Category archives for Critical Care

Correlation Between Pneumocystis jirovecii Pneumonia and Elevated Serum Levels of Lactate Dehydrogenase in HIV

Elizabeth Vania, Tutik Kusmiati Departemen Pulmonologi dan Kedokteran Respirasi Fakultas Kedokteran Universitas Airlangga, RSUD Dr. Soetomo, Surabaya Abstract Background: Pneumocystis pneumonia (PCP) is a major cause of morbidity and mortality in immunocompromised individuals caused by Pneumocystis jirovecii. The diagnosis of PCP is difficult since causative organism can not be cultured, and the diagnosis is based […]

Comparisson BAP 65 Score and DECAF Score as Outcome Predictor of COPD Exacerbation at Emergency Room in Dr. Moewardi Hospital

Winny Frida, Dewi Nurul Makabhah, Jatu Aphridasari, Farih Raharjo, Suradi Departemen Pulmonologi dan Kedokteran Respirasi Fakultas Kedokteran Universitas Sebelas Maret, RSUD Dr. Moewardi, Surakarta Abstract Background: Prevalence of COPD is increasing, due to better diagnostic tools and because diagnostic capabilities. Some of the tools to asses the degree of severity in AE-COPD are BAP 65 […]

Bronchiectasis with Sepsis and Respiratory Failure

Farah Fatmawati1, Menaldi Rasmin2 1Departemen Pulmonologi dan Ilmu Kedokteran Respirasi Fakultas Kedokteran Universitas Airlangga, RSUD dr. Soetomo, Surabaya 2 Departemen Pulmonologi dan Ilmu Kedokteran Respirasi Fakultas Kedokteran Universitas Indonesia, RSUP Persahabatan, Jakarta Abstract Bronchiectasis is diagnosed based on high resolution chest computed tomography (HRCT) image, with specific criteria that the internal diameter of the bronchus […]

Evaluation of Empirical Treatment Response in Hospitalized Patient Community Acquired Pneumonia

Fikri Faisal, Erlina Burhan, Wahju Aniwidyaningsih, Aria Kekalih Departemen Pulmonologi dan Ilmu Kedokteran Respirasi, Fakultas Kedokteran Universitas Indonesia, RS Persahabatan Jakarta Departemen Ilmu Kedokteran Komunitas, Fakultas Kedokteran Universitas Indonesia Abstract Background: Pneumonia is the first leading disease with the highest mortality in hospitalized patients. The purpose of this study are to determine treatment responsse for the empirical […]

Relationship between Procalcitonin Concentration with Etiology of Community Acquired Pneumonia Patients

Desi Susyanti, Taufik, Oea Khairsyaf, Irvan Medison Departemen Pulmonologi dan Kedokteran Respirasi Fakultas Kedokteran Universitas Andalas, RS Dr. M. Djamil Padang Abstract Background: Antibiotic overuse for community acquired pneumoia (CAP) is associated with drug resistance and hospital-acquired infection. It is important to distinguish bacterial pneumonia from non-bacterial pneumonia to less antibiotic overuse. Procalcitonin (PCT) test could identify bacterial […]

Acute Physiology And Chronic Health Evaluation (Apache) II Scoring system as mortality prediction for Intensive Care Unit patients

Diah Handayani, Nirwan Arief, Boedi Swidarmoko, Pudjo Astowo, Muhammad Sopiyudin Dahlan Abstract Background: Realizing the utility of scoring systems in mortality prediction of critically ill patients admitted to intensive care unit (ICU), studies worldwide have expressed a need to validate the Acute Physiology and Chronic Health Evaluation (APACHE) II score for database of respective centers. […]

Non Invasive Ventilation Role and Application in Chronic Obstructive Pulmonary Disease Exacerbation

Ferry Dwi Kurniawan, Prasenohadi, Faisal Yunus Abstract Chronic Obstructive Pulmonary Disease (COPD) exacerbation related to an increased risk of mortality, morbidity and health cost. Evidently, non invasive ventilation (NIV) has a role in reducing risk of in-hospital mortality, intubation and length of stay. By providing Positive End Expiratory Pressure (PEEP) extrinsically, it could overcome the […]

Treatment Indication for Respiratory Patient in Intensive Care Unit

Anna Deliana, Agung Wijayanto, Prasenohadi, Menaldi Rasmin Abstract Background: One of the central services at the hospital is Intensive Care Unit (ICU). ICU is currently dealing not only with postsurgical patients, but also includes various kinds of adult patients, children with more than one dysfunction/organ failure. The selection of patients based on an clinical assessment and prognosis […]

Validity of PSI and CURB-65 Severity Scoring System and Mortality in Community Acquired Pneumonia at Dr.Saiful Anwar Hospital Malang

Fauzijah Sri Rahmawati, Yani Jane Sugiri, Sanarto Santoso, Asri Maharani Abstract Background : Community-acquired pneumonia (CAP) remains as a significant problem in healthcare. Decision to admit the patient become a serious attention. This has led to the development of prognostic scoring system aimed at assisting in risk stratification of patients presenting with CAP. The aim […]

Effect of Craniotomy on the Use of Mechanical Ventilation and Lenght of Intensive Care on Hemorrhagic Stroke Patients in the Intensive Care Unit (ICU) at Persahabatan Hospital

Cahyo M, Nazarudin A, Rasmin M, Prasenohadi, Sidharta IDK, Wulung NGHML, Khumar R. J Respir Indones. 2012;32(2):100-3. Abstract: Introduction: Hemorrhagic stroke is common medical problem in elderly, and contribute to high mortality rate. Craniotomy is standard brain surgery to evacuate blood clot to decrease intracranial pressure and complication of the disease. Methods: Design of this […]

Invasive Mechanical Ventilation on Acute Respiratory Distress Syndrome (ARDS)

Susanto YS, Sari FR. J Respir Indones. 2012;32(1):44-52. Abstract Acute respiratory distress syndrome (ARDS) is an acute respiratory disease that requires intensive care treatment with high mortality rates up to 60%. Acute repiratory distress syndrome (ARDS) could be due to pulmonary disorders (aspiration, pneumonia) and extrapulmonary disorders (sepsis, severe injury). Spesific prevention for ALI/ARDS are […]

Discharge Criteria of Patient with Hemoptysis and Evaluation for One Month in Persahabatan Hospital.

Depari RESS, Swidarmoko B, Syahruddin E. J Respir Indones. 2010;30(4):197-216. ABSTRACT Introduction : Hemoptysis is one of respiratory emergencies that need immediate managements in the hospital. In Dept.of Pulmonology and Respiratory Medicine / Persahabatan Hospital, all patient with hemoptysis must be addmitted. Discharge criteria for hemoptysis  patient is if they had already free from hemoptysis […]

Editorial: Ventilasi Noninvasif di Ruang Rawat Intensif

Prasenohadi. J Respir Indones. 2009;29(3). Pemakaian ventilasi mekanik noninvasif akhir-akhir ini berkembang dengan cepat. Ventilasi mekanik noninvasif adalah suatu bantuan ventilasi tanpa melalui pipa endotrakeal. Ventilasi mekanik noninvasif dapat berupa continuous positive airway pressure (CPAP) hingga intermittent positive-pressure ventilation (IPPV) dan kombinasi positive inspiratory pressure dan positive end expiratory pressure (PIP + PEEP). Penggunaan ventilasi […]

Laporan Kasus: Seorang laki-laki dengan sesak napas dan suara serak yang diduga stenosis trakea

Tutik K, Rasmin M. J Respir Indones. 2009;29(3). Sebuah kasus seorang laki-laki usia 51 tahun dengan keluhan sesak napas yang menahun dan menetap walaupun telah dilakukan pembedahan torakotomi atas indikasi adanya giant bullae pada paru kanan yang diikuti dengan pleurodesis dan dilanjutkan dengan kauterisasi jaringan granulasi pada trakea 1/3 atas. Pasca tindakan tersebut sesak napas […]

Ventilasi Noninvasif (Non-invasive Ventilation/NIV)

Rogayah R, Fitriani F, Rasmin M. J Respir Indones. 2009;29(3). Ventilasi noninvasif merupakan teknik ventilasi mekanis tanpa menggunakan pipa trakea (endotracheal tube) pada jalan napas. Sejarah pemakaian ventilasi noninvasif dimulai pada tahun 1930-an dengan teknik negative pressure ventilation (NPV) berupa body ventilator. John Dalziel pada tahun 1938 memperkenalkan body ventilator dalam bentuk tank type untuk […]

Editorial: Hemoptisis

Rasmin M. J Respir Indones. 2009;29(2). Batuk darah merupakan suatu gejala atau tanda dari suatu penyakit infeksi. Volume darah yang dibatukkan bervariasi dan dahak bercampur darah dalam jumlah minimal hingga masif, tergantung laju perdarahan dan lokasi perdarahan. Batuk darah atau hemoptisis adalah ekspektorasi darah akibat perdarahan pada saluran napas di bawah laring, atau perdarahan yang […]

Embolisasi Arteri Bronkial pada Hemoptisis

Marleen FS, Swidarmoko B, Rogayah R, Pandelaki J. J Respir Indones. 2009;29(2). Hemoptisis merupakan suatu kedaruratan medis yang memerlukan penanganan khusus supaya tidak berakibat fatal dengan angka mortaliti hemoptisis masif 75% disebabkan oleh asfiksia dan 70% penyebab hemoptisis di Indonesia adalah tuberkulosis. Busroh meneliti di rumah sakit Persahabatan, penyebab hemoptisis masif adalah tuberkulosis 76,6% , […]