cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
-
Contact Email
-
Phone
-
Journal Mail Official
-
Editorial Address
-
Location
Kota semarang,
Jawa tengah
INDONESIA
Jurnal Anestesiologi Indonesia
Published by Universitas Diponegoro
ISSN : 23375124     EISSN : 2089970X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Jurnal Anestesiologi Indonesia (JAI) diterbitkan oleh Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) dan dikelola oleh Program Studi Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Diponegoro (UNDIP) bekerjasama dengan Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) cabang Jawa Tengah.
Arjuna Subject : -
Articles 8 Documents
 1 
Search results for , issue "Publication In-Press" : 8 Documents clear
Manajemen Anestesi pada Pasien Wanita dengan Kehamilan 29 Minggu dengan SOL Intrakranial, Invasive Carcinoma Mammae dan Bronkopneumonia Dina Paramita; Irfani Kurniawan
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.52627

Abstract

Latar Belakang: Kehamilan merupakan tantangan tersendiri bagi seorang anestesiologi karena kita menghadapi dua kehidupan di waktu yang bersamaan. Tumor otak pada kehamilan berkorelasi dengan mortalitas ibu, prematuritas dan intra uterine growth restriction (IUGR). Hal ini membuat waktu persalinan dan teknik anestesi yang digunakan bergantung dari situasi yang ada.Kasus: Pada kasus ini kami melaporkan teknik anestesi menggunakan general anesthesia (GA) untuk sectio caesarea transperitoneal profunda (SCTP) pada seorang pasien wanita G1P0A0 usia kehamilan 29 minggu ASA IIIE dengan space occupied lesion (SOL) intracranial suspek multipel abses serebri dd/ tuberkuloma, karsinoma mammae invasif dan bronkopneumonia.Pembahasan: SOL merupakan lesi pada ruang intrakranial terutama mengenai otak. Pada pasien kami terdapat SOL dari multipel abses serebri dd/ tuberkuloma. Hal ini menyebabkan terjadinya peningkatan tekanan intrakranial dan juga hemiparese dextra spastik. Terminasi kehamilan dilakukan berdasarkan kondisi hamil 29 minggu dengan adanya SOL pada pasien ini. Kami menggunakan general anesthesia (GA) untuk melakukan SC. Teknik anestesi dianggap berhasil jika hasil activity, pulse, grimace, appearance, and respiration (APGAR) bayi baru lahir tersebut baik.Kesimpulan: Wanita G1P0A0, 32 tahun, usia kehamilan 29 minggu, janin 1 hidup intrauterin, dengan SOL intrakranial suspek multipel abses serebri dd/ tuberkuloma, karsinoma mammae invasif dan bronkopneumonia dikonsultasikan oleh teman sejawat obsgyn kepada dokter anestesi untuk dilakukan sectio caesarea (SC) dengan GA. Selama pembiusan dan operasi berlangsung, tidak didapatkan adanya komplikasi. Pada kasus ini, terminasi dilakukan untuk kesejahteraan bayi dan ibu.
Analisis Terhadap Faktor Risiko Yang Berhubungan Dengan Mortalitas Pasien Sindrom Guillain-Barré Yang Dilakukan Plasmaferesis Primta Bangun; Reza Widianto Sudjud; Ardi Zulfariansyah
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.56915

Abstract

Latar Belakang: Guillain-Barré Syndrome (GBS) merupakan penyakit autoimun yang mengenai sistem saraftepi yang banyak ditemukan di dunia. Penyakit inimemiliki manifestasi berupa kelemahan, arefleksia ototsecara progresif dan dapat menyebabkan kelemahan pada otot-otot pernapasan. Hal ini menyebabkan penderitamembutuhkan bantuan ventilasi mekanik. AmericanSociety for Apheresis (ASFA) menyatakan pengobatan linipertama krisis Guillain-Barré Syndrome (GBS) fase akutadalah dengan pemberian Therapeutic Plasma Exchange/Plasmaferesis. Therapeutic Plasma Exchange merupakan prosedur yang relatif aman dan sudah seringdilakukan di General Intensive Care Unit (GICU) RumahSakit Hasan Sadikin (RSHS) Bandung.Tujuan: Penelitian ini dilakukan untuk menganalisisfaktor-faktor risiko yang berhubungan dengan mortalitaspasien GBS yang telah menjalani terapi plasmaferesis.Metode: Penelitian ini merupakan penelitian analitikmultivariat dengan desain kasus kontrol yang dilakukanpada 55 sampel pasien GBS yang mendapatkan terapiplasmaferesis di GICU RSHS Bandung dan Rumah Sakit(RS) Bhayangkara Tingkat II Medan. Penelitian inibersifat retrospektif dengan mengambil data dari rekammedis serta menyajikan karateristik dasar subjek.Hasil: Penelitian ini mendapatkan hasil bahwa diantarafaktor-faktor risiko yaitu usia, komorbid, dan lama penggunaan ventilasi mekanik, yang paling berhubungandengan mortalitas pasien GBS yang telah menjalani terapiplasmaferesis adalah faktor lamanya penggunaan ventilasimekanik >14 hari.Kesimpulan: Faktor risiko penggunaan mesin ventilasimekanis berkepanjangan (>14 hari) berhubungan dengantingginya kejadian mortalitas/kematian pada pasien GBS yang menjalani terapi di RSHS Bandung, maupun di RS Bhayangkara Tingkat II Medan. 
Pain Severity in Post-Caesarean Section and Its Preoperative Factors Derajad Bayu Atmawan; Hanifa Agung Kurniawan; Reza Ishak Estiko; Trisya Allinda
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.57730

Abstract

Background: According to World Health Organization (WHO), the global prevalence of cesarean section (C-section) reaches 21% of all deliveries and is expected to increase to 29% by 2030. This major surgery is associated with moderate to severe postoperative pain, which can affect postoperative recovery.Objective: This study aims to identify preoperative factors that affect post-cesarean pain with numeric rating scales 12 and 24 hours postoperative.Methods: A cross-sectional study was conducted at dr. Soehadi Prijonegoro Hospital, Sragen, Indonesia. The subject criteria are: (1) willing to participate in this study, (2) age more than 18 years old, (3) cooperative and communicative, and (4) not in disability condition. This research has conducted ethical approval by the Ethics Committee of dr. Soehadi Prijonegoro Hospital prior to the study.Results: We obtained 30 subjects, with no dropouts, aged 22 to 44 years, with 20% being older than 35 years pregnant women. Preoperative factors were multigravida, previous C-section, overweight to severe obesity, preeclampsia, fetal malposition, preterm premature rupture of the membranes, human immunodeficiency, malnutrition, preterm labor, hepatitis B, and anemia. Also, 83.3% of patients underwent emergency surgery. Most patients experienced moderate to severe pain 2 hours postoperation, and mild to moderate pain 24 hours postoperation.Conclusion: No significant correlation was found between preoperative factors and postoperative pain (p>0.05). Nonetheless, pain management should be tailored to each patient’s clinical condition.
Intensive Care Management of a Patient With Pickwickian Syndrome, Obesity, and Congestive Heart Failure Cakradwipa, Mada Oktav; Adiyanto, Bowo; Prasamya, Erlangga
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.74300

Abstract

Background: Pickwickian Syndrome is a condition of alveolar hypoventilation characterized by hypercapnia due to decreased ventilatory drive and capacity caused by obesity. The prevalence of this syndrome aligns with the increasing obesity rate in various countries, especially developed nations, and is associated with obstructive sleep apnea (OSA). Individuals with OSA have a 20–30% risk of developing Pickwickian Syndrome.Case: A 36-year-old male, weighing 160 kg and height 168 cm (body mass index (BMI): 56.69 kg/m²), presented with progressive dyspnea for one week. He had a history of hypertension and heart disease, managed with medication. On arrival at the emergency department (ED), he showed signs of hypoxemia with SpO₂ 80%, which improved to 97% after oxygen therapy with a non-rebreathable breathing mask at 10 L/min. Blood gas analysis revealed partially compensated respiratory acidosis. A Chest X-ray showed bilateral pulmonary edema and cardiomegaly. A diagnosis of Pickwickian Syndrome with congestive heart failure was established. The patient was managed in the intensive care unit (ICU) for 13 days with non-invasive ventilation (NIV) as ventilatory support.Discussion: This case illustrates the complex interplay among morbid obesity, hypoventilation, and cardiac dysfunction. Obesity leads to increased airway resistance and impaired thoracic compliance, resulting in reduced effective ventilation and CO₂ retention. When combined with congestive heart failure, pulmonary edema, and further hypoxemia may ensue. The successful outcome in this case underlines the importance of early diagnosis, targeted respiratory support, and effective fluid management.Conclusion: Intensive care of the patients with Pickwickian Syndrome and congestive heart failure requires a holistic multidisciplinary approach. Optimizing oxygenation, maintaining strict fluid balance, and administering appropriate pharmacologic therapy are crucial to preventing complications and improving prognosis. 
Interlaminar Cervical Epidural Non-Particulate Steroid Injection for Acute Cervical Radicular Pain: A Case Study of Clinical Effectiveness Nur Azza, Kamala Kan; Susianti, Noor Alia; Mahmud, Mahmud; Nathania, Caroline Evanthe
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.73464

Abstract

Background: Cervical radicular pain is pain that arises in the upper extremities caused by ectopic activities of afferent nociceptive or radix medulla spinalis. The pain intervention which can be done is interlaminar cervical epidural steroid injection (ICESI), transforaminal epidural steroid injection (TFSI), thermal radio frequency (TRF), pulse radio frequency (PRF), spinal cord stimulation (SCS), or surgery. Each modalities have different benefits and side effects. The success of ICESI is still debatable. This case report aimed to evaluate the success of ICESI for cervical radicular pain.Case: A woman, 71 years old, suffered from neck pain with radicular pain along the arm, until the palm, thumbs, and index finger on both right and left sides. The patient reported persistent pain predominantly in the palms, with an intensity of 7 out of 10 on the numeric rating scale (NRS). She felt the pain for 2 months, and it wasn’t relieved with pharmacotherapy and physiotherapy. The cervical magnetic resonance imaging (MRI) showed entrapment at the radix C6. The patient was advised to undergo an operative procedure, but the patient refused it and was offered an ICESI.Discussion: The ICESI approach has been proven to be effective in managing acute cervical radicular pain. By delivering corticosteroids into the epidural space, ICESI reduces inflammation around the affected nerve roots, leading to significant pain relief and improved functional outcomes, and allows for a broader spread of medication across multiple levels.Conclusion: ICESI is effective for cervical radicular pain.
Target-Controlled Infusion (TCI) Propofol in Ventriculoperitoneal (VP) Shunt Surgery during the First Trimester of Pregnancy Cobis, Albinus Yunus; Bisri, Dewi Yulianti; Rachman, Iwan Abdul
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.73897

Abstract

Background: The use of target-controlled infusion (TCI) propofol in pregnant patients undergoing ventriculoperitoneal (VP) shunt surgery during the first trimester due to hydrocephalus presents a rare and complex challenge in neuroanesthesia. TCI propofol is favoured for its ability to maintain hemodynamic stability and effectively control intracranial pressure (ICP), both of which are crucial in neuro-obstetric management.Case: A 23-year-old woman, five weeks pregnant, with a history of communicating hydrocephalus and bilateral VP shunts, presented with severe headache. She underwent emergency VP shunt revision under general anesthesia using TCI propofol (Schnider model, target effect-site concentration 2.5–5 mcg/mL), fentanyl (2 mcg/kg), atracurium (0.5 mg/kg), and lidocaine (1.5 mg/kg). Intraoperative hemodynamics remained stable throughout the two-hour procedure. Postoperatively, her neurological status improved significantly, and no complications were observed.Discussion: Compared to inhalational agents such as sevoflurane, TCI propofol demonstrates superior control of ICP, maintains cerebral blood flow stability, and facilitates faster postoperative recovery. Fentanyl, atracurium, and lidocaine were selected due to their favourable safety profiles for short-term use in pregnancy. Postoperatively, progesterone was administered to support pregnancy maintenance by reducing uterine contractility and mitigating the risk of miscarriage associated with surgical and anesthetic stress.Conclusion: TCI propofol is an effective and safe anesthetic strategy for managing VP shunt procedures during the first trimester of pregnancy. A multidisciplinary approach is essential to achieve optimal neurological and obstetric outcomes. 
ERECTOR SPINAE PLANE BLOCK IN THORACOTOMY SURGERY Novara, Tendi; Cahyono, Iwan Dwi; Hapsari, Rania Adeastri
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.76227

Abstract

Background: Post-thoracotomy pain management remains a major challenge in anesthesia. Thoracic epidural and paravertebral blocks are effective but technically demanding. The erector spinae plane (ESP) block offers a simpler and safer alternative for postoperative analgesia. This case report presents the anesthetic and analgesic management using ESP block in a patient undergoing thoracotomy decortication.Case: A 60-year-old male with spontaneous right pneumothorax and pulmonary atelectasis underwent thoracotomy decortication under general anesthesia. An ultrasound-guided ESP block was performed at T5–T6 using 0.25% levobupivacaine (20 mL). Intraoperative hemodynamics were stable, and the patient was extubated 14 hours postoperatively. Pain scores remained low without additional opioids. No complications were observed during postoperative monitoring.Discussion: Spontaneous pneumothorax and pulmonary atelectasis frequently necessitate surgical intervention, demanding complex anesthetic management. This patient presented with a right-sided pneumothorax, compounded by atelectasis resulting from prior trauma. After the surgery. The patient underwent an erector spinae plane (ESP) block at T5-T6 under general anesthesia for postoperative analgesia. Postoperatively, the patient exhibited satisfactory oxygenation, low pain scores, and no complications associated with the ESP block, indicating effective pain control.Conclusion: This case report illustrates that an ESP block administered postoperatively can offer effective analgesia management for patients with spontaneous pneumothorax and pulmonary atelectasis undergoing decortication thoracotomy. This strategy not only ensures adequate pain relief but also facilitates early mobilization and reduces postoperative opioid use. These findings endorse the integration of the ESP block into a multimodal anesthetic approach for thoracic surgery.
COMPARISON OF THE EFFICACY OF INTRAVENOUS NOREPINEPHRINE AND PHENYLEPHRINE AS VASOPRESSOR AGENTS IN THE MANAGEMENT OF SEPTIC SHOCK IN ICU PATIENTS AT HAJI ADAM MALIK GENERAL HOSPITAL USING LACTATE AND STROKE VOLUME VARIATION INDICATORS Attamimi, Fandy Faidhul; Wijaya, Dadik Wahyu; Tanjung, Qadri Fauzi; Amelia, Rina
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.67835

Abstract

Background: Septic shock is a critical condition requiring intensive management, including vasopressor support to maintain organ perfusion. Norepinephrine and phenylephrine are two commonly used vasopressors, but their relative effectiveness in the context of septic shock remains a subject of debate. This study aims to compare the effectiveness of intravenous norepinephrine and phenylephrine as vasopressor agents in the management of septic shock in ICU patients at Haji Adam Malik General Hospital, using lactate levels and stroke volume variation (SVV) as indicators.Methods: This study was conducted as a randomized controlled trial (RCT). The subjects were ICU patients at Haji Adam Malik General Hospital diagnosed with septic shock and receiving either norepinephrine or phenylephrine as a vasopressor. Evaluations were conducted to monitor changes in lactate levels and SVV at therapy initiation and at specific intervals throughout the treatment period. Data were analyzed using appropriate statistical methods to compare the effects of the two vasopressors.Results: This study included 32 samples divided into two groups: a norepinephrine group and a phenylephrine group, each consisting of 16 patients. After 6 hours of norepinephrine administration, lactate levels significantly decreased from 8.41±1.88 mmol/L to 5.76±1.99 mmol/L. There was also a significant reduction in SVV, from 14.25±2.17 mmHg to 8.18±1.90 mmHg, with statistically significant results (p<0.001). After 6 hours of phenylephrine administration, lactate levels decreased from 7.40±1.77 mmol/L to 6.70±1.77 mmol/L, and SVV decreased from 15.93±2.56 mmHg to 12.50±2.63 mmHg, also showing statistically significant results (p<0.001).Conclusions: travenous norepinephrine is more effective than phenylephrine in reducing lactate levels and improving stroke volume variation in ICU patients with septic shock. These findings support the use of norepinephrine as the primary vasopressor in the management of septic shock, although phenylephrine may still be considered as an alternative with close monitoring of hemodynamic parameters. Further studies are needed to confirm these findings and to explore the mechanisms underlying the differences in efficacy.

Page 1 of 1 | Total Record : 8

 1 

Filter by Year

2021 2023


Reset
Filter By Issues
All Issue Vol 17, No 3 (2025): JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 2 (2025): JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 1 (2025): JAI (Jurnal Anestesiologi Indonesia) Vol 16, No 3 (2024): JAI (Jurnal Anestesiologi Indonesia) Vol 15, No 2 (2023): Jurnal Anestesiologi Indonesia Vol 15, No 1 (2023): Jurnal Anestesiologi Indonesia Vol 14, No 3 (2022): Jurnal Anestesiologi Indonesia Vol 14, No 2 (2022): Jurnal Anestesiologi Indonesia Vol 14, No 1 (2022): Jurnal Anestesiologi Indonesia Vol 13, No 3 (2021): Jurnal Anestesiologi Indonesia Vol 13, No 3 (2021): Jurnal Anestesiologi Indonesia (Issue in Progress) Vol 13, No 2 (2021): Jurnal Anestesiologi Indonesia Vol 13, No 1 (2021): Jurnal Anestesiologi Indonesia Publication In-Press Vol 12, No 3 (2020): Jurnal Anestesiologi Indonesia Vol 12, No 2 (2020): Jurnal Anestesiologi Indonesia Vol 12, No 1 (2020): Jurnal Anestesiologi Indonesia Vol 11, No 3 (2019): Jurnal Anestesiologi Indonesia Vol 11, No 2 (2019): Jurnal Anestesiologi Indonesia Vol 11, No 1 (2019): Jurnal Anestesiologi Indonesia Vol 10, No 3 (2018): Jurnal Anestesiologi Indonesia Vol 10, No 2 (2018): Jurnal Anestesiologi Indonesia Vol 10, No 1 (2018): Jurnal Anestesiologi Indonesia Vol 9, No 3 (2017): Jurnal Anestesiologi Indonesia Vol 9, No 2 (2017): Jurnal Anestesiologi Indonesia Vol 9, No 1 (2017): Jurnal Anestesiologi Indonesia Vol 8, No 3 (2016): Jurnal Anestesiologi Indonesia Vol 8, No 2 (2016): Jurnal Anestesiologi Indonesia Vol 8, No 1 (2016): Jurnal Anestesiologi Indonesia Vol 7, No 3 (2015): Jurnal Anestesiologi Indonesia Vol 7, No 2 (2015): Jurnal Anestesiologi Indonesia Vol 7, No 1 (2015): Jurnal Anestesiologi Indonesia Vol 6, No 3 (2014): Jurnal Anestesiologi Indonesia Vol 6, No 2 (2014): Jurnal Anestesiologi Indonesia Vol 6, No 1 (2014): Jurnal Anestesiologi Indonesia Vol 5, No 3 (2013): Jurnal Anestesiologi Indonesia Vol 5, No 2 (2013): Jurnal Anestesiologi Indonesia Vol 5, No 1 (2013): Jurnal Anestesiologi Indonesia Vol 4, No 3 (2012): Jurnal Anestesiologi Indonesia Vol 4, No 2 (2012): Jurnal Anestesiologi Indonesia Vol 4, No 1 (2012): Jurnal Anestesiologi Indonesia Vol 3, No 3 (2011): Jurnal Anestesiologi Indonesia Vol 3, No 2 (2011): Jurnal Anestesiologi Indonesia Vol 3, No 1 (2011): Jurnal Anestesiologi Indonesia Vol 3, No 1 (2011): JAI (Jurnal Anestesiologi Indonesia) Vol 2, No 3 (2010): Jurnal Anestesiologi Indonesia Vol 2, No 2 (2010): Jurnal Anestesiologi Indonesia Vol 2, No 1 (2010): Jurnal Anestesiologi Indonesia Vol 1, No 3 (2009): Jurnal Anestesiologi Indonesia Vol 1, No 2 (2009): Jurnal Anestesiologi Indonesia Vol 1, No 1 (2009): Jurnal Anestesiologi Indonesia More Issue