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Abstrak :
Tujuan: Membandingkan keefektifan klonidin dan meperidin dalam mencegah menggigil pasta anestesia umum. Metode: Uji KIinik Acak Tersamar Ganda. Penelitian dilakukan di Instalasi Bedah Pusat RSCM pada bulan Maret sampai Mei 2006, dengan jumlah sampel 61 ()rang dan dikeluarkan 5 sampel, sehingga tersisa 56 sampel yang menjalani operasi berencana dan anestesia umum. Pasien dibagi secara acak kedalam 2 kelompok; 28 pasien mendapatkan klonidin 1,54g/kgBB sebagai premedikasi dan 28 pasien Iainnya mendapatkan meperidin 0,35mg ketika isofluran dihentikan. Dilakukan pencatatan pasta operasi kejadian menggigil pada kedua perlakuan, dilakukan juga pencatatan terhadap efek samping pada kedua kelompok perlakuan. Analisa statistik untuk melihat perbedaan kekerapan antara kedua perlakuan dilakukan uji Chi Square. Hasil: Tidak terdapat perbedaan yang bermakna secara statistik antara kedua kelompok perlakuan dalam haI kekerapan kejadian menggigil.

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Objective: To compare the effectiveness of Clonidin and Meperidin in preventing the post-anesthesia shivering. Methods: Double-blinded, randomized clinical trial. The study was conducted at Cipto Mangunkusumo Hospital Central Surgery Room from March until May 2006 to 61 adult patients who went to elective surgery and were planned to be under general anesthesia, 5 of them were excluded The rest were divided randomly into two groups; 28 patients were given 1,5 pg/kg BW Clonidin intravenously as premedication and the other 28 patients were given 0,35 mg/kg BW Meperidin intravenously when Isoflurane was stop. The incidence of post-anesthesia shivering and adverse-effect on both groups were recorded. Chi Square method was performed to identify the frequency difference between the two groups. Result: There were no significant statistical differences' between the two groups in a matter of frequency of shivering.

Abstrak :
ABSTRAK
Hipotermia adalah keadaan suhu inti tubuh dibawah 36 C. Kejadian Hipotermia sering muncul pada pasien post operasi. Hipotermia post operasi yang berkepanjangan dapat menyebabkan kegagalan jantung dan sistem pernapasan, dan bahkan kematian. Penelitian ini bertujuan untuk menganalisa efektifitas penggunaan warmed IV line dan selimut terhadap peningkatan suhu pada pasien hipotermia post operasi. Penelitian ini merupakan deskriptif analitik dengan metode quasi experiment yang melibatkan 34 responden. Hasil penelitian ini menunjukan ada efektifitas penggunaan warmed IV line dan selimut terhadap peningkatan suhu pada pasien hipotermia post operasi p-velue = 0,011 . Hasil penelitian ini akan menjadi salah satu rekomendasi intervensi dalam upaya peningkatan suhu pasien hipotermia post operasi.

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ABSTRACT
Hypothermia is a condition where the body rsquo s core temperature is below 36 oC. Hypothermia often appears in post operation patients. Prolonged post operation hypothermia can lead to heart failure and respiratory system, and even death. The purpose of this research is to analyze the effectiveness of the use of warmed IV line and blankets on increase temperature in post operation hypothermia patients. This research is an analytical descriptive with quasi experiment method that involved 34 respondents. The results of this research indicated if there was effectiveness of the use of warmed IV line and blankets on increase temperature in post operation hypothermia patients p velue 0,011 . The results of this research will be one of the recommendations of intervention in an effort to increase the temperature of post operation hypothermia patients.

Abstrak :
ABSTRAK
Pendahuluan. Parameter spinopelvik merupakan parameter untuk mengukur keseimbangan poros tulang belakang terhadap ekstrimitas bawah pada penampang sagital. Parameter ini terdiri dari sagittal vertical axis (SVA), pelvic incidence (PI), pelvic tilt (PT), pelvic incidence (PI) dan diukur melalui X-ray whole spine lateral view dalam keadaan berdiri. Pengukuran parameter ini penting sebagai dasar analisa keseimbangan sagital dalam operasi rekonstruktif tulang belakang, karena dengan tidak adanya keseimbangan pada penampang sagital ini akan berakibat timbulnya adjacent segment degeneration yang akan memengaruhi luaran klinis. Hingga saat ini belum ada studi yang mengevaluasi hubungan antara luaran parameter spinopelvik dengan luaran klinis di indonesia. Metode Penelitian. Penelitian ini adalah penelitian analitik potong lintang dengan subyek 19 pasien dewasa pasca operasi stabilisasi dan fusi tulang belakang torakal dan lumbal di Rumah Sakit Dr. Ciptomangunkusumo (RSCM) Jakarta pada tahun 2012-2014. Pasien tersebut dilakukan evaluasi X-ray parameter spinopelvik SVA, PI, PT, dan SS dilakukan penilaian skor Indeks Disabilitas Oswestry (IDO) pada saat 1 tahun pasca operasi. Lalu dilakukan analisis statistik dengan menggunakan uji hipotesis komparatif numerik dengan menggunakan pearson dimana dibandingkan luaran parameter spinopelvik SVA, PI, PT, dan SS dengan luaran fungsional skor IDO. Temuan dan Diskusi Penelitian. Didapatkan hasil korelasi antara IDO dan SVA (p<0,001) (r=0,866). Korelasi antara IDO dan PI (p=0,006) (r=0,603). Korelasi antara IDO dan PT (p=0,107) (r=0,382). Korelasi IDO dan SS (p=0,051) (r=0,454). Simpulan. Didapatkan korelasi kuat antara IDO dan SVA serta IDO dan PI. Tidak didapatkan korelasi antara IDO dan PT serta IDO dan SS. SVA dan PI merupakan parameter spinopelvik yang berpengaruh pada luaran pasca operasi fusi tulang belakang torakal dan lumbal. ABSTRACT
Introduction. Spinopelvic parameter is a parameter that used to measure the sagital balance of vertebrae in congruency with lower extrimity in sagital plane. This parametr is consist of sagittal vertical axis (SVA), pelvic incidence (PI), pelvic tilt (PT), pelvic incidence (PI) dan diukur melalui X-ray whole spine lateral view in standing position. Measurement of this parameter is important as basic analysis for achieve sagital balance in reconstructive operation of the vertebrae, because if the sagital balance is interupted will cause the adjacent segment degeneration that will influence the clinical outcomes. Up until now, there is no study that evaluate the spinopelvic parameter with the clinical outcomes in Indonesia. Methods. This study is a cross-sectional analytic with 19 subject of adult patient that had undergo thoracal and lumbar fusion and stabilization in Rumah Sakit Dr. Ciptomangunkusumo (RSCM) Jakarta in 2012-2014. The subject was underwent x-ray evaluation of SVA, PI, PT, and SS. The patient also underwent evaluation of Indeks Disabilitas Oswestry (IDO) score in 1 year after operation. Then the statistical work was done with numeric comparative pearson test analysis to determine whether there is correlation between SVA, PI, PT, and SS with IDO score. Result and Discussion. There is strong correlation between IDO and SVA (p<0,001) (r=0,866). Strong correlation between IDO and PI (p=0,006) (r=0,603). No correlation between IDO and PT (p=0,107) (r=0,382). No correlation between IDO and SS (p=0,051) (r=0,454). Conclusion. Strong correlation is indicated in IDO and SVA, also in IDO and PI. There is no correlation between IDO and PT, also in IDO and SS. SVA and PI are the important spinopelvic parameter that have influence on clinical outcome in post thoracal and lumbar fusion and stabilization patient. ;Introduction. Spinopelvic parameter is a parameter that used to measure the sagital balance of vertebrae in congruency with lower extrimity in sagital plane. This parametr is consist of sagittal vertical axis (SVA), pelvic incidence (PI), pelvic tilt (PT), pelvic incidence (PI) dan diukur melalui X-ray whole spine lateral view in standing position. Measurement of this parameter is important as basic analysis for achieve sagital balance in reconstructive operation of the vertebrae, because if the sagital balance is interupted will cause the adjacent segment degeneration that will influence the clinical outcomes. Up until now, there is no study that evaluate the spinopelvic parameter with the clinical outcomes in Indonesia. Methods. This study is a cross-sectional analytic with 19 subject of adult patient that had undergo thoracal and lumbar fusion and stabilization in Rumah Sakit Dr. Ciptomangunkusumo (RSCM) Jakarta in 2012-2014. The subject was underwent x-ray evaluation of SVA, PI, PT, and SS. The patient also underwent evaluation of Indeks Disabilitas Oswestry (IDO) score in 1 year after operation. Then the statistical work was done with numeric comparative pearson test analysis to determine whether there is correlation between SVA, PI, PT, and SS with IDO score. Result and Discussion. There is strong correlation between IDO and SVA (p<0,001) (r=0,866). Strong correlation between IDO and PI (p=0,006) (r=0,603). No correlation between IDO and PT (p=0,107) (r=0,382). No correlation between IDO and SS (p=0,051) (r=0,454). Conclusion. Strong correlation is indicated in IDO and SVA, also in IDO and PI. There is no correlation between IDO and PT, also in IDO and SS. SVA and PI are the important spinopelvic parameter that have influence on clinical outcome in post thoracal and lumbar fusion and stabilization patient.