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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 2 Documents
 1 
Search results for , issue "Vol 12 No 2 (2025)" : 2 Documents clear
Analgesia Epidural Thorakal sebagai Tatalaksana Terkini Pankreatitis Akut Cokorda, Padmi
Jurnal Komplikasi Anestesi Vol 12 No 2 (2025)
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.v12i2.23699

Abstract

Acute pancreatitis has high morbidity and mortality rates, especially in moderate to severe conditions. The incidence of this disease reaches 5-30 per 100,000 population per year. The pathophysiology of acute pancreatitis is known to result from microcirculatory dysfunction in the pancreas. Severe abdominal pain is one of the symptoms most frequently complained of by patients, reaching 95%. Complaints of abdominal pain are more severe in the early phase, so multimodal analgesia is needed. Thoracic epidural analgesia is known to provide adequate pain control in 87.5 – 100% of patients. Several experimental studies and clinical data support the use of epidural analgesia in cases of acute pancreatitis. Epidural analgesia provides potential benefit in patients with acute pancreatitis in improving pancreatic perfusion. In thoracic epidural analgesia, sympathetic segmental block occurs which is a way to increase the neural supply to the splanchnic circulation resulting in vasodilation and increased blood flow. This technique is safe to use in patients with acute pancreatitis, but requires adequate hemodynamic monitoring to prevent undesirable events such as hypotension and infection. Key words: pancreatitis, thoracic epidural analgesia, abdominal pain
Bahasa Inggris Sumardi, Fitri Sepviyanti
Jurnal Komplikasi Anestesi Vol 12 No 2 (2025)
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.v12i2.23700

Abstract

Introduction: Thymectomy in patients with myasthenia gravis or mediastinal tumors requires a very careful anesthesia strategy due to neuromuscular sensitivity, risk of airway compression, and possible hemodynamic instability. This systematic literature review summarizes the latest evidence on anesthesia governance, including engineering innovations and their implications for facilities with limited resources.Methodology: Literature searches were conducted through PubMed, Scopus, and Google Scholar using keywords related to "thymectomy", "anesthesia", "mediastinal mass", and "myasthenia gravis". The inclusion criteria include prospective studies, retrospectives, systematic reviews, meta-analyses, and case reports (2019–2025), as well as one 2013 case report. Out of 450 publications, 30 articles met the PRISMA criteria and were analyzed narratively. Results: Comprehensive preoperative evaluation was the main determinant of anesthesia success in patients with neuromuscular and mediastinal mass disorders. Anesthesia techniques without muscle relaxants or with propofol TCI/sevoflurane have been shown to provide better neuromuscular stability. Sugammadex produces a faster and safer reversal than neostigmine. In large mediastinal masses, special strategies such as awake intubation, spontaneous ventilation, double-lumen tube, or ECMO readiness reduce the risk of airway collapse. Minimally invasive techniques (VATS/robotics) show faster recovery and lower complications, especially when combined with advanced respiration monitoring. Discussion & Conclusion: The success of thymectomy anesthesia relies heavily on three pillars: thorough preoperative evaluation, risk-based individualized anesthesia techniques, and rigorous intraoperative monitoring. Innovations such as sugammadex, spontaneous ventilation, and advanced monitoring technology improve safety and speed up recovery. In resource-limited settings, strong clinical skills and teamwork enable effective outcomes with minimal technology.

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