02

METOD
E
 METODE

KELOMPOK
RANCANGAN KELOMPOK
CONVENTIONAL
PENELITIAN ERAS
Menjalani operasi darurat
MenjalaniCARE
operasi antara
dengan diagnosis perforasi
Studi Prospektif Dua Pusat colon bagian kiri Januari 2011 dan Februari
2014
Kelompok Retrospektif Menerima perawatan
perioperatif menurut Pasien dikumpulkan dari
protokol ERAS antara database elektronik Rumah
Maret 2014 dan Juni 2017 Sakit
 METODE
KRITERIA KRITERIA
INKLUSI EKSLUSI
USIA > 18 tahun < 18 tahun

MORTALITAS rendah - sedang Tinggi

PSS 6 dan 11 poin 12 poin atau lebih

 Peritonitis
Severity Score
 ERAS
Programme
in
Emergency
Colorectal
Surgery
 METODE
VARIABEL YANG DIANALISIS

PRA OPERASI INTRA OPERASI

● Jenis kelamin ● Klasifikasi ASA
● Usia ● Profilaksis mual dan muntah
● Analgesia epidural
● Etiologi perforasi ● Pencegahan hipotermia
● Profilaksis antibiotic ● Optimalisasi cairan (pemantauan)
● Penggunaan opiate
● Kontrol glikemik ● Prosedur pembedahan, akses ke rongga
● Penentuan CPR perut (laparotomi atau laparoskopi)
● PSS
● Penandaan stoma
● Premedikasi
 METODE
VARIABEL YANG DIANALISIS
● Pelepasan selang NGT sebelum 12 jam

POST ● Mobilisasi aktif pasien

●
OPERASI●
Asupan oral sebelum 24 jam
Pengangkatan selang drainase abdomen sebelum 48 jam
● Pelepasan kateter intravena dan kemih pada 48 jam
● Kadar cpr
● Komplikasi
● Prognosis
● Mortalitas
● Lama rawat inap dan perawatan kembali pasca operasi dalam 90 hari
● Kepatuhan protokol dalam kelompok eras
 04
DISKUS
I
● Protokol Enhanced Recovery After
Surgery (ERAS) bertujuan untuk
mengurangi respons stres akibat
pembedahan dan mengoptimalkan
pemulihan, sehingga mengurangi lama
rawat inap di rumah sakit.

● Semua elemen dalam ERAS secara

terpisah telah terbukti meningkatkan hasil
akhir pasien. Pendidikan pra operasi
tentang program ERAS mengurangi
kecemasan dan dikaitkan dengan
kembalinya motilitas gastrointestinal lebih
awal setelah operasi
 GASTROINTEST
INAL
● flatus pertama
lebih cepat

● dapat diet normal

dalam waktu ● Kombinasi pemberian
kurang dari 4 hari profilaksis mual /
pasca operasi muntah pasca operasi
● terapi cairan yang
adekuat
● pemilihan penggunaan
Pemulihan system GIT
pasca operasi pada analgesia non-opioid
kelompok ERAS lebih
cepat
KETERBATA 01 BIAS
SAN Pada kelompok penelitian
retrospektif
PENELITIA
N 02 UKURAN
SAMPLE KECIL
 01 EXPERIENCE
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KESIMPULA You could describe the topic of the
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04 SKILLS
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ABOUT ME
Mercury is the closest planet to
the Sun and the smallest one in
the Solar System—it’s only a bit
larger than the Moon
 01
EXPERIE
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 EXPERIENCE

201
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Mercury is the Despite red, Mars

smallest one is cold
 0
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 EDUCATION

1 2 3 4
2010- 2011- 2013- 2015-
2011 2013 2015 2019
Mercury is the Venus is the Despite being Jupiter is a
closest planet second planet red, Mars is a gas giant and
to the Sun from the Sun cold place the biggest
 0
INSTITUTION
Institution name 2001-2003
1

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 COMMUNICATION SKILLS

WRITTEN SPOKEN CERTIFICAT

LEVEL LEVEL E
ENGLISH B2
DEUTSC A2
H
SPANISH C1
 METODE

RANCANGA MARS SATURN

N dua
studi prospektif Despite being red, Saturn is the ringed
pusat, kelompok Mars is a cold place one. It’s a gas giant
retrospektif

VENUS NEPTUNE JUPITER

Venus is the second Neptune is the fourth- Jupiter is a gas giant
planet from the Sun largest planet and the biggest
 COMPUTER SKILLS

MERCURY MARS JUPITER

Mercury is the Despite being red, Jupiter is a gas giant
smallest planet in the Mars is actually a cold and the biggest one in
Solar System place Solar System
 VOLUNTEER WORK
45%
MERC
URY
Mercury is the
55%
closest planet
to the Sun VENUS
Venus is the
second planet
from the Sun
To modify this graph, click on it, follow the link, change
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VOLUNTEER WORK ABROAD
VENUS
Venus has a
beautiful name,
but it’s very hot

MERCURY
Mercury is the
closest planet to
the Sun
 HOBBIES

VENUS MERCUR MARS JUPITER

Venus is the
second planet
Y
Mercury is the
closest planet
Despite being
red, Mars is a
Jupiter is a gas
giant and the
from the Sun to the Sun cold place biggest
 6,550,000
Number of patients treated by me so far
SKILLS AND PERCENTAGES
75% 65% 85%

Mercury is the Venus is the Despite being

closest planet second planet red, Mars is a
to the Sun from the Sun cold place
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