cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Sudadi
Contact Email
dsudadi@ugm.ac.id
Phone
+62811254834
Journal Mail Official
jka.jogja@gmail.com
Editorial Address
Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada Jl. Farmako Sekip Utara, Yogyakarta 55281
Location
Kab. sleman,
Daerah istimewa yogyakarta
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 368 Documents
 33   34   35   36   37 
HUBUNGAN ANTARA KOMORBIDITAS DAN KUALITAS HIDUP PASIEN GERIATRI YANG MENJALANI ANESTESI DI RSUP DR. SARDJITO Baiq Dessy Resmana Dewi; Djayanti Sari; Sudadi Sudadi
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
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.v13i3.29408

Abstract

Background: Geriatricians undergo an aging process involving molecular and cellular changes that lead to physiological changes. These changes have led to the emergence of comorbidities suffered by 44% of geriatricians in Indonesia, such as hypertension, diabetes mellitus, chronic pulmonary obstruction, and others. Changing conditions during old age and comorbid factors affect a person's quality of life, especially in the geriatric population. This is a challenge for medical practitioners who will carry out anesthesia procedures. Quality of life is an important measure in assessing the success of patient treatment, especially geriatric patients with comorbidities undergoing anesthesia and operative procedures.Objective: To determine the association between comorbid conditions and the quality of life of geriatric patients undergoing anesthesia procedures at Dr. Sardjito Hospital.Methods: A retrospective observational study was conducted on secondary data of geriatric patients who underwent anesthesia at Dr Sardjito Hospital, Yogyakarta, in February-April 2021. Quality of life was measured using the Indonesian WHOQoL-BREF instrument, while comorbidity was measured using the Charlson Comorbidity Index (CCI) instrument. Association between CCI and WHOQoL-BREF was analyzed using the chi-square test, while multivariate analysis was carried out using logistic regression. ROC analysis was also carried out to determine the optimal cut-off point for the CCI score in predicting poor quality of life.Results: The ROC graph shows that the cut-off score CCI=1 with a sensitivity of 64.4% and a specificity of 58.0% can predict WHOQoL-BREF <60, but with poor discrimination ability (AUC 0.612; 95% CI 0.515 – 0.709).
Outcome of Traumatic Brain Injury Patients with EDH, SDH, and ICH Bleeding Undergoing Craniotomy Surgery at Dr. General Sardjito Hospital, Yogyakarta Muhammad Fiqih Hidayat; Akhmad Yun Jufan; Sudadi Sudadi
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
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.v13i3.29788

Abstract

ABSTRACT Background: Traumatic brain injury (TBI) is clinically divided into primary and secondary. CT Scan is a common examination as a diagnostic of TBI patients. Craniotomy surgery has been proven to be useful in treating TBI and reducing mortality rates. Clinical outcomes of TBI patients can be assessed using GOSE scale. Objective: To determine the differences in clinical outcomes in traumatic brain injury patients with types of brain hemorrhage who underwent craniotomy surgery. Methods: This study used a prospective observational study design with a prospective cohort study design. The sampling technique was whole sampling of traumatic brain injury patients who underwent craniotomy surgery with CT scan images of brain hemorrhage in the form of SDH, EDH, or ICH. Patient outcomes were assessed using the GOSE scale. Bivariate statistical tests used the Chi-squared test or Kruskal walls test. The test was declared significant when the p-value <0.05. Results: A total of 36 subjects met the inclusion and exclusion criteria. The majority of subjects had good which were reported for SDH (100%), EDH (84.61%), and ICH (66.6%). There was no significant relationship between age (p=0.53), gender (p=0.63), TBI CT scan appearance (p=0.34), and GCS (p=0.54) with TBI patient outcomes. Conclusion: The majority of TBI patients who underwent craniotomy had good patient outcomes. In this study, there was no statistically significant difference between the outcomes of TBI patients with EDH, SDH, and ICH bleeding who underwent craniotomy as measured by the GOSE scale. Keywords: Traumatic brain injury, Types of Brain Hemorrhage, Craniotomy, GOSE
Association between the Clinically Assessed Blink Reflex and Bispectral Index during Propofol Induction of Anesthesia at Dr. Sardjito General Hospital, Yogyakarta Christine Tirza JItmau; Akhmad Yun Jufan; Sudadi Sudadi
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
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.v13i3.30728

Abstract

Background: Assessment of anesthetic depth during induction is essential to ensure patient safety and to prevent intraoperative awareness. The Bispectral Index (BIS) is a widely used objective monitor derived from electroencephalographic activity; however, its use may be limited by cost and equipment availability. The clinically assessed blink reflex is a simple bedside sign that may serve as a practical indicator during anesthetic induction.Objective: To determine the association between the clinically assessed blink reflex and BIS values during propofol induction of anesthesia.Methods: This was a prospective observational analytic study involving 59 adult patients aged 18–65 years with American Society of Anesthesiologists (ASA) physical status I–II who underwent elective surgery under general anesthesia at Dr. Sardjito General Hospital. All patients received propofol 1.5 mg/kg for induction. The clinically assessed blink reflex and BIS were evaluated at baseline and at 15, 30, and 60 seconds after induction. In this study, the blink reflex was defined as a bedside elicited eyelid-closure response recorded as present or absent. Data were analyzed using the chi-square test or Fisher’s exact test, followed by multivariable analysis.Results: Before induction, all participants exhibited an intact blink reflex on bedside examination. At 15 seconds after induction, the blink reflex was still present in 36 patients (61.0%), decreasing to 8 patients (13.6%) at 30 seconds, and disappearing in all patients at 60 seconds.
Triple Regional Block for Clavicle Surgery in a Pregnancy: A Combination of Interscalene, Superficial Cervical Plexus, and Clavipectoral Fascial Plane Blocks Iin Suryanti; Farhan Ali Rahman; Yunita Widyastuti; Bowo Adiyanto
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
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.v13i3.31457

Abstract

Background: Clavicle surgery is commonly performed under general anesthesia; however, this approach may pose additional risks in pregnant patients because of physiological airway changes and potential fetal exposure to anesthetic agents. Regional anesthesia may offer a safer alternative in selected cases.Case: A 32-year-old woman at 28 weeks and 5 days of gestation presented with a closed midshaft fracture of the left clavicle following a motorcycle accident. Radiographic evaluation confirmed a comminuted midshaft clavicle fracture (Allman type I). The patient underwent open reduction and internal fixation under ultrasound- and nerve stimulator-guided triple regional anesthesia consisting of an interscalene block with 25 mL of 0.5% bupivacaine, a superficial cervical plexus block with 5 mL of 0.5% bupivacaine, and a clavipectoral fascial plane block with 5 mL of 2% lidocaine. Adequate surgical anesthesia was achieved with stable maternal hemodynamics and fetal heart rate, without conversion to general anesthesia.Discussion: Clavicle surgery presents a challenge for regional anesthesia because of its complex innervation from both the cervical and brachial plexuses. In this pregnant patient, combining interscalene, superficial cervical plexus, and clavipectoral fascial plane block provided complementary sensory coverage and adequate surgical anesthesia without additional sedation or conversion to general anesthesia. This approach minimized airway manipulation and systemic anesthetic exposure, which are important.considerations during pregnancy, while maintaining stable maternal hemodynamics and fetal heart rate throughout the procedure.Conclusion: This case demonstrates that a triple regional block technique can provide adequate surgical anesthesia for clavicle fixation in pregnancy, with stable maternal and fetal well-being
English English Ahmad Fauzi; Pinter Hartono; Arif Ikhwandi
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
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.v13i3.31836

Abstract

The Laryngeal Mask Airway (LMA) is a supraglottic airway device introduced by Archie Brain in 1988 and has become one of the most important innovations in anesthetic practice. The development of second-generation LMAs has demonstrated significant improvements in safety, particularly through the addition of gastric drainage channels and higher oropharyngeal seal pressures. These innovations aim to reduce the risk of aspiration and enhance the effectiveness of positive pressure ventilation. In obstetric practice, especially elective cesarean section, second- generation LMAs such as the ProSeal LMA (PLMA) and Supreme LMA (SLMA) have shown promising outcomes in patients with low aspiration risk. Multiple studies report high first-attempt insertion success rates (98–100%), rapid insertion times, and adequate ventilation and oxygenation. Additionally, LMA use is associated with more stable hemodynamic responses and a low incidence of complications, including aspiration, hypoxia, and airway spasm. However, the endotracheal tube remains the gold standard for airway management in obstetric anesthesia. Second-generation LMAs are recommended as an alternative in selected situations, particularly in cases of unexpected difficult or failed intubation. Their use requires careful patient selection, adherence to preoperative fasting guidelines, and operator experience to minimize potential complications. In conclusion, second-generation LMAs are effective and relatively safe airway devices for elective cesarean section in selected patients and play a crucial role in difficult airway management algorithms in modern anesthetic practice
Artificial Intelligence in Anesthesiology and Intensive Care: Recent Developments, Clinical Applications, Clinical Decision Support Systems and Implementation Challenges in the Era of Digital Medicine Fitri Sepviyanti Sumardi
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
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.v13i3.33180

Abstract

Artificial Intelligence (AI) is rapidly evolving and has become a transformative innovation in anesthesiology and intensive care. Technologies such as machine learning, deep learning, clinical decision support systems (CDSS), and Generative Artificial Intelligence (GenAI) offer significant potential to enhance clinical practice. This literature review discusses recent developments, clinical applications, implementation challenges, and future directions of AI in anesthesiology and intensive care units (ICU). Studies indicate that AI can enhance preoperative assessment through more accurate risk stratification, predict intraoperative hypotension, optimize fluid therapy and hemodynamic management, assist with monitoring anesthesia depth, and support ultrasound-guided regional anesthesia. In intensive care units, AI contributes to early sepsis detection, prediction of acute kidney injury, optimization of mechanical ventilation, identification of multiorgan failure risk, and mortality prediction. The emergence of GenAI and Large Language Models (LLMs) has further expanded AI applications in medical education, literature reviews, research, clinical documentation, and guideline development. However, AI implementation continues to face challenges, including limited prospective validation, algorithmic bias, insufficient explainability, the risk of LLM hallucinations, data security concerns, and ethical and medicolegal issues.Artificial Intelligence (AI) is not intended to replace anesthesiologists, but it serves as augmented intelligence that supports evidence-based clinical decision-making. Responsible AI implementation requires strengthening digital infrastructure, developing algorithms based on local data, and increasing literacy. Artificial Intelligence (AI) for health workers, as well as regulations that ensure security, transparency, and accountability. With this approach, AI has the potential to improve the quality, safety, efficiency, and personalization of anesthesiology services and intensive care.
Association Between Lactate Concentration and Acute Kidney Injury after Cardiac Surgery With Cardiopulmonary Bypass at Dr. Sardjito General Hospital Nathanael Jaya Bimastani; Bhirowo Yudo Pratomo; Juni Kurniawaty
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
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.v13i3.33195

Abstract

Background: Cardiac surgery using a cardiopulmonary bypass (CPB) machine is a complex procedure that can trigger systemic inflammatory responses, tissue perfusion disorders, and lactate accumulation. Cardiac surgery-associated acute kidney injury (CSA-AKI) is a serious postoperative complication of cardiac surgery that increases morbidity, mortality, and duration of intensive care unit (ICU) stay.Objective: This study aims to determine the relationship between lactate concentration and the incidence of CSA-AKI and to establish the lactate cut-off value as a risk marker for CSA-AKI in patients following cardiac surgery using a cardiopulmonary bypass machine at Dr. Sardjito General Hospital Yogyakarta.Methods: A prospective cohort study (December 2025--February 2026) on elective cardiac surgery patients at Dr. Sardjito General Hospital. Inclusion criteria: age ≥18 years, NYHA <class III, and eGFR ≥60 mL/min/1.73 m². CSA-AKI was defined based on KDIGO 2012 criteria.Results: Study subjects comprised 43 subjects (from a total of 45 patients, 2 dropouts). Mean age 46.84 ± 12.40 years, male (60.5%), EF 61.97 ± 9.17%. Procedures were dominated by CABG (37.2%) and valve surgery (37.2%), with CPB duration 96.13 ± 23.71 minutes. The incidence of CSA-AKI was 65.1%. ROC curve analysis of lactate 6 hours post-CPB showed AUC 0.800 (p=0.001) with optimal cut-off 3.44 mmol/L (sensitivity 71.4%, specificity 73.3%)Conclusion: There is a positive relationship between lactate concentration 6 hours post-CPB and the incidence of CSA-AKI, and lactate cut-off value 6 hours post-CPB ≥3.44 mmol/L has potential as a risk marker for CSA-AKI in patients following cardiac surgery with a cardiopulmonary
Ultrasound-guided Adductor Canal and Popliteal Sciatic Nerve Blocks as Sole Anesthesia for Below-Knee Amputation in a Septic Patient Aristi Intan Soraya; Nugroho Wicaksono
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
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.v13i3.33490

Abstract

Background: Septic patients requiring urgent below-knee amputation (BKA) represent a particularly high-risk anesthetic population due to vasoplegia, myocardial dysfunction, and multiorgan impairment. In this setting, general anesthesia may exacerbate cardiovascular depression, while neuraxial techniques risk profound sympathectomy-induced hypotension.Case: A 53-year-old man with sepsis secondary to a diabetic foot ulcer, complicated by chronic kidney disease and severe anemia, required urgent BKA. An ultrasound-guided adductor canal block with 2% lidocaine and a popliteal sciatic nerve block with 0.5% levobupivacaine were performed. Adequate surgical anesthesia was achieved without airway instrumentation or intraoperative opioid administration. The 90-minute procedure was completed with stable hemodynamics and no significant fluctuations. Postoperative pain scores remained below 3/10 during the first 12 hours under an opioid-free multimodal regimen. The patient’s septic condition improved, and he was discharged on postoperative day four without major complications.Discussion: In septic patients, avoiding systemic vasodilation and myocardial depression is critical. PNBs provide targeted neural blockade while preserving sympathetic tone, potentially reducing intraoperative hypotension. Ultrasound guidance enhances precision and safety, making PNBs a viable primary anesthetic option in selected high-risk patientsConclusion: Ultrasound-guided peripheral nerve blocks can provide effective surgical anesthesia with hemodynamic stability in septic patients undergoing urgent BKA, supporting their role as a strategic alternative in vulnerable populations

Page 37 of 37 | Total Record : 368

 33   34   35   36   37 

Filter by Year

2013 2026


Reset
Filter By Issues
All Issue Vol 13 No 3 (2026) Vol 13 No 2 (2026) Vol 13 No 1 (2025) Vol 12 No 3 (2025) Vol 12 No 2 (2025) Vol 12 No 1 (2024) Vol 11 No 3 (2023) Vol 11 No 2 (2023) Vol 11 No 1 (2023) Vol 10 No 3 (2022) Vol 10 No 2 (2022) Vol 10 No 1 (2022) Vol 8 No 3 (2021): Volume 8 Number 3 (2021) Vol 8 No 2 (2021): Volume 8 Number 2 (2021) Vol 8 No 1 (2021): Volume 8 Number 1 (2021) Vol 9 No 3 (2021) Vol 9 No 2 (2021) Vol 9 No 1 (2021) Vol 7 No 3 (2020): Volume 7 Number 3 (2020) Vol 7 No 2 (2020): Volume 7 Number 2 (2020) Vol 7 No 1 (2019): Volume 7 Number 1 (2019) Vol 6 No 3 (2019): Volume 6 Number 3 (2019) Vol 6 No 2 (2019): Volume 6 Number 2 (2019) Vol 5 No 3 (2018): Volume 5 Number 3 (2018) Vol 5 No 2 (2018): Volume 5 Number 2 (2018) Vol 5 No 1 (2017): Volume 5 Number 1 (2018) Vol 4 No 3 (2017): Volume 4 Number 3 (2017) Vol 4 No 2 (2017): Volume 4 Number 2 (2017) Vol 4 No 1 (2016): Volume 4 Number 1 (2016) Vol 3 No 3 (2016): Volume 3 Number 3 (2016) Vol 3 No 2 (2016): Volume 3 Number 2 (2016) Vol 3 No 1 (2015): Volume 3 Number 1 (2015) Vol 2 No 3 (2015): Volume 2 Number 3 (2015) Vol 2 No 2 (2015): Volume 2 Number 2 (2015) Vol 2 No 1 (2014): Volume 2 Number 1 (2014) Vol 1 No 3 (2014): Volume 1 Number 3 (2014) Vol 1 No 2 (2014): Volume 1 Number 4 (2014) Vol 1 No 1 (2013): Volume 1 Number 1 (2013) More Issue