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Gambaran Kecemasan Pasien Preoperatif Sectio Caesarea dengan anestesi spinal di RSIA Siti Hawa Padang Rani Ilma Imani; Muhammad Zulfadli Syahrul; Dedy Kurnia
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 2 (2020): Juli 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1065.819 KB) | DOI: 10.25077/jikesi.v1i2.33

Abstract

Anxiety is a response to a threat that comes nowhere, internally, indistinctly or conflictually. One common cause of the anxiety in the world is a patient that will experience an operation. The incidence is about 11-80% in the world. There are some risk factors that impact the anxiety of pre-operative patient like ages, education levels, operation histories, information resources, and etc. This study aimed to give the incidence of the anxiety of cesarean section pre-operative patients with spinal anaesthesia at Siti Hawa’s Mother and Child Hospital Padang. Specifically, cesarean section is chosen to be observed because this surgery is the most common operation in the world and spinal anesthesia is the main choice because of its rapid onset and low failure. This study was an observational-descriptive with cross-sectional design done from July until August 2018. Data were collected by direct interview with eighty-three respondents using The Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. This result of this study based on APAIS questionnaire were (51,8%) patients does not feel anxiety and the most need for information was low (48,2%). The highest frequency of preoperative anxiety were patients twenty to thirty-five years old (54%), based on education levels (62,9%) patients graduated from college, based on operation histories (63%) patients that hadn’t experience the operation yet, and based on the information resources (53,3%) patients who had known the operation procedure.
Prevalensi Nyeri Tenggorok Pascaoperasi dengan Pemberian Lubrikasi VCO pada Pemasangan LMA Rahmadhya Khairina Rianti; Dedy Kurnia; Afdal Afdal
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 2 (2020): Juli 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1042.313 KB) | DOI: 10.25077/jikesi.v1i2.156

Abstract

Background. Postoperative sore throat (POST) is a common complication after general anaesthesia. It affects patient satisfaction and can affect activity after discharge. The supraglottic airway device (SAD) offers an alternative to traditional tracheal intubation with potential benefit in preventing sore throat. Numerous agents have been used as lubricant to reduce the incidence of POST with variable efficacy. The purpose of this study is to determine the prevalence of postoperative sore throat in patients with Virgin Coconut Oil (VCO) as a lubricant for Laryngeal Mask Airway (LMA) insertion in patients undergoing general anaesthesia for elective surgery. Objective. Determine the prevalence of postoperative sore throat in patients by giving Virgin Coconut Oil (VCO) as a lubricant for the Laryngeal Mask Airway (LMA) installation under general anesthesia for elective surgery. Methods. This is an observational descriptive study, was conducted in December 2019 until June 2020 at Surgical Installation RSUP dr. M. Djamil Padang and Andalas University Hospital. Forty-two subjects were recruited to this study taken by using consecutive sampling technique. Results. Patients evaluated about sore throat at immediately, 2 hours, and 24 hours post-operative period. POST was observed in 47,6% of the patients in immediate post-operative period. After 2 hours 23,8% patients had sore-throat, and after 24 hours 9,5% patients had sore-throat. Among patients had sore throat after 24 hours, the intensity was mild. Conclusion. We conclude that lubricating cuff of LMA with VCO can reduce the prevalence of POST. Keyword: Laryngeal Mask Airway, sore throat, Virgin Coconut Oil
Inflamasi pada Coronavirus Disease 2019 Dedy Kurnia; Rinal Effendi
In Proses
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.827 KB)

Abstract

Latar Belakang: Desember tahun 2019, terjadi wabah pneumonia yang tidak diketahui penyebab pastinya. Wabah ini pertama kali ditemukan di Wuhan, Provinsi Hubei, Tiongkok. WHO secara resmi menamakan penyakit ini COVID-19.Pembahasan: Sars-CoV-2 merupakan virus RNA strain tunggal positif, berkapsul dan tidak bersegmen yang memiliki 4 protein. Virus ini menular melalui droplet nuclei. Virus memiliki 5 tahapan saat menginfeksi yang akan terjadi apabila virus berikatan dengan reseptor ACE-2. Proses inflamasi terjadi akibat pelepasan sitokin IL-1, IL-6, IL-10, TNF-a. Infeksi dimulai dari masa inkubasi sampai dengan terjadinya respon imun berlebihan yang menyebabkan hiperinflamasi pada paru yang dapat berkontribusi terhadap terjadinya ARDS. berat kasusnya COVID-19 dibagi menjadi tanpa gejala, ringan, sedang, berat dan kritis.Kesimpulan: COVID-19 adalah penyakit infeksi pernapasan yang disebabkan oleh Sars-CoV-2 yang dapat menyebabkan hiperinflamasi. Infeksi COVID-19 dapat menimbulkan gejala ringan, sedang, berat atau bahkan kritis.