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.
Articles
10 Documents
Search results for
, issue
"Vol 9 No 3 (2021)"
:
10 Documents
clear
<![CDATA[Konsiderasi Analgesi Opioid pada Pasien Geriatri ]]>
<![CDATA[Mahmud]]>;
<![CDATA[Sudadi]]>;
<![CDATA[Adityo, Galang Martin]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8330
<![CDATA[Based on the changing demographics of geriatrics today, it is expected that there will be an increase in demand for various surgical services, including vascular surgery and general surgery. DI Yogyakarta (14.71 percent) is the city with the largest geriatric population in Indonesia. In the geriatric age group, there are changes related to physiological functions, pharmacokinetics and pharmacodynamics. The use of opioids requires a 25-50% lower initial dose than the adult age group. The administration of opioids in geriatrics needs to consider: the type of opioid group, the level of toxicity, monitoring pharmacological effects and side effects that occur closely after the initial dose, and rotating opioids that allow the use of lower doses.]]>
<![CDATA[Gagal Spinal pada Operasi Sectio Caesarea ]]>
<![CDATA[Wisudarti, Calcarina Fitriani Retno]]>;
<![CDATA[Uyun, Yusmein]]>;
<![CDATA[Utomo, F uad Cipto]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8331
<![CDATA[Subarachnoid block is the most convenient and safe anesthesia to undergo cesarean section. It provides excellent anesthesia, avoids risks associated with general anesthesia and increase level of parturients' satisfaction, associated with low occurrence of intra-operative and post-operative morbidities. It's simplicity to institute, rapid onset of sensory blockage, its reliability, ease of mastering and producing optimal surgical conditions are some of the frequent reasons to choose spinal anesthesia over other techniques. Despite this significant move towards spinal anesthesia, it has a risk of failure reported in the range of 1-17%. Failed spinal anesthesia can be defined as partial or incomplete spinal block within 15-20 min after injection and requiring supplemental analgesia or conversion to general anesthesia. Failed spinal leads to maternal discomfort and it is a cumbersome event for the anesthetist. Management of failed spinal during caesarean section by repeat, sedation or conversion to general anesthesia may negatively impact maternal and fetal outcome. This may result in decreased maternal satisfaction, inadequate pain management, fetal sedation (incases of general anesthesia), suboptimal surgical anesthesia and may also pose to risks of general anesthesia on the parturient. Keywords: Caesarean Section; failed spinal anesthesia; management of failed spinal; spinal anesthesia]]>
<![CDATA[Manajemen Preoperatif pada Pasien dengan Hipertiroid ]]>
<![CDATA[Pratomo, Bhirowo Yudo]]>;
<![CDATA[Widodo, Untung]]>;
<![CDATA[Ferdiansyah, David]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8332
<![CDATA[Gangguan tiroid adalah kelainan endokrin yang paling sering ditemukan setelah diabetes melitus. Prevalensi kelainan tiroid di wilayah dengan defisiensi iodin lebih tinggi, salah satunya wilayah Asia Tenggara. Hormon tiroid memiliki banyak efek pada beberapa organ di dalam tubuh seperti meningkatkan pertumbuhan, sistem saraf pusat, kardiovaskuler, dan laju metabolisme. Stres, yang salah satunya diakibatkan oleh prosedur operatif, dapat mengeksaserbasi kelainan tiroid sehingga dapat menyebabkan dekompensasi atau bahkan mortalitas. Semua prosedur operasi elektif harus ditunda hingga pasien berada pada kondisi eutiroid dengan terapi medikamentosa. Pasien harus memiliki kadar T3 dan T4 yang normal dan tidak mengalami takikardi pada kondisi istirahat.]]>
<![CDATA[Hubungan Antara C-Reactive Protein dengan Mortalitas dan Lama Rawat Pasien COVID-19 di RSUP Dr. Sardjito ]]>
<![CDATA[Ramsi, Irhash Faisal]]>;
<![CDATA[Widyastuti, Yunita]]>;
<![CDATA[Widodo, Untung]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8333
<![CDATA[Background: COVID 19 is an emerging viral infectious disease that is currently spreading around the world, and has become a pandemic. Diverse clinical manifestations also produce extensive morbidity and mortality. C reactive protein (CRP) is a new biomarker that describe the event of inflammation or infection. Serum CRP level reflects the relationship with disease severity and high mortality. Objective: The objective of this study is to analyze the relationship between CRP level and patient’s length of stay and mortality. Method: This study used retrospective observational cohort method at the Medical Records and Accounting Departement, Dr. Sardjito Hospital by reviewing confirmed COVID 19 patient’s medical records examined serum CRP level in the period of April until December 2020. To analyze the relationship between CRP level and mortality, logistic regression was used. And to analyze to relationship between CRP level and hospital length of stay, Kaplan-Meier was used. Result: Total sample population was 285 patients, and 178 patients met inclusion and exclusion criteria. The median of age of the patients was 54 years old (19-89) consist of 60,7% male patients and 39,3% female patients. Subjects with higher CRP level (>72 mg/L) were at higher risk of death (HR 4,726; p< 0,001) than those with lower CRP level. The difference in LOS was significantly different between groups of subjects, with the median LOS for subjects with CRP >72 mg/L was 20 days, while for subjects with CRP ≤72 mg/L was 16 days (p= 0.021). Conclusion: Increased serum CRP level >72 mg/L strongly related with increased risk of mortality and length of hospital stay in COVID-19 patients.]]>
<![CDATA[Faktor-Faktor Risiko Terjadinya Pneumonia pada Pasien Covid-19 Di RSUP Dr Sardjito Yogyakarta ]]>
<![CDATA[Perwira, Rendra]]>;
<![CDATA[Uyun, Yusmein]]>;
<![CDATA[Widodo, Untung]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8334
<![CDATA[Background: Globally, more than three million confirmed cases of COVID-19 have been reported. According to the WHO report on May 6, 2020, the number of world cases that were confirmed positive was 3 588 773, and the death toll was 247 503 people. Pneumonia appears to be one of the serious manifestations of COVID-19 infection. It is necessary to know the risk factors for COVID-19 pneumonia Methods: The study used a retrospective cohort method, the research subjects were taken from March 2020 to March 2021 with the status of inpatients and confirmed Covid-19 at Dr Sardjito Hospital. Results: In this study, the total sample was 630 patients.The results of the multivariate analysis showed that the factors of age, type II DM, hypertension and male sex were significant for COVID-19 pneumonia. Age 60 years is at risk of pneumonia 1.6 times the risk of developing pneumonia (p=0.041 OR 1.6 95% CI=1.02-2.77), DM Ttype II has a risk of COVID-19 pneumonia 2.48 times (p=0.001 OR 2.48, 95%CI=1.44-4.29), hypertension risk of pneumonia 1.68 times (p=0.042 OR 1.68, 95%CI=1.01-2.77), male gender men were at risk of pneumonia 1.74 times (p=0.004, OR 1.74, 95%CI=1.2-2.57). Conclusion: Age 60 years, hypertension, type II DM and male are significant risk factors for pneumonia in patients with COVID-19 infection.]]>
<![CDATA[Validasi National Early Warning Score 2 (News2) Dewasa untuk Memprediksi Mortalitas Pasien COVID-19 di RSUP. Sardjito Yogyakarta ]]>
<![CDATA[Sofwan, Fachruddin]]>;
<![CDATA[Kurniawaty, Juni]]>;
<![CDATA[Adiyanto, Bowo]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8335
<![CDATA[Latar belakang: Skoring untuk menilai risiko klinis dan mortalitas pasien dengan Coronavirus Disease 2019 (COVID-19) masih jarang dilakukan. Angka mortalitas yang tinggi pada pasien COVID-19 memerlukan intervensi segera dari tindakan penanganan COVID-19. Untuk memberikan intervensi yang sesuai dibutuhkan skor risiko klinis agar penanganan yang diberikan lebih tepat. National Early Warning Score 2 (NEWS2) dapat digunakan sebagai dasar logis untuk memprediksi mortalitas pasien di rumah sakit melalui observasi tanda-tanda vital. Tujuan: Untuk melakukan validasi terhadap NEWS2 dewasa dalam memprediksi angka mortalitas pasien COVID-19 di RSUP Sardjito Yogyakarta. Metode: Penelitian ini menggunakan rancangan penelitian observasional kohort retrospektif. Sampel pada penelitian ini adalah semua kasus konfirmasi COVID-19 yang dirawat di RSUP Dr. Sardjito Yogyakarta serta memenuhi kriteria inklusi dan eksklusi yang diambil dari 1 Maret 2020 sampai dengan 31 Oktober 2020. Hasil: Total sampel yang digunakan pada penelitian ini adalah 302 pasien dengan jumlah pasien yang meninggal dunia sebanyak 87 orang. Penilaian validasi total NEWS2 dalam memprediksi mortalitas pasien COVID-19 menggunakan tes diskriminasi dengan kurva ROC menunjukkan 0,824 CI 95% (0,762-0,886) dimana hasil ini termasuk dalam diskriminasi yang baik. Dari penilaian kalibrasi menggunakan Hosmer and Lemeshow test didapatkan nilai p=0,094 (>0,05) yang berarti total NEWS2 memiliki reliabilitas yang baik. Simpulanꓽ NEWS2 dapat digunakan dalam penilaian risiko klinis pasien dengan COVID-19 karena memiliki tes diskriminasi dan kalibrasi yang baik.]]>
<![CDATA[Validasi Skor Skrining COVID-19 RSUP Dr. Sardjito Yogyakarta ]]>
<![CDATA[Ulfa, Dinda]]>;
<![CDATA[Sari, Djayanti]]>;
<![CDATA[Kurniawati, Juni]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8336
<![CDATA[Background: Dr. Sardjito’s hospital Covid-19 screening score is a tool to assess patients who are suspected of being infected using RT-PCR swab examination. Unfortunately, there has never been researched regarding the validity. Objective: Validating the Dr. Sardjito’s hospital Covid-19 screening score to assess patients suspected of Covid-19 infection which was confirmed by the results of the RT -PCR swab at the Dr. Sardjito Hospital Yogyakarta. Method: This study used an observational retrospective cohort design. Patients who were included in the inclusion criteria were those aged >18 years, from 24th April 2020 to 31th December 2020. Result: The number of study samples was 705 patients. Discrimination ability of Dr. Sardjito’s hospital Covid-19 screening scoring was assessed by AUC and the result was 0,556 (CI 95%: 0,51-0,61. Calibration ability obtained HL test value p=0.001 (p<0.05). Conclusion: Dr. Sardjito’s hospital Covid-19 screening scoring has a very weak discrimination ability and poor calibration, so the Dr. Sardjito’s hospital Covid-19 screening scoring is invalid in predicting the results of RT-PCR swab at Dr. Sardjito Hospital Yogyakarta.]]>
<![CDATA[Rotasi Opioid dan Manajemen Nyeri pada Pasien Cancer Pain Akibat Kanker Serviks Stadium 4 dan Fistula Rectovagina ]]>
<![CDATA[Mahmud]]>;
<![CDATA[Widyastuti, Yunita]]>;
<![CDATA[Atmanagara, Dikho]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8337
<![CDATA[Pain is an unpleasant experience that will be felt by almost all cancer patients, which can result in reduced quality of life for cancer patients. Administration of opioid analgesics by increasing the dose to achieve the expected analgesia potentially followed by harmful side effects to the patient. In this situation, it is necessary to rotate the opioid to obtain an adequate dose of analgesia without increasing the risk of using the opioid. We present a case report of severe cervical cancer pain not controlled by oral opioid administration. The patient was assessed for the degree of pain and opioid rotation to control the cancer pain. After the rotation of opioids, it was found that pain was controlled by giving the new type and route of the opioid.]]>
<![CDATA[Manajemen Anestesi pada Pasien Tricuspid Absent (Free Flow) yang Menjalani Operasi Labioplasti ]]>
<![CDATA[Fajar, Ratih Kumala]]>;
<![CDATA[Wisudarti, Calcarina Fitriani Retno]]>;
<![CDATA[Utomo, Wandito Gayuh]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8338
<![CDATA[Approximately 750,000-1,000,000 pediatric and adult patients with congenital heart disease undergo non-cardiac surgery. This requires anesthetic manajement that will adapt to the congenital heart disease defect, the degree of cardiopulmonary abnormalities and the type of surgical procedure planned and postoperative analgesic management. Male aged 10 months with the diagnosis as physical status ASA 3 with Absent Tricuspid Valve, Small ASD secundum, Mild PS valvar planned for labioplasty. The patient was anesthetized with GA Intubation with ETT no 3.0 cuff semiclose control breath system with analgesic fentanyl 120 mcg, induction with propofol 15 mg, Sevoflurane dial 2.5%, followed by muscle relaxant atracurium 3.5 mg. The patient was admitted to the Pediatric Intensive Care Unit postoperatively, treated for 5 days and transferred to the ward on the 6th day conscious. Pre-anesthesia assessment, stages of anesthesia procedures to postoperative monitoring of labioplasty patients with tricuspid absent require special management to reduce patient mortality and morbidity during and after surgery.ward.]]>
<![CDATA[Manajemen Operasi Pasien Obstetri pada Operasi Non-Obstetri ]]>
<![CDATA[Kurniawaty, Juni]]>;
<![CDATA[Fajar, Ratih Kumala]]>;
<![CDATA[Hermawan, Hendra]]>
<![CDATA[ Jurnal Komplikasi Anestesi Vol 9 No 3 (2021) ]]>
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 ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/jka.v9i3.8339
<![CDATA[Background: Breast cancer is the most common malignancy in women, but it rarely occurs as a comorbidity in pregnant women. Although it is rare, its occurrence is currently increasing worldwide. This trend is also occurring in Indonesia, where more than 80% of non-pregnant women are diagnosed with latestage breast cancer. Method: We report the female patient Mrs. A is 33 years old, diagnosed with G3P2A0, 21 weeks of gestation with Ca mammae and will be planning a Modified Radical Mastectomy (MRM). The patient had never received chemotherapy or other treatment. We report female patient Mrs. The age of 33 years diagnosed G3P2A0, 21 weeks gestation with Ca mammary and will be planning a Modified Radical Mastectomy (MRM). The patient has never received any medication or other treatment. The patient has had an MRM procedure on June 29, 2021, with GA LMA anesthesia with attention to the physiology of the mother and fetus. Things that need to be considered are preoperative consultation with related sections (obstetrics and surgical oncology), provision of aspiration prophylaxis, drug selection, monitoring of maternal and fetal vital signs, providing adequate analgesia . Discussion: The action taken on the patient is a radical modification of mastectomy, with an surgical and anesthetic technique approach that is expected to reduce the effect on the fetus in intraoperatively. Conclusion: Anesthesiologists understand that pregnancy alters maternal anatomy and physiology to support fetal growth, but does not prevent the mother from developing pathologies that may require operative correction. The decision to operate should be postponed if possible, to avoid risks to the mother and fetus]]>
