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Rachmat Hidayat
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indonesian.medical.reviews@gmail.com
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INDONESIA
Open Access Indonesian Journal of Medical Reviews
Published by HM Publisher
ISSN : -     EISSN : 28076257     DOI : https://doi.org/10.37275/oaijmr
Core Subject : Health,
Health Professions Medicine & Pharmacology
Open Access Indonesian Journal of Medical Reviews (OAIJMR) is a bi-monthly, international, peer-review, and open access journal dedicated to various disciplines of medicine, biology and life sciences. The journal publishes all type of review articles, narrative review, meta-analysis, systematic review, mini-reviews and book review.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 5 Documents
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Search results for , issue "Vol. 1 No. 3 (2021): Open Access Indonesian Journal of Medical Reviews" : 5 Documents clear
Postoperative Cognitive Dysfunction: A Narrative Literature Review Awang Budi Saksono
Open Access Indonesian Journal of Medical Reviews Vol. 1 No. 3 (2021): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v1i3.38

Abstract

Postoperative cognitive impairment includes memory problems, difficulty concentrating, problems solving problems, and decreased thinking skills. This literature review aimed to describe postoperative cognitive dysfunction in clinical practice. In general, the occurrence of POCD is associated with inflammation and physiological changes in the brain that affect cognitive function. The mechanism by which postoperative cognitive dysfunction (POCD) occurs is not fully understood. However, several factors, such as inflammatory reactions, drug influence, anesthesia, and other factors, are thought to play a role in the occurrence of this condition. Postoperative cognitive dysfunction (POCD) and postoperative delirium (POD) are two conditions that are closely related and often interrelated. POD can trigger a systemic inflammatory reaction which then triggers POCD, and people who experience POD tend to be more likely to develop POCD. In conclusion, POCD can be seen in most postoperative patients in the old patient. With the high number of geriatric patients doing surgery, the effect of anesthesia and surgery on the risk of dementia is high. Geriatric mental status needs to be monitored before and after surgery because the old patient can quickly experience cognitive dysfunction after surgery.
Perioperative Delirium: A Literature Review of Management in Intensive Care Unit Cendy Legowo
Open Access Indonesian Journal of Medical Reviews Vol. 1 No. 3 (2021): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v1i3.39

Abstract

Perioperative delirium is a wide-ranging problem that directly affects primary clinical results. Delirium is an organ dysfunction in critically ill patients, independently associated with improved morbidity. This review aimed to explain perioperative delirium and its management in the intensive care unit. Most cases of delirium in the ICU remain undiagnosed. The delirium assessment is only for patients who respond to sound; therefore, it is necessary to use sedatives or disturbance of consciousness; the approved scale is the Richmond restless sedation scale (RASS) or the sedative restlessness scale (SAS). In a clinical setting, the diagnosis of postoperative delirium can be challenging. Delirium may manifest as agitation (hyperactivity) or withdrawal (hyperactivity), often alternating significantly. Formal neurocognitive assessments are very time-consuming and are usually only used by experts. The first-line treatment of postoperative delirium is evaluating and treating the underlying cause. In conclusion, delirium will increase the responsibility of many doctors with the ability to avoid precipitation factors. Efficient treatment, differences between engine subtypes, and the long-term results of delirium in ICU require additional investigation.
Overview of COVID-19 Infection Manifestation in Neuropsychiatry Aspect Dianli Fitriani
Open Access Indonesian Journal of Medical Reviews Vol. 1 No. 3 (2021): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v1i3.40

Abstract

At the end of 2019, the coronavirus infection pandemic shocked the world. This virus began with reports of infections in the Wuhan area, China. The death rate from COVID-19 infection can reach 3%; however, the mortality rate in critically ill patients with COVID-19 infection is much higher, reaching 61.5%. This study was aimed to summarize the neuropsychiatric impact and neuropathological mechanisms of COVID-19 infection. The primary manifestation of COVID-19 infection is respiratory tract infection. Coronavirus can penetrate the central nervous system and cerebrospinal fluid in less than a week. Histopathological examination of the brain of the deceased COVID-19-19 showed the potential for SARS-CoV-2 to infect the central nervous system (CNS). Neuroinflammation can also damage blood brain barrier. Several patients treated with COVID-19-19 infection exhibited confusion and agitation without respiratory symptoms or other signs of infection. The COVID-19 pandemic not only directly impacts infected individuals but has also caused a new wave of psychological stress in society.
Psychological Problems of Pediatric Patients with Thalassemia: A Narrative Literature Review Fenny Pranandita
Open Access Indonesian Journal of Medical Reviews Vol. 1 No. 3 (2021): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v1i3.41

Abstract

Thalassemia is a chronic condition with a variety of clinical and psychological complications. The onset of symptoms, the rigors of therapy, and frequent absences from school significantly strain the emotional and interpersonal resources of children and their families. This review aimed to describe psychological problems in patients with thalassemia. Adolescents with thalassemia major often experience pain and should be given restrictions in terms of activity. This restriction must be done to maintain the condition of adolescents with thalassemia major who are quickly tired. Psychosocial is part of the quality of life of adolescents with thalassemia major, so when the psychosocial of adolescents is disturbed, it will affect their quality of life. Social isolation, decreased self-esteem, low academic achievement, and a terrible stigma will lead to the psychological burden of thalassemia adolescents. In conclusion, psychosocial problems arise in adolescents with thalassemia caused by body image disturbances experienced so that they feel distrustful and limit their association with their peers, restrictions on activities provided by health workers and parents, and low academic achievement that makes thalassemic adolescents experience psychological and psychological problems decreased quality of life.
Delirium and Anesthesia Procedure in Children: A Narrative Literature Review Yuni Dwi Marantika
Open Access Indonesian Journal of Medical Reviews Vol. 1 No. 3 (2021): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v1i3.42

Abstract

A child has a higher risk of perioperative adverse events leading to increased morbidity and mortality. The incidence of delirium is two to three times more common in children than in adults. This review aimed to describe the delirium anesthesia procedure in children. Known risk factors of perioperative anesthesia, such as age, comorbidity, and physical status of the child, have confirmed and identified other risk factors. Respiratory problems during anesthesia, such as severe laryngospasm and bronchospasm, are also more common in children. Emergence delirium (ED) is a challenging phenomenon for those focusing on the pathophysiology of this complication. Delirium in hospitalized children is characterized as hypoactive, hyperactive, or mixed. Signs of delirium can be difficult to detect and categorize in a critically ill child for many reasons, including the child’s developmental level and the overlapping of the indications of delirium with signs and symptoms associated with pain, sedation, and opioid withdrawal. In conclusion, preventive strategies for delirium in children rely on preventing preoperative anxiety, treating postoperative pain, and administering propofol at the end of the surgery, intraoperative dexmedetomidine, and dexamethasone. When occurring, parents should be informed about the possible postoperative maladaptive behaviors in weeks or months following surgery.

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