Publikasi Scopus 2024 per tanggal 30 Juni 2024 (499 artikel)

Djaja A.S.; Sugiarto A.; Irawany V.
Djaja, Anne Suwan (57195382115); Sugiarto, Adhrie (57189612291); Irawany, Vera (57224445981)
57195382115; 57189612291; 57224445981
The issues with early continuous renal replacement therapy for National Health Insurance patients: a case report
2024
Anaesthesia, Pain and Intensive Care
28
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Anesthesiology & Intensive Care Department, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia; Department of Anesthesiology, Intensive Care Cipto Mangunkusumo General Hospital, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia; Department of Anesthesiology, Intensive Care Fatmawati General Hospital, Jakarta, Indonesia
Djaja A.S., Anesthesiology & Intensive Care Department, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia; Sugiarto A., Department of Anesthesiology, Intensive Care Cipto Mangunkusumo General Hospital, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia; Irawany V., Department of Anesthesiology, Intensive Care Fatmawati General Hospital, Jakarta, Indonesia
Sepsis is the leading cause of patient admission to the intensive care unit (ICU). Most of the sepsis patients experience multi-organ failure, such as respiratory and kidney failure, that require specific support. Continuous renal replacement therapy (CRRT) is one of the modalities performed in the ICU to help ameliorate cytokine levels, maintain fluid balance, and remove toxins. CRRT allows early ventilator weaning, a reduction in vasopressor or inotropic administration, and early discharge from the ICU. We report an experience of initiating an early CRRT in a patient with septic shock and acute kidney injury with fluid overload. During CRRT, the patient showed significant improvement in ventilation, hemodynamic, and fluid balance. However, the CRRT had to be discontinued due to limited resources and the infection rebounded. The patient in this case study died on the 14th day following admission. Early CRRT may be an effective therapy in septic shock patients; however, it requires continuous application that may not be possible in low-resource setting. Alternatively, sustained low-efficiency daily dialysis (SLEDD) has no major disadvantages compared to CRRT and may be a feasible option. © 2024 Faculty of Anaesthesia, Pain and Intensive Care, AFMS. All rights reserved.
Blood purification; Continuous renal replacement therapy; CRRT; Low-resource setting; Sepsis
antibiotic agent; antifungal agent; creatinine; hemoglobin; hypertensive factor; acute kidney failure; aged; Article; case report; clinical article; continuous hemodiafiltration; continuous renal replacement therapy; drug dose reduction; dyspnea; endotracheal intubation; extended daily dialysis; female; fluid balance; heart arrhythmia; hemodynamics; human; hyperkalemia; hyperlactatemia; hypervolemia; kidney disease; leukocyte count; mortality; national health insurance; oxygen saturation; respiratory acidosis; septic shock; synchronized intermittent mandatory ventilation; thorax radiography; urea nitrogen blood level; urine volume; vasodilatation
7th ICE; Fakultas Kedokteran, Universitas Indonesia, FKUI
This article was presented at the 7th International Conference and Exhibition on Indonesian Medical Education and Research Institute (7th ICE on IMERI), Faculty of Medicine, University of Indonesia.
Faculty of Anaesthesia, Pain and Intensive Care, AFMS
16078322
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