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All Journal Jurnal Anestesiologi Indonesia Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Anestesi Perioperatif Mutiara Medika: Jurnal Kedokteran dan Kesehatan JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Jurnal Anestesi Obstetri Indonesia Jurnal Neuroanestesi Indonesia Jurnal Komplikasi Anestesi
Yusmein Uyun
Departemen Anestesiologi Dan Terapi Intensif; Fakultas Kedokteran; Universitas Gadjah Mada; Yogyakarta
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Jurnal Komplikasi Anestesi

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Anestesi pada Pembedahan Non-Obstetri dalam Kehamilan Apsari, Ratih Kumala Fajar; Uyun, Yusmein; Suryasaputra, Wahyu
Jurnal Komplikasi Anestesi Vol 7 No 1 (2019): Volume 7 Number 1 (2019)
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.v7i1.7392

Abstract

Non-obstetric surgery during pregnancy posts additional concerns to anesthesiologists. The chief goals are to preserve maternal safety, maintain the pregnant state and achieve the best possible fetal outcome. The choice of anesthetic technique and the election of appropriate anesthetic drugs should be guided by indication for surgery, type, and site of the surgical procedure. Anesthesiologist must consider the effects of the disease process itself and inhibit uterine contractions and avoid preterm labour and delivery. Fetal safety requires avoidance ofpotentially dangerous drugs and assurance of continuation of adequate uteroplacental perfusion. Until date, no anesthetic drug has been shown to be clearly dangerous to the human fetus. The decision on proceeding with surgery should be made by multidisciplinary team involving anesthesiologists, obstetricians, surgeons and perinatologists. This referral aims to discuss the physiological changes of pregnant patients who will undergo non-bstetric surgery and anesthesia management for non-obstetric operations of pregnant patients.
Efek Pemberian Premedikasi Deksametason Terhadap Durasi Rokuronium Dibanding Placebo pada Anestesi Umum Intubasi Adi, Danis Woro Kuncoro; Uyun, Yusmein; Apsari, Ratih Kumala Fajar
Jurnal Komplikasi Anestesi Vol 7 No 2 (2020): Volume 7 Number 2 (2020)
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.v7i2.7447

Abstract

Background: Dexamethasone is often used as prevention and treatment for postoperative nausea and vomiting, reducing the severity of postoperative pain and analgesic requirements. The study of dexamethasone effects on the rocuronium duration might be beneficial in patients who have contraindications to neostigmine or atropine reversal. Purpose: To evaluate the relation between rocuronium duration with dexamethasone premedication compare with placebo in patient with general anesthesia intubation procedure with rocuronium neuromuscular blocking agent in GBST RSUP Dr. Sardjito. Methods: An experimental research design, randomized clinical trial with double blind. The sample was chosen using the non-probability sampling method in a consecutive manner in 3 months. Sample was divided into two groups: group receiving dexamethasone premedication and group receiving placebo NaCl 0.9%. Time monitoring starts after the TOF shows the number 0 until it reaches TOF 0.9. Results: The study was conducted on 58 research subjects. Numeric data was analysed using independent T test and categorical data was analysed using chi square. Dexamethasone premedication was found to reduce the duration of rocuronium with the time needed to reach TOF 0.9 was 111±14.33 minutes compared with 123±14.57 minutes in the placebo group (P = 0.003). Conclusion: Dexamethasone premedication shortens the duration of rocuronium compared to the administration of placebo under intubation general anesthesia.
Manajemen Anestesi pada Seksio Sesaria Emergensi dengan Kelainan Faktor Koagulasi Uyun, Yusmein; Apsari, Ratih Kumala Fajar; Hendra, Maijoni
Jurnal Komplikasi Anestesi Vol 7 No 3 (2020): Volume 7 Number 3 (2020)
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.v7i3.7476

Abstract

The selection of anesthesia techniques for caesarian section is determined by various factors, namely the indication of the operation, the choice of the patient and surgeon, and the technical ability (skill) of the surgeon. Clinical evaluation of patients with coagulopathy is very important to determine the anesthetic technique. Clinical evaluation must be individualized, taking into account the risks and benefits of anesthesia techniques. The risk of spinal hematoma or epidural in patients has not been completely eliminated, but it remains a factor that must be considered individually in determining whether neuraxial anesthesia is appropriate for that patient.
Protokol Transfusi Masif pada Obstetrik Uyun, Yusmein; Pratomo, Bhirowo Yudo; Hernawan, Agung Diky
Jurnal Komplikasi Anestesi Vol 8 No 1 (2021): Volume 8 Number 1 (2021)
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.v8i1.7488

Abstract

World population’s access to safe blood is limited. Only 30% of countries in the world have comprehensive transfusion services in their countries. Meanwhile, massive transfusion therapy has poor survival rate with mortality rate of about 45-67%. The patient’s age, duration and severity of shock, Disseminated Intravascular Coagulation (DIC), and the amount of blood transfused affect the fnal outcome. Coagulopathy has a high mortality rate within 4-6 days after hospitalization. Many obstetrics and gynecology patients have the potential to require blood transfusions. Cesarean section (SC) and hysterectomy are two of the surgical procedures that are frequent and potentially bleeding, requiring blood transfusion. Other conditions are postpartum hemorrhage, placenta previa, and ruptured ectopic pregnancy. Bleeding in the obstetric feld is still a highest cause of maternal death in Indonesia.
Gagal Spinal pada Operasi Sectio Caesarea Wisudarti, Calcarina Fitriani Retno; Uyun, Yusmein; Utomo, F uad Cipto
Jurnal Komplikasi Anestesi Vol 9 No 3 (2022): Volume 9 Number 3 (2022)
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.v9i3.8331

Abstract

Subarachnoid block is the most convenient and safe anesthesia to undergo cesarean section. It provides excellent anesthesia, avoids risks associated with general anesthesia and increase level of parturients' satisfaction, associated with low occurrence of intra-operative and post-operative morbidities. It's simplicity to institute, rapid onset of sensory blockage, its reliability, ease of mastering and producing optimal surgical conditions are some of the frequent reasons to choose spinal anesthesia over other techniques. Despite this significant move towards spinal anesthesia, it has a risk of failure reported in the range of 1-17%. Failed spinal anesthesia can be defined as partial or incomplete spinal block within 15-20 min after injection and requiring supplemental analgesia or conversion to general anesthesia. Failed spinal leads to maternal discomfort and it is a cumbersome event for the anesthetist. Management of failed spinal during caesarean section by repeat, sedation or conversion to general anesthesia may negatively impact maternal and fetal outcome. This may result in decreased maternal satisfaction, inadequate pain management, fetal sedation (incases of general anesthesia), suboptimal surgical anesthesia and may also pose to risks of general anesthesia on the parturient. Keywords: Caesarean Section; failed spinal anesthesia; management of failed spinal; spinal anesthesia
Faktor-Faktor Risiko Terjadinya Pneumonia pada Pasien Covid-19 Di RSUP Dr Sardjito Yogyakarta Perwira, Rendra; Uyun, Yusmein; Widodo, Untung
Jurnal Komplikasi Anestesi Vol 9 No 3 (2022): Volume 9 Number 3 (2022)
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.v9i3.8334

Abstract

Background: Globally, more than three million confirmed cases of COVID-19 have been reported. According to the WHO report on May 6, 2020, the number of world cases that were confirmed positive was 3 588 773, and the death toll was 247 503 people. Pneumonia appears to be one of the serious manifestations of COVID-19 infection. It is necessary to know the risk factors for COVID-19 pneumonia Methods: The study used a retrospective cohort method, the research subjects were taken from March 2020 to March 2021 with the status of inpatients and confirmed Covid-19 at Dr Sardjito Hospital. Results: In this study, the total sample was 630 patients.The results of the multivariate analysis showed that the factors of age, type II DM, hypertension and male sex were significant for COVID-19 pneumonia. Age 60 years is at risk of pneumonia 1.6 times the risk of developing pneumonia (p=0.041 OR 1.6 95% CI=1.02-2.77), DM Ttype II has a risk of COVID-19 pneumonia 2.48 times (p=0.001 OR 2.48, 95%CI=1.44-4.29), hypertension risk of pneumonia 1.68 times (p=0.042 OR 1.68, 95%CI=1.01-2.77), male gender men were at risk of pneumonia 1.74 times (p=0.004, OR 1.74, 95%CI=1.2-2.57). Conclusion: Age 60 years, hypertension, type II DM and male are significant risk factors for pneumonia in patients with COVID-19 infection.
Konsiderasi Teknik Anestesi pada Crash Ponek Fetal Distress Apsari, Ratih Kumala Fajar; Uyun, Yusmein; Adrin, Olga Elenska
Jurnal Komplikasi Anestesi Vol 9 No 2 (2022): Volume 9 Number 2 (2022)
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.v9i2.8342

Abstract

Neonatal and infants’ mortality rate in Indonesia is still high. Emergency case in comprehensive obstetric and neonatal emergency care is one of the causes related to high mortality rate in pregnancy and neonates. There is a thin line between true emergency which may need emergency surgery, previously known as crash-C-section and emergency that could be optimized before surgery is performed. A true emergency may need considerable anesthesia technique which could be done quickly yet also emphasizes on patient’s safety.
Efek Pemberian Priming Fentanil 1 Μg/Kgbb Terhadap Insidensi Batuk Pasca-Preemptif Analgesia Fentanil 2μg/KgBB di RSUP Dr. Sardjito Prakosa, Nur Hamam; Uyun, Yusmein; Widyastuti, Yunita
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 2 (2021)
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.v8i2.8360

Abstract

Background: Fentanyl is an opioid analgesic that is almost always used in patients undergoing general anesthesia. The use of intravenous fentanyl can cause a cough effect known as fentanyl-induced cough (FIC). Although there have been many studies conducted to reduce the incidence of cough after injection of fentanyl intravenously both pharmacologically and nonpharmacologically, standard therapy has not been established to prevent coughing. Method: Randomized clinical trial with double blindness. The sample was chosen using the non-probability sampling method in a consecutive manner until the sample was fulfilled. Age range 18-65 years, with ASA III physical status, non-active smokers undergoing elective surgery with general anesthesia at Dr. Sardjito General Hospital will be grouped into 2 groups, one group of a priming dose of fentanyl 1 μg/kgbb and the control group without priming dose of fentanyl. Both groups received total fentanyl 2 μg/kgbb with an injection speed of 0.5 cc per second. Data analysis to determine differences in the incidence of cough between the two treatment groups with outcomes in the form of mild cough, severe cough, or not coughing, then the chi-square test is used when the requirements are met. Secondary outcomes and side effects of fentanyl administration were also assessed.is performed Result. Incidence of fentanyl-induced cough (FIC) in the treatment group using priming dose of fentanyl 1 μg/kgbb was 2 patients (2.7%), while the incidence of cough in the group without priming dose of fentanyl was 11 patients (15.1%) with p = 0.009 meaning that there was a statistically significant difference. All patients with cough incidence were in the mild cough category, both in the priming dose of fentanyl group as many as 2 patients and 11 patients in group without priming dose of fentanyl. There is no statistically significant difference in the incidence of apnea, and bradycardia Conclusion. The use of 1 μg/kgbb priming dose of fentanyl can reduce the incidence of cough after fentanyl 2 μg/kgbb analgesia at an injection rate of 0.5 cc per second
Manajemen Anestesi pada Seksio Sesarea pada Pasien COVID-19 Derajat Berat Uyun, Yusmein; Apsari, Ratih Kumala Fajar; Suharso, Pamungkas Hary
Jurnal Komplikasi Anestesi Vol 8 No 3 (2021): Volume 8 Number 3 (2021)
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.v8i3.8370

Abstract

COVID-19 infection in pregnant patients can lead to premature labor. The most common method of delivery is by caesarean section. Many aspects must be considered in carrying out anesthesia for COVID-19 patients, including physiological changes that occur due to pregnancy and the effects of COVID-19 infection which can aggravate the condition of pregnant patients. Maintaining adequate oxygenation in the blood, choosing the right anesthetic agent, considering its effect on the fetus, and mechanical ventilation management related to ARDS caused by COVID-19 infection are several things that should be concerned in anesthesia management.
Panjang Tulang Belakang dan Indeks Massa Tubuh sebagai Prediktor Terjadinya Hipotensi Pascaanestesi Spinal pada Ibu Hamil yang Menjalani Seksio Sesarea Wirawan, Angga Aditya; Uyun, Yusmein; Apsari, Ratih Kumala Fajar
Jurnal Komplikasi Anestesi Vol 8 No 3 (2021): Volume 8 Number 3 (2021)
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.v8i3.8374

Abstract

Background: Hypotension is one of the neuraxial anesthesia complications, whereas if not properly managed, might diminish the uteroplacental perfusion, cause fetal hypoxia, acidosis, and neonatal injury. Vertebral column length and body mass index are believed to have a role in predicting the incidence of hypotension after spinal anesthesia in parturients undergoing cesarean section because some research wasmentioned the correlation between vertebral column length and body mass index with sensory block height and vasopressor needs. Methods: This research uses prospective observational, cross-sectional as the design. The sample size is 72parturient of physical status ASA 1 and 2 who will undergo caesarean section with spinal anesthesia. Hypotension is defined as a decrease in systolic blood pressure >20% compared with baseline measurement on the table before spinal anesthesia is given up to 20 minutes after spinal anesthesia. Results: The mean vertebral column length in the hypotension group is 36,1 cm and no hypotension group is 33,6 cm. Statistically, this condition doesn’t show a significant difference (p=0,076). While in body mass index, mean body mass index in hypotension group is 32,7 kg/m2 and no hypotension group is 27,6 kg/m2. Statistically, this shows significant difference (p=0,0001). Conclusion: Vertebral column length was not significant in predicting incidence of hypotension after spinal anesthesia in pregnant women undergoing caesarean section. Whereas, body mass index has significant difference so it can be used to predict the incidence of hypotension after spinal anesthesia in pregnant women undergoing caesarean section.
Co-Authors . Mujahidin Adi Hidayat Adi, Danis Woro Kuncoro Adrin, Olga Elenska Akhmad Yun Jufan Annemarie Chrysantia Melati Ardi Pramono Arief Hariyadi Santoso Arif Ikhwandi Arif Supriyono Artika, I Gusti Ngurah Rai Ayu Rosema Sari Bambang Suryono Bambang Suryono Bambang Suryono Bambang Suryono, Bambang Bhirowo Yudo Pratomo Budianti, Nugrahaeni Calcarina Fitriani Retno Wisudarti Dadik Wahyu Wijaya Daniswara Dewi Yulianti Bisri Djoko Wahyono Djoko Wahyono Djoko Wahyono Dwiana Sulistyanti Ekuarianto, Donny Erna Fitriana A Fadinie, Wulan Fitri Hapsari Dewi Fitri, Lillah Fitriana A, Erna Gutama, Bayu Satria Hartono, Pinter Hayati, Farida Helmina Wati Hendra, Maijoni Hernawan, Agung Diky Hidayat, Nopian Isngadi Isngadi Isngadi Juni Kurniawaty Muhdar Abubakar Djayanti Sari Liza, Helda Mahisa, Orizanov Mahmud Mahmud Muhammad Iqbal Noegroho, Wahyu Nopian Hidayat Nova Maryani Nugroho, Alfan Mahdi Nurul Ulfah Hayatunnisa Perbatasari, Inggita Dyah Perwira, Rendra Prakosa, Nur Hamam Prihatna, Hendi Purnomo, Dedi Pujo Rahma, Aulia Zuhria Ratih Kumala Fajar Apsari Redhy Sindharta Rizqi Adhelia Rose Mafiana RTH Supraptomo Ruddi Hartono Sandi, Dita Ayulia Dwi Sandi, Dita Ayulia Dwi Santoso, Arief Hariyadi Satrio Adi Wicaksono SATRIYAS ILYAS Septica, Rafidya Indah Septica, Rafidya Indah Septika, Rafidya Indah Siti Helmyati Sri Rahardjo Sri Rahardjo Sri Rahardjo Sudadi Suharso, Pamungkas Hary Sunartejo, Bayu Supraptomo Suryasaputra, Wahyu Untung Widodo Untung Widodo, Untung Utomo, F uad Cipto Wicaksono, Galih Sahid Wirawan, Angga Aditya Yunita Widyastuti Yusmalinda Yusmalinda