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Awareness dan Recall Intraoperatif Rofiq, Aunun; ., Witjaksono; Nurcahyo, Widya Istanto
Jurnal Anestesiologi Indonesia Vol 4, No 1 (2012): Jurnal Anestesiologi Indonesia
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan terapi Intensif

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Abstract

ASA reports the latest on intraoperative awareness conducted by the ASA is centered around the postoperative recall. As can be inferred from this chapter, introperatif awareness and postoperative recall is not a phenomenon that is not related at all, thereby allowing clinicians and researchers to use one of the two partially substitute for the other. Recall that typically do not provide actual estimates of the incidence of intraoperative awareness and simply represents the peak of the iceberg phenomenon. Monitor brain function can not be predicted with less recall very well, but better than the traditional autonomic parameters in knowing lost or the emergence of consciousness. Monitor brain function represents the rapid developments in anesthesia practice management. The ability to recognize intraoperative awareness and prevention by maintaining a depth of hypnosis level, offers great potential to prevent postoperative recall.Keywords : -ABSTRAKLaporan ASA terbaru mengenai awareness intraoperatif yang dilakukan oleh ASA dipusatkan seputar recall postoperative. Seperti dapat disimpulkan dari Bab ini, awareness introperatif dan recall postoperative bukanlah fenomena yang tidak berhubungan sama sekali, sehingga membolehkan para klinisi dan peneliti untuk menggunakan salah satu di antara keduanya sebagia substitusi bagi yang lain. Recall secara khas memberikan estimasi yang tidak sebenarnya terhadap insidensi awareness intraoperatif dan hanya merepresentasikan puncak dari fenomena gunung es. Monitor fungsi otak tidak dapat memprediksi recall dengn sangat baik, tetapi lebih baik dari parameter otonom yang tradisional dalam mengetahui hilang atau timbulnya kesadaran. Monitor fungsi otak merepresentasikan perkembangan yang pesat dalam manajemen praktek anestesi. Kemampuan untuk mengenali awareness intraoperatif dan pencegahannya dengan mempertahankan kedalaman tingkat hypnosis, menawarkan potensi yang besar untuk mencegah recall postoperative.
Efektifitas Magnesium Sulfat Sebagai Pencegahan Mengigil Pasca Anestesi Ratnawati, Anna; Arifin, Johan; ., Witjaksono
Jurnal Anestesiologi Indonesia Vol 3, No 3 (2011): Jurnal Anestesiologi Indonesia
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan terapi Intensif

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Abstract

Background: Shivering is a common problem faced in every operation. The use of anesthesia regimens for induction, enviromental temperature and surgery can cause shivering.Objective: To compare the effectiveness of magnesium sulphate 30mg/kg intravenous with meperidin 0,5mg/kg intravenous as a control preventing shivering after general anesthesia.Methods: This randomized double-blind controlled trial in 20 patients undergoing general anesthesia. Patients were divided in two groups (n=10). Group A using meperidine 0,5mg/kg intravenously and group B using magnesium sulphate 30mg/kg intravenously. Each group of blood taken before and after extubation, for examination of calcium and magnesium while in the recovery room patients were observed incidence of shivering. This study using Chi Square test, Mann – whitney test and independent sample T- test (p<0,05).Results: This study showed incidence of shivering in the meperidine group and one of the patients in the magnesium sulphate group 2 of patients (p=1,00). Decrease in calcium levels after surgery in the magnesium sulphate group (0,2212±0.048) did not differ significantly (p=0.366) compared with meperidine group (0,1973±0,135), whereas the magnesium content increase in the magnesium sulphate group (0.434±0,4103) and decrease in meperidine group (0,119 ± 0.1180), significantly different (p=0,003).Conclusions: The incidence of shivering after surgery with general anesthesia in patients who received magnesium sulphate 30mg/kg iv did not differ from that received meperidine 0,5mg/kg iv.Keywords : meperidine, magnesium sulphate, shivering, magnesium and calcium levels.ABSTRAKLatar Belakang: Menggigil (shivering) merupakan masalah yang sering dihadapi dalam setiap operasi. Penggunaan obat induksi anestesi, suhu lingkungan dan pembedahan dapat menyebabkan menggigil.Tujuan: Membandingkan efektifitas magnesium sulfat 30mg/kgBB intravena dengan meperidin 0,5mg/kgBB intravena sebagai kontrol dalam mencegah mengigil pasca anestesi umum.Metode: Penelitian menggunakan randomized double blind controlled trial pada 20 pasien yang menjalani anestesi umum. Penderita dibagi menjadi 2 kelompok (n=10), kelompok A menggunakan meperidin 0,5mg/kgBB intravena dan kelompok B menggunakan magnesium sulfat 30mg/kgBB intravena. Masing – masing kelompok diambil darah sebelum dan sesudah ekstubasi, untuk dilakukan pemeriksaan kadar kalsium dan magnesium. Saat berada di ruang pemulihan pasien di observasi adanya kejadian menggigil. Uji statistik menggunakan Chi-Square, Man-Whitney Test dan independent sample T-test (dengan derajat kemaknaan p<0,05).Hasil: Penelitian ini didapatkan kejadian menggigil pada kelompok meperidin 1 dari 10 pasien dan pada kelompok magnesium sulfat 2 dari 10 pasien (p=1,00). Penurunan kadar kalsium setelah operasi pada kelompok magnesium sulfat (0,048±0,2212) berbeda tidak bermakna (p=0,366) dibandingkan dengan kelompok meperidin (0,135±0,1973), sedangkan kadar magnesium terjadi peningkatan pada kelompok magnesium sulfat (0,434±0,4103) dan menurun pada kelompok meperidin (0,119±0,1180), berbeda bermakna (p=0,003).Simpulan: Kejadian menggigil pasca pembedahan dengan anestesi umum pada pasien yang mendapat magnesium sulfat 30mg/kgBB iv tidak berbeda dengan yang mendapat meperidin 0,5mg/kgBB iv.
Pengaruh Nitrous Oxide Pada Induksi Sevofluran 8% Dengan Tehnik Single Breath Terhadap Kecepatan Induksi Anestesi Anindita, Tinon; ., Witjaksono; Primatika, Aria Dian
Jurnal Anestesiologi Indonesia Vol 3, No 1 (2011): Jurnal Anestesiologi Indonesia
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan terapi Intensif

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Abstract

Backgrounds: The addition of Nitrous Oxide increase induction time of anesthesia agent,because of second gas effect and concentration effect. Objectives: The aims of this study is to compare induction time of 8% sevoflurane with and without Nitrous oxide using a single-breath vital capacity induction. Methods: Seventy two healthy unpremedicated patients were randomized to inhale a single-breath, one of three gas mixture : 8% sevoflurane in Oksigen (group I), 8% sevoflurane in 50% Nitrous oxide (group II) and 8% sevoflurane in 66 2/3% Nitrous oxide (group 111).The time to absent of the eyelash reflex and induction-related complications, if present, were noted by independent observer. Blood pressure (systolic, diastolic and mean arterial pressure/MAP), and heart rate were measured pre and post induction. Data was analyzed using student T-Test and ANOVA at significancy level of 0,05. Results: Three groups had similar distribution on sex,age,body weight, and early clinical state. The time to absent of the eyelash reflex with 8% sevofllurane in 50% Nitrous oxide, 24,96 ± 4,14 second ,and for 8% sevoflurane in 66 2/3% Nitrous oxide , 24,81 ± 3,85 second, were less than that with 8% sevoflurane in Oksigen, 27,21 ± 4,14 second, but this was no significant (p = 0,098). Changes in blood pressure (systolic,diastolic, mean arterial pressure), heart rate and oksigen saturation were no significant different on three groups. The induction-related complications in the sevoflurane with Nitrous oxide groups were less than that in the sevoflurane without Nitrous oxide group, but this was no significant different. Conclusions: The addition of Nitrous oxide do not increase induction time of anesthesia with a single - breath of 8% sevoflurane.Keywords : Sevoflurane,nitrous oxide, induction time.ABSTRAKLatar Belakang: Penambahan nitrous oxide pada induksi anestesi akan mempercepat waktu induksi, oleh karena adanya second gas effect dan concentration effect. Tujuan: Membandingkan kecepatan induksi anestesi sevofluran 8% dengan atau tanpa nitrous oxide, dengan menggunakan tehnik single breath vital capacity induction. Metode: Tujuh puluh dua pasien tanpa diberikan premedikasi , dibagi dalam 3 kelompok secara random dan diminta untuk menghirup salah satu dari tiga campuran gas dengan tehnik single breath vital capacity : kelompok I diberikan sevofluran 8% + Oksigen, keiompok II diberikan sevofluran 8% + 50% nitrous oxide dan kelompok III diberikan sevofluran 8% + 66 2/3% nitrous oxide. Dicatat waktu saat hilangnya reflek bulu mata dan komplikasi yang terjadi. Tekanan darah (sistolik, diastolik, tekanan arteri rerata), laju jantung dan saturasi oksigen diukur sebelum dan sesudah induksi. Data diuji dengan Student T Test dan ANOVA dengan derajat kemaknaan < 0,05. Hasil: Karakteristik penderita (umur, usia, berat badan dan lain-lain) pada ketiga kelompok berbeda tidak bermakna. Waktu saat hilangnya reflek bulu mata untuk kelompok sevofluran 8% + 50% nitrous oxide (24,96 ±4,14 detik), dan untuk kelompok sevofluran 8% + 66 2/3% nitrous oxide (24,81 ± 3,85 detik) lebih sepat dibandingkan dengan kelompok sevofluran 8% + Oksigen (27,21 ±4,14 detik) , tetapi perbedaan ini tidak bermakna (p=0,098), Perubahan tekanan darah (sistolik, diastolik, tekanan arteri rerata), laju jantung dan saturasi oksigen yang terjadi pada ketiga kelompok berbeda tidak bermakna. Komplikasi induksi anestesi yang terjadi pada kelompok sevofluran 8% dengan nitrous oxide lebih sedikit dibandingkan dengan kelompok sevofluran 8% tanpa nitrous oxide , tetapi perbedaan ini tidak bermakna. Kesimpulan: Penambahan Nitrous oxide pada induksi anestesi dengan sevofluran 8% dengan tehnik single-breath, tidak mempercepat waktu induksi anestesi.Kata kunci : sevofluran, nitrous oxide, waktu induksi
Relationship Between Pod Characteristics of Some Cocoa Clones (T. cacaoL.) and Their Resistance Response to Cocoa Pod Borer Wahyu Susilo, Agung; Mangoendidjojo, Woerjono; ., Witjaksono
Pelita Perkebunan (Coffee and Cocoa Research Journal) Vol 23, No 3 (2007)
Publisher : Indonesian Coffee and Cocoa Research Institute

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Abstract

Characteristic study on CPB resistance had been carried out by characterizing mesocarp layer of cocoa pod where egg laying and larva penetration are carried out. For this study, 4 clones were selected which performed different response to CPB, namely resistant clones of KW 514 and ARDACIAR 10, moderately resistant clone of KW 411 and the susceptible clone of RCC 72. Pod samples were classified as young and mature were detached from cocoa collection at the experimental station of Kaliwining, Indonesian Coffee and Cocoa Research Institute in Jember. Characterization was conducted based on microchemical method at the Microtechnique Laboratory of Gadjah Mada University to identify trichome appearance at upper layer of pod, distributed granules of tannin through mesocarp and lignification of the sclerotic. It was characterized that the trichome density performing resistant in which the resistant and moderately resistant clones had more number of trichome density than of the susceptible one. The distributed granules of tannin at young pod showed significant difference among those clones that indicate resistant characteristics. The number of distributed granules of tannin was higher of those the resistant and moderatly resistant clones than of the susceptible clones that were formed both at furrow and at ridge of pod. However, the granules of tannin were distributed more at ridge than at furrow where furrow were preferred by CPB for egg laying. The characteristic differences between the resistant and moderately resistant clones were identified based on the intensity of lignification at sclerotic tissue. The lignified tissue of the resistant clones perform more intensive and more compact than of the moderately resistant clones. Tissue of young pod of the moderately resistant and susceptible clones was not yet lignified. Thickness of lignified tissue at the furrow of resistant clone was higher than of the moderately resistant and susceptible clones. Key words : Theobroma cocoa L.,cocoa pod borer, resistant, mesocarp, sclerotic, trichome, tannin.
DAYA MAKAN, DIAPAUSE DAN MOBILITAS KEONG MAS (POMACEA CANALICULATA) PADA BERBAGAI KEDALAMAN AIR Bunga, Jacqualine Arriani; Wagiman, Franciskus Xaverius; ., Witjaksono; Sidadolog, Jafendi Hasoloan Purba
JURNAL HAMA DAN PENYAKIT TUMBUHAN TROPIKA Vol 16, No 2 (2016): SEPTEMBER, JURNAL HAMA DAN PENYAKIT TUMBUHAN TROPIKA
Publisher : JURNAL HAMA DAN PENYAKIT TUMBUHAN TROPIKA

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Abstract

Feeding rate, aestivation and mobility of golden snails (Pomacea canaliculata) at different depths of water. The research was studied in Malaka District, East Nusa Tenggara Province, during the dry and the rainy season (October 2014 - March 2015). Studies on capacity of damage to the Ciherang rice seedlings were carried out for three weeks. The size of snails used in this experiment was 11-20; 21-30; and 31-40 mm. The numbers of seedlings that were planted were 3, 6, 9, 12, 15, 18 and 21 seeds. The treatments were repeated 5 times. The numbers of seeds which are damaged by the snails then were tabulated and analyzed. Snails with the size of 11-20 mm damaged the seeds in 31.67%, followed by snails with the size of 21-30 mm and 31- 40 mm with potency of damaging were 64.76% and 97.38%, respectively. The size of snails affects the level of damage to rice seedlings when transplanting. Study about aestivation was conducted in five villages, namely Kamanasa, Wehali, Umakatahan, Harekakae and Kletek when the rice fields were fallow. The observation point was observed at the corner of the dike and along the dike, evaluated every 10 meters away. The results showed snails aestivate when the fields were dry. Studies on snail’s mobility conducted on the experiment arena on the mud in buckets, which planted with 20 paddy seedlings. The treatment depth of puddles in the experiment were without puddles, half, the same height and twice the height of snails shell. The treatments were repeated 10 times. Measurement of snail’s mobility was performed routinely every 2 hours, observed from the beginning when the snails were placed for 24 hours in advance. The results showed that the depth of the water significantly affected the mobility of snails. Without puddles, the mobility of snails was severely hampered in the mud. The mobility of the juvenile was significantly higher than the imago. The implication of this study was benefit to that the regulating the level of water in the paddy field which is known as an appropriate effective technology and for controlling the attack of the golden snails.
DAYA MAKAN, DIAPAUSE DAN MOBILITAS KEONG MAS (POMACEA CANALICULATA) PADA BERBAGAI KEDALAMAN AIR Bunga, Jacqualine Arriani; Wagiman, Franciskus Xaverius; ., Witjaksono; Sidadolog, Jafendi Hasoloan Purba
JURNAL HAMA DAN PENYAKIT TUMBUHAN TROPIKA Vol 16, No 2 (2016): SEPTEMBER, JURNAL HAMA DAN PENYAKIT TUMBUHAN TROPIKA
Publisher : Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.379 KB) | DOI: 10.23960/j.hptt.216147-154

Abstract

Feeding rate, aestivation and mobility of golden snails (Pomacea canaliculata) at different depths of water. The research was studied in Malaka District, East Nusa Tenggara Province, during the dry and the rainy season (October 2014 - March 2015). Studies on capacity of damage to the Ciherang rice seedlings were carried out for three weeks. The size of snails used in this experiment was 11-20; 21-30; and 31-40 mm. The numbers of seedlings that were planted were 3, 6, 9, 12, 15, 18 and 21 seeds. The treatments were repeated 5 times. The numbers of seeds which are damaged by the snails then were tabulated and analyzed. Snails with the size of 11-20 mm damaged the seeds in 31.67%, followed by snails with the size of 21-30 mm and 31- 40 mm with potency of damaging were 64.76% and 97.38%, respectively. The size of snails affects the level of damage to rice seedlings when transplanting. Study about aestivation was conducted in five villages, namely Kamanasa, Wehali, Umakatahan, Harekakae and Kletek when the rice fields were fallow. The observation point was observed at the corner of the dike and along the dike, evaluated every 10 meters away. The results showed snails aestivate when the fields were dry. Studies on snail’s mobility conducted on the experiment arena on the mud in buckets, which planted with 20 paddy seedlings. The treatment depth of puddles in the experiment were without puddles, half, the same height and twice the height of snails shell. The treatments were repeated 10 times. Measurement of snail’s mobility was performed routinely every 2 hours, observed from the beginning when the snails were placed for 24 hours in advance. The results showed that the depth of the water significantly affected the mobility of snails. Without puddles, the mobility of snails was severely hampered in the mud. The mobility of the juvenile was significantly higher than the imago. The implication of this study was benefit to that the regulating the level of water in the paddy field which is known as an appropriate effective technology and for controlling the attack of the golden snails.