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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 10 Documents
 1 
Search results for , issue "Vol 5 No 2 (2018): Volume 5 Number 2 (2018)" : 10 Documents clear
Manajemen Anestesi pada Epilepsi Prayunanto A.N, Eko; Apsari, Ratih Kumala Fajar; Rahardjo, Sri
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.7326

Abstract

Epilepsy is a manifestation of brain disorders with a variety of clinical symptoms, caused by the release of electrical charges from brain neurons excessively and periodically, reversibel with various etiology. Seizures can be localized to specific areas of the brain or thoroughly. Focal seizures may expand into generalized seizures. Physiology epilepsy is a disorder defined cerebral balance between excitation and inhibition is the tip of the uncontrolled excitation. Seizures are also caused by potassium conduction abnormalities, ion channel damage, and ATP deficiency associated with ion transport, may cause instability of neuron membranes. The best anesthetic treatment for epilepsy is with general anesthesia. General anesthesia has therapeutic benefits for seizure patients if the patient has been treated with anti-seizure medication then should be continued until surgery.
Manajemen Preoperatif pada Protokol Enhanced Recovery After Surgery (Eras) Anindita, Mohammad Pradhana; Kurniawaty, Juni; Sudadi
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.7327

Abstract

Surgery and trauma stimulate metabolic, hormonal, haematological, immunological complex response and activate sympathetic nerve systems. Generally, stress response induced by surgery may causes dangerous impacts. Enhanced Recovery After Surgery (ERAS) is multimodal and multidisciplinary perioperative management approach designed for minimizing stress response, patient complication, length of hospital stay, and enhancing patient recovery. ERAS protocol or pathway includes preoperative, intraoperative, and postoperative management. ERAS preoperative management is started at preadmission phase. Preadmission management includes patient and family education and counseling, alcohol and smoking cessation, nutritional screening, patient’s health condition optimizing and coexist disease medication optimizing. Preoperative management includes carbohydrate treatment, fasting protocol, preoperative antibiotic prophylaxis, preoperative thromboembolic prophylaxis, and prophylaxis against nausea and vomit.
Sepsis-Akut Kidney Injury pada Urosepsis Palu, Raphael Putra; Aditianingsih, Dita; Sudarsono
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.7328

Abstract

Sepsis is a life-threatening condition caused by a dysregulated immune response to infection. Sepsis mortality increases with acute kidney injury and patients with acute kidney injury worsen with sepsis. It is interesting to note that most of the clinical trials on sepsis treatment that derived from the results of translational researches are a failure. This is because of the complexity of human sepsis in comparison with animal models and the improper matching of the animal models to the individual patient. It is possible that the main mechanism of sepsis induction in each patient with the variety causes of sepsis might be different. Immune response to sepsis depends on genetic background, route of immune activation and organisms. Urosepsis is type of infection that cause AKI and septic shock. Specific treatment of sepsis induced acute kidney injury in individual patient according to the specific immune response characteristic might be a more proper strategy. Report the case of a female aged 50 years, entered into RSCM with primary complaints of unconsciousness, and diangnosed with acute kidney injury et causa urosepsis. Complications acute kidney injury, inbalance electrolite and pneumonia were arised. Monitoring macrocirculation, tissue perfusion parameters, antibiotic and intermitten hemodialisis were performed in patient to recover.
Penggunaan Teknik Blok Perifer Angkle pada Pasien Papo Digiti 4,5 Pedis Sinistra Triputra, Audhiaz Marthsyal; Mahmud; Artika, I Gusti Ngurah Rai
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.7329

Abstract

A 75 yearl old woman diagnosed gangrenous 4th – 5th left digiti pedis e.c susp. PAPO went to surgery with amputation of the 4th and 5th left digiti pedis with a peripheral nerve block anesthesia techniques. Preoperative physical status been classified with ASA II, with warfarin therapy has been discontinued since 4 days ago and replaced with UF heparin for one day therapy. The operation takes approximately less than one hour with hemodynamically stable, patients had no complaints of pain to post-surgery. Heparin therapy then continued one day after surgery
Neurophysiology Intraoperative Monitoring (Niom) pada Operasi Deformitiy Correction at Adolesent Scoliosis Herlambang, Panji; Sudadi; Rahardjo, Sri
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.7330

Abstract

The use of neurophysiological intraoperative monitoring (NIOM) during spinal orthopaedic and neurosurgical procedures provides a challenge to the attending anaesthesiologist. Since all anaesthetic agents affect synaptic function, the choice of agent will be determined by the type of surgery and the NIOM modality employed. Had been performed surgery for scoliosis correction of spinal abnormalities in children aged 15 years with using of sensory and motoric NIOM. The surgery going under general anesthesia with the installation monitor invasive arterial line and central venous pressure during surgery for hemodynamic monitoring. Drugs used during anesthesia using balanced anesthesia technique with a combination of opioids, propofol and sevoflurane as inhalation. Muscle relaxants given intermittently for operator leisure and ventilation controls. Postoperative hospitalization in ICU with the aim of assessing the function of the respiratory and neurological of the patients and pain management.
Perbandingan Daya Guna Kombinasi Ondansetron 4mg dan Dexamethasone 8mg dengan Granisetron 3mg dalam Mencegah Mual Muntah pada Pasien Berisiko Tinggi Pascaoperasi Traktus Gastrointestinal Mahardieni, Karlina; Wisudarti, Calcarina Fitriani Retno; Sari, Djayanti
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.7331

Abstract

Background. PONV is one of the side effects that often occur after general anesthesia, occurs in the first 24 hours post surgery and occurs in as many as 30 - 70 % of hospitalized patients. PONV greatly avoided by patients and anesthesiologists. Objective. To compare the efficacy of ondansetron 4mg IV-dexamethasone 8mg IV combination with granisetron 3mg IV for preventing of postoperative nausea and vomiting (PONV) in high risk patient in gastrointestinal tract operation. Methods. The research design was randomized control trial (RCT) study with the total of 80 patients, aged 18-60 years old, physical status ASA I and II who underdue gastrointestinal tract operation recruited. Data analysis is done by determined PONV score, side effect, rescue antiemetic needed, incidence and severity of PONV, fentanyl and neostigmine added, fluid status and duration of operation. Results. Incidence PONV of ondansetron-dexamethasone group is 12,5%. Incidence PONV of granisetron group is 10%. There was no significant difference of incidence PONV between these groups. In this study there was no side effect between these groups. Conclusions. Efficacy of ondansetron 4mg IV-dexamethasone 8mg IV combination with granisetron 3mg IV for preventing of postoperative nausea and vomiting (PONV) in high risk patient in gastrointestinal tract operation was no significant difference.
Efek Pemberian Ketamin Dosis 0,5 Mg/Kgbb Terhadap Onset Blokade Neuromuskular Oleh Atrakurium Al-Hilal, Said Rival; Sarosa H, Pandit; Widodo, Untung
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.7332

Abstract

Background. Atracurium is a nondepolarizing muscle relaxant agent. The onset of this drug is slower than succinylcholine thus limiting its use. Various attempts had been made to accelerate the onset of the nondepolarizing muscle relaxants. Various reports suggest that ketamine is associated with a better intubation conditions. Aims. The aim of this study was to determine the effect of ketamine 0.5 mg.kg-1 on neuromuscular blockade onset of atracurium. Method. The method was a Randomized Controlled Trial (RCT) with double blinding. Eighty adult patients aged 18-65 years with physical status according to class I and II of ASA classification who were undergoing elective surgery under general anesthesia in November 2016 up to January 2017, patients who met the inclusion and exclusion criteria were randomly divided into two groups: K (Ketamine ) and group S (Saline Control). Group K was given ketamine 0.5 mg.kg-1 while the S was given Saline. Eight patients were otherwise drop out because of tool’s error. The Onset of atracurium was measured by using a Train of Four. Result. The results of this study were the onset of neuromuscular blockade by atracurium in the ketamine group significantly faster (160.500 ± 58.956 seconds vs 288.750 ± 135.038 seconds; p = 0.001). Hemodynamic 8 changes (∆MAP : 6,500±7,965 mmHg vs 10,750±14,655 mmHg & ∆pulse rate : 3,737±11,700 x/minute vs 4,333±12,254 x/min) was not statistically significant (p = 0.123 and p = 0.831). Conclusion: The administration of ketamine 0.5 mgkg-1 accelerate the onset of neuromuscular blockade of atracurium.
Hubungan antara Lama CPB dan Aortic Cross Clamp dengan Mortalitas dan Lama Rawat di ICU pada Pasien Pascaoperasi Katup Jantung di RSUP Dr. Sardjito Anggraini, Diana; Widodo, Untung; Pratomo, Bhirowo Yudo
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.7333

Abstract

Background: CPB (cardiopulmonary bypass) results a non physiologic circulation and AOX (aortic cross clamp) causes a hypoxic condition of myocard. The length of CPB and AOX are probably factors that influence the ICU outcome after valvular heart surgery. Objective: To determine whether CPB and AOX time have significant effect on postoperative ICU length of stay (LOS) and ICU mortality. Methods: Data were collected from hospital medical record from period 2010 until 2016. After inclusion and exclusion 57 patients were analyzed for mortality and LOS in ICU. Results: Among 57 patients, 9 (15%) had ICU stay > 3 days, the mean+SD CPB was 119,2+32,5 min, AOX 92,7+27,7 min, while 7 (12,3%) had mortality in ICU, the mean+SD CPB was 113,7+37,3 min, AOX 79,3+36 min. Statistically showed that there were no correlation between duration of CPB and AOX with LOS and mortality in ICU, but we found that increased LOS in patient with comorbid (CHF+other) (p=0,019 OR 7,7 CI 95% 1,39-42,66) while ICU mortality increased with value of APACHE II (p=0,015 OR 1,69 CI 95% 1,11-2,58). Conclusion: There were no correlation of CPB and AOX time against ICU LOS and in mortality ICU, but preoperative factor (CHF+other) and postoperative factor (APACHE II score) respectively have a factor correlation.
Falls Protocol Wibowo, Catur Prasetyo; Jufan, Akhmad Yun; Wisudarti, Calcarina Fitriani Retno
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.7334

Abstract

Fluid therapy in the emergency case, especially shock is usefull for the patient, but it can be detrimental if we give it too much. There is so many type of shock, and fluid therapy is not the answer for all type of shock. FALLS-protocol (Fluid Administration Limited by Lung Sonography) was designed so that there is guidance for fluid therapy on shock patient. FALLS-protocol follows weil’s classification of shock. It uses simple equipment (ultrasonography) and microconvex probe that can be used to assess heart, lung, and vascular. Right now, the ultrasonography is so well known in the emergency setting.
Tatalaksana Nyeri Postoperatif pada Infant Widyastuti, Yunita; Sari, Djayanti; Hernandes, Crodia
Jurnal Komplikasi Anestesi Vol 5 No 2 (2018): Volume 5 Number 2 (2018)
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.v5i2.8311

Abstract

Postoperative acute pain is an unavoidable problem in postoperative conditions. Effective relief of pain is of the most importance to treating patients undergoing surgery. Effective pain management has significant physiological benefits. Manyways for pain management, althought opioid is general pain management and Regional block is a popular techniques in paediatric pain management recently, wether for surgery or need of adequate analgesic condition.

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