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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 346 Documents
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Assessment of Clinical Ethics Application and Patient Satisfaction in Anesthesiology Services: A Cross-Sectional Study Forensa, Habibie Arzt; Suryadi, Taufik; Kulsum, Kulsum
JAI (Jurnal Anestesiologi Indonesia) Vol 18, No 1 (2026): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.71867

Abstract

Background: Clinical ethics is currently widely discussed in anesthesiology practice in hospitals. The implementation of clinical ethics is very important in providing patient care. Anesthesiology services are a type of medical service that is full of ethical dimensions because each procedure, from pre-operative, perioperative, and post-operative, is directly correlated with the four quadrants of clinical ethics. There have been few studies conducted regarding the implementation of clinical ethics and the quality of patient satisfaction.Objective: The purpose of this study was to describe the implementation of clinical ethics in anesthesiology and the quality of patient satisfaction.Methods: An observational study using cross sectional design was conducted at Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, in October-December 2023 on 111 patients receiving anesthesiology services, male and female, aged 2-65 years, who will undergo elective surgery.Result: The present study found that the implementation of clinical ethics in anesthesiology services was 62.45%, with each category being medical indications (72.26%), patient preferences (66.21%), quality of life (60.21%), and contextual features (51.12%). Meanwhile, the level of patient satisfaction with anesthesiology services was as follows: strongly satisfied (69.37%), satisfied (18.02%), neutral (8.10%), not satisfied (2.71%), and strongly not satisfied (1.80%). Factors influencing the lack of implementation of clinical ethics in anesthesiology services include short consultation times, inadequate patient understanding of clinical ethics issues, and excessively detailed information. One way to improve the implementation of clinical ethics is by providing comprehensive clinical ethics information during anesthesia consultations and pre-operative care.Conclusion: The implementation of clinical ethics in anesthesiology services was moderate. Higher perceived clinical ethics practices may be associated with increased patient satisfaction; however, causal conclusions cannot be drawn from this study.
The Efficacy of High-Albumin Formula Supplementation (Albumed milk) on Serum Albumin Levels in Critically Ill Patients with Sepsis Jaya, Wiwi; Fatoni, Arie Zainul; Iradat, Prataganta; Laksono, Buyung Hartiyo
JAI (Jurnal Anestesiologi Indonesia) Vol 18, No 1 (2026): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.71031

Abstract

Background: Septic, an infection-induced condition, triggers an inflammatory response leading to life-threatening organ dysfunction and hypoalbuminemia. Albumed milk, containing extracts from egg whites and sprouts, has been considered a potential intervention to prevent hypoalbuminemia.Objective: This study aimed to evaluate the impact of albumed milk on elevating serum albumin levels in septic patients in the intensive care unit (ICU).Methods: An experimental study involved two groups totaling 40 patients. The control group received a standard ICU diet, while the treatment group received half of the regular ICU diet supplemented with 30 grams of albumed milk every 8 hours. Albumin levels were measured on days 0 and 3.Results: A significant reduction in average albumin levels occurred in the control group at 0.605 units (p-value = 0.006). Conversely, the treatment group showed a non-significant decrease, with an average reduction in albumin level of 0.03 units (p = 0.839).Conclusion: Albumed milk administration preserves albumin levels in septic patients compared to control patients without albumed, who show albumin level reduction. This highlights the potential utility of albumed milk as a supplementary measure in mitigating septic-related hypoalbuminemia. 
Lower Preoperative and Postoperative Hemoglobin Levels in Patients with Postoperative Cognitive Dysfunction Compared to Those Without Postoperative Cognitive Dysfunction Following Heart Valve Replacement Nurcahyo, Widya Istanto; Manapa, Chandra Hermawan; Muttaqin, Zainal; Boom, Cindy Elfira; Farhan, Muhammad; Harahap, Mohamad Sofyan; Tugasworo, Dodik; Sianturi, Rea Sava Kinanti
JAI (Jurnal Anestesiologi Indonesia) Vol 18, No 1 (2026): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.79631

Abstract

Background: Postoperative cognitive dysfunction (POCD) is a prevalent complication that occurs after surgery, impacting cognitive function. Cognitive performance may be hindered by anemia, as it reduces the delivery of oxygen to the brain and leads to tissue hypoxia, affecting metabolism and ultimately diminishing cognitive function.Objective: The objective of this study is to examine the potential correlation between hemoglobin levels and the occurrence of POCD in individuals undergoing heart valve replacement surgery.Methods: This retrospective cohort study included all individuals aged 20 years and above who underwent heart valve replacement surgery from July to December 2021. Hemoglobin levels were assessed both before and after the surgical procedure, and cognitive function was evaluated using the Indonesian-adapted Montreal Cognitive Assessment (MOCA-INA) on the third day after the operation. Statistical analysis involved the use of either Student's t-test or the Mann–Whitney nonparametric test.Results: A total of 70 participants were included in the study from July to December 2021. The majority of the participants were female (57.1%), and a significant proportion were below 60 years old (81.4%). The average preoperative hemoglobin levels were higher (13.30 g/dL) than the average postoperative hemoglobin levels (10.78 g/dL). In terms of cognitive function, 61.4% of participants experienced postoperative cognitive dysfunction (POCD), with a higher mean MoCA-INA score before surgery (28.41) than after surgery (22.37), along with a delta Hb of -0.27. Furthermore, postoperative hemoglobin levels were significantly lower in POCD patients than preoperatively (p = 0.003).Conclusion: The occurrence of postoperative cognitive dysfunction (POCD) was linked to the hemoglobin levels after heart valve replacement.
Rapid Response Systems as Secondary Responders to In-Hospital Clinical Deterioration: A Four-Year Observational Study Manggala, Sidharta Kusuma; Ramlan, Andi Ade Wijaya; Aditianingsih, Dita; Firdaus, Riyadh; Cahyadi, Arief; Auerkari, Aino Nindya; Hafidz, Noor; Parasian, Luther Holan; Sugiarto, Adhrie; Devina, Yoan; Mujono, Aivi; Cresma, Avisa Cetta
JAI (Jurnal Anestesiologi Indonesia) Vol 18, No 1 (2026): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.80762

Abstract

Background: In-hospital cardiac arrest (IHCA) is a major cause of preventable inpatient mortality, especially in low- and middle-income countries (LMICs) where rapid response systems (RRS) are still developing. Evidence regarding RRS performance in Indonesia is limited. This study evaluated the performance and operational challenges of an institutional RRS over four years at a large tertiary referral hospital in Jakarta.Objective: This study aimed to determine the proportion of immediate survival following RRS activation and to investigate secondary outcomes, including the association between activation indications and mortality, and system-level barriers.Methods: This retrospective observational cohort study included all inpatient RRS activations at Cipto Mangunkusumo National General Hospital (RSCM), Jakarta, Indonesia, from January 1, 2021, to December 31, 2024. Data from the hospital’s RRS registry were analyzed for activation triggers, interventions, immediate outcomes, and operational issues.Results: Among 246,367 inpatient admissions, there were 5,900 eligible inpatient RRS activations, yielding an activation rate of 23.9 per 1,000 admissions. Immediate survival occurred in 4,763 (80.7%) events, while 1,137 (19.3%) patients did not survive. Cardiac arrest (8.0%) and respiratory arrest (6.5%) were the strongest predictors of non-survival odds ratio (OR) 48.17 and 27.13 vs. red early warning score (EWS) reference, both p<0.001). Most activations occurred out of hours (63.0%), and mortality was significantly higher (71.3% vs. 61.1%; p < 0.001). The most frequent single-parameter triggers were oxygen saturation ≤90% (38.5%) and sudden deterioration of consciousness (15.8%). Mismatched activations, where the patient’s condition upon team arrival differed from the activation indicationwere strongly associated with higher mortality (OR 17.3, 95% confidence interval (CI) 14.3–20.2, p<0.001).Conclusion: The institutional RRS demonstrated a moderate activation rate and favorable immediate survival compared with similar LMIC settings. However, outcomes were influenced by delayed recognition, out-of-hours activation, and limited critical-care capacity. Strengthening early-escalation culture, monitoring afferent-limb failure (ALF), expanding nighttime coverage, and increasing intensive care unit (ICU) capacity are essential to enhance RRS effectiveness and reduce preventable in-hospital mortality in resource-limited settings.
Effects of Dexmedetomidine Versus Propofol–Fentanyl on QoR-15 Recovery in Cranioplasty Fadli, Mhd; Irina, Rr Sinta; Bisono, Luwih
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.v0i0.79220

Abstract

Background: Optimizing postoperative recovery is essential in neurosurgical anesthesia. Dexmedetomidine, a selective α2-adrenergic agonist, may improve sedation and recovery outcomes. This study compared intraoperative dexmedetomidine versus propofol-fentanyl in cranioplasty patients using the Quality of Recovery-15 (QoR-15) score.Methods: A prospective comparative study was conducted at Adam Malik General Hospital and Haji Medan Hospital from May - August 2025 involving 42 adult patients undergoing elective cranioplasty. Subjects were divided into two groups: dexmedetomidine (n=21) and propofol-fentanyl (n=21). Quality of Recovery-15 (QoR-15), a validated 15-item questionnaire assessing five domains of postoperative recovery (pain, physical comfort, emotional state, psychological support, and physical independence; total score range 0–150), was recorded at 12 and 24 hours postoperatively. Hemodynamic parameters, sedation depth, and operator satisfaction were assessed. Data were analyzed using t-tests and Fisher’s exact test with p < 0.05.Results: Patients receiving dexmedetomidine showed higher QoR-15 scores at 12 hours (p = 0.045) and 24 hours (p = 0.003). Heart rate was significantly lower (p = 0.02), while systolic and diastolic pressures showed no significant differences. Sedation depth and operative duration were comparable. Operator satisfaction reached 100% in both groups.Discussion: Dexmedetomidine improved recovery quality compared to propofol-fentanyl, with better hemodynamic stability and fewer sympathetic responses. These findings align with previous studies supporting its use in enhanced recovery anesthesia. Limitations include a small sample size and a lack of intraoperative sedation monitoring.Conclusion: Intraoperative dexmedetomidine offers superior recovery quality and stable hemodynamics, suggesting its potential for broader use in neurosurgical anesthesia.
ANALYSIS OF THE RELATIONSHIP BETWEEN INTENSIVE CARE UNIT PATIENT CHARACTERISTICS AND PATIENT MORTALITY AT ADAM MALIK HOSPITAL, MEDAN Putera, Rahadhi
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.v0i0.78266

Abstract

Background: Intensive Care Unit (ICU) is a vital unit in hospitals that treats critical patients with physiological instability or organ failure.Objective The general objective of this study is to determine the analysis of the relationship between patient characteristics and ICU mortality, , with the specific objective of analyzing the number of patients who died, characteristics (gender, age, type of disease, type of germ, route of entry, antibiotic use, tracheostomy time, and SOFA score), Methods: This study used a cross-sectional descriptive analytical design, Inclusion criteria were medical records of patients aged >18 years in the ICU ward, Result: Patient characteristics showed that most patients were admitted to the ICU via referral from other hospitals (132 patients). Fluoroquinolone antibiotics were the most frequently used (118 patients, 10.83%). 140 deceased patients had a SOFA score range of 10-11, with no significant difference (P 0.35). The highest mortality was observed in patients >65 years old (31.43%) and males (57.14%), often associated with respiratory diseases. Most deceased patients had a length of stay of 1-3 days (68.57%) and did not use ventilators (97.14%). Non-surgical patients had the highest mortality, with septic shock, acute myocardial infarct, and chronic heart failure as the primary diagnoses, Conclusion Mortality Cause of ICU patient is a multifactorial cause.

Page 35 of 35 | Total Record : 346

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