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All Journal Jurnal Anestesiologi Indonesia Indonesian Journal of Anesthesiology and Reanimation (IJAR) Journal of Anaesthesia and Pain Majalah Anestesia & Critical Care (MACC) Jurnal Medika Nusantara The International Journal of Medical Science and Health Research Jurnal Komplikasi Anestesi Cermin Dunia Kedokteran
Bowo Adiyanto
Departemen Anestesiologi Dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Case Series: Lumbar Cerebrospinal Fluid Drainage in Aneurysm Clipping Bayu, Timor Krisna; Prandani, Muhammad Yogi; Farid, Anisa Fadhila; Adiyanto, Bowo
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
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.v12i3.14679

Abstract

Intracranial aneurysm rupture is a medical emergency often accompanied by subarachnoid hemorrhage (SAH), which requires immediate medical intervention to reduce the risk of morbidity and mortality. This case report provides an overview of lumbar cerebrospinal fluid drainage (LCFD) as a method to reduce increased intracranial pressure and prevent or treat hydrocephalus that can occur after SAH. It is done by inserting an epidural catheter in the subarachnoid lumbar. The effectiveness of LCFD is more significant in patients with MFS 3-4. This finding supports the use of LCFD in managing SAH aneurysm to improve patients’ prognosis. Management of this case involved meticulous preoperative evaluation, appropriate intraoperative intervention, and strict postoperative monitoring, including treatment of cerebral vasospasm that may arise as a complication of SAH. The results suggest that LCFD can successfully reduce complications and improve clinical outcomes in patients with ruptured aneurysms who have undergone aneurysm clipping. The success of this method emphasizes the importance of a multidisciplinary approach in the management of SAH to achieve optimal patient outcomes.
The Relationship Between the Time Elapsed from the Incident to Medical Management and the Outcome of Traumatic Brain Injury Patients Undergoing Craniotomy Agung Nugroho, Fauzi; Adiyanto, Bowo; Sudadi, Sudadi
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
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.v12i3.27389

Abstract

Backgrround: Traumatic brain injury (TBI) is one of the leading causes of global morbidity and mortality, with treatment outcomes influenced by several factors, including treatment timing. Objective: This study aims to analyze the relationship between the duration from injury to initial medical management and the duration from injury to craniotomy surgery on the outcomes of TBI patients at RSUP Dr. Sardjito Yogyakarta, using the Glasgow Outcome Scale Extended (GOSE) as an assessment tool and Length of Stay (LOS).Subject and Method: This is a prospective observational study conducted on TBI patients treated at RSUP Dr. Sardjito from May to October 2024. Data were collected from the patients' electronic medical records who underwent craniotomy procedures. The analysis was performed using regression tests to evaluate the impact of the duration between the incident and initial medical management, as well as the duration until craniotomy, on patient outcomes.Result: Among 71 included patients, the median age was 19 years (Q1: 7; Q3: 57), and 71.8% were male. Most patients (52.1%) presented with a GCS score of 13–15. GOSE outcomes showed good recovery in 28.2%, mild disability in 26.8%, slight disability in 9.9%, moderate disability in 21.1%, severe disability in 5.6%, and death in 8.4%, with a median length of stay of 10 days.
Co-Authors Adiyatma, Krisna Hario Agung Nugroho, Fauzi Akhmad Yun Jufan Akhsaniati, Novi Dwi Ancilla, Cornelia Anisa Fadhila Farid Aprianti, Tutut Arif Setyo Wibowo Arifin, Achmad Reza Bayu, Timor Krisna Bhirowo Yudo Pratomo Cakradwipa, Mada Oktav Calcarina Fitriani Retno Wisudarti Djayanti Sari Hanafia, Mochamad Fauzi Harianto, Widi Yuli Hartono, Pinter Hernawan, Agung Diky IG Ngurah Rai Artika Ika Cahyo Purnomo Joni, Rendy Pranda Juni Kurniawaty Muhdar Abubakar Djayanti Sari Maryani, Nova Naomi, Diah Anis Nur, Rifdhani Fakhrudin Palupi, Isnafianing Pambudi, Estu Agung Pasmawati, Desti Prandani, Muhammad Yogi Prasamya, Erlangga Rahma, Aulia Zuhria Rikardi, Fachrizal Sadewo, Yuri Sarjono, Pramuditya Haryo Shila Suryani, Shila Sofwan, Fachruddin Sudadi Sudadi Sudadi Suparno Suparno Sutiyoso, Noor Aditya Suwarman Untung Widodo, Untung wandito, Gayuh Utomo Wijaya, Andryadi