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Asmat Burhan
University of Harapan Bangsa Purwokerto

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Impact of Anesthesia Type on Blood Glucose in Intraoperative Diabetic Patients: A Systematic Review and Meta-Analysis Randomized Control Trial Septian Mixrova Sebayang; Asmat Burhan; Indah Susanti
Java Nursing Journal Vol. 1 No. 1 (2023): June
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.3

Abstract

Background: systematic literature review investigating the impact of different anesthetics on intraoperative blood glucose levels of diabetic patients. Method: Databases including ProQuest, PubMed, ScienceDirect, and Wiley were searched for RCTs (randomized controlled trials) that examined the effects of various anesthetics on intraoperative blood glucose levels in diabetic patients. In one study, two researchers independently used eligibility criteria to examine the literature, extracted the data, and used RevMan 5.3 software to perform the meta-analysis. Results: We used trials for meta-analysis with seven randomized controlled trial overall with a total sample of 519 intraoperative diabetic patients. Compared with general anesthesia, it was found that the general anesthesia-epidural combination had superior glycemic control in intraoperative blood glucose levels, based on the meta-analysis results (SMD -1.78, 95% confidence interval [CI] -4.57 to -3.41), however epidural anesthesia did not show comparable superiority. Conclusions: Combined general-epidural anesthesia offers better glycemic control for postoperative blood sugar levels compared to general anesthesia, based on existing data.
Effectiveness of Modern Dressing on Healing Diabetic Foot Ulcer: A Literature Review Indah Susanti; Rahmad Effan Fahri Mahendra; Asmat Burhan
Java Nursing Journal Vol. 1 No. 1 (2023): June
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.4

Abstract

Background: Diabetes mellitus is a group of heterogeneous disorders that have indications in the form of increased content of high blood sugar levels. WHO also confirmed DM to be the 7th trigger of death. IDF (International Diabet Federation) data estimates from survey results after North America in 2017 the 3rd place was occupied by Southeast Asia and people with diabetes mellitus with a percentage of 8.5% at the age of 20-29 years in North Africa. One of the treatments for patients with diabetes mellitus can be wound care using Modern Dressing with the Moist Wound Healing method. Methods: The method used in this wound treatment is the Modern Dressing technique with the Moist Wound Healing method. This procedure can clinically grow tissue 30-50%, increase collagen synthesis by 50%, and the rate of re-epithelialization with moist conditions is 2-5 times faster and can reduce the amount of fluid from above the wound surface. Results: evaluation shows that Modern Dressing wound care with the Moist Wound Healing method is in fact able to maintain moist conditions in the wound, reduce inflammation in the wound so that it can improve and accelerate the healing process of diabetic ulcers. Conclusion: The results showed that the Modern Dressing technique with the Moist Wound Healing method was able to improve the healing process of diabetic ulcers. The results also showed that there were significant changes between modern and conventional dressings. The modern dressing group had a much better development than the conventional dressing. The application of the Moist Wound Healing method in patients with diabetic ulcers can provide a much faster wound recovery reaction.
The Correlation between Body Mass Index (BMI) and Recovery Time on General Anesthesia Patient Using Endotracheal Tube (ET) Adi Maryadi; Rahmaya Nova Handayani; Eza Kemal Firdaus; Asmat Burhan
Java Nursing Journal Vol. 2 No. 1 (2024): February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.24

Abstract

Conscious recovery time is the time it takes for the patient to be removed from the conscious recovery room when the patient is fully conscious. Patients who are unconscious within more than 15 minutes are considered prolonged, even to respond to a stimulus in highly susceptible patients requires 30-45 minutes after general anesthesia drugs are stopped. One of the causes of lengthening the time to recover consciousness is the Body Mass Index (BMI) in patients which can increase the potential of anesthetic drugs given. The purpose of this study was to determine the relationship between Body Mass Index (BMI) and conscious recovery time in general anesthesia patients using Endotracheal Tube (ET) at RSUD Dr. Soedirman Kebumen. The method of ths study was correlation analitik with a cross-sectional approach. The sample of this study amounted to 48 respondents with consecutive sampling technique. Data analysis was carried out using the Kendall Tau test. The results of the study obtained 86.5% of respondents had a fast conscious recovery time (<15 minutes) and 13.5% of respondents had a prolonged conscious recovery time (>15 minutes). Of the results of the kendall tau correlation test obtained results with a significancy p value of 0.000 < 0.05 which means there is a relationship between the body's mass index to the recovery time of consciousness after general anesthesia with the endotracheal tube. The conclusion of this study is that majority of respondents who have a quick recovery time of less tha 15 minutes are respindents with a normal body mass index. Patient with a fat or obese BMI will receive a higher dose of anesthetic medication compared to patients in the thin category. When the anesthetic drug is given a higher concentration, the effect of the ansthetic drug will be longer.