Category archives for Interventional Pulmonology

Complications of Small Bore (Pigtail) Catheter Compared to Large Bore Catheter in Pleural Effusion Drainage

Shira Nour Rizana,1 Widirahardjo,1 Noni Novisari Soeroso,2 Putri Chairani Eyanoer2 1Departemen Pulmonologi dan Kedokteran Respirasi Fakultas Kedokteran Universitas Sumatera Utara, RSUP H. Adam Malik, Medan 2Epi-Treat Unit Lembaga Penelitian Pengembangan Masyarakat Universitas Sumatera Utara, Medan Abstract Background: Placement of large bore catheher is an invasive procedure with potential morbidity and complications. In contrast, pigtail catheter […]

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 […]

Characteristics and Etiology of Pleura Effusion in Arifin Achmad Hospital Pekanbaru

Indra Yovi,1 Dewi Anggraini,2 Suci Ammalia3 1SMF/KJF Pulmonologi, Fakultas Kedokteran Universitas Riau, RSUD Arifin Achmad, Riau 2KJF Mikkrobiologi, Fakultas Kedokteran Universitas Riau 3Fakultas Kedokteran Universitas Riau Abstract Background: The etiology of pleural effusion is variable, but “unknown etiology”, obtained up to 20% of cases in various studyreports. Patients with pleural effusion require early and proper […]

Diagnostic Accuracy of Ultrasonography Guided Transthoracic Needle Aspiration for Diagnosing Lung Cancer

Sahdra Saragih,1 Noni Novisari Soeroso,1 Fajrinur Syarani,1 Fotarisman Zalukhu,2 Netty Delvrita Lubis3 1Departemen Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran Universitas Sumatera Utara, RSUP H. Adam Malik, Medan 2Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara 3Departemen Radiologi Fakultas Kedokteran Universitas Sumatera Utara, RSUP H. Adam Malik, Medan Abstract Background: Imaging-guided transthoracic needle aspiration (TTNA) are widely applied […]

Respiratory Failure of Myasthenia Gravis Patients

Rizki Nur Amalia,1 Menaldi Rasmin2 1Departemen Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran Universitas Airlangga, RSUP Dr.Soetomo, Surabaya 2Departemen Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran Universitas Indonesia, RSUP Persahabatan, Jakarta Abstract Myasthenia gravis is an autoimmune disease that affects neuromuscular transmission causing muscle weakness in local and wide. Myasthenic crisis is an emergency in the field […]

The Accuracy of Transbronchial Needle Aspiration to Determine Staging of Lung Cancer

Ikhfana Syafina,1 Noni Novisari Soeroso,1 Pantas Hasibuan,1 Putri Chairani Eyanoer2 1Departemen Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran Universitas Sumatera Utara, RSUP H. Adam Malik, Medan 2Epi Treat Unit Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Sumatera Utara, Medan Abstract Background: Mediastinal nodes metastasis is one of the important factor in determining the action of […]

Atropine Premedication Discharge to Reduce Sputum during Bronchoscopy Procedure

Juliana Maria Ulfah, Noni Novisari Soeroso, Pantas Hasibuan, Putri Chairani Eyanoer Departemen Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran Universitas Sumatera Utara, RSUP H. Adam Malik Medan. Epi Treat Unit Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Sumatera Utara. Abstract Background: Atropine is widely used as premedication for fiberoptic bronchoscopy. The anticholinergic action of atropine may reduce […]

Degree of Discomfort between Spray and Nebulization Anesthesia Subject Undergone Flexible Fiberoptic Bronchoscopy

Sudarto¹, Noni Novitasari Soeroso¹, Pantas Hasibuan¹, Putri Chairani Eyanoer² ¹Departemen Pulmonologi dan Ilmu Kedokteran Respirasi, Fakultas Kedokteran Universitas Sumatera Utara, RSUP H. Adam Malik Medan ²Lembaga Penelitian Pengembangan Masyarakat Universitas Sumatera Utara Medan Abstract Background: Topical anesthetics commonly used in fiber-optic bronchoscopy (FOB) procedure. This study compare spray and nebulized topical anesthetic in patients undergoing […]

Clinical Characteristic of Fiberoptic Bronchoscopy Procedure in Pulmonary Diseases in Dr. Moewardi Hospital Surakarta

Agung Setiadi, Ana Rima, Jatu Aphridasari, Yusup Subagyo Sutanto Departemen Pulmonologi dan Ilmu Kedokteran Respirasi, Fakultas Kedokteran Universitas Sebelas Maret, Rs Dr. Moewardi, Surakarta Abstract Background: Bronchoscopy is a common invasive diagnostical procedure in clinical respiratory practice.This study described characteristic of patients who had performed fiberoptic bronchoscopy in Dr. Moewardi hospital. Methods: This study design was retrospective descriptive […]

Bronchoscopy in Intensive Care Unit

Suryani Padua Fatrullah¹, Yuni Iswati², Prasenohadi², Menaldi Rasmin² Departemen Pulmonologi dan Ilmu Kedokteran Respirasi, Fakultas Kedokteran Universitas Airlangga, Rumah Sakit Umum Daerah Dr. Soetomo, Surabaya Departemen Pulmonologi dan Ilmu Kedokteran Respirasi, Fakultas Kedokteran Universitas Indonesia, Rumah Sakit Persahabatan, Jakarta Abstract Bronchoscopy is a relatively safe procedure and commonly performed in the intensive care unit (ICU). Preparation […]

Common Causes of Pleural Effusion in Hospitalized Patient

Eddy Surjanto, Yusup Subagyo Sutanto, Jatu Aphridasari, Leonardo Departemen Pulmonologi dan Ilmu Kedokteran Respirasi, Fakultas Kedokteran Universitas Sebelas Maret, RS Dr. Moewardi, Surakarta Abstract Background: Pleural effusion is abnormal accumulation of pleural fluid in pleural cavity, which is caused by excessive transudation or exudation from pleural surface and complication of various diseases. The aim of this […]

The Complication of Tube Thoracostomy in Various Pleural Disease

Adi Rosadi, Boedi Swidarmoko, Pudjo Astowo Abstract Background: Tube thoracostomy is simple invasive procedure but many aspects must be evaluated regarding the underlying disease, place of insertion, type of chest tube, technique and complication. No data regarding complication of tube thoracostomy in various pleural diseases in Indonesia. Methods : Prospective study was done at Persahabatan […]

Tracheostomy in Post Tuberculosis Tracheal Stenosis with Tracheal Stent Granulation

Nur Janah, Menaldi Rasmin, Boedi Swidarmoko Abstract A 31 years old pregnant woman with 28 weeks gestation age admitted to hospital with chief complaint of worsening dyspnea within 1 week. She has been living well with tracheal stent since 2007 due to post tuberculosis tracheal stenosis and now with acid fast bacilli negative. Bronchoscopy evaluation […]

Sensitivity and Specificity of Acid Fast Bacilli Smear from Induced Sputum and Bronchoalveolar Lavage (BAL) in Diagnosis of Negative Acid Fast Bacilli Tuberculosis

Eva Sri Diana, Wiwien Heru Wiyono, Boedi Swidarmoko, Arifin Nawas Abstract Background : Some cases of pulmonary tuberculosis (PTB) cases that are being treated in our country are with negative acid fast bacilli (AFB sputum smear and culture). Acid fast bacilli (AFB) microscopy and conventional Lowenstein Jensen (LJ) culture from sputum remain the cornerstone for […]

Surgery in Extensively Drug Resistant Tuberculosis, Emphasized in the Preventing of Disease Transmision to the Environment: Case Study in Persahabatan Hospital

Panji Utomo, Susan Hendriarini Mety, Agung Wibawanto Abstract The burden of tuberculosis in Indonesia has become more emerging and challenging with the increasing number of multidrug resistant tuberculosis (MDR TB) and the extensively drug resistant tuberculosis (XDR TB). The XDR TB is defined as resistance to at least rifampicin and isoniazid (which is the definition […]

Characteristics Vascular Endhothelial Growth Factor, Glucose, Lactate Dehidro- genase and Protein Level in Non Malignant and Malignant Pleural Effusion

Magy Satolom, Nunuk Sri Muktiati, Ngakan Putu Parsama Putra, Asri Maharani Abstract Introduction: Diagnosing the etiology of pleural effusion is sometimes a challenging medical problem, and there is an urgent need to identify new fluid markers to differentiate malignant from non malignant pleural effusion. The aim of this study was to determine the characteristics of […]

Characteristic of Pleural Effusion in Persahabatan Hospital

Rita Khairani, Elisna Syahruddin, Lia Gardenia Partakusuma Abstract Background: Pleural effusion is abnormal accumulation of pleural fluid in pleural cavity, which is caused by excessive transudation or exudation form pleural surface and as complication of various diseases. The aim of this study was to understand the characteristic of pleural effusion. Methods: This study was an […]

Comparison of the Effect of Nebulization between Salbutamol and Salbutamol Diluted with Normal Saline in Adult Patient with Moderate Asthma Exacerbation in Persahabatan Hospital

Indri Savitri Idrus, Faisal Yunus, Sita Laksmi Andarini, Arini Setiawati Abstract Background: Asthma is a chronic airway disease that causes difficulty in breathing in which bronchospasm is a hallmark in acute exacerbation. In management of asthma attack, agonist β2 is the best option as treatment for mild, moderate and severe asthma. Agonist β2 nebulization as […]

Diagnostic Modality for Peripheral Lung Tumor

Ni Made Restiawati, Dicky Soehardiman, Sita Laksmi Andarini Abstract Peripheral lung tumor is defined in most studies as tumor that are not visible beyond the visual segmental bronchi and located ≥ 2 cm in all directions around the proximal bronchial tree. Localised peripheral pulmonary tumor is commonly encountered in clinical practice and frequently require tissue […]

Sensitivity and Specificity of Mycobacteria Tuberculosis Culture Using Liquid Media on Bronchoalveolar Lavage From Negative Acid Fast Bacili Pulmonary Tuberculosis Patients

Setiarsih HS, Wiyono WH, Burhan E, Soemanto RK, Widyahening IS. J Respir Indones. 2012;32(2):89-99. Abstract: Introduction: Diagnostic tuberculosis using acid fast bacilli (AFB) microscopy and conventional Lowenstein Jensen (LJ) culture remain the cornerstone but the sensitivity of these traditional methods is quite low, especially in the samples containing small number of organism. There is a […]

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 […]

Endobronchial Ultrasound Transbronchial Needle Aspiration Biopsy (EBUS TBNA)

Soehardiman D. J Respir Indones. 2011;31(2):109-12. Awalnya endobronchial ultrasound (EBUS) jenis radial probe diciptakan untuk mencari gambar proses di dalam dan di luar saluran napas dengan resolusi tinggi. Struktur khusus yang dituju adalah kelenjar getah bening (KGB), dinding saluran napas dan mediastinum. Radial probe EBUS TBNA meningkatkan kemampuan TBNA KGB mediastinum, namun prosedur ini bukan […]

The Positive Result Of Cytology Brushing At Flexible Fiberoptic Bronchoscopy Compared with Transthoracic Needle Aspiration in Central Lung Tumor

Wahyuni TD, Swidarmoko B, Rogayah R, Hidayat H. J Respir Indones. 2011;31(1):22-31. Background. To establish a cytology or histologic diagnosis in a patient with suspected lung cancer, flexible bronchoscopy is an essential step in the workup. The value of obtaining brushing during fiberoptic bronchoscopy in the workup lung cancer is optimizing. This study aims to […]

Ultrasonografi Toraks

Lyanda A, Antariksa B, Syahruddin E. J Respir Indones. 2011;31(1):38-43. Ultrasonografi (USG) adalah alat diagnostik noninvasif menggunakan gelombang suara dengan frekuensi tinggi diatas 20.000 hertz ( >20 kilohertz) untuk menghasilkan gambaran struktur organ d dalam tubuh. Manusia dapat mendengar gelombang suara 20-20.000 hertz. Gelombang suara antara 2,5 sampai dengan 14 kilohertz digunakan untuk diagnostik. Gelombang […]

The Comparison of Examination Between Saline Inhalation Sputum and Alcohol Fixation Bronchial Washing with Saccomano Fixation for Lung Cancer Diagnosis

Surjanto E, Suradi, Purwoko S, Purnomo J. J Respir Indones. 2010;30(4):181-9. ABSTRACT Background : Histopathological examination is paramount in patients with suspected lung cancer, because it is a gold standard for lung cancer diagnosis. Sputum cytology examination is the only non-invasive examination that can detect lung cancer, besides it is quite cheap and can be […]