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All Journal Jurnal Komplikasi Anestesi
Akhmad Yun Jufan
Faculty of Medicine, Public Health, and Nursing, Gadjah Mada University, Yogyakarta
Medicine & Pharmacology

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Outcome of Traumatic Brain Injury Patients with EDH, SDH, and ICH Bleeding Undergoing Craniotomy Surgery at Dr. General Sardjito Hospital, Yogyakarta Muhammad Fiqih Hidayat; Akhmad Yun Jufan; Sudadi Sudadi
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v13i3.29788

Abstract

ABSTRACT Background: Traumatic brain injury (TBI) is clinically divided into primary and secondary. CT Scan is a common examination as a diagnostic of TBI patients. Craniotomy surgery has been proven to be useful in treating TBI and reducing mortality rates. Clinical outcomes of TBI patients can be assessed using GOSE scale. Objective: To determine the differences in clinical outcomes in traumatic brain injury patients with types of brain hemorrhage who underwent craniotomy surgery. Methods: This study used a prospective observational study design with a prospective cohort study design. The sampling technique was whole sampling of traumatic brain injury patients who underwent craniotomy surgery with CT scan images of brain hemorrhage in the form of SDH, EDH, or ICH. Patient outcomes were assessed using the GOSE scale. Bivariate statistical tests used the Chi-squared test or Kruskal walls test. The test was declared significant when the p-value <0.05. Results: A total of 36 subjects met the inclusion and exclusion criteria. The majority of subjects had good which were reported for SDH (100%), EDH (84.61%), and ICH (66.6%). There was no significant relationship between age (p=0.53), gender (p=0.63), TBI CT scan appearance (p=0.34), and GCS (p=0.54) with TBI patient outcomes. Conclusion: The majority of TBI patients who underwent craniotomy had good patient outcomes. In this study, there was no statistically significant difference between the outcomes of TBI patients with EDH, SDH, and ICH bleeding who underwent craniotomy as measured by the GOSE scale. Keywords: Traumatic brain injury, Types of Brain Hemorrhage, Craniotomy, GOSE
Association between the Clinically Assessed Blink Reflex and Bispectral Index during Propofol Induction of Anesthesia at Dr. Sardjito General Hospital, Yogyakarta Christine Tirza JItmau; Akhmad Yun Jufan; Sudadi Sudadi
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v13i3.30728

Abstract

Background: Assessment of anesthetic depth during induction is essential to ensure patient safety and to prevent intraoperative awareness. The Bispectral Index (BIS) is a widely used objective monitor derived from electroencephalographic activity; however, its use may be limited by cost and equipment availability. The clinically assessed blink reflex is a simple bedside sign that may serve as a practical indicator during anesthetic induction.Objective: To determine the association between the clinically assessed blink reflex and BIS values during propofol induction of anesthesia.Methods: This was a prospective observational analytic study involving 59 adult patients aged 18–65 years with American Society of Anesthesiologists (ASA) physical status I–II who underwent elective surgery under general anesthesia at Dr. Sardjito General Hospital. All patients received propofol 1.5 mg/kg for induction. The clinically assessed blink reflex and BIS were evaluated at baseline and at 15, 30, and 60 seconds after induction. In this study, the blink reflex was defined as a bedside elicited eyelid-closure response recorded as present or absent. Data were analyzed using the chi-square test or Fisher’s exact test, followed by multivariable analysis.Results: Before induction, all participants exhibited an intact blink reflex on bedside examination. At 15 seconds after induction, the blink reflex was still present in 36 patients (61.0%), decreasing to 8 patients (13.6%) at 30 seconds, and disappearing in all patients at 60 seconds.
Co-Authors Christine Tirza JItmau Muhammad Fiqih Hidayat Sudadi Sudadi