Search

Penelitian ini bertujuan untuk mengetahui dan mendeskripsikan prosesi ritual songga’a pada masyarakat Liya Mawi serta untuk mengungkap makna simbolik yang terdapat dalam ritual songga’a untuk mengetahui karakter pasangan pengantin baru. Penelitian ini dilakukan pada bulan mei 2020. Dalam menganalisis data-data yang ada penelitian ini menggunakan teori simbolik oleh Victor W. Turner, metode yang di gunakan dalam penelitian ini yaitu metode etnografi dengan dengan teknik pengumpulan data dilakukan menggunakan teknik pengamatan (observation) dan wawancara (interview). Selanjutnya data yang didapatkan dianalisa dan disusuan berdasarkan acuan yang digunakan sehingga mudah diinterpertasikan.Hasil penelitian menunjukan bahwa ritual songga’a adalah tradisi yang wajib dilakukan oleh pasangan pengantin baru yang memiliki garis keturunan Liya Mawi. Ada keyakinan secara metafisika didalam masyarkat pendukung kebudayaan tersebut bahwa apabila ritual ini tidak dilakukakan maka akan pasangan pengantin baru tersebut akan mendapatkan bala yang berupa; susah mendapatkan keturunan, kesehatan mererka akan terganggu, susah mendapatkan rezeki, serta akan ada penyakit-penyakit secara personalistik yang akan diderita. Dalam prosesinya ritual songga’a ada empat tahapan yaitu; Te Lahaa Umanu, Te Songga’a U’ufe, Temanga’a Umia Sumongga’a, dan Te Hesofuia. Adapun makna simbolik yang terdapat didalamnya akan diinterpertasikan berdasarkan media ayam yang digunakana saat proses ritual.

Objective For further evaluating the feasibility and safety of wire-in-needle (WIN) technique application for ultrasound-guided central venous catheter (USG-CVC) insertion in a pediatric intensive care unit (PICU). Methods We prospectively monitored all patients who underwent central line insertion guided by ultrasound from March 2018 to March 2019. An independent nurse recorded the patient's age, gender, weight and BMI, diagnosis, indication for insertion, blood pressure state, insertion time, line size, number of pricks, and arterial punctures. Results A central line was inserted in 141 patients. The author applied the WIN technique in 16 patients, while in 125 patients, the central line was inserted via the traditional technique. The success rate was 100% for the WIN technique arm with zero arterial pricks, and the mean number of needle pricks was 1.1. For the traditional technique arm, the success rate was 90% with three arterial pricks. The mean number of needle pricks was 1.38. The insertion time was 86.25 seconds and 304 seconds for the WIN technique and the standard technique, respectively; this difference was statistically significant (p0.001). Conclusion The WIN technique is feasible and could provide a safe and relatively fast alternative technique for real-time USG-CVC insertion in the PICU. The WIN technique is feasible and not inferior to the standard short-axis technique. A good level of experience related to USG-CVC insertion provides a safe and rapid alternative technique for real-time USG-CVC insertion in the PICU.

Background Central line insertion, a very common and invaluable procedure in PICU has undergone a major improvement with the advent of ultrasound assistance. In the process of further refinement, literature shows a comparison of various techniques. For the aim of increasing the safety profile and decrease the time required for CVL insertion, a new technique has been introduced by the author. We tested this technique against the other techniques that have been used in tertiary PICU unit in KSA. Methods We prospectively monitored all vascular access procedures guided by ultrasound from March 2018 to March 2019. All patients who underwent central line insertion were observed by an independent nurse recorder that was not involved in the procedure. The observer recorded the patient age, gender, weight and BMI, diagnosis, indication for insertion, blood pressure state, insertion time, size of the line, number of pricks and arterial punctures if happened Results Central line was inserted in 141 out of 800 total admissions during the study period. The author applied Syringe-free technique in 16 patients while in 125 patients central line was inserted via transverse axis out of plane technique. For the syringe-free group: Mean age was 49 months. Mean weight was 13.6 kg and mean BMI WAS 15.2. The femoral vein was the selected site of insertion in 13 patients 81%. The mean time of insertion was 86 seconds with a mean of attempts was 1.1. For the transverse technique: Mean age was 39 months. Mean weight was 13.9 kg and mean BMI WAS 15.3. Femoral vein was the selected site of insertion in 74 patients (59%). The mean time of insertion was 304 seconds with a mean number of attempts of 1.38. Conclusion Syringe free technique is a safe procedure that can decrease the time of insertion by 400% and allow a continuous real time-US monitoring of the CVL insertion procedure.