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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 18 Documents
 1   2 
Search results for , issue "publication in-press" : 18 Documents clear
Surgery Type as an Independent Predictor of Prolonged PACU Stay After General Anesthesia Richa Noprianty; Tia Anjelita; Ahmad Mustopa; Fikri Mourly Wahyudi
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.v0i0.76066

Abstract

Background: Prolonged Post-Anesthesia Care Unit (PACU) stay represents a critical indicator of postoperative care efficiency and resource utilization. Extended PACU duration can lead to patient accumulation, increased complication risks, and healthcare system strain.Objective: To identify and analyze risk factors associated with prolonged PACU stay following general anesthesia, with particular emphasis on surgery type as a dominant predictor.Methods: A cross-sectional observational study was conducted using modified data from 96 patients undergoing general anesthesia. Data collection included patient demographics, ASA physical status, pain scores, surgical duration, comorbidities, surgery type, anesthesia technique, and patient transfer timing. Statistical analysis employed chi-square tests and logistic regression to identify significant predictors of prolonged PACU stay (≥30 minutes).Result: Among 96 patients, 37.5% experienced prolonged PACU stay (≥30 minutes). Significant predictors included age (p=0.011), ASA physical status (p=0.012), anesthesia technique (p=0.035), and surgery type (p=0.001). Multivariate logistic regression identified surgery type as the dominant factor (p=0.004, OR=2.524, 95% CI: 1.355-4.700). Major surgeries demonstrated 60% prolonged stay rates compared to 21.8% for minor procedures. Pain intensity, surgical duration, comorbidities, and patient pickup time showed no significant association.Conclusion: Surgery type emerges as the primary determinant of prolonged PACU stay, with major surgical procedures significantly increasing recovery duration. These findings provide evidence-based guidance for perioperative planning, resource allocation, and quality improvement initiatives in postoperative care.
Retrospective Study: Effectiveness of the Surgical Safety Checklist in Reducing Surgical Site Infections Richa Noprianty
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.v0i0.80047

Abstract

Background: Surgical site infection (SSI) is one of the major challenges in healthcare, increasing patient morbidity and mortality. The global incidence of SSI has risen to 23.6 cases per 100 surgical procedures. Therefore, prevention and control of surgical site infections are essential patient‑safety efforts.Objective: This study aims to evaluate the implementation of the Surgical Safety Checklist in relation to SSI occurrence at the hospital.Methods: This research method A quantitative correlational research design was employed, utilizing a retrospective case-control approach. The study population comprised all patients who underwent surgery with indications of SSI, totaling 63 medical records, with total sampling conducted from January 2024 to April 2025. Data collection instruments included an observation checklist based on WHO guidelines and patient medical records.Results: Data analysis using the independent t-test revealed a significance value of 0.00 (p < 0.05), indicating a statistically significant difference in the mean incidence of SSI between groups with good and poor SSC implementation. Among the 63 patients diagnosed with wound dehiscence, the average onset of infection was 9 days postoperatively, with a mean surgical duration of 142 minutes.Conclusion: The findings suggest that enhancing the quality of SSC implementation may serve as an effective strategy to reduce the incidence of HAIs in hospitals, particularly within central surgical installations. The results also underscore the importance of strengthening supervision, implementing preventive measures, and integrating the use of electronic medical records (EMR) to improve infection control and patient safety.
Efficacy of Ultrasound-Guided Bilateral Infraorbital Nerve Block Combined with General Anesthesia on Postoperative Pain and Quality of Recovery in Patients Undergoing Nasal Surgery: A Randomized Controlled Trial Christine Christine; IGAG Utara Hartawan; I Putu Kurniyanta; Tjokorda Gde Agung Senapathi; I Putu Pramana Suarjaya; I Made Gede Widnyana; Dewa Ayu Mas Shintya Dewi; Ida Bagus Krisna Jaya Sutawan; Tjahya Aryasa E.M.; Putu Herdita Sudiantara
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.v0i0.82363

Abstract

Background: Postoperative pain following nasal surgery is frequently moderate to severe, often necessitating high doses of opioids, which subsequently increase the risk of adverse clinical effects.Objective: This study aimed to evaluate the clinical impact of integrating ultrasound-guided bilateral infraorbital nerve blocks with general anesthesia on the quality of analgesia and postoperative recovery in patients undergoing nasal procedures.Methods: A single-blind randomized controlled trial was conducted involving 38 patients at Ngoerah Hospital between June and August 2025. Participants were randomly assigned to either Group P1 (general anesthesia with bilateral infraorbital block using 2 mL of 0.5% bupivacaine per side) or Group P2 (general anesthesia only). Measured outcomes included numerical rating scale (NRS) scores at 12 and 24 hours, time to first patient-controlled analgesia (PCA) demand, 24-hour total fentanyl consumption, and quality of recovery-15 (QoR-15) scores.Results: Baseline characteristics were comparable between groups. Group P1 demonstrated significantly lower NRS scores at 12 hours and 24 hours (p<0.001) compared to Group P2. Furthermore, P1 required significantly less PCA intervention (31.6% vs 100%, p<0.001), exhibited a longer duration before the first analgesic demand (p=0.008), and consumed less total fentanyl over 24 hours (p<0.001). The QoR-15 scores were also significantly higher in Group P1 (p<0.001), indicating superior recovery quality.Conclusion: Supplementing general anesthesia with bilateral infraorbital nerve blocks effectively mitigates postoperative pain, reduces opioid dependency, and enhances the overall quality of recovery after nasal surgery.
Comparison Between Ketamine and Paracetamol in The Prevention of Post-Spinal Anesthesia Shivering in Caesarean Section Procedures Candra Ristiana; Himawan Sasongko; Yulia Wahyu Villyastuti
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.v0i0.68651

Abstract

Background: Shivering is a common complication associated with spinal anesthesia during cesarean sections, leading to discomfort and potential cardiac ischemia. While intravenous paracetamol is known to prevent shivering, it has potential peripheral limitations and may be costly. Conversely, ketamine administration inhibits norepinephrine reuptake, potentially reducing heat redistribution and serving as a more affordable alternative.Objective: Assessing the comparison of ketamine and paracetamol on the incidence, onset, and degree of post-spinal anaesthesia shivering in caesarean section procedures.Methods: An experimental design was employed with a sample size of 52 patients, divided into two groups: one receiving intravenous ketamine (0.25 mg/kg) alongside intrathecal bupivacaine (15 mg), and the other receiving intravenous paracetamol (1000 mg) with intrathecal bupivacaine (15 mg). The incidence, onset, and degree of shivering were observed and recorded every 3 minutes for 90 minutes.Results: The incidence of shivering in the ketamine group was 3 samples while in the paracetamol group there were 10 samples. The mean time of onset of shivering in the ketamine group was 55.00 minutes, and in the paracetamol group was 27.30 minutes (p<0.05). While the degree of shivering in the ketamine group was 1 sample of degree 1 and 2 samples of degree 2, the paracetamol group was 4 samples of degree 2, 3 samples of degree 3 and 3 samples of degree 4 (p<0.05).Conclusion: Ketamine proved to be more effective in preventing shivering than paracetamol after spinal anesthesia in caesarean section procedures.
Opioid-Sparing Thoracotomy Analgesia Using an Erector Spinae Plane Block in an Infant with Autosomal Recessive Congenital Ichthyosis: A Case Report Cipta Suryadinata; Raden Besthadi Sukmono
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.v0i0.84100

Abstract

Background: The erector spinae plane (ESP) block is increasingly used for pediatric thoracic analgesia, yet evidence in infants under one year remains limited. Thoracotomy is associated with severe postoperative pain and high opioid requirements. Autosomal recessive congenital ichthyosis (ARCI), characterized by impaired epidermal barrier function, raises concerns regarding the safety of regional anesthesia. No previous report has described the use of regional anesthesia in patients with ARCI.Case: A 10-month-old, 9.2 kg male infant with genetically confirmed ARCI (PNPLA1 mutation) underwent left posterolateral thoracotomy and decortication for loculated empyema. A pre-incision ultrasound-guided ESP block was performed at T4 using 0.25% bupivacaine (4.5 mL; 1.22 mg/kg). Intraoperative opioid use was limited to fentanyl 25 mcg for intubation, with no additional analgesic requirement or hemodynamic response to surgical incision. Postoperative pain scores assessed using the face, legs, activity, cry, consolability (FLACC) scale remained 1/10 during the first 24 hours, increased to 6/10 on post-operative day (POD)-1, and subsequently decreased to 4/10 on POD-2 and 3/10 on POD-3 under multimodal non-opioid analgesia. No rescue opioids or opioid-related adverse effects occurred. The patient was extubated in the operating room and discharged from the pediatric intensive care unit (PICU) after 58 hours. No block-related complications were observed, and puncture-site healing was uneventful.Discussion: This case demonstrates that the ESP block provided effective opioid-sparing analgesia in an infant and suggests that ARCI-related epidermal barrier dysfunction did not appear to adversely affect the safety or technical performance of an interfascial plane block in this case.Conclusion: ESP block appeared to be a feasible, effective, and safe analgesic option for thoracotomy in this infant with ARCI and may serve as an opioid-sparing strategy in high-risk pediatric patients.
The analysis comparing the use of the Visual Analogue Scale (VAS) and Numeric Rating Scale (NRS) for measuring pain in post-cesarean section (C-section) patients under spinal anesthesia mhd noer ibrahim; Tasrif Hamdi; dadik wahyu wijaya
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.v0i0.79878

Abstract

ABSTRACKPostoperative pain following Caesarean Section (CS) is a significant clinical issue that requires effective assessment and management to accelerate healing and improve patient comfort. This study aimed to compare the effectiveness of the Visual Analogue Scale (VAS) and the Numeric Rating Scale (NRS) in measuring pain intensity in patients after CS with spinal anesthesia. A quantitative research approach was applied, involving a sample of 90 patients from several hospitals in Medan, including Prof. Dr. Chairuddin P. Lubis Hospital, Dr. Pirngadi Regional General Hospital, and Haji Medan General Hospital. Data were collected through interviews and pain measurements using both instruments.The results showed that most respondents experienced moderate pain according to VAS (75%) and NRS (77%). Seventy-nine percent of respondents perceived VAS as a more effective method for pain assessment compared to 21% for NRS. Statistical analysis indicated no significant difference between pain measurements using VAS and NRS (p = 0.832). This study confirms that both tools can be used to measure pain intensity after CS, but VAS tends to be preferred by patients due to its more concrete visual representation of pain 
Intraoperative Raw EEG Monitoring for Anesthetic Depth Assessment in Scoliosis Correction Surgery: A Case Report Maha Swardwipayana Putra Thedja; Ida Bagus Krisna Jaya Sutawan
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.v0i0.82818

Abstract

Background: General anesthesia aims to provide adequate hypnosis, analgesia, amnesia, and muscle relaxation. Conventional intraoperative monitoring mainly relies on hemodynamic parameters, which do not directly reflect brain function—the primary target organ of anesthesia. This limitation may lead to excessively light or deep anesthesia, increasing the risk of intraoperative awareness, hemodynamic instability, and postoperative neurocognitive disorders. In prolonged and highly stimulating procedures such as scoliosis correction surgery, accurate assessment of anesthetic depth is crucial. Electroencephalography (EEG) offers real-time insight into cortical activity and may improve anesthetic depth monitoring.Case: We report a 17-year-old female with adolescent idiopathic scoliosis (Lenke 3AN, Risser stage 5) who underwent spinal deformity correction under intraoperative monitoring. General anesthesia was maintained with propofol and remifentanil. Raw EEG monitoring using dual channels (CP3–Fpz and CP4–Fpz) was applied throughout the procedure. During induction, incision, spinal rotation/translation, and closure, EEG consistently demonstrated symmetric, dominant frontal alpha activity, corresponding with stable anesthetic depth. Anesthetic titration was guided by EEG patterns without reliance on processed EEG indices. The surgery was completed uneventfully, and the patient recovered without neurological complications.Discussion: EEG waveforms change in a dose-dependent manner with anesthetic agents. Dominant frontal alpha activity (alpha anteriorization) is associated with adequate hypnotic depth under propofol anesthesia, whereas excessive slowing or burst suppression may indicate overly deep anesthesia. Raw EEG monitoring provides direct neurophysiological information and may be more sensitive than processed indices such as the Bispectral Index, particularly in surgeries requiring intraoperative neurophysiological monitoring.Conclusion: Intraoperative raw EEG monitoring is a valuable adjunct for assessing anesthetic depth in long-duration scoliosis correction surgery. Maintaining dominant alpha activity may help prevent anesthetic overdose while preserving neurological stability.
Comparison of the Effects of Continuous Infusion of Fentanyl 0.7 mcg/kgBW/hour versus Lidocaine 1.5 mg/kgBW/hour on Post-Anesthesia Recovery Quality Using QoR-40 Scoring in Laparotomy Surgery Sherwin Sherwin; Rr Sinta Irina; Andriamuri Primaputra Lubis
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.v0i0.83599

Abstract

Background: Postoperative recovery quality is a critical measure of anesthetic effectiveness, particularly in major surgeries such as laparotomy. Both fentanyl and lidocaine are used in multimodal analgesia, but their comparative efficacy on recovery quality remains underexplored.Objectives: To evaluate and compare the impact of continuous intravenous infusions of fentanyl as well as lidocaine on the quality of postoperative recovery in laparotomy patients undergoing general anesthesia, utilizing the quality of recovery-40 (QoR-40) score as the evaluation instrument.Methods: This double-blind randomized controlled trial (RCT) included 40 patients undergoing laparotomy at Adam Malik Hospital, Medan. Subjects were randomly allocated to receive either fentanyl (0.7 mcg/kg/h) or lidocaine (1.5 mg/kg/h) infusion postoperatively. QoR-40 scores were assessed 24 hours post-surgery. Pain scores and rescue analgesia requirements were also evaluated.Results: Subjects in the fentanyl group had substantially higher QoR-40 scores (173.35 ± 41.764) than those in the lidocaine group (148.95 ± 25.362; p = 0.0001). Fentanyl was superior in comfort and pain control. Rescue analgesia was needed less frequently and later in the fentanyl group (p = 0.0001).Conclusion: Fentanyl infusion substantially improved postoperative recovery quality more effectively than lidocaine in patients undergoing laparotomy, particularly in pain management and comfort.

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