cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Sudadi
Contact Email
dsudadi@ugm.ac.id
Phone
+62811254834
Journal Mail Official
jka.jogja@gmail.com
Editorial Address
Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada Jl. Farmako Sekip Utara, Yogyakarta 55281
Location
Kab. sleman,
Daerah istimewa yogyakarta
INDONESIA
Jurnal Komplikasi Anestesi
Published by Universitas Gadjah Mada
ISSN : 23546514     EISSN : 26155818     DOI : https://doi.org/10.22146/jka.v11i2.12773
Core Subject : Health,
Medicine & Pharmacology
JURNAL KOMPLIKASI ANESTESI (e-ISSN 2354-6514) is a scientific and original journal which published as a forum for various scientific articles including research, literature reviews, case reports and recent book reviews. The presence of this journal, it is hoped that it can provide input of knowledge and knowledge in the field of Anesthesiology and Intensive Therapy for medical personnel.
Arjuna Subject : Kedokteran - Anesthesiology and Pain Medicine
Articles 10 Documents
 1 
Search results for , issue "Vol 10 No 1 (2022)" : 10 Documents clear
Patient Safety in Non-Operating Room Anesthesia (Nora) Pratomo, Bhirowo Yudo; Sudadi; Hermawan, Hendra
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8303

Abstract

Practice in the field of non-operating room anesthesia (NORA) is associated with the risks of injury or death. The number of NORA cases recently has increased with more than half of claims related to death, due to lack of anesthetic care standard. The need for implementation standard of NORA such as equipments, staffs and facilities must meet the criteria of safety. So it is an important concern in preventing those complications. The three paradigm steps towards a systematic NORA approach encompass patient, procedures and the environment. The first step to improve patient safety in the case of NORA includes measuring preparation with adequate facilities, introductions of the location, equipments and available personnels. The training skill and communication between the anesthetist team and other support personnel are required. In addition, procedural preparation must be prepared for possible emergencies and adverse outcomes.
Fisiologi Pemberian Larutan Oral Karbohidrat pada Pasien yang akan Menjalani Operasi Elektif Sar, Djayanti; Kurniawati, Juni; Sunantara, I Gusti Ngurah Putu Mandela Agatha
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8320

Abstract

Surgery is a combination of anesthesia, drugs, trauma, blood loss. Apart from that, patient preparation before surgery which is routinely carried out such as fasting for 6- 8 hours is also part of the operation. This condition can disturb the balance in the body. The metabolic state of the preoperative patient must be optimized in preparation for surgery. The patient should be in a sufficiently anabolic rather than starved and catabolic state. The typical fasting period of 8 hours before surgery forces the metabolism into a catabolic state. Administration of an oral carbohydrate solution before surgery helps to keep the body in the desired anabolic state. The usual administration is 2-3 hours before the operation, the patient will be given an oral carbohydrate solution. Therefore, this paper is made to determine the physiology of giving oral carbohydrate solution as a preoperative management for patients who will undergo surgery
Manajemen Anestesi pada Pasien Hamil G1P0 UK 26 Minggu Yangmenjalani Craniotomy Removal Tumor Fossa Posterior Sudadi; Kurniawaty, Juni; Utomo, F uad Cipto
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8322

Abstract

Brain tumor during pregnancy are very rare and presents several challenges to the neurosurgeons, obstetricians and anaesthesiologist in not only establishing the diagnosis, but also in the perioperative management as it requires a careful plan to balance both maternal and fetal well-being. We report the anaesthetic management of a 26-week pregnant patient with brain tumor meningioma. As the patient was 26 weeks pregnant with sign and symptoms of raised intracranial pressure (ICP) with progressive neurological deficits, not manageable with drugs, elective craniotomy was planned for decompression of the brain tumor. We held a multidisciplinary meeting before the operation and made a detailed plan for how to proceed. During the operation, our team ensured intensive monitoring, provided adequate oxygen and achieved hemodynamic stability. Anaesthetic drugs like fentanyl, rocuronium, propofol and sevoflurane were carefully chosen in order to ensure the safety of both the mother and fetus. Under the careful and successful anaesthetic management, the patient underwent the surgery smoothly neither the mother nor baby experienced pre- or post-operative complications. Neurosurgeries in pregnancy are sparse, and careful planning with cross-disciplinary specialist was need in advanced of the operation. Moreover, when dealing with such surgeries, we should consider the safety of both the mother and fetus, which challenging but important.
Manajemen Anestesi pada Percutaneus Endoscopic Lumbar Discectomy (PELD) dengan Dexmedetomidine Sari, Djayanti; Wisudarti, Calcarina Fitriani Retno; Ferdiansyah, David
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8323

Abstract

The patient is 49 years old with a diagnosis of Hernia Nucleosus Pulposus (HNP) 4-5 lumbar vertebrae. The patient was scheduled to undergo the PELD procedure. The anesthetic technique used is total intravenous anesthesia (TIVA) with dexmedetomidine. The dose used is loading 1 mcg per kg body weight in 10 minutes followed by titration of 0.2-0.7 mcg/kg body weight/hour. During the procedure the operator requires confirmation from the patient to prevent complications of nerve injury. The action lasts about 2 hours in the prone position. The level of sedation was assessed by the Ramsay scale score. Hemodynamics during the procedure is stable and the patient is quite comfortable.
Manajemen Pasien dengan Hoarseness Paskatiroidektomi Total Dipacu Kusuma, Danur Adi; Pratomo, Bhirowo Yudo; Jufan, Akhmad Yun
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8324

Abstract

look at the clinical appearance of the patient who appears hoarse after extubation, thevoice becomes softer, the ability to cough is not strong but the respiration rate is stillnormal 18 times/minute with a saturation of 98% then The probability of injury isunilateral. Pathophysiologically hoarseness can mean there is a possibility of injury toeither the bilateral superior laryngeal nerve or unilateral recurrent laryngeal nerve (RLN).Then the possibility of injury is unilateral RLN unilateral in this patient. Ideally thedifferential diagnosis of postoperative hoarseness requires examination such as simplelaryngoscopy, stroboscopy or intra and extralaryngeal electromyography. In practice it isdifficult to distinguish between damage caused by thyroid surgery and anaestheticfactors. There are a number of anesthetic-related factors that may predispose to hoarseness in these patients such as the risk of doubling in patients who are intubated for3-6 hours (in patients 3.5 hours). This could be ruled out if we could measure the ET cuffpressure during surgery. While from the surgical factor there are several risk factors suchas surgery on the neck area (thyroid surgery), excessive neck extension during surgery,pulling the RLN causing injury. In the last operation the position of the neck extended, forRLN in the operation report has been identified. It is better to assess vocal cord functionprior to extubation, such as a cuff leak test or insertion of a flexible intubation scopethrough the lumen of the ET tube.
Hubungan Kadar Awal D-Dimer Terhadap Mortalitas pada Pasien COVID-19 Di RSUP Dr. Sardjito Alqustar, Adam; Kurniawaty, Juni; Widyastuti, Yunita
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8325

Abstract

In severe COVID-19 infection, the immune response can be exaggerated andcause a systemic cytokine storm that triggers systemic inflammatory responsesyndrome (SIRS). Excessive systemic inflammatory response can lead to systemicendothelial injury (endotheliopathy) and a hypercoagulable state that increasesthe risk of systemic macrothrombosis and microthrombosis. D-dimers arereleased when plasmin, a fibrinolytic enzyme, breaks down fibrin and is areflection of the endovascular thrombosis process. Assessment of circulating Ddimer concentrations is a sensitive test for diagnosing thrombotic status(including pulmonary embolism and DIC) and predicting mortality event inpatient contracted with COVID- 19
Hubungan Neutrophil-Lymphocyte Ratio (NLR) Terhadap Mortalitas dan Lama Rawat Inap Pasien COVID-19 Di RSUP Dr. Sardjito Khoeri, Fatkhur Roofi; Sari, Djayanti; Widyastuti, Yunita
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8326

Abstract

Background: COVID-19 is a viral-caused disease which has become pandemic disease with broad clinical manifestation. Neutrophyl Lymphocyte Ratio (NLR) may represent immune system dysregulation, a warning sign in mild COVID-19 patient and was predicted to have relation to mortality and length of stay. NLR is a simple blood test and applicable in daily clinical practice. Method: This study is an observational, cohort retrospective by taking secondary data from confirmed COVID-19 patient’s medical record during April 2020 – Maret 2021. NLR cut-off point was concluded using ROC and Youden’s Index. Survival Kaplan Meier analysis was used to determine the relation between NLR, mortality, and length of stay (LOS). This relation was analyzed using univariat and Cox regression multivariat analysis Method: This study is an observational, cohort retrospective by taking secondary data from confirmed COVID-19 patient’s medical record during April 2020 – Maret 2021. NLR cut-off point was concluded using ROC and Youden’s Index. Survival Kaplan Meier analysis was used to determine the relation between NLR, mortality, and length of stay (LOS). This relation was analyzed using univariat and Cox regression multivariat analysis. Result: 273 samples was included in the study. With 7,62 cut-off point, it was found that 190 samples had NLR <7,62 and 83 samples had NLR >7,623. Multivariat analysis shown that samples with higher NLR independently and significantly had higher mortality risk (HR 3,345, p<0,001). Samples with NLR > 7,62 significantly had longer LOS (23 vs 19 days, respectively). However, multivariat analysis shown that NLR did not correlate with LOS (p=0,090). Summary: High NLR >7,62 independently and significantly correlate with higher mortality risk. Univariat analysis shown that higher NLR correlate with LOS in COVID-19 patients, but did not affect LOS.
Hubungan Indeks ROX dengan Mortalitas Pasien COVID-19 di RSUP Dr. Sardjito Naomi, Diah Anis; Wisudarti, Calcarina Fitriani Retno; Widodo, Untung
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8327

Abstract

Background: In December 2019, a new infectious disease caused by a corona virus named SARS-CoV-2 emerged. COVID-19 disease causes multi-organ failure that occurs in the lungs and extra-pulmonary, sepsis, and even death. Pulmonary disorders that often occur in COVID-19 patients are ARDS. Early recognition of ARDS can be done by assessing the clinical condition of the patient and the parameters of RR and SpO2. ROX is a calculation of Index (SpO2/FiO2)/RR. The ROX index may be one of the predictors of mortality in COVID-19 patients. Methods: An observational study with a retrospective cohort approach to COVID19 patients who were hospitalized at Sardjito General Hospital in July 2020 to June 2021. Patients with COVID-19 without oxygen therapy or with nasal cannula oxygen therapy, NRM, or HFNC who were hospitalized, the ROX Index were calculated on the first day of treatment and then assessed for patient mortality and length of stay. The data was taken from medical records at the Medical Records Installation at Sardjito General Hospital. Results: There were 953 research subjects with average age of 51 (± 15.5) years old, 479 women (50.3%) and 474 men (49.7%). There was a significant relationship between the ROX index 15.06 and the mortality of COVID-19 patients (p < 0.001, HR = 2.15, 95% CI 1.57-2.94). Other factors related to mortality in COVID-19 patients were age, oxygen therapy with HFNC, hypertension, diabetes mellitus, chronic kidney failure, and cardiovascular disease. The survival time of subjects with an ROX index of 15.06 was 24 days, shorter than the index group > 15.06, which was 31 days (p < 0.001). The ROX index did not have a significant relationship with the length of stay in the hospital. The average length of stay in the ROX 15.06 index group was 17 days, longer than the > 15.06 index group, which was 14 days (p=0.002). Factors related to length of stay were age ³ 65 years, history of hypertension and diabetes mellitus. Conclusion: There was a significant association of ROX index and mortality of COVID-19 patients at Sardjito General Hospital.
Diagnosis dan Tata Laksana Sepsis Maternal Jufan, Akhmad Yun; Wisudarti, Calcarina Fitriani Retno; Atmanagara, Dikho
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8328

Abstract

Maternal sepsis is a common and potentially preventable cause of direct maternal death globally. A barrierto further progress has been the lack of consensus on the definition of maternal sepsis. Recognition and treatment of maternal sepsis are often delayed due to the physiological adaptations of pregnancy and vague or absent signs and symptoms during its initial presentation. Over the past decade, our understanding of sepsis has evolved and maternal early warning systems have been developed in an effort to help providers promptly identify and stratify parturients who are at risk. In addition, new consensus definitions and care bundles have recently been published by the World Health Organization and the Surviving Sepsis Campaign to facilitate earlier recognition and timely management of sepsis. Standardizing the criteria for maternal sepsis optimizes clinical finding. It may facilitate the evaluation of the role of different clinical parameters and biomarkers in the diagnosis, earlier recognition and management of maternal infection and sepsis. Further work is required to develop an international consensus on the criteria for diagnosing maternal sepsis and any associated organ dysfunction. In this narrative review, we summarize the available evidence about sepsis and provide an overview of the research efforts focused on maternal sepsis to date.
An Ultrasonography Guidance Lumbar Epidural Anaesthesia in Patient with Difficult Landmarks Wisudarti, Calcarina Fitriani Retno; Mahmud; Mi’raj, Geza Getar
Jurnal Komplikasi Anestesi Vol 10 No 1 (2022)
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.v10i1.8329

Abstract

Anestesi epidural banyak digunakan dalam praktik klinis. Namun, keberhasilan metode anestesi ini bergantung pada kemampuan untuk memperkirakan penempatan dengan benar dari ruang epidural untuk menusuk dan mengateterisasinya. Saat ini, metode paling umum untuk menentukan level tusukan dan arah jarum yang benar didasarkan pada landmark anatomis dan kedalaman ruang epidural penempatan dinilai dengan tes ''kehilangan resistensi''. Kompleksitas teknis dari metode tusukan epidural dapat meningkatkan risiko komplikasi neurologis, blok yang tidak berhasil, dan ketidakpuasan pasien. Panduan ultrasonografi pada blok saraf banyak digunakan dalam praktik klinis. Namun, penerapan suara ultra selama anestesi neuraksial masih terbatas karena kesulitan memvisualisasikan padat struktur yang mengelilingi ruang epidural dan tulang belakang kanal.

Page 1 of 1 | Total Record : 10

 1 

Filter by Year

2022 2022


Reset
Filter By Issues
All Issue Vol 12 No 1 (2024) Vol 11 No 3 (2023) Vol 11 No 2 (2023) Vol 11 No 1 (2023) Vol 10 No 3 (2022) Vol 10 No 2 (2022) Vol 10 No 1 (2022) Vol 8 No 3 (2021): Volume 8 Number 3 (2021) Vol 8 No 2 (2021): Volume 8 Number 2 (2021) Vol 8 No 1 (2021): Volume 8 Number 1 (2021) Vol 9 No 3 (2021) Vol 9 No 2 (2021) Vol 9 No 1 (2021) Vol 7 No 3 (2020): Volume 7 Number 3 (2020) Vol 7 No 2 (2020): Volume 7 Number 2 (2020) Vol 7 No 1 (2019): Volume 7 Number 1 (2019) Vol 6 No 3 (2019): Volume 6 Number 3 (2019) Vol 6 No 2 (2019): Volume 6 Number 2 (2019) Vol 5 No 3 (2018): Volume 5 Number 3 (2018) Vol 5 No 2 (2018): Volume 5 Number 2 (2018) Vol 5 No 1 (2017): Volume 5 Number 1 (2018) Vol 4 No 3 (2017): Volume 4 Number 3 (2017) Vol 4 No 2 (2017): Volume 4 Number 2 (2017) Vol 4 No 1 (2016): Volume 4 Number 1 (2016) Vol 3 No 3 (2016): Volume 3 Number 3 (2016) Vol 3 No 2 (2016): Volume 3 Number 2 (2016) Vol 3 No 1 (2015): Volume 3 Number 1 (2015) Vol 2 No 3 (2015): Volume 2 Number 3 (2015) Vol 2 No 2 (2015): Volume 2 Number 2 (2015) Vol 2 No 1 (2014): Volume 2 Number 1 (2014) Vol 1 No 3 (2014): Volume 1 Number 3 (2014) Vol 1 No 2 (2014): Volume 1 Number 4 (2014) Vol 1 No 1 (2013): Volume 1 Number 1 (2013) More Issue