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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Anestesi Perioperatif Biota: Jurnal Ilmiah Ilmu-Ilmu Hayati
Suwarman Suwarman
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Public Health

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Gambaran Suhu Inti Tubuh Preanestesi dan Pascaanestesi pada Pasien Sectio Caesarea di Rumah Sakit Dr. Hasan Sadikin Bandung Nadya Aliza Mulyadi; Suwarman Suwarman; Dedi Fitri Yadi
Jurnal Anestesi Perioperatif Vol 7, No 3 (2019)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (945.495 KB) | DOI: 10.15851/jap.v7n3.1567

Abstract

Perubahan suhu inti tubuh dapat terjadi pada pasien perioperatif dan disebabkan oleh beberapa faktor seperti jenis operasi, jenis anestesi yang diberikan, durasi operasi, dan tata laksana yang dilakukan pascaoperasi, begitu pula pada kondisi pemulihan suhu inti tubuh. Penelitian ini bertujuan mengetahui gambaran umum suhu inti tubuh preanestesi dan pascaanestesi pada pasien sectio caesarea di Rumah Sakit Dr. Hasan Sadikin Bandung.Penelitian ini dilakukan kepada pasien peripartum yang menjalani operasi sectio caesarea pada September hingga Oktober 2018 di Central Operation Theater dan Ruang Pemulihan Rumah Sakit Dr. Hasan Sadikin Bandung menggunakan metode observasional dengan pendekatan potong lintang secara total sampling, jumlah sampel didapatkan 47 orang. Suhu inti tubuh diukur sebelum preanestesi dan pascaanestesi menggunakan termometer timpanik. Data yang terkumpul dianalisis secara deskriptif dengan hasil berupa frekuensi dan persentase yang disajikan dalam bentuk tabel atau grafik. Hasil penelitian ini menunjukkan bahwa terdapat perubahan suhu inti tubuh dengan rerata penurunan 0,15˚C, yakni terdapat penurunan sebanyak 63,8% dan peningkatan sebanyak 36,2%. Simpulan, semua pasien pada penelitian ini mengalami perubahan suhu inti tubuh. Lebih banyak pasien yang mengalami penurunan suhu inti tubuh dibanding dengan peningkatan suhu inti tubuh. Pengendalian faktor eksternal mengurangi risiko penurunan suhu inti tubuh berlebih. Pre-Anesthesia and Post-Anesthesia Core Body Temperature of Patients Underwent Caesarean Section in Dr. Hasan Sadikin General Hospital BandungChanges in core body temperature can occur to anyone, especially to perioperative patients. Perioperative patient’s core body temperature change is caused by various factors such as the type of surgery, type of anesthesia used, duration of surgery, postoperative management, and core temperature recovery process. This study was conducted to describe pre-anesthesia and post-anesthesia core body temperature of patients underwent caesarean section in Dr. Hasan Sadikin General Hospital Bandung. This was a cross-sectional observational study on peripartum patients underwent caesarean section during the period between the third week of September to the third week of October 2018 at the Central Operation Theater and Recovery Room of Dr. Hasan Sadikin General Hospital. Sampling was performed using total sampling approach, resulting in 47 subjects. The core body temperature was measured with tympanic thermometer before anesthesia and after anesthesia. Data analysis was carried out descriptively in the form of tables and graphs of frequencies and percentages. Results showed that the core body temperature change with a decrease of 0.15˚C, decreased core body temperature was seen in 63.8% of the subjects with the remaining 36.2% experienced an increase in core body temperature. In conclusion, the all subjects in this study experienced changes in core body temperature with a decrease in temperature as the more likely change. Controlling the external factors can reduce the risk of excessive core body temperature decline.
Perbandingan Efek Lidokain dengan Magnesium Sulfat Intravena terhadap Nilai Numeric Rating Scale dan Kebutuhan Analgesik Pascabedah Kolesistektomi Perlaparoskopi Ratu Lewi; Suwarman Suwarman; Ruli Herman Sitanggang
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 (387.787 KB) | DOI: 10.15851/jap.v4n1.741

Abstract

Lidokain dan magnesium sulfat mempunyai efek antihiperalgesia yang dapat digunakan sebagai obat tambahan untuk mengurangi nyeri pascaoperasi dan mengurangi kebutuhan analgesik opioid. Tujuan penelitian ini membandingkan efek lidokain dan magnesium sulfat intravena nilai numeric rating scale (NRS) dan kebutuhan analgesik pertolongan. Penelitian eksperimental dengan double blind randomized controlled trial dilakukan di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Januari–Maret 2015 terhadap 30 pasien yang menjalani kolesistektomi per laparoskopi. Pasien dikelompokkan menjadi 2. Kelompok lidokain mendapatkan 1 mg/kgBB intravena dilanjutkan dengan 1 mg/kgBB/jam dan kelompok magnesium sulfat mendapatkan 30 mg/kgBB intravena dilanjutkan dengan 10 mg/kgBB/jam. Data hasil penelitian dianalisis menggunakan Uji Mann-Whitney, uji-t, dan dianggap bermakna bila p<0,05. Hasil analisis statistik menunjukan bahwa lidokain mengurangi nilai NRS secara bermakna dibanding dengan magnesium sulfat pada jam ke-4 pascaoperasi (p<0,05), dengan kebutuhan analgesik pertolongan fentanil pada kelompok lidokain rata-rata 66,4±15,2 µg dan pada kelompok magnesium sulfat rata-rata 86,0±7,8 µg. Simpulan, lidokain intravena mengurangi NRS pascaoperasi lebih baik dan mengurangi kebutuhan opioid lebih banyak dibanding dengan magnesium sulfat pada pasien operasi kolesistektomi per laparoskopi.Kata kunci: Kebutuhan analgesik opioid, lidokain, magnesium sulfat, nyeri pascaoperasi, numeric rating scale Comparison between the Effect of Intravenous Lidocaine and Magnesium Sulphate on Numeric Rating Scale and Postoperative Analgetic Requirement for Laparoscopic CholecystectomiAbstractPostoperative pain management after laparoscopic cholecystectomy is one measure of successful anesthesia and surgery. Lidocaine and magnesium sulphate have anti-hyperalgesia effects applicable as an additional medication to attenuate postoperative pain and reduce the need for opioid analgesics. A total of 30 of patients aged 18–65 years with ASA physical status I–II who underwent laparoscopic cholecystectomy in Dr. Hasan Sadikin General Hospital Bandung were included in a double-blind, randomized, controlled clinical trial. Patients were randomly assigned into 2 groups. The L group, treated with 1 mg/kgBW intravenous followed by 1 mg/kgBW/h intravenous, and M group, treated with 30 mg/kgBW intravenous followed by 10 mg/kgBW/h. Data were analyzed using Mann-Whitney Test and t-test, p<0.05 was considered significant. Statistical analysis showed that lidocaine significantly reduced NRS value compared to magnesium sulphate at 4 hours postoperatively (p<0.05), with the average rescue analgesic fentanyl requirement in the lidocaine group and the magnesium sulphate group of 66.4±15.2 mg and 86.0±7.8 g, respectively. In conclusions, intravenous lidocaine administration may reduce the postoperative NRS value and opioid analgetic requirement more than the intravenous magnesium sulphate administration in patients undergoing laparoscopic cholecystectomy.Key words: An opioid analgetic rescue, lidocaine, magnesium sulphate postoperative pain, numeric rating scale DOI: 10.15851/jap.v4n1.741
Tata laksana Pasien Gravida 29–30 Minggu dengan Gagal Napas ec. Hypokalemic Periodic Paralysis yang Diperberat dengan Community Acquired Pneumonia Mariko Gunadi; Suwarman Suwarman; Nurita Dian Kestriani S
Jurnal Anestesi Perioperatif Vol 7, No 2 (2019)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.792 KB) | DOI: 10.15851/jap.v7n2.1774

Abstract

Penatalaksanaan sakit kritis pada wanita hamil memiliki karakteristik yang unik karena  perubahan fisiologi selama kehamilan dan janin yang berkembang dalam uterus yang mendapat implikasi yang signifikan. Pada kasus ini, seorang perempuan 27 tahun yang sedang hamil gemeli usia kehamilan 29–30 minggu datang ke Instalasi Gawat Darurat (IGD) Rumah Sakit Dr. Hasan Sadikin Bandung dengan keluhan utama kelemahan keempat anggota gerak. Hasil pemeriksaan laboratorium didapatkan kadar kalium sangat rendah dan didiagnosis dengan hypokalemic periodic paralysis. Pasien mengalami gagal napas  sehingga dilakukan intubasi dan diberikan bantuan ventilasi mekanik, kemudian dirawat di Intensive Care Unit (ICU). Gagal napas disertai penyulit community acquired pneumonia. Tata laksana ventilasi mekanik pada wanita hamil di ICU bersifat suportif dengan teknik sama seperti pada pasien tidak hamil, namun memiliki target khusus yang berbeda. Monitoring fetal heart rate (FHR) dapat mencerminkan kesejahteraan janin dan kondisi ibu. Tujuan penulisan laporan kasus ini adalah mengetahui pentingnya target pemberian ventilasi mekanik dan melakukan monitoring FHR pada pasien hamil di ICU. Management of Respiratory Failure Due to Hypokalemic Periodic Paralysis Complicated with Community Acquired Pneumonia in 29–30 Weeks of GestationManagement of critically ill pregnant women in Intensive Care Unit (ICU) has unique characteristics due to the physiological changes during pregnancy and the presence of growing fetus in the uterine which may present significant implications. This study presented a case of a 27 years old woman with 29–30 weeks of gestation of twin pregnancy who came to Emergency Room (ER) with the chief complaint of weakness in both lower and upper extremities. Laboratory investigations showed a very low potassium level and the patient was diagnosed with hypokalemic periodic paralysis. Patient then experienced respiratory failure at the ER, intubated, and mechanically ventilated and was sent to the ICU. Community-acquired pneumonia was complicating the respiratory failure. Basically, mechanical ventilation management for pregnant patient in ICU is supportive in nature and uses the same techniques employed for the non-pregnant patient. However, the goals are different as it is important to monitor fetal heart rate (FHR) in pregnant woman as this does not only reflect the fetal well-being but also the maternal condition. This case report is intended to show the importance of mechanical ventilation goal and FHR monitoring in pregnant patients in ICU.
Terapi Intravenous Immunoglobulin (IVIG) pada Pasien Covid-19 di Intensive Care Unit (ICU) Ferianto Ferianto; Suwarman Suwarman; Sobaryati Sobaryati
Jurnal Ilmu Kedokteran Vol 15, No 1 (2021): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v15i1.2021.48-52

Abstract

Intravenous immunoglobulin (IVIG) is a plasma derivative product that can provide passive immune protection against various pathogens. IVIG was given to COVID-19 patients who are seriously and critically ill. In this case report, a 43-year-old male patient who has been confirmed with COVID-19 is admitted to the COVID-19 ICU. The patient complains of tightness, coughing and weakness. The examination found decreased SpO2, hypertension and Chest X-ray revealed bilateral bronchopneumonia. On the first day the patient was given antiviral remdesivir 200mg drip IV/3 hours, amlodipine 1x 5mg, codeine 3x10 mg, combivent 3x1, furosemide, and albumin 25% 2 kolf. On days two to five patients were given antiviral remdesivir 100mg drip IV/3 hours, IVIG, namely Gamaras 5 flash, heparin 25,000 units. On the tenth day of treatment in the ICU, the patient’s complaints had decreased. On the eleventh day the patient had no complaints and the patient’s vital signs concluded that the problem was resolved.
Inventarisasi Ikan Hias Pantai Gunungkidul, Daerah Istimewa Yogyakarta: Sebuah Kajian Awal Boy Rahardjo Sidharta; Namastra Probosunu; Suwarman Suwarman
Biota : Jurnal Ilmiah Ilmu-Ilmu Hayati Vol 16, No 1 (2011): February 2011
Publisher : Universitas Atma Jaya Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24002/biota.v16i1.68

Abstract

Kajian “Inventarisasi Ikan Hias di Pantai Gunungkidul, Daerah Istimewa Yogyakarta (DIY)” ini diharapkan dapat memberikan data yang lebih akurat dan tepat tentang keberadaan ikan hias di kawasan ini. Kawasan kajian berdasar survei kawasan/lingkungan menetapkan delapan (8) pantai di Kabupaten Gunungkidul sebagai lokasi kajian. Dari delapan pantai tersebut didapat sebanyak 67 jenis ikan hias. Temuan ini seyogianya segera ditindaklanjuti oleh pihak berwenang dalam bentuk penetapan rencana strategis (renstra) yang terkait dengan sumber daya ikan hias, meliputi antara lain: rencana konservasi, pemintakatan (zonasi), pengelolaan, pengembangan, dan pemanfaatan secara berkelanjutan.
Co-Authors Boy Rahardjo Sidharta Dedi Fitri Yadi Ferianto Ferianto Mariko Gunadi Nadya Aliza Mulyadi Namastra Probosunu Nurita Dian Kestriani Ratu Lewi Ruli Herman Sitanggang Sobaryati Sobaryati