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All Journal Folia Medica Indonesiana Jurnal Akta Journal of Health Sciences Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Neuroanestesi Indonesia

Lucky Andriyanto

Department Of Anesthesiology And Reanimation, Faculty Of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

Author-ID : 3751376

Biochemistry, Genetics & Molecular Biology Education Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Articles

The Implementation Of Boundary Marks Obligations For Land Ownership Rights Based On Pp No 24 Of 1997 As One Of The Facilities Of Legal Certainty Provision In Kudus Lucky Wahyu Andriyanto; Kustriyo Kustriyo; Amin Purnawan
Jurnal Akta Vol 5, No 2 (2018): June 2018
Publisher : Program Magister (S2) Kenotariatan, Fakultas Hukum, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/akta.v5i2.3087

In order to ensure certainty of land rights and certainty, the UUPA has outlined the necessity to carry out land registration throughout Indonesia. One of the land registration activities is the land measurement with the obligation to install boundary line markers for land owners, in order to avoid land disputes in the later days. The approach method was done by social jurisdiction by using primary data and secondary data. The data were gained through interview and library method, then they were analyzed qualitatively. The results of the discussion indicate that (1) the implementation of the obligation to install the land boundary line is done by the holder of the land right with the approval of the neighbors land holder who is bordered by the village apparatus or device and the legal consequences can cause the land dispute (2) provide legal certainty to the holder of the land rights (3) The obstacles faced are the absence of the holder of the land right and the need for the presence of the right holder in accordance with the timing of the installation of the land boundary.Keywords: Land Registration; Legal Certainty; Installation of Land Border Marks

Comparison of Length of Stay and Deep Vein Thrombosis (DVT) Incidents in Dr. Soetomo Hospital Elizeus Hanindito; Prananda Surya Airlangga; Soni Sunarso Sulistiawan; Bambang Pujo Semedi; Lucky Andriyanto; Arie Utariani; Nancy Margarita Rehatta
Folia Medica Indonesiana Vol. 54 No. 4 (2018): December
Publisher : Faculty of Medicine, Universitas Airlangga

Vein thrombosis may occur both in deep and superficial vein of all extremities. Ninety percent of vein thrombosis may progress into pulmonary embolism which is lethal. Deep vein thrombosis (DVT) is frequently found in critically ill patients in ICU, especially patients who are treated for a long time. This study aims to analyse the comparison between length of stay and DVT incidents in critically ill patients. A cross-sectional study was employed. We include all patients who were 18 years or older and were treated in ICU of Dr Soetomo public hospital for at least 7 days. The patients were examined with Sonosite USG to look for any thrombosis in iliac, femoral, popliteal, and tibial veins and Well’s criteria were also taken. This study showed that length of stay is not the only risk factor for DVT in patients treated in ICU. In our data, we found out that the length of treatment did not significantly cause DVT. Other risk factors such as age and comorbidities in patients who are risk factors may support the incidence of DVT events. The diagnosis of DVT is enforced using an ultrasound performed by an expert in the use of ultrasound to locate thrombus in a vein. Length of treatment is not a significant risk factor for DVT. Several other factors still need to be investigated in order for DVT events to be detected early and prevented.

Incidence of Emergence Agitation in Pediatric Patient after General Anesthesia Lucky Andriyanto; Arie Utariani; Elizeus Hanindito; Kohar Hari Santoso Hari Santoso; Hamzah Hamzah; Eka Ari Puspita
Folia Medica Indonesiana Vol. 55 No. 1 (2019): March
Publisher : Universitas Airlangga

Post anesthesia agitation is common problem in pediatric post anesthesia care unit. The incidences range from 10 to 80%. EA has been described as a dissociated state of consciousness in which the child is inconsolable, irritable, and uncooperative typically thrashing, crying, moaning or incoherent. This study was done to determine the incidence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. This descriptive and analytic study was performed on 105 pediatric patient aged 1-12 years that underwent general anesthesia for various elective diagnostic and surgeries at Dr. Soetomo Hospital between January and February 2016. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium (PAED) scale. The factors that linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software with logistic regression. p - values less than 0.05 were considered as significant. Forty two (40%) children had Emergence Agitation. Preoperative anxiety (p = 0.006) and Pain (p=0.035) were associated with higher rates of post anesthetic emergence agitation. This study identified preoperative anxiety and pain as risk factors, which are associated with emergence agitation in children. To minimize the incidence of post anesthetic emergence agitation, these risk factors should be considered in the routine care by anesthetist.

Validity of Urine Syndecan-1 as A Predictor of Acute Kidney Injury In Pediatric Sepsis Patients Bambang Pujo Semedi; Arie Utariani; Nugroho Setia Budi; Ninik Asmaningsih; Lucky Andriyanto
Indonesian Journal of Anesthesiology and Reanimation Vol. 3 No. 2 (2021): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Introduction: AKI (Acute Kidney Injury) complications in sepsis patients generally occur 24 hours after admission to ICU. Creatine Serum Concentration is a standard parameter to diagnose AKI. Unfortunately, the changes in creatine serum concentration will only be seen several days after the decrease of renal function to 50%. The low detection ability has been linked with time loss before preventive therapy is commenced. Furthermore, this instigates the need for biomarkers to ensure early detection. Objective: This study aimed to identify cut-off points of urine syndecan-1 and to measure the prediction ability of urine syndecan-1 towards the AKI occurrence in pediatric sepsis patients. Materials and methods: This study was a prospective cohort study performed at a single center in Dr. Soetomo General Hospital, Surabaya. The inclusion criterion was all children admitted to the resuscitation room from October until December 2019. Furthermore, urine sampling is carried out at 0, 6, 12, and 24 hours for a syndecan-1 urine examination, and every procedure performed on the patient will be recorded. This action was continued up to the third day and aimed to evaluate some factors related to AKI at 48-72 hours of admission. Result and Discussion: Out of 41 pediatric sepsis patients, 30 patients fulfilled the inclusion criteria and 57% had AKI. The value of urine syndecan-1 at hour-0 and hour-6 was significantly featured a cut-off point. Conclusion: The value of urine syndecan-1 at hour-0 and hour-6 are valid parameters to predict the occurrence of AKI grades 1, 2, and 3 in pediatric septic patients at 48-72 hours after their hospital admission. The best cut-off value of urine syndecan-1 at the 0th hour was 0.67 ng/ml.

Successful Anesthetic Management from Separation Surgery of Pygopagus Conjoined Twin; Lesson-Learning With A Teleanesthesia Mahendratama Purnama Adhi; Arie Utariani; Lucky Andriyanto
Indonesian Journal of Anesthesiology and Reanimation Vol. 4 No. 1 (2022): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Introduction: The management of conjoined twins requires multidisciplinary teamwork. The complex problems in conjoined twin separation surgery are challenging for anesthesiologists without experience in the management of conjoined twins. Objective: To describe anesthetic management and utilization of teleanesthesia in conjoined twin separation surgery. Case Report: Sixty days-old pygopagus type conjoined twins, with a total body weight of 7030 grams. Both babies looked healthy, moved actively, found no respiratory function disorders, were hemodynamically stable and had no congenital abnormalities. The sacral region's computerized tomography scan (CT-scan) reveals conjoined twins with skin unification and subcutaneous in the perianal region and no internal-vertebral-spinal fusion. Two anesthesia teams performed the management of anesthesia. After confirming there was no cross-circulation with the atropine test, we alternately induced anesthesia by inhalation technique while maintaining spontaneous breathing. Anesthesia was maintained with sevoflurane 2.0-3.0 vol%, in a mixture of oxygen and air with a flow of 4 L/min using Jackson Reese. Circulating volume, hemodynamic stability, and normothermia were maintained intraoperatively. The separation surgery lasted 20 minutes, and the total surgical time for each baby was two hours. Awake extubation was performed immediately after the surgery was complete. Both babies underwent postoperative care at the PICU and were discharged on day 11. During the pre-operative for surgery, the local team conducted telemedicine consultations with the pediatric anesthesia team at Dr. Soetomo hospital and performed intra-anesthesia telementoring. Conclusion: Careful preparation and pre-operative evaluation, proper intra-anesthesia maintenance and monitoring, as well as good communication and teamwork, are keys to successful anesthesia management in conjoined twin separation surgery. Consultation and assistance from an experienced team during surgery using teleanesthesia are significantly beneficial to the anesthesiologist without experience in conjoined twin separation surgery.

The Use of Modified High Flow Nasal Cannula (HFNC) In Preterm Infants With Neonatal Respiratory Distress Syndrome (NRSD) In Primary ICU Services Akhyar Nur Uhud; Arie Utariani; Lucky Andriyanto
Indonesian Journal of Anesthesiology and Reanimation Vol. 3 No. 2 (2021): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Introduction: NRSD (Neonatal Respiratory Distress Syndrome) is one of the most frequent causes of newborns in intensive care (NICU). Several NICU centers are now using the High Flow Nasal Cannula (HFNC) in recent years. With the use of HFNC as a breath aid in preterm infants, HFNC had the same efficacy ratio as nasal Continuous Positive Airway Pressure (CPAP) (continuous or intermittent). Case Report: A three-day-old baby boy was admitted to anesthesia with respiratory failure due to grade II HMD with suspicion of congenital heart failure. The initial condition showed that a respiratory rate of 70-80x / minute, breathing of the nostrils and retractions in the intercostals and abdomen with 85% post ductal SpO2 with the help of a CPAP mask (Pinsp 10, Fio2 70%). There was a Ronchi sound in the right and left basal lungs, and hemodynamics obtained a pulse of 180-195x / minute, non-invasive blood pressure 95/34 mmHg (54), heart murmurs were not found. During day 1 - day three, the patient uses a CPAP mask until the patient vomits and being consulted to an Anesthesiologist. On day 3 - day seven, the patient uses HFNC; after day seven until day 10, the patient uses neonatal nasal canularis oxygen. Until day 10, the patient is still being treated at the NICU by administering oxygen 0.5 liters/minute with SpO2 ranging from 93-96% with stable conditions but still needing oxygen. Conclusion: The use of Modified High Flow Nasal Cannula (HFNC) in preterm infants with Neonatal Respiratory Distress Syndrome (NRSD) is more effective and efficient than CPAP. The use of HFNC was associated with a lower incidence of nasal trauma and pneumothorax than nasal CPAP.

The The Length Of Stay In Patients Undergoing Diagnostic MRI And CT-Scan With Intravenous Anesthesia At Outpatient Clinic Dr. Soetomo General Hospital: An Overview Virda Maharani; Arie Utariani; Lucky Andriyanto; Bambang Harjono
Jurnal Ilmiah Kesehatan Vol 14 No 02 (2021): Jurnal Ilmiah Kesehatan (Journal of Health Sciences)
Publisher : Universitas Nahdlatul Ulama Surabaya

Background: Magnetic Resonance Imaging (MRI) and Computerized Tomography (CT) Scans might be challenging for children or patients with anxiety or claustrophobia. The use of general anesthesia aims to increase the success rate, but inadequate management can result in longer length of stay. Purpose: To analyze patients' length of stay on MRI and CT-scan with intravenous anesthesia. Methods: A descriptive observational study. The datas were collected retrospectively from the medical records in General Diagnostic Center. Total of 721 patients who underwent MRI or CT Scan procedures with intravenous anesthesia during 2017-2018. The data obtained were patients' age, sex, the type of procedure, physical status, comorbid, type of anesthesia drug, diagnostic procedure duration, length of observation in the Post Anesthesia Care Unit (PACU), and overall length of stay. Results: All MRI procedures used midazolam-propofol combination, and only one CT scan procedure used this combination, while the other used only propofol. Patients undergoing MRI had length of stay with a mean duration of 6,6,3±1,26 hours, compared to CT scans with 5,20 ±1,38 hours, due to the more prolonged procedure and observation duration in the PACU. Conclusion: Patients undergoing MRI had a longer length of stay than the ones doing CT scans.

Disfungsi Kognitif Pascaoperasi Pada Pasien Operasi Elektif Lucky Andriyanto; W Wijoto; Nancy Margereta Rehatta
Jurnal Neuroanestesi Indonesia Vol 1, No 2 (2012)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Latar Belakang dan Tujuan: Disfungsi kognitif pascaoperasi (DKPO) sering terjadi dan menjadi masalah serius karena dapat menurunkan kualitas hidup pasien yang menjalani pembedahan dan meningkatkan beban pembiayaan kesehatan. Tujuan penelitian ini adalah untuk mengetahui angka kejadian DKPO pada pasien yang menjalani operasi elektif di RSU dr. Sutomo dan menganalisa faktor-faktor yang mempengaruhinya. Subjek dan Metode: Penelitian ini melibatkan 50 orang sampel berusia 40 tahun atau lebih yang menjalani pembedahan lebih dari dua jam. Dilakukan serangkaian pemeriksaan fungsi kognitif praoperasi dan tujuh hari pascaoperasi. Domain kognitif yang diukur adalah atensi dan memori. Faktor yang diduga mempengaruhi kejadian DKPO dalam penelitian ini adalah usia, tingkat pendidikan dan durasi operasi. Hasil: Tujuh hari pascaoperasi 30% sampel mengalami gangguan atensi, 36% sampel mengalami gangguan memori dan 52% sampel mengalami disfungsi kognitif pascaoperasi. Pemeriksaan kognitif yang mengalami penurunan bermakna adalah digit repetition test, immediate recall, dan paired associate learning. Analisa logistik regresi variabel usia (p=0,798), tingkat pendidikan (p=0,921) dan durasi operasi (p=0,811) terhadap kejadian DKPO menunjukkan hubungan yang tidak bermakna. Namun bila dianalisa pada masing masing kelompok usia tampak bahwa persentase pasien yang mengalami DKPO konsisten lebih tinggi pada usia  50 tahun, tingkat pendidikan  6 tahun dan durasi operasi  180 menitSimpulan: Kejadian disfungsi kognitif pada pasien yang menjalani operasi elektif di RSU dr. Sutomo cukup tinggi. Faktor usia, tingkat pendidikan dan durasi operasi tampaknya mempengaruhi kejadian DKPO meskipun secara statistik tidak signifikan.Postoperative Cognitive Dysfunction In Elective Surgical PatientBackground and Objective: Post operative cognitive dysfunction (POCD) is a common and becoming a serious problem since it can impair the quality of life of the patient who underwent surgery and increase the burden of health cost. In this study, author wanted to know the incidence of POCD among patients undergoing elective surgery patients in dr. Sutomo hospital and examine the risk factors.Method: The study involved a sample of fifty people aged 40 years or older who underwent surgery more than two hours. Conducted a series of cognitive function tests pre-surgery and seven days post-surgery. Cognitive domain that measured were attention and memory. Factors that thought to affect the incidence of POCD in this study were age, educational level and duration of surgery.Result: After 7 days post surgery 30 % of patients had attention decline, 36 % patients had memory decline and 52 % had post operative cognitive decline. Cognitve function test that decrease significantly are digit repetition test, immediate recall, and paired associate learning. Regression logistic analysis for age (p = 0.798), education level (p = 0.921) and duration of surgery (p = 0.811) on the incidence POCD showed no significant relationship. However, when analyzed in each group of age, the results would show that the percentage of patients experiencing POCD was consistently higher in the age of 50 years or older, education level of 6 years or less and duration of surgery of 180 minutes or longer.Conclusion: The incidence of cognitive dysfunction in patients undergoing elective surgery in dr. Sutomo hospital was considered high. Age, education level and duration of surgery appeared to influence the incidence of POCD although not statistically significant.

Co-Authors Akhyar Nur Uhud Amin Purnawan Arie Utariani Bambang Harjono Eka Ari Puspita Elizeus Hanindito Hamzah Hamzah Hamzah Hamzah Kohar Hari Santoso Kustriyo Kustriyo Mahendratama Purnama Adhi Nancy Margereta Rehatta Ninik Asmaningsih Soemyarso Nugroho Setia Budi Prananda Surya Airlangga Puspita, Eka Ari Rehatta, Nancy Margarita Rehatta, Nancy Margereta Santoso, Kohar Hari Semedi, Bambang Pujo Sulistiawan, Soni Sunarso Utariani, Arie Virda Maharani W Wijoto Wijoto, W

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