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All Journal Solo Journal of Anesthesi, Pain and Critical Care Jurnal Komplikasi Anestesi
Sari, Dhanty Dwita
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Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology Nursing Public Health

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Manajemen Anestesi Pasien dengan Low Ejection Fraction yang Menjalani Operasi Tumor Ovarium Pratomo, Bhirowo Yudo; Kurniawaty, Juni; Sari, Dhanty Dwita
Jurnal Komplikasi Anestesi Vol 10 No 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.v10i2.8305

Abstract

Anesthetic management of patients with dilated cardiomyopathy (DCM) is a challenge to the anesthesiologist, due to poor left systolic function, ventricular enlargement, risk of malignant arrhythmias and sudden cardiac death. Therefore, preoperative assessment and appropriate anesthetic management are important in patients with DCM. Patients with a low EF <35% may be at risk for life-threatening irregular heart rhythms. Any arrhythmia in these patients requires immediate treatment because otherwise it can lead to sudden cardiac arrest and sudden death. In summary, the optimal anesthetic management of patients with dilated cardiomy- opathy requires good preoperative assessment, close perioperative monitoring, suitable anesthetic, optimization fluid management, and stable hemodynamic status.
Manajemen Intraoperative Nausea and Vomiting (IONV) pada Pasien Seksio Sesarea dengan Anestesi Spinal Apsari, Ratih Kumala Fajar; Jufan, Akhmad Yun; Sari, Dhanty Dwita
Jurnal Komplikasi Anestesi Vol 9 No 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.v9i2.8350

Abstract

Background: Spinal anesthesia is the most commonly used anesthesia for caesarean section with it being safely, quickly and easy to administer. Current literature indicates a high incidence of intraoperative nausea and vomiting (IONV) during caesarean section under spinal anesthesia up to 80% likely to suffer from nausea and vomiting because of the pregnancy itself. This is applicable not only to the first 3 months of pregnancy but also to the last trimester due to the reduced tone of the esophagogastric junction and an increased intraabdominal pressure. During abdominal surgery under regional anesthesia, nausea may happen due to several contributing factors such as sympathetic blocks followed by parasympathetic dominance with hypotension which is the most important cause of nausea after spinal anesthesia, decreased perfusion of central nervous system, anxiety, and sudden abdominal movements during surgery
Bradycardic Episodes of Trigeminocardiac Reflex During Fluoroscopy-Guided Ganglion Gasseri Radiofrequency Ablation in a Trigeminal Neuralgia Patient: A Case Report Nurdianto, Muhammad Syarif; Mahmud, Mahmud; Sari, Djayanti; Sari, Dhanty Dwita
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 6, No 1 (2026): April 2026
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v6i1.91702

Abstract

Background: Trigeminocardiac reflex (TCR) is a known but infrequently reported complication of Ganglion Gasseri interventions, manifesting as profound bradycardia and hemodynamic instability.Case Illustration: A 55-year-old woman with left-sided trigeminal neuralgia, hypertension, and type 2 diabetes underwent fluoroscopy-guided Ganglion Gasseri block with radiofrequency ablation. At the 25th minute of needle manipulation, her heart rate dropped acutely to <30 bpm, followed by a second episode to 30–35 bpm ten minutes later. Both episodes were successfully managed by immediate cessation of manipulation and deepening of sedation using intravenous midazolam (2 mg) and propofol (20 mg), without the need for atropine. Post-procedural pain scores decreased from 7–8 to 2–3 on the Numeric Rating Scale.Conclusion: This case highlights the necessity of vigilant hemodynamic monitoring and the potential role of adequate sedation depth in mitigating vagal responses during trigeminal procedures, particularly in patients with pharmacologically altered autonomic tone
Co-Authors Akhmad Yun Jufan Bhirowo Yudo Pratomo Djayanti Sari Juni Kurniawaty Muhdar Abubakar Djayanti Sari Mahmud Mahmud Nurdianto, Muhammad Syarif Ratih Kumala Fajar Apsari