Jurnal Komplikasi Anestesi
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.
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<![CDATA[Pengendalian Hemodinamik Intraoperatif pada Pasien Tumor Adrenal Fungsional yang Menjalani Adrenalektomi ]]>
<![CDATA[Adiyanto, Bowo]]>;
<![CDATA[Widodo, Untung]]>;
<![CDATA[Sutiyoso, Noor Aditya]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8291
<![CDATA[Adrenal gland surgery needs a multidisciplinary team including endocrinologist, radiologist, anesthesiologist, and surgeon. The indications for adrenal gland surgery include hormonal secreting and non-hormonal secreting tumors. Adrenal hormonal secreting tumors present to the anesthesiologist unique challenges requiring good preoperative evaluation, perioperative hemodynamic control, corrections of all electrolytes and metabolic abnormalities, a detailed and careful anesthetic strategy, overall knowledge about the specific diseases, control and maintaining of postoperative adrenal function, and finally a good collaboration with other involved colleagues.]]>
<![CDATA[Anestesi Inhalasi dengan Teknik Low Fresh Gas Flow ]]>
<![CDATA[Pratomo, Bhirowo Yudo]]>;
<![CDATA[Kurniawaty, Juni]]>;
<![CDATA[Kusuma, Danur Adi]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8292
<![CDATA[Any technique that employs a fresh gas flow that is less than the alveolarventilation can be classified as low-flow anesthesia. The complexities involvedin the calculation of uptake of anesthetic agents during the closed-circuitanesthesia made this technique less popular. However, the awareness of thedangers of operating theatre pollution with trace amounts of the anestheticagents and the prohibitively high cost of the new inhalational agents, havehelped in the rediscovery of low-flow anesthesia.]]>
<![CDATA[Manajemen Nutrisi pada Pasien ICU yang Menjalani Prosedur Esofagektomi ]]>
<![CDATA[Widodo, Untung]]>;
<![CDATA[Jufan, Akhmad Yun]]>;
<![CDATA[Adrin, Olga Elenska]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8297
<![CDATA[Patients in intensive care are generally exposed to catabolic stress with complications that increase morbidity and mortality, and affect the length of stay in the intensive care unit. Optimal nutritional management can help enhance the metabolic response to stress, prevent oxidative cellular injury, and modulate the immune response. We reported a 30 years old male underwent an esophagectomy procedure due to esophageal tumor. After the third day of surgery the patient was given enteral nutrition, there was a brownish residue in the nasogastric tube, in exchange of this condition, parenteral nutrition was given until the tenth day of intensive care. Enteral nutrition was continued on the tenth day of care until the patient transferred to the ward on the thirteenth day in the intensive care unit.]]>
<![CDATA[Plasmaferesis pada Krisis Myasthenia : Kasus Serial ]]>
<![CDATA[Suryani, Shila]]>;
<![CDATA[Adiyanto, Bowo]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8298
<![CDATA[Adrenal gland surgery needs a multidisciplinary team including endocrinologist, radiologist, anesthesiologist, and surgeon. The indications for adrenal gland surgery include hormonal secreting and non-hormonal secreting tumors. Adrenal hormonal secreting tumors present to the anesthesiologist unique challenges requiring good preoperative evaluation, perioperative hemodynamic control, corrections of all electrolytes and metabolic abnormalities, a detailed and careful anesthetic strategy, overall knowledge about the specific diseases, control and maintaining of postoperative adrenal function, and finally a good collaboration with other involved colleagues.]]>
<![CDATA[Faktor-Faktor yang Berhubungan Dengan Mortalitas dan Morbiditas pada Pasien Geriatri yang Menjalani Prosedur Anestesi Di RSUP Dr. Sardjito ]]>
<![CDATA[Arifin, Achmad Reza]]>;
<![CDATA[Widyastuti, Yunita]]>;
<![CDATA[Sudadi]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8299
<![CDATA[Background: Geriatrics is defined as someone who reaches the age of 60 years and over. With the increase in the level of the economy and health, the geriatric population will increase. So that surgery and anesthesia in geriatric patients also increased. Geriatric patients tend to have more comorbidities accompanied by a decrease in physiological function and cognitive function so that it has an impact on mortality and morbidity. Objective: To identify the factors related to mortality and morbidity in geriatric patients undergoing anesthesia procedures at Dr. Sardjito General Hospital. Method: This study was conducted in a prospective analytical observational to identify risk factors in geriatric patients undergoing anesthesia at Dr. Sardjito General Hospital. The affordable population was all geriatric patients aged 60 years and over, who underwent anesthesia in the operating room and the time of the study was carried out for 3 months. In this study, variables that are thought to have a relationship with mortality and morbidity of geriatric patients will be tested using a univariate test using the Student's t-test if the data is numerical, while if the data is categorical using the Chi Square test. If the results of p<0.25 will be continued with the logistic regression test of each variable. And if p<0.05 then the variable is included in the multivariate analysis and if p<0.05 is considered significant. Results: The factors identified as factors affecting mortality of geriatric patients undergoing anesthesia at Dr. Sardjito General Hospital are age ≥75 years, dementia, and digestive surgery with p <0.05 in both univariate and multivariate tests. In the multivariate logistic regression test, factors affecting morbidity of geriatric is digestive surgery with p < 0,05. Conclusion: Patients’ age≥75 years, dementia and digestive surgery are the identified factors affecting mortality and morbidity of geriatric patients undergoing anesthesia at Dr. Sardjito General Hospital.]]>
<![CDATA[Determinan Prolonged Length Of Stay (PLOS) ICU pada Pasien Pediatrik yang Menjalani Pembiusan Di Masa Pandemi Covid-19 ]]>
<![CDATA[Hernawan, Agung Diky]]>;
<![CDATA[Sari, Djayanti]]>;
<![CDATA[Widyastuti, Yunita]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8300
<![CDATA[Background: In Indonesia, the utilization of ICU is not balanced, due to the limited ICU space or the length of time ICU patient care. ICU services include patients with organ dysfunction or post-anesthesia patients, especially pediatrics. Period 1 March 2020 Indonesia was hit by the COVID-19 pandemic. The need for ICU space increases, most of the infected patients fall into respiratory failure conditions both adults and pediatrics. Problems that are interconnected and become the basis for researchers in determining the determinants of PLOS ICU are post-anesthesia pediatric patients who need ICU care, limited ICU space and the problem of the COVID-19 pandemic. Objective: To identify the determinant factors of ICU Prolonged Length of Stay (PLOS) in pediatric patients undergoing anesthesia during the COVID-19 pandemic. Method: This research is a retrospective cohort observational study. The study sample was 173 pediatric patients undergoing anesthesia and postoperative care in the ICU at Dr Sardjito General Hospital for the period April 2020 - March 2021. The variables were tested using Student's t-test for numerical data, Chi square test for categorical/dichotomous data. The results of p <0.25 were followed by a logistic regression test. The results of p<0.05 were entered into the multivariate analysis and were considered significant. Results: The factors identified as the determinants of PLOS in the ICU Dr. Sardjito General Hospital were major surgery with a P value of 0.048 (OR 8.87), blood transfusions with a P value of 0.019 (OR 2.34) and mechanical ventilation with a P value of 0.010 (OR 3.44) ) is the most significant variable on PLOS in the ICU with a p<0.05. Conclusion: Major surgery, blood transfusions and mechanical ventilation/ventilators are the determinants of PLOS in the ICU of Dr. Sardjito General Hospital, pediatric patients undergoing anesthesia during the COVID-19 pandemic]]>
<![CDATA[Manajemen Nyeri pada Pasien Kanker Payudara Stadium Paliatif dengan Cancer Pain ]]>
<![CDATA[Mahmud]]>;
<![CDATA[Sudadi]]>;
<![CDATA[Ristianto, Muhammad Brian]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8302
<![CDATA[Pain is one of the most common and feared symptoms in patients with cancer, and even though good or complete pain control can be achieved in 80–90 % of cancer patients, cancer-related pain continues to be a major public health problem globally. Cancer pain becomes one of palliative care’s aspect. Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life threatening illness. Palliative care needs early identification, examination, and therapy. There is screening for palliative care, such as 5-point palliative score. Cancer pain therapy uses step-ladder WHO guideline, with NRS or Numeric Rating Scale as its pain assessment. Breast cancer has the highest incidence in Indonesia, with bone metastatic becomes its most common occurrence in its late phase. Cancer pain management generally becomes important, particularly towards breast cancer and its bone metastatic manifestation..]]>
<![CDATA[Manajemen Extracorporeal Membrane Oxygenation (ECMO) pada Pasien COVID-19 Derajat Kritis ]]>
<![CDATA[Synthana, Meta Restu]]>;
<![CDATA[Kurniawaty, Juni]]>;
<![CDATA[Wisudarti, Calcarina Fitriani Retno]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8304
<![CDATA[We reported 42 years old male patient with weight 84 kg, height 167 cm, and BMI of 30.1 kg/m2 with a diagnosis of severe COVID-19 and ARDS. The patient was previously known to have comorbids of type 2 DM, stage 1 hypertension, cardiac arrhythmias, and grade 1 obesity. On the 7th day of care, the patient clinically and radiologically worsened and we decided to intubate and support with mechanical ventilation. An ECMO indication was assessed, the patient was indicated to have ECMO, so that ECMO was installed immediately after the patient was intubated. ECMO was successfully running 7 hours after the patient was intubated. During hospitalized the patient also received renal replacement therapy, hemadsorption therapy, and plasma exchange. The patient deceased on 31st day of ECMO.]]>
<![CDATA[Manajemen Anestesi Pasien dengan Low Ejection Fraction yang Menjalani Operasi Tumor Ovarium ]]>
<![CDATA[Pratomo, Bhirowo Yudo]]>;
<![CDATA[Kurniawaty, Juni]]>;
<![CDATA[Sari, Dhanty Dwita]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8305
<![CDATA[Anesthetic management of patients with dilated cardiomyopathy (DCM) is a challenge to the anesthesiologist, due to poor left systolic function, ventricular enlargement, risk of malignant arrhythmias and sudden cardiac death. Therefore, preoperative assessment and appropriate anesthetic management are important in patients with DCM. Patients with a low EF <35% may be at risk for life-threatening irregular heart rhythms. Any arrhythmia in these patients requires immediate treatment because otherwise it can lead to sudden cardiac arrest and sudden death. In summary, the optimal anesthetic management of patients with dilated cardiomy- opathy requires good preoperative assessment, close perioperative monitoring, suitable anesthetic, optimization fluid management, and stable hemodynamic status.]]>
<![CDATA[Faktor Risiko Mortalitas Pasien Geriatri yang Dirawat Di ICU RSUP Dr. Sardjito Yogyakarta ]]>
<![CDATA[Hendra, Maijoni]]>;
<![CDATA[Akhmad Yun]]>;
<![CDATA[Widodo, Untung]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 10 No 2 (2022) ]]>
Publisher : <![CDATA[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 ]]>
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DOI: 10.22146/jka.v10i2.8306
<![CDATA[Background: Nowadays, many geriatric patients need intensive care. In intensive care geriatric patients will show geriatric syndromes such as delirium, sensory disturbances and frailty which are closely related to morbidity and mortality. Until now in Indonesia there has been no specific study that examines the risk of death in geriatric patients treated in the ICU. Objective: To identify the risk factors that influence the mortality of geriatric patients in the ICU, as a reference material in the management of geriatric patients in the ICU. Method: This study is a retrospective cohort observational study. The study sample consisted of 162 patients who were treated at ICU Dr. Sardjito General Hospital from 1 January 2020 to 31 December 2020. The identified risk factors were then analyzed and tested using the student's t-test for numerical data and the chi square test for categorical data. The results of the analysis with p <0.25 were then carried out with a logistic regression test. Variables with p <0.05 in multivariate analysis were considered significant. Data were analyzed statistically with the SPSS 25.0 application. Results: Factors identified as risk factors for mortality in geriatric patients in the ICU Dr. Sardjito General Hospital were kidney comorbidities in the form of acute kidney injury and chronic kidney disease (p=0.019, OR 0.364), the use of inotropic vasopressor drugs such as dopamine, dobutamine, norepinephrine, epinephrine, vasopressin (p=0.003, OR 0.277) and the use of mechanical ventilation (p=0.004, OR 0.890) were the variables that had the most significant effect simultaneously on the mortality of geriatric patients in the ICU. Conclusion: The identified risk factors for geriatric patients’ mortality in the ICU of Dr. Sardjito General Hospital are renal comorbidities, the use of invasive mechanical ventilation and the use of inotropic and vasopressor drugs.]]>
