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Pengaruh Penggunaan Plastic Wrap Terhadap Core Temperature Pasien Pediatrik 1-3 Tahun Yang Menjalani Operasi Palatoplasty

Jurnal Anestesi Perioperatif Vol 1, No 1 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar

Abstract

Laju penurunan suhu tubuh dapat dikurangi dengan insulasi pasif yaitu dengan cara menutupi tubuh dengan bahan material tertentu yang mempunyai daya hantar kalor yang buruk (insulator). Bahan insulator yang yang dibalutkan pada tubuh dapat mencegah proses konveksi, konduksi dan evaporasi sehingga derajat kehilangan suhu berkurang rata-rata 30%. Salah satu bahan yang dapat dipakai sebagai insulator adalah plastik. Penelitian ini dilakukan untuk menilai pengaruh penggunaan plastik wrap terhadap core temperature pediatrik usia 1 sampai 3 tahun yang menjalani operasi celah langit. Penelitian dilakukan terhadap 30 pasien anak , status fisik ASA I, dan berusia 1-3 tahun yang menjalani operasi celah langit dengan anestesi umum. Pasien dibagi dalam dua kelompok. Kelompok plastic wrap dengan penggunaan plastik yang dibalutkan pada tubuh, dan kelompok kontrol. Dicatat suhu rektal selama anestesi. Data hasil penelitian diuji dengan uji Mann-Whitney. Dari hasil penghitungan statistik, didapatkan lama suhu inti rata-rata selama anestesi pada kelompok plastik wrap lebih tinggi dibandingkan kelompok kontrol dengan hasil yang sangat bermakna (p < 0,001). Suhu inti rata-rata pada kelompok plastik wrap adalah 36,17 oC (0,31oC) lebih besar bila dibandingkan dengan kelompok kontrol yaitu 35,88°C (0,43°C). Simpulan penelitian ini menunjukkan bahwa penggunaan plastic wrap menghasilkan derajat penurunan suhu lebih kecil dibanding kelompok kontrol yaitu 0,8 oC pada kelompok plastic wrap dan 1,2 oC pada kelompok kontrol (p < 0,005).Kata Kunci : Insulasi pasif, suhu inti tubuh, plastik Effect Of Plastic Wrap On Core Temperature In Pediatric Patient Aged 1 – 3 Year Who Underwent Palatoplasty SurgeryThe decrease rate of body temperature can be reduced by passive insulation by covering the body with certain materials which have poor heat conductivity (insulator). Insulator material which is wrapped on the body can prevent the process of convection, conduction and evaporation so that the degree of heat loss was reduced on average 30%. One material that can be used as an insulator is the plastic. This study was conducted to assess the effect of plastic wrap on the core temperature of pediatric aged 1 to 3 years who underwent cleft palate surgery. The study was conducted on 30 pediatric patients, aged 1-3 years, with ASA I physical status who underwent cleft surgery with general anesthesia. Patients were divided into two groups. One group used plastic wrap to be wrapped on the body, and another is the control group. Rectal temperature was recorded during anesthesia. Research data was tested statistically by the Mann-Whitney test. The results of statistical calculation indicated that the average core temperature during anesthesia in plastic wrap group was higher than the control group with a significant result (p <0.001). The average core temperature in the plastic wrap is 36.17° C (0.31° C) which is higher than the control group (35.88° C (0.43° C). It can be concluded that the use of plastic wrap causes temperature reduction degree to be lower than the control group. The degree in plastic wrap group is 0.8 °C while the degree in control group is 1.2°C in the control group (p <0.005). Keywords: passive insulation, core body temperature, plastic.DOI: 10.15851/jap.v1n1.156

Hubungan antara Rasio Neutrofil-Limfosit dan Skor Sequencial Organ Failure Assesment pada Pasien yang Dirawat di Ruang Intensive Care Unit

Jurnal Anestesi Perioperatif Vol 1, No 3 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar | Full PDF (1147.177 KB)

Abstract

Respons fisiologis sistem imunitas terhadap inflamasi sistemik adalah peningkatan jumlah neutrofil dan penurunan jumlah limfosit atau peningkatan rasio neurofil-limfosit (RNL). Penelitian ini bertujuan untuk melihat hubungan inflamasi sistemik yang ditandai peningkatan RNL terhadap kegagalan fungsi organ ditandai dengan skor Sequencial Organ Failure Assessment (SOFA) pada pasien yang dirawat di Intensive Care Unit (ICU). Penelitian ini adalah penelitian observasional dengan rancangan penelitian cross sectional. Penelitian dilakukan dengan mengobsevasi RNL dan skor SOFA pada jam ke-0, jam ke-24, dan jam ke-48 dari 78 pasien yang dirawat di ICU Rumah Sakit Dr. Hasan Sadikin Bandung periode Desember 2012–Februari 2013 yang terbagi ke dalam 3 kategori sepsis A, B, dan C. Data penelitian dianalisis menggunakan analisis bivariabel dengan Uji Korelasi Pearson dan Spearman. Hasil penelitian menunjukkan hubungan antara RNL dan skor SOFA terhadap kategori sepsis masing-masing (p<0,001). Uji Korelasi Pearson didapatkan hubungan antara RNL dan skor SOFA (p<0,05; R=0,63). Simpulan, terdapat hubungan antara keadaan inflamasi sistemik yang ditandai dengan RNL dan kegagalan fungsi organ yang ditandai dengan skor SOFA pada pasien yang dirawat di ICU RS Dr. Hasan Sadikin Bandung.Kata kunci: Intensive care unit, rasio netrofit-limfosit, sequencial organ failure assesment Relationship between Neutrophil Lymphocyte Ratio and Sequential Organ Failure Assesment Score in the Intensive Care Unit patientsAbstractPhysiological response of immune system against systemic inflammation involves an increased level of neutrophils and a reduction of lymphocyte or an increase of neutrophil-lymphocyte ratio (RNL). The aim of this study was to identify the relationship between systemic inflammation, characterized by increasing in RNL on organ malfunction, assessed by Sequential Organ Failure Assessment (SOFA) score in Intensive Care Unit (ICU) patients. This study was a observational study with cross sectional design. This study was conducted by observing RNL and SOFA score at 0, 24th and 48th hour of 78 patients treated in the ICU Dr. Hasan Sadikin Hospital Bandung in December 2012–February 2013. Patients were divided into 3 categories of sepsis A, B and C. This study showed that there was a relationship between RNL, SOFA scores and sepsis categories (p<0.001). Pearson Correlation Test showed that there was relationship between RNL and SOFA scores (p<0.05, R= 0.63). In conclusion, there is a relationship between systemic inflammatory condition, characterized by RNL and organ failure, characterized by the SOFA score, in patients treated in the ICU Dr. Hasan Sadikin Hospital Bandung.Key words: Intensive care unit, neutrophil-lymphocyte ratio, sequential organ failure assesment DOI: 10.15851/jap.v1n3.198

Pengaruh Penggunaan Plastic Wrap Terhadap Core Temperature Pasien Pediatrik 1-3 Tahun Yang Menjalani Operasi Palatoplasty

Jurnal Anestesi Perioperatif Vol 1, No 1 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar

Abstract

Laju penurunan suhu tubuh dapat dikurangi dengan insulasi pasif yaitu dengan cara menutupi tubuh dengan bahan material tertentu yang mempunyai daya hantar kalor yang buruk (insulator). Bahan insulator yang yang dibalutkan pada tubuh dapat mencegah proses konveksi, konduksi dan evaporasi sehingga derajat kehilangan suhu berkurang rata-rata 30%. Salah satu bahan yang dapat dipakai sebagai insulator adalah plastik. Penelitian ini dilakukan untuk menilai pengaruh penggunaan plastik wrap terhadap core temperature pediatrik usia 1 sampai 3 tahun yang menjalani operasi celah langit. Penelitian dilakukan terhadap 30 pasien anak , status fisik ASA I, dan berusia 1-3 tahun yang menjalani operasi celah langit dengan anestesi umum. Pasien dibagi dalam dua kelompok. Kelompok plastic wrap dengan penggunaan plastik yang dibalutkan pada tubuh, dan kelompok kontrol. Dicatat suhu rektal selama anestesi. Data hasil penelitian diuji dengan uji Mann-Whitney. Dari hasil penghitungan statistik, didapatkan lama suhu inti rata-rata selama anestesi pada kelompok plastik wrap lebih tinggi dibandingkan kelompok kontrol dengan hasil yang sangat bermakna (p < 0,001). Suhu inti rata-rata pada kelompok plastik wrap adalah 36,17 oC (0,31oC) lebih besar bila dibandingkan dengan kelompok kontrol yaitu 35,88°C (0,43°C). Simpulan penelitian ini menunjukkan bahwa penggunaan plastic wrap menghasilkan derajat penurunan suhu lebih kecil dibanding kelompok kontrol yaitu 0,8 oC pada kelompok plastic wrap dan 1,2 oC pada kelompok kontrol (p < 0,005).Kata Kunci : Insulasi pasif, suhu inti tubuh, plastik Effect Of Plastic Wrap On Core Temperature In Pediatric Patient Aged 1 – 3 Year Who Underwent Palatoplasty SurgeryThe decrease rate of body temperature can be reduced by passive insulation by covering the body with certain materials which have poor heat conductivity (insulator). Insulator material which is wrapped on the body can prevent the process of convection, conduction and evaporation so that the degree of heat loss was reduced on average 30%. One material that can be used as an insulator is the plastic. This study was conducted to assess the effect of plastic wrap on the core temperature of pediatric aged 1 to 3 years who underwent cleft palate surgery. The study was conducted on 30 pediatric patients, aged 1-3 years, with ASA I physical status who underwent cleft surgery with general anesthesia. Patients were divided into two groups. One group used plastic wrap to be wrapped on the body, and another is the control group. Rectal temperature was recorded during anesthesia. Research data was tested statistically by the Mann-Whitney test. The results of statistical calculation indicated that the average core temperature during anesthesia in plastic wrap group was higher than the control group with a significant result (p <0.001). The average core temperature in the plastic wrap is 36.17° C (0.31° C) which is higher than the control group (35.88° C (0.43° C). It can be concluded that the use of plastic wrap causes temperature reduction degree to be lower than the control group. The degree in plastic wrap group is 0.8 °C while the degree in control group is 1.2°C in the control group (p <0.005). Keywords: passive insulation, core body temperature, plastic.DOI: 10.15851/jap.v1n1.156

Hubungan antara Rasio Neutrofil-Limfosit dan Skor Sequencial Organ Failure Assesment pada Pasien yang Dirawat di Ruang Intensive Care Unit

Jurnal Anestesi Perioperatif Vol 1, No 3 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar

Abstract

Respons fisiologis sistem imunitas terhadap inflamasi sistemik adalah peningkatan jumlah neutrofil dan penurunan jumlah limfosit atau peningkatan rasio neurofil-limfosit (RNL). Penelitian ini bertujuan untuk melihat hubungan inflamasi sistemik yang ditandai peningkatan RNL terhadap kegagalan fungsi organ ditandai dengan skor Sequencial Organ Failure Assessment (SOFA) pada pasien yang dirawat di Intensive Care Unit (ICU). Penelitian ini adalah penelitian observasional dengan rancangan penelitian cross sectional. Penelitian dilakukan dengan mengobsevasi RNL dan skor SOFA pada jam ke-0, jam ke-24, dan jam ke-48 dari 78 pasien yang dirawat di ICU Rumah Sakit Dr. Hasan Sadikin Bandung periode Desember 2012–Februari 2013 yang terbagi ke dalam 3 kategori sepsis A, B, dan C. Data penelitian dianalisis menggunakan analisis bivariabel dengan Uji Korelasi Pearson dan Spearman. Hasil penelitian menunjukkan hubungan antara RNL dan skor SOFA terhadap kategori sepsis masing-masing (p<0,001). Uji Korelasi Pearson didapatkan hubungan antara RNL dan skor SOFA (p<0,05; R=0,63). Simpulan, terdapat hubungan antara keadaan inflamasi sistemik yang ditandai dengan RNL dan kegagalan fungsi organ yang ditandai dengan skor SOFA pada pasien yang dirawat di ICU RS Dr. Hasan Sadikin Bandung.Kata kunci: Intensive care unit, rasio netrofit-limfosit, sequencial organ failure assesment Relationship between Neutrophil Lymphocyte Ratio and Sequential Organ Failure Assesment Score in the Intensive Care Unit patientsAbstractPhysiological response of immune system against systemic inflammation involves an increased level of neutrophils and a reduction of lymphocyte or an increase of neutrophil-lymphocyte ratio (RNL). The aim of this study was to identify the relationship between systemic inflammation, characterized by increasing in RNL on organ malfunction, assessed by Sequential Organ Failure Assessment (SOFA) score in Intensive Care Unit (ICU) patients. This study was a observational study with cross sectional design. This study was conducted by observing RNL and SOFA score at 0, 24th and 48th hour of 78 patients treated in the ICU Dr. Hasan Sadikin Hospital Bandung in December 2012–February 2013. Patients were divided into 3 categories of sepsis A, B and C. This study showed that there was a relationship between RNL, SOFA scores and sepsis categories (p<0.001). Pearson Correlation Test showed that there was relationship between RNL and SOFA scores (p<0.05, R= 0.63). In conclusion, there is a relationship between systemic inflammatory condition, characterized by RNL and organ failure, characterized by the SOFA score, in patients treated in the ICU Dr. Hasan Sadikin Hospital Bandung.Key words: Intensive care unit, neutrophil-lymphocyte ratio, sequential organ failure assesment DOI: 10.15851/jap.v1n3.198