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Mi’raj, Geza Getar
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Medicine & Pharmacology

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Journal : Jurnal Komplikasi Anestesi

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An Ultrasonography Guidance Lumbar Epidural Anaesthesia in Patient with Difficult Landmarks Wisudarti, Calcarina Fitriani Retno; Mahmud; Mi’raj, Geza Getar
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022): Volume 10 Number 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.v10i1.8329

Abstract

Anestesi epidural banyak digunakan dalam praktik klinis. Namun, keberhasilan metode anestesi ini bergantung pada kemampuan untuk memperkirakan penempatan dengan benar dari ruang epidural untuk menusuk dan mengateterisasinya. Saat ini, metode paling umum untuk menentukan level tusukan dan arah jarum yang benar didasarkan pada landmark anatomis dan kedalaman ruang epidural penempatan dinilai dengan tes ''kehilangan resistensi''. Kompleksitas teknis dari metode tusukan epidural dapat meningkatkan risiko komplikasi neurologis, blok yang tidak berhasil, dan ketidakpuasan pasien. Panduan ultrasonografi pada blok saraf banyak digunakan dalam praktik klinis. Namun, penerapan suara ultra selama anestesi neuraksial masih terbatas karena kesulitan memvisualisasikan padat struktur yang mengelilingi ruang epidural dan tulang belakang kanal.
Manajemen Perioperatif pada Pasien Varises Esofagus yang Menjalani Endoskopi Sari, Djayanti; Widodo, Untung; Mi’raj, Geza Getar
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 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.v8i2.8357

Abstract

Esophageal varices are a condition in which there is distension of the submucosal veins that project into the esophageal lumen in patients with portal hypertension. Endoscopic examination is needed in cases of esophageal variceal bleeding to confirm a diagnosis, assess varicose veins and plan their management. We report a 12-year-old patient with grade 3 esophageal varices who underwent an endoscopy procedure. Management of anesthesia in esophageal varices patients undergoing endoscopy needs to pay attention to the depth of anesthesia and to keep the patient’s airway secure to avoid hypoxemia.
Co-Authors Calcarina Fitriani Retno Wisudarti Djayanti Sari Siti Helmyati Untung Widodo, Untung