Garuda - Garba Rujukan Digital

p-Index From 2019 - 2024

1.456

P-Index

This Author published in this journals

All Journal Jurnal Anestesi Perioperatif Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat Jurnal SAGO Gizi dan Kesehatan Majalah Anestesia & Critical Care (MACC)

Andriamuri Primaputra Lubis

Departemen Anestesiologi Dan Terapi Intensif, Fakultas Kedokteran, Universitas Sumatera Utara, Medan, Indonesia

Author-ID : 4419778

Agriculture, Biological Sciences & Forestry Dentistry Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

Published : 9 Documents Claim Missing Document

Claim Missing Document

Articles

Intubasi dengan Menggunakan Laringoskop McCoy dan Macintosh Andriamuri Primaputra Lubis
Majalah Anestesia & Critical Care Vol 39 No 3 (2021): Oktober
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Tindakan intubasi endotrakeal memiliki tingkat kesuksesan yang sangat tinggi pada pasien-pasien yang akan dilakukan tindakan anestesi secara elektif. Sedangkan, pada kasus-kasus emergensi ataupun kasus-kasus sulit intubasi, tindakan intubasi endotrakeal menjadi tantangan dan membuka perspektif berbeda. Laringoskop merupakan suatu instrumen yang digunakan untuk memeriksa regio laring dan memfasilitasi tindakan intubasi endotrakeal. Berbagai macam penelitian dilakukan di berbagai negara untuk menilai penggunaan blade laringoskop termasuk diantaranya untuk menilai tanggapan kardiovaskular dan kemudahan tindakan intubasi intubasi. Di Indonesia sendiri, penelitian yang serupa pernah dilakukan dengan penduduk dengan ras Melayu.

A Case Report Total Intravenous Anesthesia Combined with Peribulbar Block in Vitrectomy Operation with Heart Disorder Andriamuri Primaputra Lubis; Adhika Syaputra Lubis
Majalah Anestesia & Critical Care Vol 40 No 2 (2022): Juni
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Introduction: Vitrectomy is eye surgery to evaluate the retina by removing the vitreous gel which is principally carried out in three stages, namely retinal detachment repair, membrane peeling, and crystalline lens. In this operation, the anesthetic technique that needs to be emphasized is not increasing intraocular pressure and avoiding the oculocardiac reflex. This operation can be performed with a peribulbar or retrobulbar block, however, total intravenous anesthesia may also be considered in patients with other comorbidities.Case Presentation: Male, 55 years old, 96 kgs, with the chief complaint of blurred vision in the last 3 weeks ago. There were no other complaints but the patient has a history of hypertension, diabetes mellitus type II, congestive heart failure with a history of mitral valve replacement (MVR), and permanent pacemaker (PPM) usage from 2015. The patient had a history of warfarin and novamox usage 7 days ago. From the exam, the patient was diagnosed with ablatio retina + post-MVR and scheduled to have a vitrectomy. The patient was positioned supine with 300 heads up. The patient was given 3 liters of oxygen via nasal cannula, premedicated with fentanyl 50 mcg, then induced with propofol 100 mg bolus intravenously until sleep nonapnea before continuing with continuous propofol via syringe pump. The patient was maintained by propofol 0.5 mg/kg BW/hour. Next, the patient was given a peribulbar block with 2mL Lidocaine 2% and 2mL Bupivacaine 0.5%. During operation, there was no significant hemodynamic fluctuation until finished. Conclusion: The patient thus will undergo vitrectomy can be performed with peripheral nerve blocks such as retrobulbar anesthesia or peribulbar anesthesia. However, after knowing about the patient’s medical history, in this case, with a history of cardiac events and also undergone open-heart surgery, total intravenous anesthesia combined with a peribulbar block was considered the most suitable technique.

Pengaruh Pemberian Tiamin Intravena terhadap Kadar Tumor Necrosis Factor Alpha (TNF- α) pada Pasien COVID-19 di Ruang Isolasi Andriamuri Primaputra Lubis; Annisa Syifanurhati; Muhammad Ihsan
Majalah Anestesia & Critical Care Vol 40 No 2 (2022): Juni
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Introduction : Many cytokines and inflammatory mediators play a role in the progression of COVID-19 disease, including the interleukins, interferons, and tumor necrosis factor-α (TNF-α.) groups. An intervention is needed to reduce the levels of this cytokine. Thiamine has the potential to reduce levels of proinflammatory cytokines, especially TNF-α. Objective: To determine the effect of intravenous thiamine administration on TNF-α levels in COVID-19 patients in the isolation room of RSUP H Adam Malik. Methods: This study used an analytical design of one group pre test - post test in the isolation room of Haji Adam Malik General Hospital Medan with a sample size of 16 people. Samples were given thiamine IV 200 mg/12 hours and then the levels of TNF-α were measured by ELISA method. Results: Characteristics of the sample obtained were equal in number of males and females (1:1), the mean age was 43 ±14.78 years, the mean BMI was 23.31 ± 6.55, the mean systolic was 122.50 ± 5.77 mmHg and diastolic 88.88 ± 6.55 mmHg. The majority of the sample (50%) had no comorbidities. Before administration of thiamine, the median TNF-α was 186.5 pg/mL with a minimum and maximum value (171-420 pg/mL) and after administration of thiamine, the median TNF-α was 180.50 pg/mL with a minimum and maximum value (122-200 pg/mL) obtained a p value of 0.001 < 0.05 (there is a significant effect). Conclusion: In this study, the mean TNF-α level was lower when given intravenous thiamine. This decrease in TNF-α levels was also found to be significant after intravenous thiamine administration.

TOTAL INTRAVENOUS ANESTHESIA COMBINED WITH SUB-TENON BLOCK IN VITRECTOMY OPERATION WITH CHRONIC KIDNEY DISEASE ON REGULAR HEMODIALYSIS Andriamuri Primaputra Lubis; Alegra Rifani Masharto
Jurnal Anestesi Perioperatif Vol 11, No 1 (2023)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v11n1.2855

Vitrektomi adalah operasi mata untuk mengangkat bagian vitreous body. Hingga saat ini berbagai teknik anestesi tengah dikembangkan untuk mencapai kondisi teknik anestesi ideal. Teknik anestesi kombinasi general anesthesia dengan blok subtenon pada operasi vitrektomi memiliki potensi yang bagus untuk mengurangi nyeri pascaoperasi, mengurangi insiden refleks okulokardiak dan mengurangi jumlah penggunaan analgesia. Pada laporan ini, dilaporkan pasien laki-laki berusia 40 tahun dengan keluhan penglihatan kabur pada mata kanan sejak tiga bulan yang lalu. Pasien memiliki riwayat hipertensi, diabetes melitus tipe II, dan memiliki riwayat penggunaan heparin. Pasien didiagnosis non-closing vitreous hemorrhage. Pasien direncanakan dilakukan vitrektomi dengan general anesthesia yang dikombinasikan dengan blok subtenon. Selama operasi tidak terjadi perubahan hemodinamik yang bermakna. Keberhasilan teknik anestesi kombinasi ini ditunjukkan oleh hemodinamik yang stabil selama operasi. Teknik anestesi kombinasi pada pasien dengan komorbid yang menjalani vitrektomi seperti pada kasus ini dapat dipertimbangkan sebagai pilihan pada pengelolaan kasus sejenis di masa yang akan datang.

Knowledge Level of Basic Life Support for Students and Staff at Senior High School Al-Azhar Asy Syarif Islamic Boarding School Deli Serdang, North Sumatra Andriamuri Primaputra Lubis; Rr. Sinta Irina
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 1 (2023): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v8i1.10419

Background: Basic life support is an emergency action that can be done by ordinary people to free the airway, help to breathe and maintain blood circulation without using aids. Knowledge of basic life support (BLS) is a knowledge and skill because if you only know the theory without doing training or practice, then the motivation to help becomes lacking and mentally untrained when dealing with real events. Purpose: To determine the level of knowledge of students and staff of Madrasah Aliyah Al-Azhar Asy Syarif Islamic Boarding School Deli Serdang about BLS. Method: The design used in this study is a cross-sectional method. Data collection was in the form of a questionnaire containing questions about BLS training. Questionnaire collection was carried out twice, namely the pretest which was carried out before the BLS material and training were given by the instructor and the posttest which was carried out after the BLS material and training were given. Results: Respondents' post-test scores obtained fewer values, 5 respondents (4.24%) had enough values, and 113 respondents (95.76%) had good scores. It was found that respondents got quite a good score after training on BLS. Conclusion: Based on the level of knowledge of students and staff at MA Al-Azhar Asy Syarif Islamic Boarding School Deli Serdang about BLS, it is included in the good category.

Knowledge Level of Emergency for Students at Senior High School Al-Azhar Asy Syarif Islamic Boarding School Deli Serdang Andriamuri Primaputra Lubis; Mitra Khairani
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 1 (2023): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v8i1.12822

Background: Emergency means life threatening, while emergency is the need to get immediate treatment or action to eliminate the threat to the victim's life. Emergency is a condition when patient's clinical condition requires immediate medical action to save lives and prevent disability. In handling emergency cases, taking the right action for help must be carried out quickly, precisely, and calmly. This study is a cross sectional study. Data was collected in the form of a questionnaire. Questionnaires were collected twice, first the pretest which was carried out before the instructor gave the emergency material and the posttest which was carried out after the emergency material was given. The results show that in general, the posttest results show a shift to a higher score than the pretest results. Conclusion The level of knowledge of students at MA Al-Azhar Asy Syarif Islamic Boarding School Deli Serdang regarding emergencies, is categorized as Good.

Characteristics of ICU and Operating Room Patients at Satellite Hospitals Study Program Anesthesiology and Intensive Care Faculty of Medicine Universitas Sumatera Utara Andriamuri Primaputra Lubis; Rr Sinta Irina; Ananta Septriandra Ginting
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 1 (2023): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v8i1.13575

Characteristics patient of admission to the intensive care unit and operating room are needed for better team development and achievement competence. The purpose of this study was to describe the characteristics of critical patients in the intensive critical unit and operating room. This research method is quantitative with a descriptive design using secondary data. The data were obtained from the medical records of the ICU of the public hospitals in Sibolga City, Central Tapanuli Regency and Padangsidempuan City. The results of research in the ICU showed that the majority of critical patients were female (51.17%), aged 56-65 years (25.76%), primary diagnoses of disorders of the neurological system (24.36%), and the patient's prognosis moved to the emergency room. treated or referred (61.31%). The results of the study in the operating room found that the majority of the sexes were male (54.20%), the largest sample aged 56-65 years (31.52). The most common surgical procedures were surgery on the nervous system (42, 86). The prognosis of patients after surgery is that more patients are transferred to the ward or ICU (57.14%) However, further research is needed on other characteristics to provide a more comprehensive understanding.

Plasmapheresis in Myasthenia Gravis Crisis Alegra Rifani Masharto; Bastian Lubis; Andriamuri Primaputra Lubis; Rommy Nadeak
Majalah Anestesia & Critical Care Vol 41 No 3 (2023): Oktober
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v41i3.290

Introduction: Myasthenic crisis is the most lethal complication of myasthenia gravis. Referral to an intensive care unit is crucial in managing the myasthenic crisis. Hereby, we report a case of a myasthenic crisis in a 30-year-old female who underwent plasmapheresis. The patient underwent a 12-hour procedure for plasmapheresis and was discharged to a normal ward the next day. Although plasmapheresis is costly, its efficacy should be considered as the main treatment for myasthenic crisis. Case Illustration: Female, 30 years old, weighed 60 kgs, with myasthenia crisis. The patient came to an emergency department and was then intubated before being admitted to the intensive care unit. The physical diagnostic was normal and laboratory findings were leukocytosis. The patient was treated with normal saline, antibiotics, high-dose corticosteroids, and pyridostigmine. The patient was done plasmapheresis with synchronized intermittent mandatory ventilator mode. The patient was examined every 30 minutes. The physical examinations were relatively normal. The plasmapheresis procedure was ended in 12 hours. From the literature, plasmapheresis was found to have significant results for myasthenia gravis compared to conventional therapy because of its blood separation technique to remove autoantibodies. The next day patient was extubated with normal physical examinations and normal laboratory findings. The patient then moved from the intensive care unit to the normal ward and outpatient on the third day of hospital stay. The patient was given oral medicine that included antibiotics, corticosteroids, and pyridostigmine. Conclusion: From this case, we can see that plasmapheresis therapy has a really good outcome compared to other conventional therapy. However this therapy is expensive, so most healthcare providers don’t cover the payment. Hopefully, most hospitals and healthcare providers can cover up for this treatment to save many myasthenia gravis crisis. Keyword: Intensive Care Unit; myasthenic crisis; myasthenia gravis; plasmapheresis; treatment efficacy

Perbedaan kadar oksigen serebral (RSO2) pada penggunaan sevofluran dan isofluran sebagai anestesi inhalasi dengan pengukuran Near Infrared Spectroscopy (NIRS) pada pasien laparatomi Rian Army; Yutu Solihat; Andriamuri P. Lubis; Rina Amelia
Jurnal SAGO Gizi dan Kesehatan Vol 5, No 1 (2023): Desember
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v5i1.1357

Background: Changes in cerebral oxygen are due to the effect of inhalation anesthesia on cerebral blood flow, which can reduce cerebral oxygenation if cerebral blood flow decreases. This study aims to analyze the difference in cerebral oxygen levels in sevoflurane compared to isoflurane as an inhalation anesthetic.Objective: The study aims to analyze the difference in cerebral oxygen levels in using sevoflurane versus isoflurane as an inhalation anesthetic.Methods: This study is a double blind Randomized Controlled Clinical Trial. This study was conducted at Haji Adam Malik Hospital Medan. This study was conducted in August 2022. The research sample was patients with Laparotomy surgery at the Haji Adam Malik Medan Central General Hospital who met the research criteria. The number of subjects who met the inclusion criteria was 26 patients, with 13 patients in the group receiving sevoflurane and 13 patients receiving isoflurane. Data to be collected were analyzed with statistic-independent T-test and Mann-Whitney.Results: Of the 26 patients 13 patients in the group received sevoflurane, and 13 patients in the group received isoflurane. Furthermore, the two groups were randomized to obtain a balanced group of 13 patients per group. In this study, it was found that the cerebral saturation value of rSO2 in the sevoflurane group before induction (T) compared to 5 minutes after induction (T1) or after surgery (T2) showed no statistically significant difference, while the cerebral saturation value of rSO2 in the isoflurane group there was a significant change in rSO2 value (p<0,05) before induction (T) compared to 5 minutes after induction (T1) or after surgery (T2). In this study, it was found that the comparison of the rSO2 values of the sevoflurane and isoflurane groups showed significant differences at the time of examination of the rSO2 value 5 minutes after induction (T1) and after surgery (T2).Conclusion: The role of sevoflurane as an inhalation drug in Laparotomy surgery is more to maintain cerebral oxygenation than isoflurane, as indicated by the rSO2 value on NIRS, which does not have a significant decrease for surgery.

Co-Authors Adhika Syaputra Lubis Alegra Rifani Masharto Alegra Rifani Masharto Ananta Septriandra Ginting Annisa Syifanurhati Bastian Lubis Mitra Khairani Muhammad Ihsan Rian Army Rina Amelia Rommy Nadeak Rr Sinta Irina Rr. Sinta Irina Yutu Solihat

Title

Found 9 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 9 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 9 Documents
Search