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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 352 Documents
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CASE REPORT The role of CRRT in optimizing management of septic shock in patient with miastenia gravis improve outcome amin, robby al; irawany, vera
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.v0i0.83434

Abstract

Septic shock is a medical emergency characterized by organ dysfunction due to the body's uncontrolled response to infection, with a high mortality rate. The combination of Myasthenia Gravis (MG), pneumonia, and septic shock requires prompt and appropriate management to prevent further complications and improve patient prognosis. In this case, a 47-year-old female patient with Myasthenia Gravis developed septic shock due to pneumonia and showed significant clinical improvement after hemodynamic stabilization, appropriate antibiotic therapy, and the use of Continuous Renal Replacement Therapy (CRRT) to regulate electrolyte balance and eliminate inflammatory mediators. Despite the absence of plasmapheresis, comprehensive management of sepsis and organ dysfunction successfully improved the patient's prognosis. Optimal sepsis therapy and the use of CRRT without plasmapheresis may serve as an alternative approach in managing MG patients with septic shock due to pneumonia. Stabilizing the patient's condition through infection control, organ support, and comprehensive MG therapy plays a crucial role in successful treatment. Further research is needed to evaluate teh effectiveness of this approach in a broader patient population  
Risk Factors and Impact of Surgery Type on Prolonged PACU Stay: A Modified Data Analysis Noprianty, Richa
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.

Page 36 of 36 | Total Record : 352

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