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All Journal Jurnal Anestesi Perioperatif Majalah Kedokteran Nusantara The Journal Of Medical School
Dadik Wahyu Wijaya
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Education Health Professions Medicine & Pharmacology

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Journal : Majalah Kedokteran Nusantara The Journal Of Medical School

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Perubahan kadar albumin dan prealbumin etelah suplementasi ekstrak ikan gabus metode freeze dryer pada pasien sepsis Ahmad Fiza Putera; Achsanuddin Hanafie; Dadik Wahyu Wijaya
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Septic is the second highest cause of death in Intensive Care Unit and 10 highest cause of death in the world overall. Mortality and Morbidity of sepsis in relation with hypoalbuminemia, with the number incidence 60-70%. The principal of nutritional management in septic patient is how to manage calories and high protein to balance the catabolic process. Extract of snakehead fish is the source of high protein in compare with other sources. The purpose of this study is to know the level of albumin and prealbumin after the sumplementation of extract of snakehead fish with the freezy dryer methode. Methodes : The Randomized Control Trial double blinded which done in Mei-June 2016 in Rumah Sakit Umum Pusat Haji Adam Malik Medan. The total of 38 Patients whose included in inclusive and exclusive criteria for this research. Level of albumin and preabulmin was measuring after the suplementation extract of snakehead fish with the methode of freezy dryer as suplementation of protein as a enteral nutrition in 3 days intervention. In a group with suplementation extract of snake head fish with the methode of freezy dryer increased the level of albumin 0.26 gr/dL (p<0.001) and the level of prealbumin 9.36 mg/dL (p<0.001). In difference with the group given placebo, the level of albumin decreased 0.32 gr/dL (p<0.001) and the decreased of prealbumin 4.58 mg/dL (p<0.001).Result : Extract of snakehead fish with the freezy dryer extraction could increase 0.26 mg/dL albumin level and 11.26 mg/dL prealbumin level.Conclussion : suplementation of snakehead fish with the freezy dryer methode could increase albumin and prealbumin level efectively.Keyword : additional protein intake, hypoalbuminemia, nutrition, sepsis
Perbandingan efek klonidin 2g/Kg intravena dan lidokain 2% 1.5 mg/Kg intravena untuk mencegah kenaikan tekanan intra okuler (TIO) selama tindakan intubasi endotrakheal Muhammad Jalaluddin Assuyuthi Chalil; Nazaruddin Umar; Dadik Wahyu Wijaya; Aslim Sihotang
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Background: Endotracheal intubation is routinely performed during general anaesthesia in patients undergoing intraocular surgery. However, intubation is associated with an increase in intraocular pressure (IOP).Aim: To compare the effect of clonidine and lidocain to prevent the increase of IOP during endotracheal intubation. Method: Forty patients with no pre-existing eye diseaseundergoing elective non-ophthalmic surgeriesundergeneral anesthesiawererandomly allocated to two groups of 20 each.In Group A, patients received clonidine 2μg/kg/iv, and in group B lidocain2% 1.5mg/kg/iv for premedication.The hemodynamic profile (systolic and diastolic blood pressure, mean arterial pressure, heart rate) and IOP (using Schioetz tonometer) were measured before premedication (pre anesthesia), before intubation, immediately after intubation, and every 1 minute for 2 minutes.Result:There was a significant decrease in IOP and hemodynamic profile within both groups before and after endotracheal intubation compare to pre anesthesia periode (P <0.05). But the decreasewas not different between two groups (P >0.05). Conclusion: We conclude that both drugs have the same ability in blunting the hemodynamic response and attenuating the IOP, and preventing the increase in IOP caused by endotracheal intubation.Key word : clonidine, endotracheal intubation, intra-ocular pressure, lidocain
Co-Authors Achsanuddin Hanafie Ahmad Fiza Putera Anak Agung Gede Sugianthara Aslim Sihotang Fadinie, Wulan Hasanul Arifin Muhammad Jalaluddin Assuyuthi Chalil Mumya Camary Nazaruddin Umar