BACKGROUND: Primary data regarding sepsis patients in Indonesia, especially in Denpasar, are still limited in number in reporting. The lack of information about sepsis made the authors interested in conducting this study.
AIM: The aim of the study was to obtain more in-depth information about the profile of sepsis patients treated in Sanglah Hospital, Denpasar.
MATERIALS AND METHODS: This was a cross-sectional descriptive research. Target population in this study are data on patient registers that are included in the inclusion criteria from June 1, 2019 to June 30, 2021, at intensive care unit Sanglah Hospital, Denpasar. The variables in this study included: Demographic conditions such as age, gender, and address, qSOFA score, comorbidities, ventilator, and patient’s outcome (survival or non-survival).
RESULTS: A total samples were 173 patients. The average age of patients in this study was 54 years old with 56.6% male and 32.9% lived in Denpasar. Patients suspected of having early sepsis had a qSOFA 0 score of 35.3%, qSOFA 1 was 33.5%, qSOFA 2 was 23.7%, and qSOFA 3 was 7.5%. Patients with sepsis and suspected sepsis with comorbidities were 96% and 79.8% of patients were on a ventilator. The mortality rate in this study was 67.1%.
CONCLUSION: These primary data hopefully become references for the future research.
Background: Mitral stenosis heart valve abnormalities in pregnant women is a complication of pregnancy that is quite common, accompanying rheumatic heart disease, endocarditis, and congenital abnormalities. In pregnancy, there have been changes in the cardiorespiratory system caused by increased cardiac output, which the presence of mitral valve stenosis can then exacerbate. Anesthesia management plays an essential role in the safety of the mother and baby during and after surgery. The choice of technique and anesthesia management depends on the abnormality’s severity. Case: We report the successful management of anesthesia with pure central neuraxial epidural block and combined spinal epidural (CSE) in two cases of a cesarean section of 3rd-trimester pregnant women with mitral stenosis and class II functional heart failure caused by rheumatic heart disease. Conclusion: Central neuraxial block epidural anesthesia and combined spinal epidural (CSE) anesthesia are safe anesthesia techniques for both mother and baby because they can maintain hemodynamic stability.
This article reports a 3-month-old baby girl with Patent Ductus Arteriosus (PDA) with PDA ligation surgery, performed postoperative intercostal peripheral nerve block. Cardiac toxicity occured with features of ventricular extrasystole bigeminy and AV block with signs of cardiac depression immediately after peripheral intercostal nerve block. Administration of intravenous 20% lipid emulsion, epinephrine, and antiarrhythmics improved hemodynamic conditions after 2 hours postoperatively.
Congenital diaphragmatic hernia / hiatal hernia (Congenital Diaphragmatic Hernia / CDH) alters normal cardiopulmonary physiology in neonates or pediatric patients due to pressure from the abdomen into the thoracic cavity. The open surgical and the laparoscopic approaches pose challenges for the anesthesiologist and the team because of the complications of CDH and the surgery itself. We present a case of successful anesthetic management of a diaphragmatic hernia in a 2-year-old child undergoing laparoscopic surgery.
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