Health care systems worldwide are in a stage of transition, in some countries even in crisis. The main underlying causes are universal : economic constraints on one side, versus population pressures on the other. It is an issue of growing disparity between limited resources and increasing demands and needs. Many governments, the Indonesian goverment included, are implementing strategies for dev…
A seroepidemiological study using a modified indirect fluorescence antibody test (MIFA) according to the IFA method described by Perlmann et al. had been conducted on 282 sera collected from people living in a malarious hypoendemic area in Wonosobo, Central Java. The aim of this study was to know the antibody response/antibody amount against Pf155/RESA of those people and its relationship whit …
An experimental study on the effect of succinylcholine 1 1/2 mg/kg BW given intravenously to facilitate intubation plasma potassium level changing has been done during the period of August 1993 until March 1994. Fifty-eight patients (ASA 1-2) included in this study were selected consecutively. Patients with disturbance of renal function, tetraplegia, paraplegia, post-combustio and post-multiple…
Heart puncture wounds are almost always fatal as these wounds lead to massive hemorrhage, dysrythmia, and tamponade or submerges the heart. Management of anesthesia of these cases consist of the standard cardiopulmonary resuciation, the maintenance of airway, adequate ventilation, and circulation by ensuring adequate fluids. Premedications is not always needed as intubation has usually been per…
Head injuries often pose problems for anesthesia, the main issues are cranial blood supplay, intracranial pressure, hypoxemia and shock. In severe head injuries, the autoregulation of the brain is often lost, causing the existing ischemic areas to suffer from inadequate blood supply, ensued by extending ischemic areas. Furthermore, intracranial pressure may increase due to intracranial causes. …
Surgical procedures are often managed without hospitalization, the number of one day care procedures amount to 20-40 percent of all surgical procedures. The advantages of one day care surgery are reduction of 40-80 percent of the hospital cost, the maintainance of the patients' routine activity, and lowered risk of nosocomial infections. The ideal anasthetic agent for one day care procedures sh…