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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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Determinan Prolonged Length Of Stay (PLOS) ICU pada Pasien Pediatrik yang Menjalani Pembiusan Di Masa Pandemi Covid-19 Hernawan, Agung Diky; Sari, Djayanti; Widyastuti, Yunita
Jurnal Komplikasi Anestesi Vol 10 No 2 (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.v10i2.8300

Abstract

Background: In Indonesia, the utilization of ICU is not balanced, due to the limited ICU space or the length of time ICU patient care. ICU services include patients with organ dysfunction or post-anesthesia patients, especially pediatrics. Period 1 March 2020 Indonesia was hit by the COVID-19 pandemic. The need for ICU space increases, most of the infected patients fall into respiratory failure conditions both adults and pediatrics. Problems that are interconnected and become the basis for researchers in determining the determinants of PLOS ICU are post-anesthesia pediatric patients who need ICU care, limited ICU space and the problem of the COVID-19 pandemic. Objective: To identify the determinant factors of ICU Prolonged Length of Stay (PLOS) in pediatric patients undergoing anesthesia during the COVID-19 pandemic. Method: This research is a retrospective cohort observational study. The study sample was 173 pediatric patients undergoing anesthesia and postoperative care in the ICU at Dr Sardjito General Hospital for the period April 2020 - March 2021. The variables were tested using Student's t-test for numerical data, Chi square test for categorical/dichotomous data. The results of p <0.25 were followed by a logistic regression test. The results of p<0.05 were entered into the multivariate analysis and were considered significant. Results: The factors identified as the determinants of PLOS in the ICU Dr. Sardjito General Hospital were major surgery with a P value of 0.048 (OR 8.87), blood transfusions with a P value of 0.019 (OR 2.34) and mechanical ventilation with a P value of 0.010 (OR 3.44) ) is the most significant variable on PLOS in the ICU with a p<0.05. Conclusion: Major surgery, blood transfusions and mechanical ventilation/ventilators are the determinants of PLOS in the ICU of Dr. Sardjito General Hospital, pediatric patients undergoing anesthesia during the COVID-19 pandemic
Manajemen Nyeri pada Pasien Kanker Payudara Stadium Paliatif dengan Cancer Pain Mahmud; Sudadi; Ristianto, Muhammad Brian
Jurnal Komplikasi Anestesi Vol 10 No 2 (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.v10i2.8302

Abstract

Pain is one of the most common and feared symptoms in patients with cancer, and even though good or complete pain control can be achieved in 80–90 % of cancer patients, cancer-related pain continues to be a major public health problem globally. Cancer pain becomes one of palliative care’s aspect. Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life threatening illness. Palliative care needs early identification, examination, and therapy. There is screening for palliative care, such as 5-point palliative score. Cancer pain therapy uses step-ladder WHO guideline, with NRS or Numeric Rating Scale as its pain assessment. Breast cancer has the highest incidence in Indonesia, with bone metastatic becomes its most common occurrence in its late phase. Cancer pain management generally becomes important, particularly towards breast cancer and its bone metastatic manifestation..
Patient Safety in Non-Operating Room Anesthesia (Nora) Pratomo, Bhirowo Yudo; Sudadi; Hermawan, Hendra
Jurnal Komplikasi Anestesi Vol 10 No 1 (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.v10i1.8303

Abstract

Practice in the field of non-operating room anesthesia (NORA) is associated with the risks of injury or death. The number of NORA cases recently has increased with more than half of claims related to death, due to lack of anesthetic care standard. The need for implementation standard of NORA such as equipments, staffs and facilities must meet the criteria of safety. So it is an important concern in preventing those complications. The three paradigm steps towards a systematic NORA approach encompass patient, procedures and the environment. The first step to improve patient safety in the case of NORA includes measuring preparation with adequate facilities, introductions of the location, equipments and available personnels. The training skill and communication between the anesthetist team and other support personnel are required. In addition, procedural preparation must be prepared for possible emergencies and adverse outcomes.
Manajemen Extracorporeal Membrane Oxygenation (ECMO) pada Pasien COVID-19 Derajat Kritis Synthana, Meta Restu; Kurniawaty, Juni; Wisudarti, Calcarina Fitriani Retno
Jurnal Komplikasi Anestesi Vol 10 No 2 (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.v10i2.8304

Abstract

We reported 42 years old male patient with weight 84 kg, height 167 cm, and BMI of 30.1 kg/m2 with a diagnosis of severe COVID-19 and ARDS. The patient was previously known to have comorbids of type 2 DM, stage 1 hypertension, cardiac arrhythmias, and grade 1 obesity. On the 7th day of care, the patient clinically and radiologically worsened and we decided to intubate and support with mechanical ventilation. An ECMO indication was assessed, the patient was indicated to have ECMO, so that ECMO was installed immediately after the patient was intubated. ECMO was successfully running 7 hours after the patient was intubated. During hospitalized the patient also received renal replacement therapy, hemadsorption therapy, and plasma exchange. The patient deceased on 31st day of ECMO.
Manajemen Anestesi Pasien dengan Low Ejection Fraction yang Menjalani Operasi Tumor Ovarium Pratomo, Bhirowo Yudo; Kurniawaty, Juni; Sari, Dhanty Dwita
Jurnal Komplikasi Anestesi Vol 10 No 2 (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.v10i2.8305

Abstract

Anesthetic management of patients with dilated cardiomyopathy (DCM) is a challenge to the anesthesiologist, due to poor left systolic function, ventricular enlargement, risk of malignant arrhythmias and sudden cardiac death. Therefore, preoperative assessment and appropriate anesthetic management are important in patients with DCM. Patients with a low EF <35% may be at risk for life-threatening irregular heart rhythms. Any arrhythmia in these patients requires immediate treatment because otherwise it can lead to sudden cardiac arrest and sudden death. In summary, the optimal anesthetic management of patients with dilated cardiomy- opathy requires good preoperative assessment, close perioperative monitoring, suitable anesthetic, optimization fluid management, and stable hemodynamic status.
Faktor Risiko Mortalitas Pasien Geriatri yang Dirawat Di ICU RSUP Dr. Sardjito Yogyakarta Hendra, Maijoni; Akhmad Yun; Widodo, Untung
Jurnal Komplikasi Anestesi Vol 10 No 2 (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.v10i2.8306

Abstract

Background: Nowadays, many geriatric patients need intensive care. In intensive care geriatric patients will show geriatric syndromes such as delirium, sensory disturbances and frailty which are closely related to morbidity and mortality. Until now in Indonesia there has been no specific study that examines the risk of death in geriatric patients treated in the ICU. Objective: To identify the risk factors that influence the mortality of geriatric patients in the ICU, as a reference material in the management of geriatric patients in the ICU. Method: This study is a retrospective cohort observational study. The study sample consisted of 162 patients who were treated at ICU Dr. Sardjito General Hospital from 1 January 2020 to 31 December 2020. The identified risk factors were then analyzed and tested using the student's t-test for numerical data and the chi square test for categorical data. The results of the analysis with p <0.25 were then carried out with a logistic regression test. Variables with p <0.05 in multivariate analysis were considered significant. Data were analyzed statistically with the SPSS 25.0 application. Results: Factors identified as risk factors for mortality in geriatric patients in the ICU Dr. Sardjito General Hospital were kidney comorbidities in the form of acute kidney injury and chronic kidney disease (p=0.019, OR 0.364), the use of inotropic vasopressor drugs such as dopamine, dobutamine, norepinephrine, epinephrine, vasopressin (p=0.003, OR 0.277) and the use of mechanical ventilation (p=0.004, OR 0.890) were the variables that had the most significant effect simultaneously on the mortality of geriatric patients in the ICU. Conclusion: The identified risk factors for geriatric patients’ mortality in the ICU of Dr. Sardjito General Hospital are renal comorbidities, the use of invasive mechanical ventilation and the use of inotropic and vasopressor drugs.
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.
Fisiologi Pemberian Larutan Oral Karbohidrat pada Pasien yang akan Menjalani Operasi Elektif Sar, Djayanti; Kurniawati, Juni; Sunantara, I Gusti Ngurah Putu Mandela Agatha
Jurnal Komplikasi Anestesi Vol 10 No 1 (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.v10i1.8320

Abstract

Surgery is a combination of anesthesia, drugs, trauma, blood loss. Apart from that, patient preparation before surgery which is routinely carried out such as fasting for 6- 8 hours is also part of the operation. This condition can disturb the balance in the body. The metabolic state of the preoperative patient must be optimized in preparation for surgery. The patient should be in a sufficiently anabolic rather than starved and catabolic state. The typical fasting period of 8 hours before surgery forces the metabolism into a catabolic state. Administration of an oral carbohydrate solution before surgery helps to keep the body in the desired anabolic state. The usual administration is 2-3 hours before the operation, the patient will be given an oral carbohydrate solution. Therefore, this paper is made to determine the physiology of giving oral carbohydrate solution as a preoperative management for patients who will undergo surgery
Manajemen Anestesi pada Pasien Hamil G1P0 UK 26 Minggu Yangmenjalani Craniotomy Removal Tumor Fossa Posterior Sudadi; Kurniawaty, Juni; Utomo, F uad Cipto
Jurnal Komplikasi Anestesi Vol 10 No 1 (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.v10i1.8322

Abstract

Brain tumor during pregnancy are very rare and presents several challenges to the neurosurgeons, obstetricians and anaesthesiologist in not only establishing the diagnosis, but also in the perioperative management as it requires a careful plan to balance both maternal and fetal well-being. We report the anaesthetic management of a 26-week pregnant patient with brain tumor meningioma. As the patient was 26 weeks pregnant with sign and symptoms of raised intracranial pressure (ICP) with progressive neurological deficits, not manageable with drugs, elective craniotomy was planned for decompression of the brain tumor. We held a multidisciplinary meeting before the operation and made a detailed plan for how to proceed. During the operation, our team ensured intensive monitoring, provided adequate oxygen and achieved hemodynamic stability. Anaesthetic drugs like fentanyl, rocuronium, propofol and sevoflurane were carefully chosen in order to ensure the safety of both the mother and fetus. Under the careful and successful anaesthetic management, the patient underwent the surgery smoothly neither the mother nor baby experienced pre- or post-operative complications. Neurosurgeries in pregnancy are sparse, and careful planning with cross-disciplinary specialist was need in advanced of the operation. Moreover, when dealing with such surgeries, we should consider the safety of both the mother and fetus, which challenging but important.
Manajemen Anestesi pada Percutaneus Endoscopic Lumbar Discectomy (PELD) dengan Dexmedetomidine Sari, Djayanti; Wisudarti, Calcarina Fitriani Retno; Ferdiansyah, David
Jurnal Komplikasi Anestesi Vol 10 No 1 (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.v10i1.8323

Abstract

The patient is 49 years old with a diagnosis of Hernia Nucleosus Pulposus (HNP) 4-5 lumbar vertebrae. The patient was scheduled to undergo the PELD procedure. The anesthetic technique used is total intravenous anesthesia (TIVA) with dexmedetomidine. The dose used is loading 1 mcg per kg body weight in 10 minutes followed by titration of 0.2-0.7 mcg/kg body weight/hour. During the procedure the operator requires confirmation from the patient to prevent complications of nerve injury. The action lasts about 2 hours in the prone position. The level of sedation was assessed by the Ramsay scale score. Hemodynamics during the procedure is stable and the patient is quite comfortable.

Page 22 of 32 | Total Record : 317

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