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Fisiologi Pemberian Larutan Oral Karbohidrat pada Pasien yang akan Menjalani Operasi Elektif Sar, Djayanti; Kurniawati, Juni; Sunantara, I Gusti Ngurah Putu Mandela Agatha
Jurnal Komplikasi Anestesi Vol 10 No 1 (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.v10i1.8320

Abstract

Surgery is a combination of anesthesia, drugs, trauma, blood loss. Apart from that, patient preparation before surgery which is routinely carried out such as fasting for 6- 8 hours is also part of the operation. This condition can disturb the balance in the body. The metabolic state of the preoperative patient must be optimized in preparation for surgery. The patient should be in a sufficiently anabolic rather than starved and catabolic state. The typical fasting period of 8 hours before surgery forces the metabolism into a catabolic state. Administration of an oral carbohydrate solution before surgery helps to keep the body in the desired anabolic state. The usual administration is 2-3 hours before the operation, the patient will be given an oral carbohydrate solution. Therefore, this paper is made to determine the physiology of giving oral carbohydrate solution as a preoperative management for patients who will undergo surgery
Validasi Skor Skrining COVID-19 RSUP Dr. Sardjito Yogyakarta Ulfa, Dinda; Sari, Djayanti; Kurniawati, Juni
Jurnal Komplikasi Anestesi Vol 9 No 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.v9i3.8336

Abstract

Background: Dr. Sardjito’s hospital Covid-19 screening score is a tool to assess patients who are suspected of being infected using RT-PCR swab examination. Unfortunately, there has never been researched regarding the validity. Objective: Validating the Dr. Sardjito’s hospital Covid-19 screening score to assess patients suspected of Covid-19 infection which was confirmed by the results of the RT -PCR swab at the Dr. Sardjito Hospital Yogyakarta. Method: This study used an observational retrospective cohort design. Patients who were included in the inclusion criteria were those aged >18 years, from 24th April 2020 to 31th December 2020. Result: The number of study samples was 705 patients. Discrimination ability of Dr. Sardjito’s hospital Covid-19 screening scoring was assessed by AUC and the result was 0,556 (CI 95%: 0,51-0,61. Calibration ability obtained HL test value p=0.001 (p<0.05). Conclusion: Dr. Sardjito’s hospital Covid-19 screening scoring has a very weak discrimination ability and poor calibration, so the Dr. Sardjito’s hospital Covid-19 screening scoring is invalid in predicting the results of RT-PCR swab at Dr. Sardjito Hospital Yogyakarta.
Transnasal Sphenopalatine Ganglion Block as Management Pain for PDPH (Post Dural Puncture Headache) Ashlihati, Diena; Mahmud, Mahmud; Kurniawati, Juni; Sudadi, Sudadi
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 5, No 2 (2025): October 2025
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v5i2.78449

Abstract

Background : Post dural puncture headache (PDPH) is a complication of the neuroaxial block anesthesia technique that cause leakage of cerebrospinal fluid (CSF) from a dural defect and intracranial hypotension. Typical symptoms, PDPH is bilateral, frontal, retroorbital or occipital headaches and extends into the neck constanly or slowly, and associated with photophobia and nausea.  Management treatment of PDPH starting from conventional therapy (non-pharmacological and pharmacological) and invasive therapy including transnasal sphenopalatine ganglion block and as a gold standar is epidural blood patch that more invasive. Transnasal sphenopalatine ganglion block is a minimally invasive procedure on sphenopalatine ganglion which is an extracranial parasympathetic ganglion at fossa pterygopalatine. Various research state that efficacy of sphenopalatine ganglion block better than epidural blood patch.Case Illustration : Reported a female, 37 years old came with headache extend to neck dan was diagnosed with PDPH post caesarean section with subarachnoid block anesthesia. Conservative therapy has been done but there is no improvement. As the next step, the patient transnasal sphenopalatine ganglion block using lidocaine 2% 3cc. The day after therapy, there is no complaint, VAS was 0-1 without complications and patient was allowed dismiss from hospital.Conclusion : Transnasal sphenopalatine ganglion block is an invasive procedure as PDPH therapy that is very rarely performed. This action can be performed if the patient has undergone conventional therapy and there has been no improvement. With this case report, we can see that the efficacy of this procedure is very good and it is recommended before an epidural blood patch is performed.