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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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Faktor-Faktor Risiko Terjadinya Pneumonia pada Pasien Covid-19 Di RSUP Dr Sardjito Yogyakarta Perwira, Rendra; Uyun, Yusmein; Widodo, Untung
Jurnal Komplikasi Anestesi Vol 9 No 3 (2021)
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.v9i3.8334

Abstract

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.
Validasi National Early Warning Score 2 (News2) Dewasa untuk Memprediksi Mortalitas Pasien COVID-19 di RSUP. Sardjito Yogyakarta Sofwan, Fachruddin; Kurniawaty, Juni; Adiyanto, Bowo
Jurnal Komplikasi Anestesi Vol 9 No 3 (2021)
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.v9i3.8335

Abstract

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.
Validasi Skor Skrining COVID-19 RSUP Dr. Sardjito Yogyakarta Ulfa, Dinda; Sari, Djayanti; Kurniawati, Juni
Jurnal Komplikasi Anestesi Vol 9 No 3 (2021)
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.v9i3.8336

Abstract

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.
Rotasi Opioid dan Manajemen Nyeri pada Pasien Cancer Pain Akibat Kanker Serviks Stadium 4 dan Fistula Rectovagina Mahmud; Widyastuti, Yunita; Atmanagara, Dikho
Jurnal Komplikasi Anestesi Vol 9 No 3 (2021)
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.v9i3.8337

Abstract

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.
Manajemen Anestesi pada Pasien Tricuspid Absent (Free Flow) yang Menjalani Operasi Labioplasti Fajar, Ratih Kumala; Wisudarti, Calcarina Fitriani Retno; Utomo, Wandito Gayuh
Jurnal Komplikasi Anestesi Vol 9 No 3 (2021)
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.v9i3.8338

Abstract

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.
Manajemen Operasi Pasien Obstetri pada Operasi Non-Obstetri Kurniawaty, Juni; Fajar, Ratih Kumala; Hermawan, Hendra
Jurnal Komplikasi Anestesi Vol 9 No 3 (2021)
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.v9i3.8339

Abstract

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
Weaning Ventilator pada Pasien Tetraparese Neglecteed Cervical Spondiloptosis dengan Dislokasi Faset Bilateral Cervical 5-6 dan Spinal Cord Injury Inkomplet Level Cervical 6 Sudadi; Rahardjo, Sri; Suharso, Pamungkas Hary
Jurnal Komplikasi Anestesi Vol 9 No 2 (2021)
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.v9i2.8340

Abstract

The patient is a 16 year old male who suffered a cervical injury due to a slipping fall. Pain was felt in the neck, followed by weakness in the limbs, but did not immediately go to the hospital. The patient was referred to Sardjito Hospital about 1 month after the incident, with examination at the previous hospital the patient had a cervical injury with tetraparesis.The patient underwent corpectomy, decompression, and stabilization surgery on the second day. Postoperatively the patient was admitted to the ICU. On the second day of treatment, extubation was carried out, but was later re-intubated because the patient had respiratory distress. The next therapy was physiotherapy, nebulizer and mucolytic, ventilator weaning with pressure support mode and progressive ventilator free breathing (PVFB), Percutaneous Dilatation Tracheostomy (PDT), nutritional therapy, analgesics and antibiotics. On the way, the patient experienced pulmonary atelectasis, sepsis, and several failures in the ventilator weaning trial, so PDT was performed. The patient then experienced an improvement in his condition which was characterized by an increase in lung capacity, extremity muscle strength, and improvement in the condition of sepsis. Until finally the patient was able to be released from the use of the ventilator on the 15th day of treatment by using a T-piece through atracheostomy tube.
Manajemen Ekstubasi pada Pasien dengan Jalan Nafas Sulit Perioperatif Adiyanto, Bowo; Jufan, Akhmad Yun; Adiyatma, Krisna Hario
Jurnal Komplikasi Anestesi Vol 9 No 2 (2021)
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.v9i2.8341

Abstract

Tracheal extubation is a critical step during emergence from general anesthesia. Good management of extubation is needed to prevent undesired complication including laryngospasm, hypoxia, airway injury. Patient with difficult airway is at risk during intubation and extubation period, so the knowledge about it is necessary.
Konsiderasi Teknik Anestesi pada Crash Ponek Fetal Distress Apsari, Ratih Kumala Fajar; Uyun, Yusmein; Adrin, Olga Elenska
Jurnal Komplikasi Anestesi Vol 9 No 2 (2021)
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.v9i2.8342

Abstract

Neonatal and infants’ mortality rate in Indonesia is still high. Emergency case in comprehensive obstetric and neonatal emergency care is one of the causes related to high mortality rate in pregnancy and neonates. There is a thin line between true emergency which may need emergency surgery, previously known as crash-C-section and emergency that could be optimized before surgery is performed. A true emergency may need considerable anesthesia technique which could be done quickly yet also emphasizes on patient’s safety.
Glasgow Coma Scale (GCS) Sebagai Prediktor Kematian dan Kualitas Hidup Pasien Cedera Otak Traumatik di RSUP Dr. Sardjito Taneo, Desy Chery Marlyn; Sudadi; Wisudarti, Calcarina Fitriani Retno
Jurnal Komplikasi Anestesi Vol 9 No 2 (2021)
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.v9i2.8343

Abstract

Background: Glasgow Coma Scale (GCS) as one of the most important predictors and a key measure in neurological assessment after brain injury. Apart from mortality, GCS is also a predictor of quality of life that can be measured using the Extended Glasgow Outcome Scale (GOSE). GOSE is a global assessment of independent living and social reintegration that is widely used as an outcome measure in brain injury research, to analyze long-term functional outcomes. Methods: This study used a retrospective cohort observational study design that aimed to predict mortality and quality of life using the Glasgow Coma Scale. This research has been conducted at the Medical Record Installation of Dr. Sardjito Hospital Yogyakarta using data from patients whom are treated with a diagnosis of traumatic brain injury at Dr. Sardjito Hospital from January 1, 2020 to December 31, 2020 retrospectively. Quality of life was calculated using the GOSE interview questionnaire. The relationship of GCS variables to mortality and quality of life was tested by the unpaired correlative hypothesis test followed by multivariate analysis with logistic regression methods. Results: There were 174 research subjects with a mean age of 37.51 (± 14.17) years, 124 male (71,3%) and 50 female (28.7%). Subjects GCS score < 8 had a higher risk of death than those with GCS score 13-15 (p<0.001, RR=18.3). Subjects with GCS score 9-12 had a higher risk of death than those with GCS score 13-15 (p<0.001, RR=9.71). Subjects with GCS score < 8 had a higher risk of unfavourable outcome than those with GCS score 13-15 (p<0.001, RR=9.49). Subjects with GCS score 9-12 had a higher risk of unfavourable outcome than those with GCS score 13-15 (p=0.001, RR=4.93). Conclusion: GCS on admission can be a predictor of mortality and quality of life for traumatic brain injury patients

Page 24 of 32 | Total Record : 317

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