harry Permana; Ruli Herman Sitanggang; M. Andy Prihartono
Jurnal Anestesi Perioperatif Vol 10, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n2.2402

Abstract

Resusitasi jantung paru (RJP) merupakan intervensi utama dalam kegawatdaruratan henti jantung. Respons dan kualitas RJP secara signifikan memengaruhi keberhasilan penanganan pasien dengan henti jantung dan merupakan prosedur yang bersifat life-saving. Kualitas kompresi dinding dada pada RJP ditentukan oleh beberapa faktor, salah satunya adalah kedalaman kompresi dinding dada. Penelitian ini bertujuan mengetahui perbandingan kedalaman dinding dada pada manekin berdasarkan indeks massa tubuh (IMT) penolong. Penelitian ini dilakukan di RSUP Dr. Hasan Sadikin Bandung periode Juli–September 2020. Penelitian ini merupakan penelitian observasional analitik dengan rancangan penelitian potong lintang (cross sectional) komparatif yang dilakukan secara prospektif mengenai hubungan IMT dengan kualitas kompresi jantung luar pada manekin. Subjek penelitian dikelompokkan berdasarkan IMT underweight, normal, dan overweight. Kedalaman kompresi dinding dada saat melakukan RJP dicatat dan dianalisis sesuai dengan kategori kelompok IMT. Data dianalisis menggunakan uji one way ANOVA bila berdistribusi normal dan Uji Kruskal Wallis bila berdistribusi tidak normal, nilai p<0,05 dianggap bermakna. Hasil penelitian menunjukan peningkatan angka kedalaman kompresi dada yang berbanding lurus dengan IMT dilihat dari rerata kedalaman kompresi sebesar 4,83±0,428 cm pada kelompok IMT underweight, 5,64±0,301 cm pada kelompok IMT normal, dan 6,39±0,327 cm pada kelompok IMT overweight (p<0,05). Dapat disimpulkan bahwa penolong dengan kategori IMT normal adalah kelompok yang paling sesuai dengan rekomendasi BLS & ACLS oleh AHA. Comparison of Healthcare Worker's Body Mass Index with External Chest Compression Depth on MannequinsCardiopulmonary resuscitation (CPR) is the primary intervention in cardiac arrest. The response and quality of CPR significantly contribute to the successful management of patients with cardiac arrest and are life-saving procedures. Several factors determine the quality of chest compression in CPR, one of which is the depth of chest wall compression. This study aimed to compare the chest compression depth on the mannequin based on the helper's body mass index (BMI). This study was conducted at Dr. Hasan Sadikin General Hospital Bandung from July to September 2020. This study used an analytical observational method with a comparative cross-sectional study design that was carried out prospectively regarding the relationship of BMI to the quality of external cardiac compression on mannequins. Research subjects were grouped based on BMI underweight, normal, and overweight. The depth of chest wall compressions during CPR was recorded and analyzed by the BMI group category. Data analysis using a one-way ANOVA test if the distribution was normal and a Kruskal Wallis test if the distribution was not normal, p-value <0.05 was considered significant. The results showed an increase in chest compression depth, which was directly proportional to BMI as seen from the mean compression depth of 4.83 ± 0.428 cm in the underweight group, 5.64 ± 0.301 cm in the normal group, and 6.39 ± 0.327 cm in the overweight group (p < 0.05). In conclusion, rescuers with the normal BMI category are the most suitable group according to the BLS & ACLS recommendations by the AHA.
Perbedaan Waktu Pulih Sadar Anestesi Umum Sevofluran dengan Premedikasi Midazolam dan tanpa Premedikasi Midazolam Purwoko Purwoko; Ardana Tri Arianto; Djoko Tjahyo Nugroho
Jurnal Anestesi Perioperatif Vol 10, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n2.2492

Abstract

Pemberian premedikasi midazolam memberikan efek sedasi yang panjang sehingga menimbulkan pulih sadar yang lebih lama. Tujuan penelitian ini adalah mengetahui perbedaan waktu pulih sadar anestesi umum sevofluran dengan dan tanpa premedikasi midazolam. Penelitian ini merupakan double blind randomized control trial pada 36 sampel yang telah memenuhi kriteria inklusi dan dilakukan di kamar instalasi bedah sentral RSUD Dr. Moewardi Surakarta pada bulan September–Oktober 2017. Sampel dilakukan operasi dengan anestesi umum inhalasi sevofluran. Sampel dibagi menjadi kelompok yang mendapatkan premedikasi midazolam 0,05 mg/kgBB i.v (kelompok A) dan tanpa premedikasi midazolam (kelompok B). Setelah selesai operasi, waktu pulih sadar dicatat menggunakan score Aldrete. Analisis statistik dilakukan menggunakan independent t-test (α=0,05 dan p<0,05). Waktu pulih sadar pada kelompok midazolam rerata 1381,00+237,80 detik, sedangkan pada kelompok kontrol rerata 597,89+179,89 detik (=0,000). Perbedaan rerata waktu pulih sadar antara kelompok premedikasi midazolam dan kontrol adalah 783,11 (640,28–925,94) detik. Waktu pulih sadar pada kelompok midazolam rerata 1381,00+237,80 detik,  sedangkan pada kelompok kontrol rerata 597,89+179,89 detik. Perbedaan selisih rerata waktu pulih sadar antara midazolam dan kontrol adalah 783,11 (640,28–925,94) detik. Terdapat perbedaan bermakna waktu pulih sadar antara kelompok midazolam dan kelompok kontrol. Simpulan, premedikasi midazolam pada anestesi umum sevofluran efektif dalam memperpanjang waktu pulih sadar.Recovery Time Differences in Sevoflurane General Anesthesia with Midazolam and without Midazolam PremedicationMidazolam premedication reduces anxiety, and anterograde partial amnesia provides anesthesia induction and reduces unwanted changes in postoperative behavior. Midazolam has a prolonged sedative effect leading to a longer recovery time. The researcher was interested in investigating recovery time differences between sevoflurane general anesthetic with midazolam and without midazolam premedication. This study was a double-blind, randomized controlled trial on 36 samples that met the inclusion criteria and was conducted at the Central Surgical Unit of RSUD Dr. Moewardi Surakarta. The sample was planned to undergo surgery under the general anesthetic sevoflurane inhalation. The sample was divided into two groups: one group received midazolam premedication 0.05 mg/kg i.v. (group A) and a control group without midazolam premedication (group B). After surgery, recovery time was recorded using the Aldrete score. The statistical analysis used an independent t-test (α=0.05 and p<0.05). The mean recovery time in the group premedicated with midazolam was 1381.00+237.80 seconds, while in the control group, it was 597.89+179.89 seconds, p=0.000 (p<0.05). The difference in the mean recovery time between the midazolam premedication group and the control group was 783.11 (640.28–925.94) seconds. There was a significant difference in recovery time between groups with midazolam and without midazolam premedication. This study showed that midazolam premedication to sevoflurane general anesthetic was effective in prolonging recovery time (p=0.000).
Tinjauan Literatur: Alkalosis Respiratorik pada COVID-19: Sleeping with the “Silent Devil” Made Yudha Asrithari Dewi; Putu Agus Surya Panji
Jurnal Anestesi Perioperatif Vol 10, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n2.2620

Abstract

Dewasa ini krisis pertumbuhan penyakit coronavirus disease (COVID-19) telah menekan sistem kesehatan secara global bahkan lebih dari sebelumnya, menyebabkan kebutuhan peningkatan kapasitas unit perawatan intensif dalam menangani jumlah pasien kritis yang meningkat secara tajam. Gagal napas pada COVID-19 diperburuk oleh keadaan hipoksemia dan dapat memburuk menjadi acute respiratory distress syndrome (ARDS) yang segera membutuhkan terapi suplementasi oksigen. Menilai kebutuhan memulai terapi oksigen dapat dilakukan salah satunya dengan analisis gas darah untuk mengevaluasi gangguan asam basa terutama pada perjalanan awal COVID-19 simtomatis berat. Silent hypoxemia sebagai gejala COVID-19 yang mematikan merupakan sebuah tantangan dalam kegawatdaruratan COVID-19. Hipoksemia berat akibat hiperventilasi tanpa gangguan pernapasan akan menunjukkan gambaran hasil analisis gas darah berupa alkalosis respiratorik sebagai upaya kompensasi penurunan kadar PaCO2 untuk meningkatkan saturasi. Pergeseran kurva disosiasi ke kiri menyebabkan peningkatan afinitas Hb-O2 untuk memfasilitasi kebutuhan oksigen. Maka dari itu, tenaga kesehatan harus memperhatikan bukan hanya keadaan umum pasien melainkan juga laju pernapasan dan melihat tanda hiperventilasi untuk mengetahui gangguan asam basa melalui analisis gas darah agar dapat mencegah komplikasi alkalosis respiratorik. Literature Review: Respiratory Alkalosis in COVID-19: Sleeping with the Silent DemonToday the growing crisis of coronavirus disease (COVID-19) has urged the health system globally even more than ever before, leading to the need to increase the capacity of intensive care units in dealing with the sharply increasing number of critically ill patients. Respiratory failure in COVID-19, exacerbated by hypoxemia, can worsen into acute respiratory distress syndrome (ARDS), requiring immediate oxygen supplementation therapy. The need to start oxygen therapy can be assessed by examining blood gas analysis to evaluate the presence of acid-base disorders, especially in the early progress of severe symptoms of COVID-19. Silent hypoxemia, a deadly symptom of COVID-19, is a challenge in the emergency of COVID-19. Severe hypoxemia due to hyperventilation in the absence of respiratory disorders will show a picture of the results of blood gas analysis in the form of respiratory alkalosis to compensate for decreased PaCO2 levels to increase saturation. The left shift of the dissociation curve leads to an increase in Hb-O2 affinity to facilitate oxygen needs. Hence, healthcare workers should pay attention to the patient's general condition and breathing rate. Besides, looking for the signs of hyperventilation to find the presence of acid-base disorders through analysis of blood gases to prevent respiratory alkalosis complications.
Perbedaan Efektifitas Analgetik Kombinasi Ketoprofen Suppositoria-Paracetamol Oral Dan Meperidin Intravena Pasca Operasi Laparaskopi Sugeng Budi Santosa; Bambang Novianto Putro; Rofiq Mardiko Utomo
Jurnal Anestesi Perioperatif Vol 10, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n2.2468

Abstract

Nyeri akut pascaoperasi didefinisikan sebagai rasa nyeri yang muncul setelah prosedur pembedahan.  Tujuan penelitian ini adalah membandingkan efek kombinasi ketoprofen supositoria+parasetamol oral dengan meperidin intravena sebagai analgetik pascaoperasi laparaskopi. Penelitian ini menggunakan uji klinik acak tersamar tunggal pada 36 pasien yang dilakukan operasi laparaskopi dan memenuhi kriteria inklusi. Penelitian dilakukan di Rumah Sakit Dr. Moewardi Surakarta sejak Februari hingga Juli 2019. Sampel dibagi menjadi 2 kelompok, yaitu kelompok kombinasi ketoprofen supositoria+parasetamol oral (K) dan meperidin intravena (P). Semua pasien mendapatkan perlakuan anestesi umum sesuai dengan standar dan kemudian dilakukan penilaian skala nyeri berkala pascaoperasi. Skala nyeri pascaoperasi mulai jam ke-2 sampai ke-24 pada kelompok K (nyeri ringan 80–90%) dan P (nyeri ringan 100%). Data yang didapatkan diuji menggunakan Uji Mann-Whitney. Perbandingan skala nyeri kelompok K dengan P menunjukkan perbedaan yang signifikan pada jam ke-6. Skor PONV pada kelompok K (mual ringan 50%, mual sedang 5%) dan P (muntah 16% dan mual berat 40–45%). Simpulan, terdapat perbedaan skala nyeri antara kombinasi ketoprofen supositoria-parasetamol oral (K) dan meperidin intravena (P) pascaoperasi laparaskopi terutama jam ke-6 pascaoperasi. Meperidine intravena dapat digunakan sebagai analgetik yang efektif untuk nyeri pascaoperasi laparaskopi dengan efek samping PONV lebih besar.Differences in Analgesic Effectiveness between Ketoprofen Suppository-Oral Paracetamol Combination and Intravenous Meperidine Post Laparoscopic SurgeryPostoperative acute pain is defined as pain that occurs in a patient after a surgical procedure. This study used a single-blind randomized clinical trial in 36 patients who underwent laparoscopic surgery and met the inclusion criteria. The samples were divided into two groups: oral ketoprofen suppository-paracetamol combination (K) and intravenous meperidine (P). All patients received standard general anesthetic treatment for the periodic postoperative assessment, and the periodic postoperative pain scale was assessed. The postoperative pain scale started at 2 to 24 hours in groups K (80–90% mild pain) and P (100% mild pain). A comparison of pain scales in groups K and P showed a significant difference at 6 hours. PONV scores in groups K (50% mild nausea, 5% moderate nausea) and P (16% vomiting and 40–45% severe nausea). In conclusion, there is a significant difference in pain scale between oral suppository-paracetamol (K) ketoprofen and intravenous meperidine (P) combination after laparoscopic surgery, especially at 6 hours postoperatively. Intravenous meperidine can be an effective analgesic for postoperative laparoscopic pain with more significant PONV side effects.
Gambaran Respons Peserta PPDS Anestesi FK Unpad Terhadap Pernyataan Seputar COVID-19 dan Tatalaksana Jalan Napas Pasien COVID-19 Hansen Wangsa Herman; Iwan Fuadi; Radian Ahmad Halimi
Jurnal Anestesi Perioperatif Vol 10, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n2.2631

Abstract

Peserta Program Pendidikan Dokter Spesialis (PPDS) Anestesi adalah salah satu tenaga kesehatan yang rentan terinfeksi Coronavirus disease 2019 (COVID-19) yang disebabkan oleh paparan droplet dan aerosol saat mereka mengerjakan prosedur tata laksana jalan napas pasien. Tujuan penelitian ini adalah menggambarkan bagaimana respons peserta PPDS anestesi Fakultas Kedokteran Universitas Padjadjaran (FK Unpad) terhadap pernyataan seputar COVID-19 dan tata laksana jalan napas pada pasien COVID-19. Penelitian ini adalah sebuah studi deskriptif dengan desain potong lintang.  Pengambilan data secara survei daring yang dilakukan kepada sebanyak 98 peserta PPDS Anestesi bulan Oktober 2021. Data penelitian terdiri atas karakteristik partisipan, respons terhadap pernyataan seputar COVID-19, dan tata laksana jalan napas pasien COVID-19. Data kemudian dianalisis dengan metode statistika deskriptif dengan aplikasi SPSS versi 26. Hasil penelitian ini adalah mayoritas peserta PPDS anestesi FK Unpad menunjukkan respons yang sesuai dengan referensi yang ada kecuali respons terhadap pernyataan mengenai periode inkubasi, lokasi pemeriksaan praoperatif, karantina setelah intubasi, dan masker laring sebagai pilihan pertama pembukaan jalan napas, dan pemberiaan pra-medikasi bagi pasien COVID-19 yang akan dianestesi. Simpulan penelitian ini adalah walaupun mayoritas peserta PPDS Anestesi FK Unpad sudah memberikan respons yang sesuai, namun masih diperlukan peningkatan literasi mengenai COVID-19, dan tata laksana jalan napas pasien COVID-19 agar mereka semakin aman dalam pekerjaannya. Responses of Universitas Padjadjaran Anesthesiology Residents to COVID-19 and Airway Handling for COVID-19 PatientsAnesthesiologists are healthcare workers vulnerable to COVID-19 infection as they are exposed to droplets and aerosols when working with patients' airways. This study aimed to describe how anesthesiology residents of the Faculty of Medicine, Universitas Padjadjaran responded to statements about COVID-19 and airway management in COVID-19 patients. This research was a descriptive study with a cross-sectional design. Data were collected through an online survey of 98 anesthesiology resident participants in October 2021. The data collected consisted of participant characteristics, responses to statements about COVID-19, and airway management of COVID-19 patients. Data analysis used descriptive statistical methods using the SPSS version 26 application. Study results were: most of the participants showed an appropriate response according to existing references except for responses to statements regarding the incubation period, preoperative examination location, quarantine after intubation, and laryngeal mask as the first choice to establish an airway, and providing premedication for COVID-19 patients who would be anesthetized. This study concludes that although most participants have responded appropriately, they must increase literacy about COVID-19 and the airway management of COVID-19 patients to remain secure at work. 
Efek Pemberian Positive End Expiratory Pressure 5 cmH2O terhadap Perubahan Nilai Forced Expiratory Volume in 1 Second dan Forced Vital Capacity pada Pasien Pascaoperasi Ortopedi Mohamad Rizki Dwikane; Ezra Oktaliansah; Dhany Budipratama
Jurnal Anestesi Perioperatif Vol 10, No 3 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n3.2856

Abstract

Prinsip lung protective ventilation merupakan strategi ventilasi intraoperasi yang direkomendasikan untuk mencegah komplikasi paru pascaoperasi. Penelitian ini bertujuan mengetahui efek pemberian PEEP 5 cmH2O terhadap nilai FEV1 dan FVC pada pasien pascaoperasi ortopedi. Penelitian dilakukan terhadap 54 pasien yang dibagi menjadi 2 kelompok, yaitu kelompok PEEP 5 dan kelompok kontrol (PEEP 0). Penelitian eksperimental ini menggunakan desain single-blind randomized controlled trial dan melibatkan 54 pasien yang dilakukan operasi ortopedi di RSUP Dr. Hasan Sadikin Bandung pada bulan Oktober 2021–Januari 2022. Analisis statistik menggunakan uji T tidak berpasangan dan Uji Mann-Whitney. Hasil penelitian ini menunjukkan bahwa pada kelompok PEEP 5 terjadi penurunan nilai FEV1 lebih rendah dengan rerata –0,17±0,123 dibanding dengan kelompok kontrol (PEEP 0) sebesar -0,49±0,237. Pada kelompok PEEP 5 terjadi penurunan nilai FVC yang lebih rendah dengan rerata -0,20±0,132 dibanding dengan kelompok kontrol (PEEP 0) sebesar -0,60±0,23. Terdapat perbedaan yang signifikan secara statistik antara kelompok PEEP 5 dan PEEP 0 (p<0,05). Simpulan penelitian ini adalah perubahan penurunan nilai FEV1 dan FVC pada pasien pascaoperasi ortopedi dengan pemberian PEEP 5 cmH2O lebih rendah dibanding dengan kelompok kontrol (PEEP 0). Effects of Positive End Expiratory Pressure cmH2O on Changes in Forced Expiratory Volume in 1 Second and Forced Vital Capacity Values in Post Orthopedic Surgery PatientsThe principle of protective lung ventilation is the recommended ventilation strategy to prevent postoperative pulmonary complications. This study aimed to determine the effect of Positive End Expiratory Pressure (PEEP) 5 cmH2O on Forced Expiratory Volume in 1 second (FEV1) and Forced Vital Capacity (FVC) post orthopedic surgery patients. The study was conducted on 54 patients divided into two groups: the PEEP 5 group and the control group (PEEP 0). This experimental study used a single-blind randomized controlled trial design involving 54 patients undergoing orthopedic surgery at dr. Hasan Sadikin General Hospital Bandung between October 2021–January 2022. Statistical analysis was performed using the unpaired T-test and Mann-Whitney test. Study results revealed that in the PEEP 5 group, there was a smaller decrease of FEV1 values, with an average of -0.17±0.12 compared to the control group (PEEP 0) of -0.49±0.23. In the PEEP 5 group, there was a smaller decrease in the FVC value with an average of -0.20 ± 0.13 compared to the control group (PEEP 0) of -0.60±0.23. There was a statistically significant difference between the PEEP 5 and PEEP 0 groups with (p<0.05). This study concludes that the decrease in FEV1 and FVC values in post orthopedic surgery patients with PEEP 5 cmH2O is lower than the control group (PEEP 0).
Perbedaan Efek Tramadol Infus Kontinyu dan Bolus Intermiten terhadap Numeric Rating Scale (NRS) Pasien Pasca Multipel Odontektomi Ardana Arianto; Purwoko Purwoko; Nugraha Afandi
Jurnal Anestesi Perioperatif Vol 10, No 3 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n3.2489

Abstract

Penggunaan tramadol bolus berulang secara teratur atau sesuai dengan permintaan adalah bentuk administrasi analgesia dalam terapi nyeri pascaoperasi. Penelitian ini bertujuan membandingkan efek tramadol infus kontinu dengan bolus intermiten terhadap numeric rating scale pascamultipel odontektomi. Penelitian ini dilaksanakan RSUD Dr. Moewardi, Surakarta dan RSUD KET Setjonegoro, Wonosobo mulai bulan September–November 2018 menggunakan uji klinik acak tersamar tunggal pada 36 pasien yang dilakukan multipel odontektomi dan memenuhi kriteria inklusi. Sampel dibagi menjadi 2 kelompok, yaitu kelompok I tramadol bolus awal 100 mg selanjutnya infus kontinu 0,25 mg/kg/jam ditambah parasetamol 500 mg/8 jam bolus dan kelompok II tramadol bolus awal 100 mg, selanjutnya 50 mg/8 jam bolus ditambah parasetamol 500 mg/8 jam. Semua pasien mendapatkan perlakuan anestesi umum sesuai dengan standar dan kemudian dilakukan penilaian skala nyeri jam ke-2, 6, 12, 24 pascaoperasi. Selain itu juga dinilai efek mual muntah pascaoperasi. Hasil uji statistik didapatkan nilai p=0,240 (p>0,05) jam ke-2, p=0,007 (p<0,05) jam ke-6, p=0,658 (p>0,05) jam ke-12, p=0,219 (p>0,05) jam ke-24 yang berarti terdapat perbedaan signifikan NRS pada jam ke-6 pascaoperasi antara kelompok I dan II. Hasil uji statistik didapatkan nilai p=0,743 (p>0,05) yang berarti tidak terdapat perbedaan efek samping mual-muntah pascamultipel odontektomi pada kedua kelompok. Simpulan, terdapat perbedaan efektivitas analgetik yang diukur dengan NRS pascamultipel odontektomi dengan diberikan tramadol infus kontinu dibanding dengan tramadol bolus intermiten pada 6 jam pascaoperasi. Differences of Continuous Infusion and Intermittent Tramadol Effect on Numeric Rating Scale in Post Multiple Odontectomy PatientsThe use of regular or on-demand repeated bolus tramadol is a form of analgesia administration in the treatment of postoperative pain. This study aimed to find better ways of analgesic administration after multiple odontectomy. This research was conducted in Dr. Moewardi General Hospital, Surakarta, and KET Setjonegoro General Hospital, Wonosobo, from September to November 2018, using a single-blind randomized clinical trial in 36 patients who had multiple odontectomy and met the inclusion criteria. Samples were divided into two groups. Group I received: an initial bolus of tramadol 100 mg, then a continuous infusion of 0.25 mg/kg/hour plus paracetamol 500 mg/8 hours bolus, and group II received initial bolus tramadol 100 mg, then 50 mg/8 hours bolus plus paracetamol 500 mg/8 hours. All patients received standard general anesthetic treatment and then postoperative pain assessment at 2, 6, 12, and 24 hours. Besides, the effects of postoperative nausea were also assessed. Statistical test results p = 0.240 (p>0.05) at the second hour, p = 0.007 (p<0.05) at the 6th hour, p=0.658 (p>0.05) at the 12th hour, p = 0.219 (p>0.05) at the 24th hour, meaning there was a difference in NRS at the 6th hour postoperatively between groups I and II. Statistical test results were p = 0.743 (p> 0.05), meaning there were no differences in the side effects of nausea post multiple odontectomy in the two groups. In conclusion, there is a significant difference in analgesic efficacy as measured by NRS post multiple odontectomy with continuous tramadol infusion compared with intermittent tramadol boluses at the 6th hour postoperatively.
Hiperkapnia Sebagai Prediktor Mortalitas Pasien COVID-19 di Ruang Rawat Intensif Indra Wijaya; Ezra Oktaliansah; M. Erias Erlangga; Iwan Fuadi; Erwin Pradian; Indriasari Indriasari
Jurnal Anestesi Perioperatif Vol 10, No 3 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v10n3.3048

Abstract

Virus SARS-CoV-2 menyebabkan penyakit pernapasan akut yang disebut COVID-19 dan menyebabkan pandemi global. Proses aktivasi trombosis intravaskular pada COVID-19 menyebabkan komplikasi trombosis mikrovaskular dan makrovaskular sehingga terjadi peningkatan ruang mati paru dan meningkatkan kadar PaCO2. Hiperkapnia menyebabkan banyak perubahan fisiologis dalam tubuh meliputi sirkulasi paru dan sistemik dan meningkatkan risiko mortalitas pasien ARDS. Penelitian ini bertujuan mengetahui apakah hiperkapnia merupakan prediktor mortalitas pasien COVID-19. Penelitian dilakukan berdasarkan data pasien pada periode Maret 2020–Desember 2021. Penelitian ini adalah penelitian analitik observasional dengan rancangan kohort retrospektif. Data PaCO2 pasien diambil saat hari pertama pasien dirawat di ICU RSUP Dr. Hasan Sadikin dan status mortalitas pasien di hari rawat ke-7 dan 28 hari. Analisis statistik yang digunakan adalah analisis bivariabel simple regression logistic. Hasil analisis statistik diperoleh nilai p< 0,05 dengan OR = 7,07 (CI 2,519–19,850) pada mortalitas hari ke-7, dan nilai p< 0,05 OR 44,33 (CI 9,182–214,062) pada mortalitas hari ke-28. Simpulan penelitian ini menunjukkan bahwa hiperkapnia merupakan prediktor mortalitas hari ke-7 dan ke-28 perawatan pada pasien COVID-19 yang dirawat di ruang rawat intensif isolasi.Hypercapnia as Mortality Predictor in COVID-19 PatientsThe SARS-CoV-2 virus causes COVID-19, an acute respiratory illness that caused a global pandemic. The activation of intravascular thrombosis in COVID-19 results in microvascular and macrovascular thrombosis complications, which increase lung dead space and PaCO2 levels. The hypercapnia condition causes many physiological changes in the body, including pulmonary and systemic circulation. It is known to increase the mortality risk in ARDS patients admitted to the Intensive Care Unit (ICU). This study aimed to determine if hypercapnia was a mortality predictor in COVID-19 patients treated in the isolation intensive care unit at Hasan Sadikin Hospital in Bandung. This observational analytic study used an observational analytic design with a retrospective cohort. The patient's PaCO2 data was collected on the first day of hospitalization in the ICU, and the patient's mortality status was collected on the 7th and 28th days of hospitalization. According to the statistical analysis, hypercapnia was associated with higher mortality, OR 7.07 (CI 2.519–19.850) on the 7th-day mortality and 44.33 (CI 9.182–214.062) on the 28th-day mortality, P value < 0.05. In conclusion, hypercapnia is a mortality predictor on the 7th and 28th days of treatment in COVID-19 patients treated in the isolation intensive care unit. 

Page 42 of 49 | Total Record : 484

 40   41   42   43   44 

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