Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal Jurnal Komplikasi Anestesi
Cokorda, Padmi
Unknown Affiliation
Medicine & Pharmacology

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
Analgesia Epidural Thorakal sebagai Tatalaksana Terkini Pankreatitis Akut Cokorda, Padmi
Jurnal Komplikasi Anestesi Vol 12 No 2 (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.v12i2.23699

Abstract

Acute pancreatitis has high morbidity and mortality rates, especially in moderate to severe conditions. The incidence of this disease reaches 5-30 per 100,000 population per year. The pathophysiology of acute pancreatitis is known to result from microcirculatory dysfunction in the pancreas. Severe abdominal pain is one of the symptoms most frequently complained of by patients, reaching 95%. Complaints of abdominal pain are more severe in the early phase, so multimodal analgesia is needed. Thoracic epidural analgesia is known to provide adequate pain control in 87.5 – 100% of patients. Several experimental studies and clinical data support the use of epidural analgesia in cases of acute pancreatitis. Epidural analgesia provides potential benefit in patients with acute pancreatitis in improving pancreatic perfusion. In thoracic epidural analgesia, sympathetic segmental block occurs which is a way to increase the neural supply to the splanchnic circulation resulting in vasodilation and increased blood flow. This technique is safe to use in patients with acute pancreatitis, but requires adequate hemodynamic monitoring to prevent undesirable events such as hypotension and infection. Key words: pancreatitis, thoracic epidural analgesia, abdominal pain
Co-Authors