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Insidensi dan Faktor Risiko Hipotensi pada Pasien yang Menjalani Seksio Sesarea dengan Anestesi Spinal di Rumah Sakit Dr. Hasan Sadikin Bandung Rustini, Rini; Fuadi, Iwan; Surahman, Eri
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 (384.485 KB) | DOI: 10.15851/jap.v4n1.745

Abstract

Hipotensi merupakan komplikasi yang sering terjadi setelah tindakan anestesi spinal pada pasien seksio sesarea. Hipotensi terjadi akibat blokade simpatis terhadap aktivitas vasomotor pembuluh darah serta penekanan aorta dan vena kava inferior oleh uterus yang membesar terutama pada saat pasien telentang. Tujuan penelitian ini adalah mengetahui insidensi hipotensi dan faktor risiko yang berhubungan dengan kejadian hipotensi pada pasien yang menjalani seksio sesarea dengan anestesi spinal di Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian observasional potong lintang (cross sectional) ini dilakukan pada 90 subjek pasien yang menjalani seksio sesarea dengan anestesi spinal pada periode bulan April–Mei 2015. Pengolahan data dengan analisis univariabel untuk melihat gambaran proporsi variabel masing-masing yang disajikan secara deskriptif. Hasil penelitian menunjukkan insidensi hipotensi 49%. Faktor risiko yang menyebabkan hipotensi maternal menunjukkan hasil yang tidak signifikan berhubungan dengan kejadian hipotensi (p>0,05). Perbedaan insidensi hipotensi maternal setelah tindakan anestesi spinal dan faktor risiko yang memengaruhinya dengan penelitian sebelumnya karena perbedaan jumlah sampel penelitian, perbedaan definisi hasil yang digunakan, perbedaan tempat penelitian, dan perbedaan metode pengumpulan data.Kata kunci: Anestesi spinal, faktor risiko, hipotensi, insidensi, seksio sesareaIncidence and Risk Factors of Hypotension in Patients Undergoing Cesarean Section with Spinal Anesthesia in Dr. Hasan Sadikin General Hospital BandungAbstractThe most common serious complication associated with spinal anesthesia for C-section is hypotension. These hemodynamic changes result from a blockade of sympathetic vasomotor activity that is accentuated by the compression of the aorta and inferior vena cava by the gravid uterus when the patient is in the supine position. The purpose of this study was to describe the incidence of hypotension in patients undergoing cesarean section with spinal anesthesia in Dr. Hasan Sadikin General Hospital Bandung and to obtain a description of risk factors associated with the incidence of hypotension. A cross–sectional observational study was conducted on 90 subjects consisting of patients undergoing cesarean section with spinal anesthesia during the period of April–May 2015. The data processing performed was the univariable analysis to see the picture of the proportion of each variable, which were presented descriptively. The results showed 49% incidence of hypotension. There was an insignificant association between the risk factors of maternal hypotension after spinal anesthesia for cesarean section insignificant association with the incidence of hypotension (p>0.05). Differences in the incidence of maternal hypotension after spinal anesthesia and risk factors as stated in this study when compared to previous studies are due to differences sample size, definitions, place, and data collection methods.Key words: Cesarean section, hypotension, incidence, risk factors, spinal anesthesia DOI: 10.15851/jap.v4n1.745
Insidensi dan Faktor Risiko Hipotensi pada Pasien yang Menjalani Seksio Sesarea dengan Anestesi Spinal di Rumah Sakit Dr. Hasan Sadikin Bandung Rini Rustini; Iwan Fuadi; Eri Surahman
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 (384.485 KB) | DOI: 10.15851/jap.v4n1.745

Abstract

Hipotensi merupakan komplikasi yang sering terjadi setelah tindakan anestesi spinal pada pasien seksio sesarea. Hipotensi terjadi akibat blokade simpatis terhadap aktivitas vasomotor pembuluh darah serta penekanan aorta dan vena kava inferior oleh uterus yang membesar terutama pada saat pasien telentang. Tujuan penelitian ini adalah mengetahui insidensi hipotensi dan faktor risiko yang berhubungan dengan kejadian hipotensi pada pasien yang menjalani seksio sesarea dengan anestesi spinal di Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian observasional potong lintang (cross sectional) ini dilakukan pada 90 subjek pasien yang menjalani seksio sesarea dengan anestesi spinal pada periode bulan April–Mei 2015. Pengolahan data dengan analisis univariabel untuk melihat gambaran proporsi variabel masing-masing yang disajikan secara deskriptif. Hasil penelitian menunjukkan insidensi hipotensi 49%. Faktor risiko yang menyebabkan hipotensi maternal menunjukkan hasil yang tidak signifikan berhubungan dengan kejadian hipotensi (p>0,05). Perbedaan insidensi hipotensi maternal setelah tindakan anestesi spinal dan faktor risiko yang memengaruhinya dengan penelitian sebelumnya karena perbedaan jumlah sampel penelitian, perbedaan definisi hasil yang digunakan, perbedaan tempat penelitian, dan perbedaan metode pengumpulan data.Kata kunci: Anestesi spinal, faktor risiko, hipotensi, insidensi, seksio sesareaIncidence and Risk Factors of Hypotension in Patients Undergoing Cesarean Section with Spinal Anesthesia in Dr. Hasan Sadikin General Hospital BandungAbstractThe most common serious complication associated with spinal anesthesia for C-section is hypotension. These hemodynamic changes result from a blockade of sympathetic vasomotor activity that is accentuated by the compression of the aorta and inferior vena cava by the gravid uterus when the patient is in the supine position. The purpose of this study was to describe the incidence of hypotension in patients undergoing cesarean section with spinal anesthesia in Dr. Hasan Sadikin General Hospital Bandung and to obtain a description of risk factors associated with the incidence of hypotension. A cross–sectional observational study was conducted on 90 subjects consisting of patients undergoing cesarean section with spinal anesthesia during the period of April–May 2015. The data processing performed was the univariable analysis to see the picture of the proportion of each variable, which were presented descriptively. The results showed 49% incidence of hypotension. There was an insignificant association between the risk factors of maternal hypotension after spinal anesthesia for cesarean section insignificant association with the incidence of hypotension (p>0.05). Differences in the incidence of maternal hypotension after spinal anesthesia and risk factors as stated in this study when compared to previous studies are due to differences sample size, definitions, place, and data collection methods.Key words: Cesarean section, hypotension, incidence, risk factors, spinal anesthesia DOI: 10.15851/jap.v4n1.745
Perbandingan Nilai APGAR Bayi yang Lahir melalui Sectio Caesarea dengan Anestesia umum dan Anestesia Spinal dari Ibu Eklampsia di RSUP Dr. M. Djamil Padang Angga Kesumah; Rini Rustini; Roslaili Rasyid
Jurnal Kesehatan Andalas Vol 9, No 1S (2020): Online January 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i1S.1163

Abstract

Pemilihan anestesia yang digunakan untuk pasien eklampsia masih menjadi kontroversi. Teknik anestesia spinal atau anestesia umum pada seksio sesarea dapat menpengaruhi luaran neonatus. Tujuan: Membandingkan nilai APGAR neonatus yang lahir melalui sectio caesarea antara anestesia umum dan anestesia spinal pada ibu eklampsia. Metode: Jenis penelitian ini adalah analitik dengan desain cross sectional. Sampel adalah 63 pasien yang dibagi menjadi dua kelompok, yaitu kelompok yang mendapat anestesia spinal sebanyak 30 dan anestesia umum sebanyak 33. Data diperoleh dari rekam medik RSUP Dr. M. Djamil Padang periode Januari 2015 sampai Desember 2018. Data dianalisis dengan uji Kolmogorov-Smirnov. Hasil: Pada menit pertama asfiksia (APGAR1<7) terjadi pada 12 (40%) neonatus kelompok spinal dan 32 (97%) neonatus kelompok umum. Sementara itu, pada menit kelima asfikasia (APGAR5<7) terjadi pada 5 (16,7%) neonatus kelompok spinal dan 18 (54,5%) neonatus kelompok umum. Terdapat perbedaan nilai APGAR yang bermakna dengan nilai p<0,01 pada menit pertama dan p=0,02 pada menit kelima (p<0,05). Simpulan: Penggunaan anestesia spinal untuk sectio caesarea pada ibu eklampsia memberikan luaran nilai APGAR yang lebih baik dibandingkan dengan penggunaan anestesia umum.
Gambaran Kematian di RSUP Dr M Djamil Padang Rahmadiyani, Rahmadiyani; Susanti, Rika; Putri, Biomechy Oktomalio; Manela, Citra; Lestari, Tuti; Rustini, Rini
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.14854

Abstract

ABSTRACT The definition of death is stated in the Law of the Republic of Indonesia, this law explains the diagnostic criteria for clinical death and brain stem death. In forensic medicine, we study death, changes after death, and what is behind these changes. Forensic and Medicolegal Department of RSUP Dr. M. Djamil has a body register book which contains data on the deaths of incoming bodies containing name, gender, age, registration number, diagnosis, actions taken and so on. However, there has been no research regarding the alleged cause and manner of death at Dr. M. Djamil Padang. The aim of this study was to determine the description of deaths at RSUP Dr. M. Djamil Padang in 2018-2022. This research is a descriptive study which takes data from the body register book which is entered into the Forensic and Medicolegal Department of RSUP Dr. M. Djamil Padang 2018-2022. The number of bodies entered into the Forensic and Medicolegal Department of RSUP Dr. M. Djamil Padang from 2018 to 2022 is 16,765 bodies. Every year more than 50% of deaths occur in men with the largest age group being the late elderly at 24.2%-25.6% per year and 46.1%-53.1% per year of deaths from West Sumatra outside Padang. The largest group of causes of death based on ICD-10 is the group of symptoms, signs and other disorders at 33%-45% per year with the most frequent diagnoses being septic shock and MODS. Deaths occurring outside hospitals are less than 2% per year. The percentage of unnatural deaths is below 7% per year, of which as many as 40.5%-78.1% per year are not examined because of refusal from the family. Description of death at RSUP Dr. M. Djamil Padang is relatively same every year. Keywords: Forensics, Cause of Death, Description of Death  ABSTRAK Definisi kematian tercantum dalam Undang-Undang Republik Indonesia, yang menjelaskan tentang kriteria diagnosis mati klinis dan mati batang otak. Dalam kedokteran forensik dipelajari tentang kematian, perubahan setelah kematian, dan apa yang melatarbelakangi perubahan tersebut. Departemen Forensik dan Medikolegal RSUP Dr. M. Djamil memiliki buku register jenazah yang berisi data kematian jenazah yang masuk berisi nama, jenis kelamin, usia, nomor registrasi, diagnosis, tindakan yang dilakukan dan sebagainya. Namun, belum ada penelitian terkait dugaan sebab dan cara kematian di RSUP Dr. M. Djamil Padang. Tujuan penelitian ini adalah untuk mengetahui gambaran kematian di RSUP Dr. M. Djamil Padang pada tahun 2018-2022. Penelitian ini adalah penelitian deskriptif dimana mengambil data dari buku register jenazah yang masuk ke Departemen Forensik dan Medikolegal RSUP Dr. M. Djamil Padang tahun 2018-2022. Jumlah jenazah yang masuk ke Departemen Forensik dan Medikolegal RSUP Dr. M. Djamil Padang tahun 2018 hingga 2022 adalah 16.765 jenazah. Setiap tahunnya lebih dari 50% kematian pada laki-laki dengan kelompok usia terbanyak masa lansia akhir sebesar 24,2%-25,6% pertahun dan 46,1%-53,1% pertahun jenazah dari Sumatera Barat diluar Padang. Kelompok penyebab kematian berdasarkan ICD-10 yang terbanyak adalah kelompok gejala, tanda, dan kelainan lainnya sebesar 33%-45% pertahun dengan diagnosis terbanyak syok sepsis dan MODS. Kematian yang terjadi diluar rumah sakit kurang dari 2% pertahun. Persentase mati tidak wajar berada dibawah 7% pertahun, dimana sebanyak 40,5%-78,1% pertahun tidak dilakukan pemeriksaan karena penolakan dari pihak keluarga. Gambaran kematian di RSUP Dr. M. Djamil Padang relatif sama setiap tahunnya. Kata Kunci: Forensik, Penyebab Kematian, Gambaran Kematian
KARAKTERISTIK PASIEN RETINOPATI HIPERTENSI DI RSUP DR. M. DJAMIL PADANG PERIODE 2017 – 2020 Nauvalino, Fino; Hidayat, Muhammad; Rustini, Rini
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 7 (2024): SENTRI : Jurnal Riset Ilmiah, Juli 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i7.3101

Abstract

Hypertensive retinopathy is a complication of hypertension, which retinal vascular is changed due to increased systemic blood pressure and causing blurred vision. Hypertensive retinopathy has no typical symptoms. The disease process of hypertensive retinopathy includes the acute effects of systemic arterial hypertension and the chronic effects of hypertension due to atherosclerosis. Hypertensive retinopathy can be affected by several risk factors.  This study aims to determine the characteristics of hypertensive retinopathy at RSUP Dr. M. Djamil Padang period 2017 – 2020. This study was descriptive study with a retrospective approach. This study used a total sampling method with the number of samples earned was 46 patients. This research was conducted by observing patients’ medical record data at medical record installation section RSUP Dr. M. Djamil Padang in February – March 2022. The data obtained from this study were processed by univariate analysis and presented in the frequency distribution table. The results of this study show that out of 46 patients with hypertensive retinopathy, most of them were > 60 years old (50%), and also were found mostly female (52,2%, the most occupation in hypertensive retinopathy patients are housewives, (34,8%), most of patients suffered from grade I hypertension (43,5%) and duration of the patients suffering from hypertension is 6-10 years (52,2%), and also most of patients suffered hypertensive retinopathy stadium Keith-Wagener-Baker II (56,5%). Based on the research that has been carried out, it can be concluded that the majority of hypertensive retinopathy patients are > 60 years old, more than half are female, more are housewives, the majority of patients suffer from stage hypertension and the duration of suffering from hypertension is 6 - 10 years, and more than half had Keith-Wagener-Baker II stage hypertensive retinopathy