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All Journal Jurnal Anestesi Perioperatif Jurnal Komplikasi Anestesi
Wardana, Artha Wahyu
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Education Health Professions Medicine & Pharmacology

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KORELASI NILAI OPTICAL NERVE SHEATH DIAMETER DENGAN LENGTH OF STAY ICU PADA PASIEN PASCABEDAH OTAK DI RSUP HASAN SADIKIN BANDUNG Wardana, Artha Wahyu; Sudjud, Reza Widianto; Aditya, Ricky
Jurnal Anestesi Perioperatif Vol 13, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n3.3986

Abstract

Background: Elevated intracranial pressure (ICP) is a common complication after craniotomy, often causing decreased consciousness, ventilator dependence, and prolonged ICU stay. Invasive ICP monitoring carries risks, while non-invasive methods such as optic nerve sheath diameter (ONSD) measurement via ultrasonography offer a promising alternative. This study aimed to examine the correlation between ONSD and ICU length of stay (LOS) in post-craniotomy patients.Methods: A prospective observational study was conducted at the ICU of Dr. Hasan Sadikin General Hospital, Bandung, from February to April 2024. Post-craniotomy patients admitted to the ICU were included. ONSD was measured 12–24 hours after ICU admission. Data collected included ONSD, demographics, preoperative clinical status, and ICU records. The relationship between ONSD and ICU LOS was analyzed using Pearson correlation and multivariable analysis.Results: Thirty-three patients were included (mean age 48.2 years; 60.6% male). Median preoperative GCS was 10.8, and 54.5% were ASA III/IV. ONSD correlated positively with ICU LOS (r = 0.636, p < 0.001). Multivariable analysis showed that ONSD ≥ 5.0 mm was independently associated with prolonged ICU stay (≥7 days) after adjusting for GCS and postoperative complications.Discussion: A larger ONSD, reflecting higher ICP, was moderately associated with longer ICU stay, suggesting that non-invasive ONSD measurement can serve as a useful marker for resource utilization. However, further studies with larger cohorts are needed to validate its predictive role.Conclusion: ONSD measurement is a reliable non-invasive parameter that shows a significant correlation with ICU length of stay in post-craniotomy patients.
Can High Flow Nasal Cannula Prevent Intubation in Status Asthmaticus?”: A Case Report Hamdani, Ihsan; Wardana, Artha Wahyu
Jurnal Komplikasi Anestesi Vol 13 No 1 (2025)
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.v13i1.15089

Abstract

Overview of the case: A 29-year-old male with status asthmaticus, the GCS score was 14, the respiratory rate was 30 x/min, SpO2 88% on room air, bilateral lung wheezing, and the blood gas analysis revealed severe respiratory acidosis. Management: Treatment involved High Flow Nasal Cannula (HFNC) oxygenation, salbutamol and ipratropium bromide nebulization, aminophylline drip infusion, and intravenous corticosteroids. Within hours, there was a significant improvement in respiratory parameters and acidosis. Subsequent monitoring in the intensive care unit showed improvement, the patient successfully being weaned off HFNC and transferred to the general ward after six days. This case highlights the efficacy of HFNC in managing severe asthma exacerbation and preventing intubation. Results: The use of HFNC, when combined with standard asthma management, has proven to be a promising option in the non-invasive management of status asthmaticus and can prevent intubation, but should be monitored carefully due to the risk of delayed escalation to respiratory support
Co-Authors Hamdani, Ihsan Reza Widianto Sudjud Ricky Aditya, Ricky