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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 317 Documents
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Perbandingan Daya Guna Profilaksis Pethidine 0,5 Mg/KgBB, Tramadol 1 Mg/KgBB dan Ketamin 1 Mg/KgBB untuk Mencegah Shivering Pasca Operasi Laparaskopi dengan Anestesi Umum Iqbal, Muhammad; Sarosa, Pandit; Sari, Djayanti
Jurnal Komplikasi Anestesi Vol 5 No 1 (2017): Volume 5 Number 1 (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.v5i1.7316

Abstract

Background: Post anaesthesia shivering is a autonom mechanism compensation against fall body temperature to increased heat body production. Hypothermia during operation is primary cause post anaesthetic shivering. Shivering can increased cardiac activity, intraocular pressure, intracranial pressure and create postoperative discomfort condition. Objective: The aim of this study is compare effectivity of pethidin 0,5 mg/kg, tramadol 1 mg/kg and ketamin 0,5 mg/kg as a prophylactic drug of shivering after laparascopy surgery with general anesthesia. Methods: This study is double blind randomized controlled trial. The subject were 193 patient, male or female with age 18-60, physical status of ASA I and II, who undergo of laparascopy surgery with general anesthesia. Subject were divided into three group. Group P with pethidin 0,5 mg/kg, group T with tramadol 1 mg/kg, group K with ketamin 0,5 mg/kg, drug were diluted with 10 mL normal saline. Prophylactic drugs given when superficial skin closure. Results: Is done measurement systolic blood pressure, diastolic blood pressure, heart rate and body temperature. Measurement done before procedure anaesthesia, during anesthesia and at the recovery room. Conclusion : Shivering assessment began after terminating inhalation anaesthesia agen.
Hubungan antara Kesesuaian Terapi Antibiotik Empiris dengan Mortalitas Rumah Sakit pada Pasien Hospital Acquired Pneumonia yang Dirawat Di ICU RSUP Dr. Sardjito Yogyakarta Nasution, Rusdi Anwar; Wisudarti, Calcarina Fitriani Retno; Sudadi
Jurnal Komplikasi Anestesi Vol 5 No 1 (2017): Volume 5 Number 1 (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.v5i1.7319

Abstract

Objective: To determine the association between appropriateness of empirical antibiotic therapy and hospital mortality in patients with hospital acquired pneumonia (HAP) admitted to ICU. Design: Retrospective cohort observational study Methods: Data were collected from patient’s medical record. The inclusion criteria were ICU’s patients aged 18 years old or older who diagnosed HAP within period of June 1, 2015 to December 31, 2016. Patients with HIV-positive were excluded and those without culture result were dropped out. The empiric antibiotic therapy was considered appropriate when all significant bacteria were susceptible or intermediate to at least one of the antibiotics. Variables determined were association between mortality and appropriateness of empirical antibiotic therapy, age, gender, ICU length of stay, duration of mechanical ventilation (MV), type of case (surgical or medical), and APACHE II scores (within the first 24 hours after ICU admission). Results: Eighty one patients were enrolled. Three patients were excluded and 9 patients were dropped because no bacterial cultures were reported. Sputum cultures were obtained from 59 patients while blood cultures were drawn from 10 patients. The sputum cultures were positive in 44 patients and negative in 15 patients, while all blood culture were negative. No differences in hospital mortality were related to age (p=0,345), gender (p=1,000), length of stay in ICU (p=0,059), duration on MV (p=0,09), type of case (p=0,199), and APACHE II score (p=0,331). No significant association was found between appropriateness of empirical antibiotic therapy and hospital mortality (p=1,000). The most common prescribed empiric antibiotics were ceftazidime (n=30), ciprofloxacin (n=21, and levofloxacin (n=19). The most common bacteria were Acinetobacter baumannii (n=13), Klebsiella pneumoniae (n=9), Pseudomonas aeruginosa (n=7), and Streptococcus viridans (n=7), which most of them were multi drug resistant (MDR). Conclusion: No association was found between appropriateness of empirical antibiotic therapy with hospital mortality in patients with hospital acquired pneumonia (HAP) admitted to ICU.
Manajemen Preoperatif Kehamilan Ektopik Terganggu dengan Syok Hipovolemia Budianti, Nugrahaeni; Rahardjo, Sri; Uyun, Yusmein
Jurnal Komplikasi Anestesi Vol 5 No 1 (2017): Volume 5 Number 1 (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.v5i1.7320

Abstract

Had been reported a case of preoperative management for a woman 36 years old, G1P0A0, pregnant 11 weeks with ruptured ectopic pregnancy and run into hypovolemia shock. We assessed physic status patient as ASA (American Society of Anesthesia) 4E (emergency) with hypovolemia shock et causa internal bleeding and patient had been done relaparotomy. Patient had been refered from RSUD Wonosari and when she came to RSUP Sardjito, she feel pain and pale suspicious hypovolemia shock with internal bleeding then had been done laparatomy emergency surgery, dextra salphingectomy et causa ruptured ectopic pregnancy in IGD operation room for 2 hours and then she was observated in resusitation room for 6 hours and then she was transported to PACU. When in PACU, her condition compos mentis, she feel pain and the hemodynamic is blood pressure 90/ 60 mmHg, pulse 165 times/ minutes, respiration rate 32 times/ minutes on NRM 8 liters/ minutes, spO2 99 – 100 %, temperature 36,8 °C and VAS 3 – 4. In abdominal assessment, we found decreased of peristaltic, distended (+), tenderness (+), wound dressing blood seeped (-) and capilarry refill over 2 second and also radialis artery was not detected. We did evaluation to know internal bleeding, we did positive challange test with kristaloid 20 cc/ kg BB in 15 minutes and then in USG, we found free liquid intraabdomen and we planned emergency laparatomy in IGD operation room. Anesthetic technique that we used was general anesthesia. After surgery, patient was transported to ICU in sedation condition and was intubated.
Gagal Spinal pada Pasien Operasi Amputasi Transfemoral dengan Debridemen dan Penatalaksanaannya Maryani, Nova; Artika, I Gusti Ngurah Rai; Sudadi
Jurnal Komplikasi Anestesi Vol 5 No 1 (2017): Volume 5 Number 1 (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.v5i1.7321

Abstract

A man 64 years old had a traffic accident 12 hours ago, resulting in crush injury on regio left femur and cruris. This man has fasted and for 8 hours and was planned to undergo debridement and transfemoral amputation surgery by orthopedics. The hemodynamic profile of this patient preoperative: stable with HB 8.4, had two colfs of PRC blood transfusion. Vital sign BP 110/55, HR 110x/minute, RR 22x/minute, SpO2 97%. The anesthesia technique planned for the surgery is spinal block anasthesia. Fluid preloading RL 500 ml, intravenous analgesics fentanyl 25 mcq, sitting position, spinal anesthesia L4-L5, CSF (+), blood (-), agent: bupivacaine 0,5 % hyperbaric 15 mg + fentanyl 25 mcq, aspiration (+) barbotage until 4cc. Thus, supine position after spinal anesthesia. Pin Prick result, Sensoric test (-), Motoric Bromage 0, evaluated until 10 minutes, just parasthesia. Pin prick, result sensoric test no sensoric. Block declared failed, conversion to General Anesthesia LMA. Operation held for 2 hours, post-operative patient transfers to High Unit Care.
Komplikasi Regional Anestesi pada Pediatrik Sari, Djayanti
Jurnal Komplikasi Anestesi Vol 5 No 1 (2017): Volume 5 Number 1 (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.v5i1.7322

Abstract

Seperti pada dewasa, teknik regional anestesi pada pediatrik kini makin popular digunakan oleh ahli anestesikarena keuntungannya. Namun demikian selalu ada risiko dan kemungkinan timbulnya komplikasi dari setiap tindakan yang dilakukan, termasuk tindakan anestesi regional pada pediatrik. Insidensi komplikasi anestesi regional pada pediatrik tidak banyak, dan kalaupun terjadi komplikasi adalah minor. Komplikasi bisa diakibatkan dari identifikasi ruang saraf, alat, obat, teknis tindakan anestesi regionalnya dan komplikasi lainnya.Walaupun tidak banyak kejadian komplikasi regional anestesi yang dilaporkan pada pediatrik, dan bukanlah komplikasi yang fatal, teknik regional anestesi pada pediatrik harus dilakukan dengan lebih hatihati, pertimbangan risiko dan keuntungannya untuk menghindari terjadinya komplikasi, terlebih karena kebanyakan komplikasi dapat dihindari dengan mempelajari teknik yang benar, menggunakan peralatan yang sesuai, dan sangat menerapkan prinsip keamanan pada pasien dengan baik.
Brain Protection pada Traumatik Brain Injury Sudadi
Jurnal Komplikasi Anestesi Vol 5 No 1 (2017): Volume 5 Number 1 (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.v5i1.7323

Abstract

Trauma is the leading cause of death in children and people under 45 years old, and brain trauma is theleading cause of death in 25% of cases. Brain trauma can be classified as both primary and secondary injury.Primary brain injury is a direct result on the head causing both anatomical and physiological damage.Secondary brain injury is the result of hypotension, hypoxia, acidosis, edema, or other advanced factors thatcause damage to brain tissue. Brain protection as prevention and improvement of neuronal damage causedby abnormalities of cerebral metabolism, histopathological or neurological functioning that occurs afterhypoxia or ischemic conditions. The key elements in brain protection that must be achieved are loweringoxygen demand, increasing oxygen supply and halting intracellular pathological processes.
Prinsip Proteksi Sel Otot Jantung dalam Mesin Pintas Jantung Paru pada Prosedur Pembedahan Jantung Terbuka Indrasutanto, Teddy Ferdinand; Boom, Cindy Elfira
Jurnal Komplikasi Anestesi Vol 5 No 1 (2017): Volume 5 Number 1 (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.v5i1.7324

Abstract

Cardiovascular disease is still the leading cause of global death. At 2004, there are 17.1 million deaths caused by cardiovascular disease which is 29% of total overall death in the world. Coronary artery bypass graft (CABG) surgery is still the gold standard to treat cardiovascular disease. CABG surgery could be done using cardiopulmonary bypass machine so the heart could be stopped from beating for the entire procedure. Cardiopulmonary bypass and CABG procedure itself could cause myocardial injury. There should be a good understanding about cardiovascular physiology before using cardiopulmonary bypass, especially at myocardial protection strategy. The goal of myocardial protection during heart surgery is to avoid injury that is caused by cardiopulmonary bypass machine and ischemia. Cardioplegia is the main factor to help obtain the target of myocardial protection. Cardioplegia could induce cardiac arrest and give nutrition to the myocard at the same time. There are other strategies that could be used to obtain myocardial protection, like hypothermia technique, anesthesia preconditioning using volatile anesthesia and intravenous anesthesia agent. There are a lot of studies on myocardial protection right now, and the future strategies are focused on molecular physiology of the myocard.
Tatalaksana Nyeri Postoperatif pada Infant Hernandes, Crodia; Widyastuti, Yunita; Sari, Djayanti
Jurnal Komplikasi Anestesi Vol 10 No 3 (2022)
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.v10i3.7325

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.
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.

Page 13 of 32 | Total Record : 317

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