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View article: Survival of Blalock-Taussig shunt surgery in children with congenital heart disease in the postoperative cardiac ICU of a national referral hospital in Jakarta
Survival of Blalock-Taussig shunt surgery in children with congenital heart disease in the postoperative cardiac ICU of a national referral hospital in Jakarta Open
Background & objective: The Blalock-Taussig (BT) shunt maintains pulmonary blood flow in patients with congenital heart defects. It is used before corrective surgery to prevent cyanosis and is associated with morbidity and declining surviv…
View article: Empowerment of the PKK Mobilization Team in Early Detection and Prevention of Congenital Heart Disease in Pematangsiantar City
Empowerment of the PKK Mobilization Team in Early Detection and Prevention of Congenital Heart Disease in Pematangsiantar City Open
The prevalence of congenital heart disease is about 8/1000 live births. Family has a great influence on the recovery of congenital heart disease sufferers, both physically and psychologically. If one family member is affected by congenital…
View article: Comparison of The Effects of Fentanyl versus Ketamine on The Quality of Recovery Post General Anesthesia with QoR-40 Scoring in Laparotomy Surgery
Comparison of The Effects of Fentanyl versus Ketamine on The Quality of Recovery Post General Anesthesia with QoR-40 Scoring in Laparotomy Surgery Open
Background: Evaluating recovery after general anesthesia is vital to assess the success of anesthesia procedures. The quality of recovery-40 (QoR-40) questionnaire comprehensively measures post-anesthesia recovery. Poor postoperative pain …
View article: Effect of Thiamine on Serum Glucagon and Reactive Oxygen Species (ROS) in Perioperative Stress Response
Effect of Thiamine on Serum Glucagon and Reactive Oxygen Species (ROS) in Perioperative Stress Response Open
Background: General anesthesia surgery induces a stress response, altering metabolic patterns and increasing glucagon and reactive oxygen species levels. Thiamine is hypothesized to mitigate this response. Methods: This randomized controll…
View article: Correlation between cumulative fluid balance and SOFA score in sepsis patients in the Intensive Care Unit of H. Adam Malik General Hospital, Medan, Indonesia
Correlation between cumulative fluid balance and SOFA score in sepsis patients in the Intensive Care Unit of H. Adam Malik General Hospital, Medan, Indonesia Open
Introduction: Millions of individuals worldwide suffer from sepsis and septic shock each year, and one in three to one in six of them pass away from these severe conditions. Similar to prescribing other medications, intravenous fluid admin…
View article: Correlation between Mean Platelet Volume, Fibrinogen and D-dimer with NIHSS Score
Correlation between Mean Platelet Volume, Fibrinogen and D-dimer with NIHSS Score Open
Introduction: Stroke is a clinical syndrome that develops rapidly due to focal or global brain disorders with symptoms last for >24 hours and potentially cause death. Due to the consideration that this Mean Platelet Volume (MPV) marker is …
View article: The SOFA Score and EWS: Is It Time for an Update?
The SOFA Score and EWS: Is It Time for an Update? Open
Background: Intensive care unit (ICU) functions as a structured environment dedicated to providing intensive medical attention to patients in critical condition, monitoring, and organ support to treat life-threatening organ failure. Sepsis…
View article: Description of JA Medical Skincare Medan Beautician’s Low Back Pain Based on Duration of Work
Description of JA Medical Skincare Medan Beautician’s Low Back Pain Based on Duration of Work Open
Introduction: Low Back Pain (LBP) is defined as pain and discomfort located below the costal margin to the inferior gluteal fold, with or without pain in the legs. LBP is a common condition that can occur in all age groups with acute or ch…
View article: Plasmapheresis in Myasthenia Gravis Crisis
Plasmapheresis in Myasthenia Gravis Crisis Open
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 …
View article: Correlation between Glasgow Coma Scale with central venous pressure and near-infrared spectroscopy in patients with acquired brain injury in the intensive care unit of Adam Malik Hospital Medan
Correlation between Glasgow Coma Scale with central venous pressure and near-infrared spectroscopy in patients with acquired brain injury in the intensive care unit of Adam Malik Hospital Medan Open
Background Acquired brain injury (ABI) is caused by trauma or nontrauma to the brain after birth. Increased intracranial pressure in patients with traumatic or nontraumatic brain injury affects the cerebral perfusion pressure. After trauma…
View article: Correlation Between Anemia (Hemoglobin Level) and Cardiomegaly Based On Chest Radiograph and Echocardiography
Correlation Between Anemia (Hemoglobin Level) and Cardiomegaly Based On Chest Radiograph and Echocardiography Open
Background: Anemia is one of the major global problems that continues to this day. According to World Health Organization (WHO) data, anemia is found in 1.62 billion people or equivalent to 24.8% of the world’s population while, the preval…
View article: Selective Critically ill patients with tracheostomy are eligible for direct from intensive care unit sent home: Case series
Selective Critically ill patients with tracheostomy are eligible for direct from intensive care unit sent home: Case series Open
To reduce the risk of critically ill patients becoming unstable and needing readmission to the intensive care unit (ICU), patients are typically treated in the ward first following discharge from ICU. However, managing patients with advanc…
View article: Perioperative Nutritional Status of Digestive Surgery Laparotomy Surgery
Perioperative Nutritional Status of Digestive Surgery Laparotomy Surgery Open
Introduction: Laparotomy is one of the most frequently performed surgical procedures. Surgery causes a stress response that increases the risk of experiencing malnutrition, especially in patients undergoing laparotomy. Malnutrition can inc…
View article: Comparison of Pre-Loading Fluid With Norepinephrine Toward Mean Arterial Pressure (MAP) In Sepsis Patients In Intensive Care Unit (ICU) of Haji Adam Malik General Hospital, Medan
Comparison of Pre-Loading Fluid With Norepinephrine Toward Mean Arterial Pressure (MAP) In Sepsis Patients In Intensive Care Unit (ICU) of Haji Adam Malik General Hospital, Medan Open
Introduction: Sepsis is a life-threatening organ dysfunction caused by dysregulation of the host response to infection. Sepsis and septic shock are major health problems, affecting millions of people worldwide each year and killing one in …
View article: Early Continuous Renal Replacement Therapy In Patients With St-Elevation Myocardial Infarction And Covid-19 After Percutaneous Coronary Intervention: A Case Report
Early Continuous Renal Replacement Therapy In Patients With St-Elevation Myocardial Infarction And Covid-19 After Percutaneous Coronary Intervention: A Case Report Open
Background: Currently, there is no standardized approach to managing critically ill COVID-19 patients with acute kidney injury and ST-elevation myocardial infarction. Continuous renal replacement therapy is a routinely used technique in ma…
View article: The Relationship of Renal Resistive Index and Central Venous Pressure As Predictors of Acute Kidney Injury in Critically III Patients of Intensive Care Unit Adam Malik General Hospital Medan
The Relationship of Renal Resistive Index and Central Venous Pressure As Predictors of Acute Kidney Injury in Critically III Patients of Intensive Care Unit Adam Malik General Hospital Medan Open
Background: Changes in the doppler-based renal resistive index (RRI) occur prior to the changes of glomerular filtration rate (GFR) during the development of acute kidney injury (AKI) and during the healing process from AKI. Central venous…
View article: The Effect of Thiamine, Ascorbic Acid, and the Combination of Them on the Levels of Matrix Metalloproteinase-9 (MMP-9) and Tissue Inhibitor of Matrix Metalloproteinase-1 (TIMP-1) in Sepsis Patients
The Effect of Thiamine, Ascorbic Acid, and the Combination of Them on the Levels of Matrix Metalloproteinase-9 (MMP-9) and Tissue Inhibitor of Matrix Metalloproteinase-1 (TIMP-1) in Sepsis Patients Open
Administration of thiamine alone gives better advantages than ascorbic acid alone and their combination.
View article: Relationship between the Value of PvaCO2 Gap with Near Infrared Spectroscopy for Assessing Oxygen Perfusion of Cerebral Network in Sepsis Patients with Decreased Consciousness in the Intensive Treatment Room of Adam Malik Hospital, Medan
Relationship between the Value of PvaCO2 Gap with Near Infrared Spectroscopy for Assessing Oxygen Perfusion of Cerebral Network in Sepsis Patients with Decreased Consciousness in the Intensive Treatment Room of Adam Malik Hospital, Medan Open
The tissue perfusion marker (lactate, ScVO2) has limitations. Therefore, the PvaCO2 gap is described as a parameter reflecting tissue hypoperfusion. Since occult regional ischemia, ie undetected at the systemic level, is considered a major…
View article: Comparison of Effects of the Combination of Fentanil Dexmedetomidin and Fenthanyl Midazolam on Cardiac Output in ICU Patients at HADAM Malik Hospital, Medan
Comparison of Effects of the Combination of Fentanil Dexmedetomidin and Fenthanyl Midazolam on Cardiac Output in ICU Patients at HADAM Malik Hospital, Medan Open
Patients in the ICU experience hemodynamic disorders, hemodynamics is the flow of blood in the body's circulatory system, either through the magna circulation (large circulation) or parva circulation (circulation in the lungs). Under norma…
View article: Correlation Between Mortality Risk Factor and Death Rate of Icu Patient in H. Adam Malik Hospital in 2021
Correlation Between Mortality Risk Factor and Death Rate of Icu Patient in H. Adam Malik Hospital in 2021 Open
The Intensive Care Unit (ICU) is a special unit for treating life-threatening patients, follow-up, and life support are maintained. Patients taken care of in the emergency department ICU (EDICU) had a higher death rate of 75.4% than in the…
View article: Correlation of Matrix Metalloproteinase-9 and Tissue Inhibitor Matrix Metalloproteinase-1 on Lactate Concentration in Sepsis patients Admitted to Intensive Care Unit
Correlation of Matrix Metalloproteinase-9 and Tissue Inhibitor Matrix Metalloproteinase-1 on Lactate Concentration in Sepsis patients Admitted to Intensive Care Unit Open
BACKGROUND: Lactate level has been used not only as a biomarker for diagnosis and guiding treatment of sepsis but also as predictor of poor clinical outcomes. Elevated lactate does not specifically reflect cellular damage and this conditio…
View article: High Central Venous Pressure Associated with Mortality in Intensive Care Unit
High Central Venous Pressure Associated with Mortality in Intensive Care Unit Open
BACKGROUND: Central venous pressure (CVP) has been used as a measurement tool to assess hemodynamics, medication, and nutritional status in critically ill patients for decades. We frequently use the Acute Physiology and Chronic Health Eval…
View article: The Association between Mean Arterial Pressure, Central Venous Pressure, Cerebral Perfusion Pressure, Lung Oxygenation, and Glasgow Coma Scale in Sepsis Patients in the Intensive Care Unit
The Association between Mean Arterial Pressure, Central Venous Pressure, Cerebral Perfusion Pressure, Lung Oxygenation, and Glasgow Coma Scale in Sepsis Patients in the Intensive Care Unit Open
BACKGROUND: Sepsis is the most frequent condition encountered in the intensive care unit (ICU). One of the neurological features of sepsis is sepsis-associated encephalopathy (SAE). The exact pathophysiology of SAE remains unclear. Many fa…
View article: Thiamin (B1) and Its Application in Patients with Critical Condition
Thiamin (B1) and Its Application in Patients with Critical Condition Open
Thiamin is an essential water-soluble nutrient that is naturally available in some foods and available as a supplement. This nutrient plays a vital role in metabolism, cell growth and development. The recommended daily intake of thiamin fo…
View article: ROX Index Assessment of Success use of High Flow Nasal Cannula (HFNC) in Patients With Covid-19 at Haji Adam Malik Hospital Medan
ROX Index Assessment of Success use of High Flow Nasal Cannula (HFNC) in Patients With Covid-19 at Haji Adam Malik Hospital Medan Open
The high incidence of COVID-19, the progressive nature of SARS-CoV-2 infection which can cause acute respiratory distress syndrome that affects the outcome of the disease, there is no effective management guide for COVID-19 especially for …
View article: A Promotive and Preventive Program for Febrile Seizures in Medan Barat District
A Promotive and Preventive Program for Febrile Seizures in Medan Barat District Open
Febrile seizures are common neurological disorders in pediatric patients and usually affect children between 6 months and five years, peaking in 14 to 18 months. Mothers have a vital role in ensuring their family’s well-being. However, the…
View article: Comparison of Neutrophil Gelatinase-associated Lipocalin and Renal Resistive Index as Acute Kidney Injury Predictor in Critically Ill Patients at ICU H. Adam Malik Hospital Medan
Comparison of Neutrophil Gelatinase-associated Lipocalin and Renal Resistive Index as Acute Kidney Injury Predictor in Critically Ill Patients at ICU H. Adam Malik Hospital Medan Open
BACKGROUND: Acute kidney injury (AKI) is a complication found in critically ill patients. Current consensus explains that diagnosis of AKI based on increased serum creatinine and decreased urine output. Neutrophil gelatinase-associated lip…
View article: The Association between Daily Fluid Balance and Mean Perfusion Pressure as a Critical Sign in the Intensive Care Unit of Adam Malik Central Hospital, Medan
The Association between Daily Fluid Balance and Mean Perfusion Pressure as a Critical Sign in the Intensive Care Unit of Adam Malik Central Hospital, Medan Open
BACKGROUND: The patient mortality rate in intensive care unit (ICU) is still high. However, we still lack measures to reduce this high mortality rate. Fluid balance is known as a marker for mortality in ICU. If the balance of fluid becomes…
View article: The Outcomes of Transcatheter Closure in Patients with Patent Ductus Arteriosus at Haji Adam Malik General Hospital, Indonesia
The Outcomes of Transcatheter Closure in Patients with Patent Ductus Arteriosus at Haji Adam Malik General Hospital, Indonesia Open
BACKGROUND: Patent ductus arteriosus (PDA) is one of the most common acyanotic congenital heart diseases. The incidence of PDA is approximately 1 in 500 full-term neonates. The current management of PDA includes pharmacological and surgica…
View article: Analysis Of Cardiopulmonary Bypass Duration Towards Neutrofil Limfosite Ratio On Patients After Coronary Artery Bypass Grafting In Cardiac Surgical Intensive Care Unit At Adam Malik Hospital Medan
Analysis Of Cardiopulmonary Bypass Duration Towards Neutrofil Limfosite Ratio On Patients After Coronary Artery Bypass Grafting In Cardiac Surgical Intensive Care Unit At Adam Malik Hospital Medan Open
Background:The aim of this study was to investigate the prognostic role of the neutrophil to lymphocyte ratio (NLR) in patients undergoing Coronary Artery Bypass Grafting (CABG) with cardiopulmonary bypass (CPB).Methods: A retrospective co…