Publikasi Scopus 926 artikel (Per 14 Maret 2022)

Basuki A., Song A., Yovita N.V., Suryadinata K.L., Sagala A.E.
57201667022;57222711862;57222712061;57222712562;57222714377;
The treatment challenges and limitation in high-voltage pediatric electrical burn at rural area: A case report
2021
International Journal of Surgery Case Reports
82
105857
Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo National General Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia; S. K. Lerik Public General Hospital, Kupang City, East Nusa Tenggara, Indonesia; Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjajaran, Indonesia; Department of Physical Medicine and Rehabilitation, Dr. Cipto Mangunkusumo National General Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia
Basuki, A., Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo National General Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia; Song, A., S. K. Lerik Public General Hospital, Kupang City, East Nusa Tenggara, Indonesia; Yovita, N.V., Department of Physical Medicine and Rehabilitation, Dr. Cipto Mangunkusumo National General Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia; Suryadinata, K.L., Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjajaran, Indonesia; Sagala, A.E., S. K. Lerik Public General Hospital, Kupang City, East Nusa Tenggara, Indonesia
Introduction: Although rare, electrical injury in pediatrics is potentially life threatening and has significant and long-term impact in life. It is challenging to manage such cases in rural areas. Presentation of case: A fully conscious 13-year-old boy was admitted to the emergency room after being electrocuted by high-voltage power cable, with superficial partial thickness burn over right arm, trunk, and left leg (26 % of total body surface area). Tachycardia and non-specific ST depression was found on ECG examination and was diagnosed with high-voltage electrical injury. Treatments were based on ANZBA algorithm with several modifications, i.e., administering lower concentration of oxygen with nasal cannula instead of non-rebreathing mask as well as Ketorolac and Antrain® for analgesic instead of morphine. Discussion: Different choices of treatments were given due to limited resources. Despite possible cardiac and renal complication, further tests could not be done. Fortunately, after strict monitoring, no signs of abnormality were found. We used silver sulfadiazine, Sofratulle® and dry sterile gauze as a dressing of choice following immediate surgical debridement. The patient was observed daily through 7 days of hospitalization and followed-up for 1 year, achieving normal physiologic function of the affected area but unsatisfactory esthetic result. Conclusion: Lack of infrastructure, drugs, and trained personnel are some of the challenges that still exist in most rural areas. Thus, implementation of available standardized guidelines such as ANZBA, and giving similar training to personnel as well as providing feasible equipment followed by strict monitoring for the patient are needed to achieve maximum results. © 2021
Case report; Electrical burn; Pediatric; Rural area
alanine aminotransferase; analgesic agent; antrain; aspartate aminotransferase; ceftriaxone; dipyrone; framycetin; ketorolac; olive oil; oxygen; Ringer lactate solution; sulfadiazine silver; adolescent; alanine aminotransferase blood level; analgesia; antibiotic prophylaxis; arm; Article; aspartate aminotransferase blood level; blood examination; burn; case report; clinical article; depression; drug substitution; drug withdrawal; electric accident; electric burn; electrocardiogram; electrocardiography; electrocution; emergency treatment; emergency ward; epithelization; fluid resuscitation; follow up; general anesthesia; granulation tissue; human; hypokalemia; leg; leukocytosis; male; outpatient care; oxygen saturation; patient monitoring; pediatric patient; priority journal; pulse oximetry
Elsevier Ltd
22102612
Article
Q3
232
17549