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All Journal Jurnal Komplikasi Anestesi
Saputra, Dya
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Medicine & Pharmacology

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Tatalaksana Komplikasi Prosedur Laparoskopi pada Pasien dengan Komorbid Obesitas Saputra, Dya; Pratomo, Bhirowo Yudo; Sudadi
Jurnal Komplikasi Anestesi Vol 11 No 1 (2023): Volume 11 Number 1 (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.v11i1.12663

Abstract

The main problems with laparoscopy are related to cardiopulmonary effects due to pneumoperitoneum, systemic absorption of carbon dioxide, extraperitoneal gas insufflation, venous gas embolism, injury to intra-abdominal structures and position of the patient, especially in laparoscopic cholecystectomy which is a procedure performed in the upper abdominal region.Therefore the author will discuss the complications of anesthesia in laparoscopic procedures and the management that can be done to prevent and treat these complications. Characteristics of the hemodynamic response begins with a decrease in cardiac index after intraperitoneal insufflation of CO2 gas and is followed by recovery. Compression of the abdominal organs as a result of increased intra-abdominal pressure and increased sympathetic may be one of the causes of increased cardiac filling pressure which can also be associated with increased intrathoracic pressure due to pneumoperitoneum. Insufflation of the intraperitoneal space with CO2 gas produces a pneumoperitoneum, a systemic effect of CO2 absorption and a reflex increase in vagal tone that can develop into arrhythmias
USG Guiding Spinal Anesthesia pada Sectio Caesarea Saputra, Dya; Sudadi, Sudadi; Wisudarti, Calcarina Fitri Retno
Jurnal Komplikasi Anestesi Vol 11 No 2 (2024): Volume 11 Number 2 (2024)
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.v11i2.12664

Abstract

The practice of using central neuraxial block (CNB) techniques is now increasingly being done. In principle, this technique is highly dependent on the palpation of anatomical markings in bones, along with feedback from tactile sensations when inserting needles. Although anatomic landmarks are useful, they are often difficult to find or feel in patients pregnancy with obesity, changes in the patient's anatomical structure, edema in the back, and underlying spinal abnormalities or after spinal surgery. Recent years have seen increasing interest in the use of ultrasound for interventions in regional anesthesia. Ultrasound is non-invasive, safe, easy to use, can be done quickly, does not involve exposure to radiation, provides real-time images, is free of side effects, and may also be beneficial in pregnancy with obesity and abnormal spinal anatomy
Co-Authors Bhirowo Yudo Pratomo SATRIYAS ILYAS Sudadi Wisudarti, Calcarina Fitri Retno