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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 Efektivitas Anestesi Spinal Menggunakan Levobupivakain Isobarik 0,5% 7,5 Mg Dibandingkan Levobupivakain Isobarik 0,5% 10 Mg pada Pasien Kanker Serviks yang Menjalani Brakiterapi Intrakaviter di RSUP Dr. Sardjito Rani, Hajar Rafika; Pratomo, Bhirowo Yudo; Kurniawaty, Juni
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 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.v8i2.8359

Abstract

Background: Levobupivacaine is an S-enantiomer of bupivacaine, has a similar effect but less cardiotoxic than bupivacaine. The aim of this study was to evaluate the effectiveness of 7,5 mg levobupivacaine compared with 10 mg levobupivacaine in terms of sensory block, motor, recovery, and the incidence of hypotension in intracavitary brachytherapy. Methods: A prospective, randomized, single-blinded study with inclusion criteria: ASA I-II, 140-165 cm of height, 18-65 years, BMI <30 kg/m2. One hundred fifteen samples were randomized and divided into 2 groups: 0,5% isobaric levobupivacaine 7,5 mg and 10 mg. Results: In both groups, there were no significant differences for sensory block height reaching T10 and the incidence of hypotension (p> 0.05), there were significant differences for the onset, the duration of sensory block, bromage score, and recovery time (p <0.005). The 7,5 mg levobupivacaine group and 10 mg levobupivacaine group had 18±16 minutes and 15±20 minutes for sensory blockonset (p=0,009) in which it was not clinically significant. The 7,5 mg levobupivacaine group and 10 mg levobupivacaine group had 128±26 minutes and 152±39 minutes for sensory block duration (p=0,005), both groups sensory block duration was sufficient for brachytherapy (97±39 minutes). The 7,5 mg levobupivacaine group and 10 mg levobupivacaine group had 107±28 minutes dan 148±24 minutes for recovery (p=0,000). Both groups had no hypotension. Clinically, intracavitary brachytherapy worked well with sensory block heights <T10 and bromage scores <2. Conclusion: Spinal anesthesia with levobupivacaine 7.5 mg group was as effective as10 mg levobupivacaine group for cervical cancer patients who underwent intracavitary brachytherapy.
Efek Pemberian Priming Fentanil 1 Μg/Kgbb Terhadap Insidensi Batuk Pasca-Preemptif Analgesia Fentanil 2μg/KgBB di RSUP Dr. Sardjito Prakosa, Nur Hamam; Uyun, Yusmein; Widyastuti, Yunita
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 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.v8i2.8360

Abstract

Background: Fentanyl is an opioid analgesic that is almost always used in patients undergoing general anesthesia. The use of intravenous fentanyl can cause a cough effect known as fentanyl-induced cough (FIC). Although there have been many studies conducted to reduce the incidence of cough after injection of fentanyl intravenously both pharmacologically and nonpharmacologically, standard therapy has not been established to prevent coughing. Method: Randomized clinical trial with double blindness. The sample was chosen using the non-probability sampling method in a consecutive manner until the sample was fulfilled. Age range 18-65 years, with ASA III physical status, non-active smokers undergoing elective surgery with general anesthesia at Dr. Sardjito General Hospital will be grouped into 2 groups, one group of a priming dose of fentanyl 1 μg/kgbb and the control group without priming dose of fentanyl. Both groups received total fentanyl 2 μg/kgbb with an injection speed of 0.5 cc per second. Data analysis to determine differences in the incidence of cough between the two treatment groups with outcomes in the form of mild cough, severe cough, or not coughing, then the chi-square test is used when the requirements are met. Secondary outcomes and side effects of fentanyl administration were also assessed.is performed Result. Incidence of fentanyl-induced cough (FIC) in the treatment group using priming dose of fentanyl 1 μg/kgbb was 2 patients (2.7%), while the incidence of cough in the group without priming dose of fentanyl was 11 patients (15.1%) with p = 0.009 meaning that there was a statistically significant difference. All patients with cough incidence were in the mild cough category, both in the priming dose of fentanyl group as many as 2 patients and 11 patients in group without priming dose of fentanyl. There is no statistically significant difference in the incidence of apnea, and bradycardia Conclusion. The use of 1 μg/kgbb priming dose of fentanyl can reduce the incidence of cough after fentanyl 2 μg/kgbb analgesia at an injection rate of 0.5 cc per second
Korelasi Kadar Prokalsitonin dengan Angka Leukosit pada Pasien Sepsis Bakterial di Ruang Rawat Intensif RSUP Dr. Sardjito Yogyakarta Utami, Vengky; Wisudarti, Calcarina Fitriani Retno; Jufan, Akhmad Yun
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 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.v8i2.8361

Abstract

Background: The Surviving Sepsis Campaign recommends using procalcitonin to help diagnose acute systemic infections, infection resolution, escalation, and discontinue antibiotic therapy on sepsis patients. Unfortunately, procalcitonin testing is very expensive and not yet available in all hospitals. Alternative biological markers are needed besides procalcitonin. The component of differentiated leukocyte count is known to be correlated with procalcitonin. Methods: This is a cross-sectional retrospective study and includes all bacterial sepsis patients that have been treated in the Dr. Sardjito General Hospital ICU between 1 January - 31 December 2019. Data of 436 laboratory examinations have been collected from 104 patients’ medical records, then processed with SPSS version 26 to look for correlations between procalcitonin with each component of leukocyte count value, followed by regression analysis between procalcitonin and leukocyte count values. Results: We found very strong positive correlation (R2 = 0.823, p <0.05) in multivariate analysis between procalcitonin levels and differential leucocyte count. There was moderate positive correlation in bivariate correlation between procalcitonin and leucocytes (r = 0.279, p <0.05) and absolute monocytes (r = 0.254, p> 0.05). There was also very weak positive correlation between procalcitonin and absolute neutrophils (r = 0.239, p <0.05), percentage neutrophils (r = 0.078, p <0.05), absolute eosinophils (r = 0.148, p<0.05), percentage eosinophils (r = 0.104, p<0.05), absolute basophils (r = 0.029, p>0.05), percentage basophils (r = 0.011, p> 0.05), absolute lymphocytes (r = 0.121, p>0.05), lymphocyte percentage (r = 0.074, p> 0.05), monocyte percentage (r = 0.208, p>0.05), absolute immature granulocytes (r = 0.064, p <0.05) , and percentage immature granulocytes (r = 0.029, p> 0.05). Conclusion: There was a strong positive correlation between procalcitonin levels and leukocyte count in bacterial sepsis patients treated in Dr. Sardjito General Hospital, Yogyakarta intensive care unit
Perbandingan Efektivitas Kombinasi Gabapentin-Ondansetron dengan Dexamethasone-Ondansetron sebagai Profilaksis Postoperative Nausea-Vomiting (PONV) pada Operasi Laparoskopi Ridha, Ihsanur; Wisudarti, Calcarina Fitriani Retno; Kurniawaty, Juni
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 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.v8i2.8364

Abstract

Background: Post Operative Nausea and Vomiting (PONV) is a complication that most often occurs in patients undergoing surgery under general anesthesia, with an incidence rate of 40-90%. The existing combination drug guidelines to prevent PONV have not been effective in significantly reducing the incidence of PONV. There are several research results that suggest that the GabapentinOndansetron combination is effective in reducing the incidence of PONV. Objective: This study aims to compare the effectiveness of the combination of Gabapentin-Ondansetron with Dexamethasone-Ondansetron as a prophylactic of Post Operative Nausea and Vomiting (PONV) in laparoscopic surgery. Methods: This study is a double-blind Randomized Controlled Trial/RCT involving 78 patients who underwent a laparoscopic procedure. Subjects were divided into two groups A and B. Group A was given a combination of Gabapentin 600 mg and Ondansetron 0.1 mg/kgBW. Group B was given a combination of Dexamethasone 10 mg and Ondansetron 0.1 mg/kgBW. Both groups assessed the incidence of PONV using VNRS for nausea and assessed the presence or absence of vomiting. Results: At 15 and 30 minutes postoperatively, Gabapentin-Ondansetron was better than Dexamethasone-Ondansetron as a prophylactic of nausea (p <0.05) in laparoscopic surgery. At 60, 90, and 24 hours postoperatively, the drug combination of the two groups was as good as nausea prophylaxis (p >0.05) for laparoscopic surgery. Both of these drug combinations had the same effect as vomiting prophylaxis (p >0.05) after laparoscopic surgery. Conclusion: Gabapentin-Ondansetron combination is more effective thanDexamethasone-Ondansetron combination as a prophylactic of Post OperativeNausea and Vomiting (PONV) in laparoscopic surgery
Epidural Volume Extension (EVE) Sudadi; Mahmud; Wijaya, Indriyani
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 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.v8i2.8365

Abstract

Epidural Volume Extension (EVE) technique injects normal saline into the epidural chamber immediately after the injection of local anesthesia into the intrathecal space. Normal saline injection will increase the epidural space thus increasing the spreading of local anesthesia in previous intrathecal injections and making the distribution of cerebrospinal fluid to be higher. It can be said that EVE technique utilizes the volume effect of normal saline that decreases the volume of intrathecal space. The EVE technique may be useful for reducing the dose of local anesthesia injected intrathecally by still reaching a stronger block height for surgery, as well as for faster recovery of motor blockades. Unfortunately, the EVE technique does not significantly reduce the risks of hypotension. Hypotension persists even though the hemodynamics change is more stable.
Diagnosis dan Tatalaksana Sepsis Maternal Jufan, Akhmad Yun; Wisudarti, Calcarina Fitriani Retno; Atmanagara, Dikho
Jurnal Komplikasi Anestesi Vol 8 No 2 (2021): Volume 8 Number 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.v8i2.8366

Abstract

Maternal sepsis is a common and potentially preventable cause of direct maternal death globally. A barrier to further progress has been the lack of consensus on the definition of maternal sepsis. Recognition and treatment of maternal sepsis are often delayed due to the physiological adaptations of pregnancy and vague or absent signs and symptoms during its initial presentation. Over the past decade, our understanding of sepsis has evolved and maternal early warning systems have been developed to help providers promptly identify and stratify parturients who are at risk. In addition, new consensus definitions and care bundles have recently been published by the World Health Organization and the Surviving Sepsis Campaign to facilitate earlier recognition and timely management of sepsis. Standardizing the criteria for maternal sepsis optimizes clinical findings. It may facilitate the evaluation of the role of different clinical parameters and biomarkers in the diagnosis, earlier recognition, and management of maternal infection and sepsis. Further work is required to develop an international consensus on the criteria for diagnosing maternal sepsis and any associated organ dysfunction.
Optimalisasi Keselamatan Pasien di Post-Anesthesia Care Unit Widodo, Untung; Wisudarti, Calcarina Fitriani Retno; Krispratama, Avian
Jurnal Komplikasi Anestesi Vol 8 No 3 (2021): Volume 8 Number 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.v8i3.8367

Abstract

Post-Anesthesia Care Unit (PACU) is a place for monitoring patients who have undergone the anesthesia process, both regional and general. The recovery period begins immediately after the patient leaves the operating table. Complications can occur at any time, including when transferring a patient from the operating room to the recovery room. The patient must be closely monitored and monitored. Several post-anesthesia complications include consciousness disorder, a decrease of peripheral resistance and cardiac output due to residual anesthesia, and hypovolemia due to inadequate fluid replacement during surgery or continued postoperative bleeding. Hypertension may occur due to increased activity of sympathoadrenal and severe pain.
Manajemen Jalan Nafas pada Pasien dengan Sindroma Crouzon Sari, Djayanti; Widyastuti, Yunita; Hidayat, Fachsyar
Jurnal Komplikasi Anestesi Vol 8 No 3 (2021): Volume 8 Number 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.v8i3.8369

Abstract

Crouzon syndrome is a congenital disorder that prevents premature closure of the coronal suture (synostosis), or, less commonly, the sagittal or lambdoidal suture of the cranium. This results in a skull dysmorphic appearance of the skull and face, with a high forehead, flattened occiput, and brachycephaly. Inaddition to craniosynostosis, affected children may also experience an abnormal fusion of the skull base and central bones, resulting in maxillary hypoplasia, high arched palate, and shallow orbits, causing protruding exophthalmos. These abnormalities in facial features can have implications for managing a difficult airway. A 4-year-old woman with a head complaint from the age of 1 year. The patient has a history of being diagnosed with Crouzon syndrome
Manajemen Anestesi pada Seksio Sesarea pada Pasien COVID-19 Derajat Berat Uyun, Yusmein; Apsari, Ratih Kumala Fajar; Suharso, Pamungkas Hary
Jurnal Komplikasi Anestesi Vol 8 No 3 (2021): Volume 8 Number 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.v8i3.8370

Abstract

COVID-19 infection in pregnant patients can lead to premature labor. The most common method of delivery is by caesarean section. Many aspects must be considered in carrying out anesthesia for COVID-19 patients, including physiological changes that occur due to pregnancy and the effects of COVID-19 infection which can aggravate the condition of pregnant patients. Maintaining adequate oxygenation in the blood, choosing the right anesthetic agent, considering its effect on the fetus, and mechanical ventilation management related to ARDS caused by COVID-19 infection are several things that should be concerned in anesthesia management.
Subarachnoid Block after Failed Epidural Anesthesia Mahmud; Sudadi; Adrin, Olga Elenska
Jurnal Komplikasi Anestesi Vol 8 No 3 (2021): Volume 8 Number 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.v8i3.8371

Abstract

Pregnant woman with cardiac abnormality was associated with substantial fetomaternal risk. Uncorrected cardiac abnormality associated with R to L shunting (such as ventricle septum defect) may cause chronic over volume which may cause progressive hypoxemia and cardiac failure which is known as Eisenmenger Syndrome. We reported a 27 years old woman with G1P0A0, Eisenmengersyndrome planned for emergency caesarean section post failed termination with induction. There was failed epidural block, so we used a low dose subarachnoid block as an alternative. There is no ideal anesthesia technique for Eisenmenger syndrome, thus every technique carried its own risk. In regional anesthesia, the risks that may happen include decreased SVR, increased R to L shunt, and hypoxemia exacerbation. According to the literature, low dose SAB as used in this case was already followed the principle of failed epidural anesthesia.

Page 26 of 32 | Total Record : 317

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