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All Journal Medicina E-Jurnal Medika Udayana Bali Journal of Anesthesiology Bisma: Jurnal Bisnis dan Manajemen ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Anestesi dan Terapi Intensif Udayana

Putu Kurniyanta

Department Of Anesthesiology And Reanimation, Faculty Of Medicine, Udayana University, Sanglah General Hospital Denpasar Bali

Author-ID : 302267

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Physics Other

Published : 16 Documents Claim Missing Document

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Anesthesia on Pediatric Laproscopy Wiryana, Made; Sinardja, I Ketut; Kurniyanta, Putu; GdeAgung Senapathi, Tjokorda; Gede Widnyana, I Made; Utara Hartawan, I Gusti Agung Gede; Parami, Pontisomaya; Darma Junaedi, I Made; Putra Pradhana, Adinda
Bali Journal of Anesthesiology Vol 1, No 1 (2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v1i1.1

Laparoscopic surgery has several advantages compared to a regular surgical procedures. This technique can reduce the stress of surgery, reduce the need for postoperative analgesia, decreased respiratory and wound complications, lowering long hospitalization, including in the intensive therapy, and the patient can go back to eat quickly. The magnitude of changes in vital signs that occur will be influenced by the patients age, cardiovascular function, and anesthetic agents are used. Physiological changes in pediatric laparoscopic surgery were similar to adults. Children have a higher vagal tone and sometimes a stimulus to the peritoneum by insufflation gas or penetration laparoscopic and trocar can lead to bradycardia and asystole. Intra-abdominal pressure is an important determinant for maintaining cardiovascular stability during laparoscopy. Adequate relaxation needed during the duration of the surgery.

CASE REPORT ANESTHETIC MANAGEMENT OF ADRENAL TUMOR RESECTION Widnyana, I Made Gede; Putra, Kadek Agus Heryana; Kurniyanta, Putu; Suarjaya, I Putu Pramana; Suranadi, I Wayan; Hartono, Budi
Bali Journal of Anesthesiology Vol 2, No 2 (2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v2i2.28

ABSTRACTThe adrenal glands are secretory organs that are located above each kidney and produce hormones that play a major role in the metabolic processes. Tumors of the adrenal gland can cause metabolic abnormalities associated with hormonal disorders such as Cushings syndrome, pheochromocytoma, or Conns syndrome. To be able to give a good anesthetic management on resection of the adrenal tumor, it requires adequate preoperative evaluation. However, this will take large resources. Management of anesthesia in adrenal tumor with an unknown hormonal disorder should consider a variety of hormonal abnormalities that may present in the patient so it can be anticipated effectively.Keywords: incidentaloma, adrenalectomy, hormonal disorder, perioperative

ANESTHESIA MANAGEMENT OF ESOPHAGEAL ATRESIA REPAIR SURGERY: A CASE REPORT Putra, Kadek Agus Heryana; Kurniyanta, Putu; Wiryana, Made; Sinardja, Ketut; Senapathi, Tjokorda Gde Agung; Widnyana, I Made Gede; Cindryani, Marilaeta; Kurnia, Prajnaariayi Prawira
Bali Journal of Anesthesiology Vol 2, No 2 (2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v2i2.31

ABSTRACTEsophageal Atresia (EA)is a congenital anomaly commonly found with TracheoesophagealFistula (TEF) of neonates in the first week oflife. This anomaly can cause several complications includingaspiration, reduction in respiration, and other complication from other concomitant congenital anomaly, mostly from heart origin. The treatment for this anomaly is surgery.Intraoperatively, thepatient may develop hypoxia due to lung retraction and hemodynamic instability from bleeding or hypothermia. Anesthesiologists play important role in the management of EA during theperioperative period. Careful examination of the preoperative period must be done to discover any other concomitant anomaly and complication. Good anticipation of any complication during surgery and continuous monitoring post surgery can elevate the prognosis of the patient.

ANALISIS PENGARUH MANAJEMEN ASET, SISTEM PENGENDALIAN INTERNAL PEMERINTAH DAN KOMPETENSI SUMBER DAYA MANUSIA TERHADAP PENDAPATAN DENGAN OPTIMALISASI ASET IDLE SEBAGAI VARIABEL INTERVENING Kurniyanta, Aan; Roziq, Ahmad; Sularso, Raden Andi
BISMA: Jurnal Bisnis dan Manajemen Vol 12 No 1 (2018)
Publisher : Jurusan Manajemen Fakultas Ekonomi dan Bisnis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/bisma.v12i1.7610

Abstract: This study aims to analyze the effect of asset management, government internal control system, and human resource competency on the revenue with idle asset optimization as the intervening variable, in the Office of State Assets and Auction Service, Jember. This study also aims to determine the best strategy for the state assets management, especially the idle asset, to increase national revenue. This is an explanatory research with applying mixed method approach using embedded concurrent model. The primary data were analyzed using Partial Least Square and descriptive analysis. The sample consists of 43 respondents collected using purposive sampling method. The results show that asset management, government internal control system, and human resource competency have no significant effects on idle asset optimization. Asset management and idle asset optimization have no significant effects on revenue, while government internal control system has a negative and significant effect on the revenue. Human resource competency has a positive and significant effect on the revenue. The results of qualitative descriptive analysis conclude that many working units did not optimally manage the asset utilization. Therefore, the right policy strategy is needed to improve idle asset optimization. Keywords: Asset Management, Government Internal Control System, Human Resource Competency, Idle Assets Optimization, and Revenue.

The relationship between nutritional status based on nutritional risk index (NRI) and length of stay of digestive surgery patients Kusuma, Dian Reginalda; Putra, Kadek Agus Heryana; Kurniyanta, I Putu
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

ABSTRACTBackground: Malnutrition is a common concomitant illness that can be found in digestive surgery patients.The risk of malnutrition in digestive surgery patients is often overlooked even though malnutrition has beenknown to be associated with poor postoperative outcomes. The study aimed to analyze the relationship of nutritional status based on the Nutritional Risk Index (NRI) and length of stay of digestive surgery patientsin Sanglah General Hospital. Patients and Methods: The design of this study is an analytical cross-sectional using secondary data fromthe medical record of the digestive surgery patients in Sanglah General Hospital. Data on body weight andserum albumin level were used to identify the preoperative nutritional status of the patients based on NRI. Results: Of the 42 patients involved in this study, 54.8% of patients have poor nutritional status and the remainder 45.2% of patients have good nutritional status. The result of the statistical analysis showed asignificant relationship between nutritional status and length of stay. The result of the logistic regressiontest showed that the prevalence of long hospitalizations (≥11 days) were 5.2 times greater in digestivesurgery patients with poor preoperative nutritional status compared to patients with good nutritionalstatus. Conclusion: This study shows that poor nutritional status is a significant problem for digestive surgery patients and it is one of the factors that contribute to a longer hospital stay.

The ultrasonic cardiac output monitor (USCOM) as a tool in evaluating fluid responsiveness in pediatric patients underwent emergency surgery Kurniyanta, Putu; Utariani, Arie; Hanindito, Elizeus; Ryalino, Christopher
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

ABSTRACTBackground: Assessment fluid adequacy in pediatric patients underwent surgery is a challenge for anesthesiologists. Hemodynamic parameters used as fluid monitoring sometimes don’t accurately provide valid information. Ultrasonic Cardiac Output Monitor (USCOM) is one of the non-invasive methods that are easy to operate and may provide various hemodynamic parameters monitoring information.Objective: Analyze the effectiveness of Stroke Volume Variation (SVV) and Stroke Volume Index (SVI) by using USCOM in assessing fluid responsiveness in preoperative pediatric patients who underwent emergency surgeries. Method: This study was conducted on 16 pediatric patients underwent emergency surgeries. Before general anesthesia is given, blood pressure, mean arterial pressure, heart rate, cardiac index, SVV, SVI were recorded before and after administration of 10 mL/kg of fluid given within 20 minutes.Results: 10 subjects responded with SVV and SVI changes of more than 10% compared to 6 non-responders. SVV changes between responders and non-responders were 31.5±1.58 and 7.5±1.04, respectively. SVV percentage changes between responders and non-responders were 38.04±0.47 and 5.24±4.89, respectively.Conclusion: SVV and SVI recorded by USCOM showed significant fluid responsiveness changes in pediatric patients underwent emergency surgeries in 62.5% of the subjects.

Continuous caudal analgesia as a safe and effective method for pediatric post - chordectomy analgesia Senapathi, Tjokorda Gde Agung; Subagiartha, I Made; Widnyana, I Made Gede; Kurniyanta, Putu; Ryalino, Christopher; Estrada, Ronald
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

ABSTRACTIt brings great satisfaction for medical officers to be able to see children smiling, laughing, and playing without pain after surgery, yet many children still experience inadequate postoperative pain management. This phenomenon could lead to serious immediate and long term effects in the pediatric patient. Disruption of the healing process caused by pain could become the source of morbidity and mortality in the early postoperative period. Opioid side effects and transformation from acute to chronic pain due to inadequate analgesia are other problems met when dealing with postoperative pain management. This is where regional analgesia takes advantage. Caudal analgesia is an old yet very popular method in pediatric anesthesia and has gained widespread use. It can be delivered as a single injection or continuous infusion. The continuous technique provides a longer duration of analgesia than single injection does. We report a satisfying result from using continuous caudal analgesia for post chordectomy pain management in a 5-year-old boy.

Perioperative anesthetic management in pediatric with pheochromocytoma tumor resection Thius, Adi Dharma; Kurniyanta, Putu; Putra, Kadek Agus Heryana; Sinardja, I Ketut
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Pheochromocytomas (PCC) is rare neuroendocrine tumors which present as the malignant and familial features. These catecholamine-secreting tumors have triad classical symptoms of headache, sweating, and palpitation primarily due to the release of catecholamines and their metabolites in the body with hypertensive crisis become its predominant clinical symptoms. The excessive release of catecholamines may produce a life-threatening hemodynamic surge during the intraoperativeperiod, therefore preoperative preparation and intraoperative monitoring become an essential point. Nevertheless, postoperative care is also a critical issue in order to further curtail its morbidity and mortality rates.

PENATALAKSANAAN ANESTESI PADA BAYI DENGAN EMPHYSEMATOUS BULLOSA KONGENITAL Supradnyawati, Ni Made; Kurniyanta, Putu; Heryana Putra, Kadek Agus
Medicina Vol 45 No 2 (2014): Mei 2014
Publisher : Medicina

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.238 KB)

Emphysematous bullosakongenital merupakan penyebab distress respirasi yang jarang dijumpai, umumnya pada usia neonatus sampai enam bulan pertama. Insiden dilaporkan sebesar 1:70.000- 1:90.000 kelahiran hidup dan biasanya disertai dengan kelainan kongenital lainnya. Etiologi tidak diketahui, namun diduga terjadi akibat displasi kartilago bronkial. Hiperinflasi dan udara yang terperangkap secara progresif akan menimbulkan ekspansi paru ke sisi yang sehat, mendesak parenkim yang sehat, pergeseran mediastinum, dan mengganggu aliran darah balik vena.Secara klinis ditandai dengan distress napas yang semakin memburuk akibat akumulasi progresif udara pada lobus yang sakit. Kami melaporkan kasus pada bayi perempuan berusia 1 bulan, dengan keluhan sesak napas yang semakin memberat sejak 1 minggu sebelumnya. Diagnosis ditegakkan dari klinis, foto dada, dan computed tomography scan dada. Tindakan torakotomi lobektomi lobus medius telah dilakukan untuk menghilangkan lesi desak ruang sekaligus melindungi jaringan paru fungsional.Penatalaksanaan anestesi menitikberatkan pada saat induksi. Pemberian ventilasi manual secara gentle, menghindari pemberian ventilasi tekanan positif dan penggunaan N2O sampai torakotomi dilakukan untuk mencegahpeningkatan volume lobus yangmengalami emphysematous, serta pemberian analgesi perioperatif yang adekuat.Bila terjadi ekspansi lobus emphysematoussecara tiba-tiba, seorang dokter bedah harus siap melakukan torakotomi dengan segera. Pasien ini menunjukkan perkembangan yang baik dan akhirnya pulang pada hari ke-5 pascaoperasi. [MEDICINA 2014;45:134-8]

GAMBARAN KARAKTERISTIK PENDERITA SYOK SEPTIK DI RUANG TERAPI INTENSIF RUMAH SAKIT UMUM PUSAT (RSUP) SANGLAH DENPASAR PERIODE OKTOBER 2017–OKTOBER 2018 Jeremy Jonathan; I Putu Kurniyanta; Kadek Agus Heryana
E-Jurnal Medika Udayana Vol 9 No 10 (2020): Vol 9 No 10(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2020.V09.i10.P14

ABSTRAK Sepsis adalah keadaan disfungsi organ karena disregulasi respon tubuh terhadap infeksi. Sepsis yang tidak tertangani bisa menjadi syok septik, yaitu sepsis dengan abnormalitas metabolisme seluler dan sirkulatorik meskipun telah diresusitasi secara adekuat. Tingkat mortalitas syok septik sangat tinggi. Namun, data karakteristik pasien syok septik khususnya di Bali belum banyak diteliti. Oleh karena itu, penelitian ini bertujuan untuk mengetahui karakteristik pasien syok septik di ruang terapi intensif RSUP Sanglah periode Oktober 2017–Oktober 2018 berdasarkan usia, jenis kelamin, sumber infeksi, pola mikroorganisme, dan pemberian antibiotika. Penelitian ini menggunakan metode potong lintang deskriptif observasional. Pengambilan sampel dilakukan memakai total sampling. Pada 44 pasien yang terlibat, sebesar 40,9% pasien berasal dari rentang umur >65 tahun. Penyakit syok septik lebih banyak ditemukan pada laki-laki sebanyak 56,81%. Sumber infeksi terbanyak adalah infeksi sistem respirasi sebanyak 61,36%. Antibiotika yang paling sering digunakan ialah sefoperazon sebanyak 30%, dan antibiotika kombinasi yang paling sering digunakan yaitu sefoperazon-levofloksasin sebanyak 45,16%. Pada 26 pasien dengan hasil kultur, patogen terbanyak adalah Pseudomonas aeruginosa sebanyak 8%. Pada 18 pasien lainnya tidak ditemukan hasil kultur. Kata Kunci: Syok septik, karakteristik syok septik, pasien ruang terapi intensif.

Co-Authors Adi, Made Septyana Parama Adinda Putra Pradhana Ahmad Roziq Christopher Ryalino Damayanti, Elok Elizeus Hanindito Estrada, Ronald I Gusti Agung Gede Utara Hartawan I Ketut Sinardja I Made Agus Kresna Sucandra I Made Darma Junaedi, I Made I Made Gede Widnyana I Made Subagiartha I Wayan Suranadi Jeremy Jonathan Kadek Agus Heryana Kadek Agus Heryana Putra, Kadek Agus Ketut Wibawa Nada Kurnia, Prajnaariayi Prawira Kusuma, Dian Reginalda Made Wiryana Marilaeta Cindryani, Marilaeta Mauritius Septa Narakusuma, Fajar Ni Luh Gede Apsari Pararesthi Ni Made Supradnyawati, Ni Made Novandi Kurniawan Pontisomaya Parami Pranata, I Made Harry Putu Pramana Suarjaya Putu Sukma Parahita Raden Andi Sularso, Raden Andi Sobhana Shanmuganathan Thius, Adi Dharma Tjokorda Gde Agung Senapathi Utariani, Arie

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