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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 327 Documents
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Blok Saraf Perifer pada Amputasi Bawah Lutut: Telaah Sistematis Krislee, Andre; Suhadi, Andrio; Debora, Charina Geofhany
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
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.v12i3.16237

Abstract

Background: Patients who undergo below knee amputation (BKA) surgery are often accompanied with many comorbidities so that BKA surgery with general anesthesia (GA) or spinal or epidural may not be possible. Peripheral nerve block (PNB) is an alternative to this situation. This study aims to investigate the used of PNB in BKA. Methods: We performed a detailed search of PubMed, Scopus, and Web of Science database using the following search terms and their synonyms: “peripheral nerve block”, and “below knee amputation”. Only english articles are included in this study. Data extraction and systhesis were performed according to PRIMA guidelines Results: A total 7 articles were included in this research, see table 1. For the case report and case series, five patients were undergo BKA using sciatic and femoral block combination, one patients using sciatic and lumbar plexus block combination, and five patients using sciatic and adductor canal block combination. One cohort showed that PNB had p=0.04 with adjusted OR 0.75 (0.57 – 0.98) againts GA.
Transform Your Heart Failure Treatment Approach: Conquering Svt and Pneumonia Challenges Utami, Nabilah Puspa; Nugraha, Adriyawan Widya
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
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.v12i3.16294

Abstract

In this complex case, an 81-year-old female presented with acute decompensated heart failure (ADHF), pneumonia, and SVT-induced tachyarrhythmia. Upon admission, she received meticulous therapy in the intensive care unit (ICU). The treatment regimen was multifaceted, aiming to address each condition effectively. Fluid balance was closely monitored and maintained. Pharmacological interventions played a crucial role, with digoxin administered initially to manage SVT, alongside medications targeting heart failure including clopidogrel, atorvastatin, spironolactone, candesartan, and furosemide. Antibiotic therapy was initiated promptly following consultation with a pulmonologist, comprising ceftriaxone, levofloxacin, and methylprednisolone for pneumonia management. Additionally, regular nebulizations with salbutamol-ipratropium were administered. By the third day of hospitalization, significant improvement was observed, allowing for the patient's transfer to a general medical ward. This case underscores the importance of a comprehensive therapeutic approach in managing complex medical conditions, such as ADHF exacerbated by SVT and pneumonia, to achieve optimal patient outcomes.
Early De-resuscitation Strategy using Diuretics Targeting Low Central Venous Pressure in the Management of Septic Shock with Acute Kidney Injury Gabriana, Jessica; George, Yohannes W.H.; Purwowiyoto, Sidhi Laksono
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
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.v12i3.22141

Abstract

Septic shock remains a critical condition associated with high morbidity and mortality rates, particularly when complicated by Acute Kidney Injury (AKI). Traditional management strategies have predominantly emphasized fluid resuscitation to restore hemodynamic stability; however, the adverse effects of fluid overload are most pronounced in situations such as septic shock, which predisposes patients to acquired AKI. This case report presents an early de-resuscitation strategy using diuretics to target low central venous pressure (CVP) in a 58-year-old male with Urosepsis-associated AKI. The initial treatment included fluid loading and antibiotics, but his condition worsened, leading to ICU admission. A central venous catheter was placed, and a furosemide infusion was started due to positive fluid balance and high CVP. Over the next few days, the patient's condition improved significantly, with reduced ventilator and vasopressor support and improved renal function. The success of this strategy underscores the importance of re-evaluating fluid resuscitation practices and incorporating de-resuscitation as a key component of patient care.
PROTEINURIA SEBAGAI PREDIKTOR GAGAL GINJAL AKUT PADA PASIEN INTENSIVE CARE UNIT RSUP DR. SARDJITO Ihsan, Ismail; Retno Wisudarti, Calcarina Fitriani; Jufan, Ahmad Yun
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
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.v12i3.25676

Abstract

Background: Acute kidney injury (AKI) accounts for 32–77% of mortality in intensive care unit (ICU) patients in Indonesia and increases the risk of death up to eightfold at Dr. Sardjito General Hospital. Patient outcomes are greatly influenced by early detection, but diagnosis still relies on serum creatinine, which only increases after severe kidney damage. Proteinuria has the potential to be an early predictor of AKI with simple, inexpensive, and rarely studied tests.Objective: To assess proteinuria as a predictor of AKI in ICU patients at Dr. Sardjito General Hospital, Yogyakarta.Subject and Methods: This prospective cohort study involved ICU patients who met the inclusion and exclusion criteria and were grouped based on proteinuria status. Data analysis was performed univariately (descriptive tables), bivariately (Chi-square/Fisher's Exact and Mann-Whitney tests), and multivariate (logistic regression) for variables with p < 0.25 at the bivariate stage. Model validation was performed using receiver operating characteristic (ROC) curve analysis to assess discriminatory ability and Hosmer–Lemeshow testing for model calibration.Result: Of the 187 patients screened, 151 patients met the criteria (median age 52 years; 47.7% male). Proteinuria was found in 51.7% of patients, with a AKI incidence of 10.6%. Bivariate analysis showed a significant association between proteinuria and AKI (19.2% vs. 1.4%; RR 14.04; p<0.001).
The Relationship Between the Time Elapsed from the Incident to Medical Management and the Outcome of Traumatic Brain Injury Patients Undergoing Craniotomy Agung Nugroho, Fauzi; Adiyanto, Bowo; Sudadi, Sudadi
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
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.v12i3.27389

Abstract

Backgrround: Traumatic brain injury (TBI) is one of the leading causes of global morbidity and mortality, with treatment outcomes influenced by several factors, including treatment timing. Objective: This study aims to analyze the relationship between the duration from injury to initial medical management and the duration from injury to craniotomy surgery on the outcomes of TBI patients at RSUP Dr. Sardjito Yogyakarta, using the Glasgow Outcome Scale Extended (GOSE) as an assessment tool and Length of Stay (LOS).Subject and Method: This is a prospective observational study conducted on TBI patients treated at RSUP Dr. Sardjito from May to October 2024. Data were collected from the patients' electronic medical records who underwent craniotomy procedures. The analysis was performed using regression tests to evaluate the impact of the duration between the incident and initial medical management, as well as the duration until craniotomy, on patient outcomes.Result: Among 71 included patients, the median age was 19 years (Q1: 7; Q3: 57), and 71.8% were male. Most patients (52.1%) presented with a GCS score of 13–15. GOSE outcomes showed good recovery in 28.2%, mild disability in 26.8%, slight disability in 9.9%, moderate disability in 21.1%, severe disability in 5.6%, and death in 8.4%, with a median length of stay of 10 days.
Perioperatif Operasi pada Fetus Raksawardana, Yusuf
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
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.v12i3.27659

Abstract

Anesthetic risk is inversely proportional to age, with neonates having a higher risk of mortality and morbidity compared to adults. Understanding these differences is essential for appropriate perioperative evaluation, preparation, planning, and anesthetic management in neonatal and fetal surgery. Advances in prenatal diagnostic techniques have improved the accuracy of fetal anomaly detection, enabling timely surgical intervention when indicated. Fetal surgery includes minimally invasive procedures, open fetal surgery, and ex utero intrapartum treatment (EXIT) procedures. Surgical intervention is considered when congenital abnormalities threaten fetal survival or lead to severe postnatal morbidity.
Thoracic Segmental Spinal Anesthesia Simanjuntak, Alvina; Sudadi, Sudadi; Mahmud
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
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.v12i3.27699

Abstract

Thoracic segmental spinal anesthesia (TSSA) is a regional anesthesia technique that is increasingly used as an alternative to general anesthesia, especially for high-risk patients undergoing abdominal and thoracic surgeries. TSSA offers significant benefits, including better hemodynamic stability and a reduction in postoperative side effects such as nausea, vomiting, and respiratory depression. This technique also provides more optimal pain control and facilitates faster recovery, particularly in terms of postoperative mobilization and gastrointestinal function recovery. However, the use of TSSA requires a deep understanding of the relevant anatomy, physiology, and pharmacology to avoid complications such as iatrogenic injury or excessive spread of anesthesia. With the right understanding, TSSA can reduce the need for large volumes of local anesthetics, accelerate recovery, and deliver better outcomes in various surgical procedures. Further development of practice guidelines and research related to TSSA is also necessary to maximize its benefits in improving anesthesia safety and effectiveness in high-risk patients.

Page 33 of 33 | Total Record : 327

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