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All Journal Jurnal Komplikasi Anestesi
Adrin, Olga Elenska
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Medicine & Pharmacology

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Manajemen Nutrisi pada Pasien ICU yang Menjalani Prosedur Esofagektomi Widodo, Untung; Jufan, Akhmad Yun; Adrin, Olga Elenska
Jurnal Komplikasi Anestesi Vol 10 No 2 (2023): Volume 10 Number 2 (2023)
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.v10i2.8297

Abstract

Patients in intensive care are generally exposed to catabolic stress with complications that increase morbidity and mortality, and affect the length of stay in the intensive care unit. Optimal nutritional management can help enhance the metabolic response to stress, prevent oxidative cellular injury, and modulate the immune response. We reported a 30 years old male underwent an esophagectomy procedure due to esophageal tumor. After the third day of surgery the patient was given enteral nutrition, there was a brownish residue in the nasogastric tube, in exchange of this condition, parenteral nutrition was given until the tenth day of intensive care. Enteral nutrition was continued on the tenth day of care until the patient transferred to the ward on the thirteenth day in the intensive care unit.
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.
Subarachnoid Block after Failed Epidural Anesthesia Mahmud; Sudadi; Adrin, Olga Elenska
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.v8i3.8371

Abstract

Pregnant woman with cardiac abnormality was associated with substantial fetomaternal risk. Uncorrected cardiac abnormality associated with R to L shunting (such as ventricle septum defect) may cause chronic over volume which may cause progressive hypoxemia and cardiac failure which is known as Eisenmenger Syndrome. We reported a 27 years old woman with G1P0A0, Eisenmengersyndrome planned for emergency caesarean section post failed termination with induction. There was failed epidural block, so we used a low dose subarachnoid block as an alternative. There is no ideal anesthesia technique for Eisenmenger syndrome, thus every technique carried its own risk. In regional anesthesia, the risks that may happen include decreased SVR, increased R to L shunt, and hypoxemia exacerbation. According to the literature, low dose SAB as used in this case was already followed the principle of failed epidural anesthesia.
Co-Authors Akhmad Yun Jufan Ratih Kumala Fajar Apsari Siti Helmyati Sudadi Untung Widodo, Untung Yusmein Uyun