Articles
<![CDATA[Manajemen dan Stabilisasi Pasien dengan Edema Paru Akut ]]>
<![CDATA[Jufan, Akhmad Yun]]>;
<![CDATA[Adiyanto, Bowo]]>;
<![CDATA[Arifin, Achmad Reza]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 7 No 3 (2020): Volume 7 Number 3 (2020) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v7i3.7475
<![CDATA[Acute pulmonary edema is a condition when there is accumulation of fluid in the lungs (insterstitial space and alveoli). This fluid fills the alveoli in the lungs which makes it difficult for someone to breathe. The most common cause of pulmonary edema is caused by heart problems. However, the accumulation of fluid in the lungs can be caused by several reasons including pneumonia, some poisons, or drugs. The number of deaths for one year for patients hospitalized with acute pulmonary edema reaches 40%. The most common causes of acute pulmonary edema include myocardial ischemia, cardiac arrhythmias (eg atrial fibrillation), cardiac valve dysfunction and excess fluid volume. It can also be caused by other causes including pulmonary embolism, renal artery stenosis, non-compliance with previous disease treatments and side effects from medications can also trigger pulmonary edema. Management in patients with pulmonary edema we first look for diseases that underlie the occurrence of edema. Because it is a very important factor in treatment, so it needs to know the cause immediately. Because specific therapy cannot always be given until the cause is known, supportive therapy is very important. The general goal is to maintain basic physiological and cellular functions. Namely by improving the airway, adequate ventilation, and oxygenation]]>
<![CDATA[Manajemen Praoperatif pada Pasien Emergensi dengan Perdarahan Internal ]]>
<![CDATA[Adiyanto, Bowo]]>;
<![CDATA[Pratomo, Bhirowo Yudo]]>;
<![CDATA[Sarjono, Pramuditya Haryo]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 8 No 1 (2021): Volume 8 Number 1 (2021) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v8i1.7487
<![CDATA[Bleeding is one of the most common cases that will be encountered by an anesthesiologist. Patients with internal bleeding have a high mortality rate and tend to detoriate quickly. The patient should get immediate and proper treatment. Preoperative management from an anesthesiologist has important role to the outcome of the patients. Management of patients with internal bleeding should be based on recent studies. Damage Controlled Resuscitation (DCR) and permissive hypotension is now the recommended concept of managing bleeding patients. Further studies should be conducted for the best management of patients.]]>
<![CDATA[Pengendalian Hemodinamik Intraoperatif pada Pasien Tumor Adrenal Fungsional yang Menjalani Adrenalektomi ]]>
<![CDATA[Adiyanto, Bowo]]>;
<![CDATA[Widodo, Untung]]>;
<![CDATA[Sutiyoso, Noor Aditya]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8291
<![CDATA[Adrenal gland surgery needs a multidisciplinary team including endocrinologist, radiologist, anesthesiologist, and surgeon. The indications for adrenal gland surgery include hormonal secreting and non-hormonal secreting tumors. Adrenal hormonal secreting tumors present to the anesthesiologist unique challenges requiring good preoperative evaluation, perioperative hemodynamic control, corrections of all electrolytes and metabolic abnormalities, a detailed and careful anesthetic strategy, overall knowledge about the specific diseases, control and maintaining of postoperative adrenal function, and finally a good collaboration with other involved colleagues.]]>
<![CDATA[Plasmaferesis pada Krisis Myasthenia : Kasus Serial ]]>
<![CDATA[Suryani, Shila]]>;
<![CDATA[Adiyanto, Bowo]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8298
<![CDATA[Adrenal gland surgery needs a multidisciplinary team including endocrinologist, radiologist, anesthesiologist, and surgeon. The indications for adrenal gland surgery include hormonal secreting and non-hormonal secreting tumors. Adrenal hormonal secreting tumors present to the anesthesiologist unique challenges requiring good preoperative evaluation, perioperative hemodynamic control, corrections of all electrolytes and metabolic abnormalities, a detailed and careful anesthetic strategy, overall knowledge about the specific diseases, control and maintaining of postoperative adrenal function, and finally a good collaboration with other involved colleagues.]]>
<![CDATA[Validasi National Early Warning Score 2 (News2) Dewasa untuk Memprediksi Mortalitas Pasien COVID-19 di RSUP. Sardjito Yogyakarta ]]>
<![CDATA[Sofwan, Fachruddin]]>;
<![CDATA[Kurniawaty, Juni]]>;
<![CDATA[Adiyanto, Bowo]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v9i3.8335
<![CDATA[Latar belakang: Skoring untuk menilai risiko klinis dan mortalitas pasien dengan Coronavirus Disease 2019 (COVID-19) masih jarang dilakukan. Angka mortalitas yang tinggi pada pasien COVID-19 memerlukan intervensi segera dari tindakan penanganan COVID-19. Untuk memberikan intervensi yang sesuai dibutuhkan skor risiko klinis agar penanganan yang diberikan lebih tepat. National Early Warning Score 2 (NEWS2) dapat digunakan sebagai dasar logis untuk memprediksi mortalitas pasien di rumah sakit melalui observasi tanda-tanda vital. Tujuan: Untuk melakukan validasi terhadap NEWS2 dewasa dalam memprediksi angka mortalitas pasien COVID-19 di RSUP Sardjito Yogyakarta. Metode: Penelitian ini menggunakan rancangan penelitian observasional kohort retrospektif. Sampel pada penelitian ini adalah semua kasus konfirmasi COVID-19 yang dirawat di RSUP Dr. Sardjito Yogyakarta serta memenuhi kriteria inklusi dan eksklusi yang diambil dari 1 Maret 2020 sampai dengan 31 Oktober 2020. Hasil: Total sampel yang digunakan pada penelitian ini adalah 302 pasien dengan jumlah pasien yang meninggal dunia sebanyak 87 orang. Penilaian validasi total NEWS2 dalam memprediksi mortalitas pasien COVID-19 menggunakan tes diskriminasi dengan kurva ROC menunjukkan 0,824 CI 95% (0,762-0,886) dimana hasil ini termasuk dalam diskriminasi yang baik. Dari penilaian kalibrasi menggunakan Hosmer and Lemeshow test didapatkan nilai p=0,094 (>0,05) yang berarti total NEWS2 memiliki reliabilitas yang baik. Simpulanꓽ NEWS2 dapat digunakan dalam penilaian risiko klinis pasien dengan COVID-19 karena memiliki tes diskriminasi dan kalibrasi yang baik.]]>
<![CDATA[Manajemen Ekstubasi pada Pasien dengan Jalan Nafas Sulit Perioperatif ]]>
<![CDATA[Adiyanto, Bowo]]>;
<![CDATA[Jufan, Akhmad Yun]]>;
<![CDATA[Adiyatma, Krisna Hario]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 2 (2021) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v9i2.8341
<![CDATA[Tracheal extubation is a critical step during emergence from general anesthesia. Good management of extubation is needed to prevent undesired complication including laryngospasm, hypoxia, airway injury. Patient with difficult airway is at risk during intubation and extubation period, so the knowledge about it is necessary.]]>
<![CDATA[Rapid Sequence Spinal pada Seksio Sesarea Emergensi ]]>
<![CDATA[Adiyanto, Bowo]]>;
<![CDATA[Widodo, Untung]]>;
<![CDATA[Wibowo, Arif Setyo]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 2 (2021) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v8i2.8355
<![CDATA[Obstetric emergencies are a challenge both for the obstetrician and the anesthesiologist. The incidence of caesarean sections as per the National Family Health Survey published in 2015–16 was 17.2%. In 7.6% of cases, the decision to conduct a caesarean section was taken after the onset of labour pain. Caesarean sections are classified depending on the urgency into four categories. The target decision to delivery interval for category 1 caesarean section is less than 30 min. The management of these emergencies involves a rapid assessment with minimal investigations. Although general anaesthesia is considered to have higher morbidity and mortality, category 1 caesarean sections may still warrant this technique. Rapid sequence spinal anaesthesia is replacing general anaesthesia for category 1 SC emergency. In category 2 and 3 caesarean sections, spinal anaesthesia still remains the technique of choice]]>
<![CDATA[Rapid Sequence Intubation pada Pasien Hamil Ektopik dengan COVID-19 Ringan yang Menjalani Laparotomi Histerektomi ]]>
<![CDATA[Wisudarti, Calcarina Fitriani Retno]]>;
<![CDATA[Adiyanto, Bowo]]>;
<![CDATA[Naomi, Diah Anis]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 2 (2021) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v8i2.8356
<![CDATA[Female patient aged 27 years was diagnosed with ectopic pregnancy in ampulla vateri, grade II hemorrhagic shock resolved, G2P1A0 8 weeks 5 days pregnant, mild COVID-19, underwent exploratory laparotomy and hysterectomy. The patient did not have any complaints of fever, cough, shortness of breath, and anosmia. The patient was diagnosed with mild COVID-19 because of a positive SARS-CoV-2 Qualitative PCR swab and no pneumonia. The operation was carried out in a special operation room for airborne infection patients with a HEPA filter machine installed. General anesthesia intubation using the RSI technique. No difficult airway was found in the patient. No Sellick maneuver was performed. Patient was intubated with a direct laryngoscope. The ETT position was confirmed by capnograph. After the operation, the patient was extubated deeply, then returned to the ward. There was no perioperative complication in this patient.]]>
<![CDATA[Penggunaan Non-Invasive Ventilation pada Pasien COVID-19 ]]>
<![CDATA[Kurniawaty, Juni]]>;
<![CDATA[Adiyanto, Bowo]]>;
<![CDATA[Sadewo, Yuri]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 1 (2021) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v9i1.8499
<![CDATA[COVID-19 patients with acute respiratory distress require hospitalization and require invasive and/or non-invasive mechanical ventilation support. NonInvasive Ventilation (NIV) is used in cases requiring escalation of standard oxygen therapy to a higher level. NIV can also reduce early intubation, but long-term use of NIV is not recommended. NIV also does not decrease intubation rates. We report a 52-year-old female patient with a confirmed diagnosis of severe COVID-19. Our patient was admitted to the ICU with the use of HFNC and NIV during treatment. The use of NIV at the right time could determine the patient's prognosis. Persistent weaning of NIV could maintain PO2 and reduce the patient's oxygen fraction requirements. This patient’s condition could improve and become a survivor of COVID-19.]]>
<![CDATA[Manajemen Akhir Hayat Pasien Sakit Kritis Di ICU COVID-19 ]]>
<![CDATA[Adiyanto, Bowo]]>;
<![CDATA[Widodo, Untung]]>;
<![CDATA[Hernawan, Agung Diky]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 1 (2021) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v9i1.8654
<![CDATA[End-of-life condition was showed with symptoms of brain-stem death and functional impairment of breathing effort that persisted at fifth day of care. Physician explained to patient’s family about end-of-life condition, prognose, probability, and a desicion making that would had to make. Family decided to accept this condition, wish to continue medication but not to resuscitate if patient’s condition became worst. A chaplain gave spiritual care, end-of-life counceling, and praying to patient. Unfortunately, there was no intensive communication among medical teams about end-of-life condition. Patient care was underwent until the time of death with permitted family at patient’s bedside, not gave cardiopulmonal resuscitation as family’s wishes and pronaounced death in front of family.]]>
