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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 8 Documents
 1 
Search results for , issue "Vol 6 No 2 (2019): Volume 6 Number 2 (2019)" : 8 Documents clear
Analgesia Multimodal Pascaoperatif pada Pasien Pediatrik Widyastuti, Yunita; Sari, Djayanti; Rizki, Gilar
Jurnal Komplikasi Anestesi Vol 6 No 2 (2019): Volume 6 Number 2 (2019)
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.v6i2.7346

Abstract

Acute pain can be found in patient undergoing surgery. Postoperative pain scale is variable from mild to moderate-severe. There are difficulties in assessing pain scale in pediatric, not like adult, pediatric patient can’t say what they feel. Management of postoperative pain, especially in moderate-severe scale needs a multimodal approach to overcome it. The aim of multimodal strategy is to optimize analgetic effect and reduce the adverse effect of the drugs.
Hubungan antara Kadar Prokalsitonin Serum dan Skor SOFA sebagai Parameter Tingkat Keparahan Disfungsi Organ Pasien Sepsis yang Dirawat di ICU RSUP Dr. Sardjito Setiandari, Kristina; Wisudarti, Calcarina Fitriani Retno; Rahardjo, Sri
Jurnal Komplikasi Anestesi Vol 6 No 2 (2019): Volume 6 Number 2 (2019)
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.v6i2.7347

Abstract

Background: Sepsis causes an increase in procalcitonin level by increased secretion of proinflammatory ytokines, increased expression of CD 14 and CD 16, decrease of neutrophil phagocytic activity, suppression of blast transformation from T cells and neutrophil malfunctions. Procalcitonin secretion increase with increasing the severity of sepsis. The severity of sepsis is determined by the severity of organ dysfunction. The more severe the sepsis the more severe the organ dysfunction occurs and the higher the procalcitonin secretion.Objective: The purpose of this study was to determine if there is a relationship between procalcitonin levels and SOFA score as a severity parameter of organ dysfunction in septic patients treated in ICU Dr Sardjito Hospital.Methods: The study design was prospective observational cohort study. A total of 29 septic patients, age above 18 years old treated in ICU Dr Sardjito Hospital Yogyakarta were included in this study. Procalcitonin serum was measured and the SOFA score were calculated at the day of admission or at the day the diagnosis of sepsis was made (Day-0), within 24 hours (Day-1), at Day-3 and at day-5. Spearman correlation was used to analize the correlation between procalcitonin levels and SOFA score.Result: The overall mean of SOFA score was 10.3+3.9 while overall mean of procalcitonin level was 59.2+58.7 ng/ml. Significant positive correlation was found between overall procalcitonin level and SOFA score (r=0.663; p<0.05). The significant positive correlation was also found at Day-0 (r= 0.601; p<0.05), Day-1 (r=0.675; p<0.05), Day-3 (r=0.754; p<0.05) and Day-5 (r=0.718; p<0.05).Conclusion: There is a significant strong positive correlation between procalcitonin levels and SOFA score as a severity parameter of organ dysfunction in septic patients treated in ICU Dr Sardjito Hospital.
Perbandingan Daya Guna Analgetik antara Tramadol 100 mg dan Natrium Diklofenak 100 mg Suppositoria Rektal untuk Penanganan Nyeri Pascaoperasi Sesar dengan Teknik Pembiusan Blok Subarachnoid Santoso, Arief Hariyadi; Uyun, Yusmein; Rahardjo, Sri
Jurnal Komplikasi Anestesi Vol 6 No 2 (2019): Volume 6 Number 2 (2019)
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.v6i2.7350

Abstract

Latar Belakang: Operasi sesar menghasilkan nyeri pasca operasi yang signifikan. Tidak ada teknik standar pengelolaan nyeri pasca operasi sesar. Obat antiinflamasi nonsteroid seperti natrium diklofenak berkerja meng-inhibisi sintesis prostaglandin (PG) dengan menghambat enzim cyclooxygenase. Tramadol dengan aktivitas mu-agonis, tidak hanya bekerja pada reseptor opioid, tetapi juga menghambat serotonin (5-HT) dan reuptake noradrenalin.Tujuan: Mengetahui daya guna analgesi 24 jam pasca operasi sesar antara penggunaan suppositoria rektal tramadol dengan natrium diklofenak.Metode: Prospektif, uji klinis acak terkontrol pada 70 pasien status fisik ASA I-II, berusia 19-40 tahun, hamil aterm 37-42 minggu,, Indeks Massa Tubuh < 35 kg/m2. Pasien dikelompokkan acak ke dalam 2 kelompok : kelompok suppositoria rektal natrium diklofenak (D) dan tramadol (T) dengan teknik single blind. Dilakukan penilaian VAS pada kedua kelompok, jumlah penambahan rescue jika VAS ≥3, dan efek samping pada masing-masing kelompok.Hasil: Selama 24 jam pascaoperasi, rata-rata frekuensi pemberian tambahan fentanyl kelompok T sebanyak 3.13 kali dan kelompok D 1,7 kali, rata-rata dosis tambahan fentanyl kelompok T sebanyak 155,71 mcg dan kelompok D 67,65 mcg (p=0,000). Rata-rata VAS 24 jam pasca operasi pada kelompok T 2,14 dan pada kelompok D 1,74 (p<0,05). Untuk efek samping, kelompok T terdapat 4 kejadian (11,4%) mual muntah, sedangkan pada kelompok D tidak ada. Perbedaan ini bermakna yang ditunjukkan dengan nilai p=0,042 (p<0,05).Kesimpulan: Daya guna analgesi natrium diklofenak 100 mg suppositoria rektal lebih baik dibanding tramadol 100 mg suppositoria rektal, dengan efek samping yang lebih kecil pada 24 jam pasca operasi sesar.
Manajemen Perawatan Pasien Kritis dengan Ketoasidosis Diabetikum di ICU Jufan, Ahmad Yun; Widodo, Untung; Gafar, Wiramas Ikhsan
Jurnal Komplikasi Anestesi Vol 6 No 2 (2019): Volume 6 Number 2 (2019)
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.v6i2.7351

Abstract

Diabetic ketoacidosis (DKA) is a syndrome of insulin deficiency and counterregulatory hormone excessthat causes excessive production of glucose and ketones, but their use is reduced, causing ketoacidosis and hyperglycemia. The purpose of this case report is to review the pathophysiology of DKA and the current management of DKA relevant to anesthesiologists, especially in intensive care unit (ICU) settings. DKA therapy includes adequate fluid requirements, restoration of metabolic consequences of insulin insufficiency, correction of electrolyte and acid-base imbalances, introduction of causes or triggers and treatment; and avoid complications. A better understanding of the pathophysiology of DKA and its aggressive and uniform approach to diagnosis and management has reduced mortality.
Manajemen Anestesi pada Anak dengan Sindrom Mowat-Wilson Sari, Djayanti; Widodo, Untung; Wicaksono, Galih Sahid
Jurnal Komplikasi Anestesi Vol 6 No 2 (2019): Volume 6 Number 2 (2019)
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.v6i2.7352

Abstract

Sindromaa Mowat-Wilson adalah penyakit genetik yang disebabkan oleh mutasi heterozigot atau delesi dari gen ZEB2 dan ditandai oleh ciri-ciri klinis yang khas. Malformasi kongenital yang khas dari sindroma ini memerlukan prosedur diagnostik dan pembedahan dini yang memerlukan anestesi umum, tetapi sedikit informasi tentang manajemen anestesi pada pasien dengan sindroma tersebut. Sindromaa Mowat-Wilson melibatkan kelainan sistem ganda. Kelainan yang paling sering ditemukan adalah deformitas wajah, keterbelakangan mental, dan penyakit Hisprung. Kami melaporkan manajemen anestesi pada kasussindroma Mowat-Wilson dengan jalan nafas yang sulit yang menjalani prosedur biopsi rectum et causa penyakit hisprung.
Tatalaksana Perawatan Intensif Pasien PPOK Eksaserbasi Akut dengan Gagal Napas Tipe II Widodo, Untung; Adiyanto, Bowo; Aprianti, Tutut
Jurnal Komplikasi Anestesi Vol 6 No 2 (2019): Volume 6 Number 2 (2019)
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.v6i2.7354

Abstract

A fifty-two years old male was diagnosed COPD with acute exacerbation had care in intensive care unit for 7 days. Patient hospitalized for dyspneu, decreased consciousness and was diagnosed with acute exacerbation of obstructive pulmonary disease with mix type of respiratory failure. Patient was intubated, mechanically ventilated, and given COPD medical therapy during ICU treatment. Routine blood gas analysis and chest X-rays evaluation has been done to determine the improvement of ventilation. Ventilator weaning was performed so that the patient can breathe adequately and blood gas analysis showed improve.
Tablet Gabapentin sebagai Analgesia Multimodal Perioperatif dalam Anestesi Umum Widodo, Untung; Sarosa, Pandit; Gentong, Metia Gledis Gilang
Jurnal Komplikasi Anestesi Vol 6 No 2 (2019): Volume 6 Number 2 (2019)
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.v6i2.7355

Abstract

Multimodal analgesia is a combination of different drugs with different actions and targets in the nervoussystem, producing addictive effects or synergistic analgesia by reducing the side effects of single drug. The response of the humoral and neuronal complexes that occur due to surgery requires balanced perioperative pain management. Multimodal use can reduce the dose of each drug and reduce the incidence of side effects of drugs used for the treatment of perioperative pain, which can shorten hospitalization time, speed-up recovery and function of the body, and reduce health costs. Today, the American Society of Anesthesiologists Task Force on Acute Pain Management advocates the use of multimodal analgesia.
Layanan Nyeri Akut Pascaoperasi: Organisasi dan Implementasi Sudadi; Mahmud; Bahrun, Nugraha Septian
Jurnal Komplikasi Anestesi Vol 6 No 2 (2019): Volume 6 Number 2 (2019)
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.v6i2.7356

Abstract

Acute pain is pain of recent onset, limited duration and usually related to a pathological process, disease,or injury. The experience of acute pain is universal, but hospital inpatients frequently suffer severe pain asa result of surgery, trauma or medical illness. In the hospital, two thirds of patients experience pain duringtheir admission. Within the surgical population, where the noxious stimulus is well defined and systems are in place to manage acute pain, almost 60% of patients experience severe pain in the postoperative period with a marked negative impact on health-related quality of life.The presence of Acute Pain Service (APS) including regional anesthesia services, has increased the awareness of patients and medical professionals that proper pain management in perioperative period is important to enhance patient’s well-being. A dedicated team, which aspires for excellence and good clinical governance, and appropriate organizational structure, will definitely help in achieving a pain-free hospital stay, especially for the surgical patients.

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