cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
-
Contact Email
-
Phone
-
Journal Mail Official
jap.anestesi@gmail.com
Editorial Address
Departemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung Jalan Pasteur No. 38 Bandung 40161, Indonesia
Location
Kota bandung,
Jawa barat
INDONESIA
Jurnal Anestesi Perioperatif
Published by Universitas Padjadjaran
ISSN : 23377909     EISSN : 23388463     DOI : 10.15851/jap
Core Subject : Health, Education,
Education Health Professions
Jurnal Anestesi Perioperatif (JAP)/Perioperative Anesthesia Journal is to publish peer-reviewed original articles in clinical research relevant to anesthesia, critical care, case report, and others. This journal is published every 4 months with 9 articles (April, August, and December) by Department of Anesthesiology and Intensive Care Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung.
Arjuna Subject : -
Articles 493 Documents
 46   47   48   49   50 
Korelasi Penggunaan Metode ERACS terhadap Kualitas Hidup Ibu dan Anak di Rumah Sakit Bina Sehat Efendi, Erfan; Sisdayani, Alfina Galuh Hannie; Safitri, Athiyah Naura
Jurnal Anestesi Perioperatif Vol 13, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n3.3830

Abstract

Background: The Caesarean section (CS) rate has increased every year. However, this increase is not entirely due to medical indication. This phenomenon may put bot mothers and newborns at risk of short- and long-term complications associated with CS. Enhanced recovery after caesarean surgery (ERACS) is CS approach that incorporates preoperative, intraoperative, and postoperative. This study compared maternal and neonatal outcomes between ERACS and conventional caesarean delivery.Methods: A retrospective cohort study was conducted using medical records of caesarean deliveries at Bina Sehat Hospital, Jember (Sep tember2022–Aug 2023). Fifty ERACS and fifty conventional cases were included. Outcomes were early ambulation (≤12 h), length of stay (≤2 days), and good APGAR score (7–10) at 1 and 5 minutes. Data were analyzed using chi-square test.Results: Early ambulation (≤12 h) occurred in 38/50 ERACS VS 18/50 conventional cases. Leng of stay ≤2 days occurred in 40/50 ERACS vs 15/50 conventional cases. Good APGAR score in first minute 38/50 ERACS vs 37/50 conventional cases and in fifth minute 48/50 ERACS vs 49/50 conventional cases. The relationship between postoperative ambulation and length of stay is significant.Discussion: Preoperative, intraoperative, and postoperative modifications can accelerate patient mobilization after caesarean section. In addition, early ambulation improves various body functions related to metabolism. Theses factor has direct impact on postoperative ambulation and shorter length of stay.Conclusion: ERACS was associated with higher rate of early postoperative mobilization and shorter hospital length of stay compared with conventional caesarean delivery.
Perbedaan Frekuensi PVA (Patient Ventilator Asynchrony) Pada Beberapa Level Sedasi Pasien Kritis Ridwan, Romi; Suwarman, Suwarman; Kestriani, Nurita Dian Kestriani Dian
Jurnal Anestesi Perioperatif Vol 13, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n3.3987

Abstract

Background: Patient–ventilator asynchrony (PVA) is a frequent but often underrecognized phenomenon in mechanically ventilated patients, associated with adverse outcomes. Sedation depth is a modifiable factor affecting PVA, yet data from resource-limited ICUs remain scarce. This study aimed to evaluate PVA prevalence and its association with sedation depth and mechanical ventilation duration.Methods: A cross-sectional observational study included 60 adult ICU patients on mechanical ventilation. Ventilator waveform recordings were analyzed over 30-minute periods, totaling 41,372 breaths. PVA events were identified, classified, and quantified. Sedation depth was categorized as fully awake, light sedation, or deep sedation. Associations between sedation depth, PVA frequency, and mechanical ventilation duration were assessed using statistical tests.Results: A total of 2,539 PVA events were detected, yielding an overall asynchrony rate of 6.1%. Ineffective effort was most common (58%), followed by double triggering (17.2%) and flow asynchrony (15.3%). Mean PVA values increased significantly with deeper sedation (p<0.05). A weak but statistically significant positive correlation existed between average PVA and duration of mechanical ventilation (r=0.306, p<0.05).Discussion: PVA is prevalent in mechanically ventilated ICU patients, with ineffective effort predominating. Deeper sedation levels are associated with higher PVA frequency, which correlates with prolonged ventilation. These findings emphasize the need for careful sedation management and routine ventilator waveform monitoring to improve patient–ventilator interaction.Conclusion: Patient–ventilator asynchrony is common and significantly associated with sedation depth and ventilation duration. Optimized sedation and vigilant waveform monitoring may enhance synchrony and reduce ventilation time
Prognostic Value of Alactic Base Excess for 28 Day Mortality in Sepsis Patients: A Retrospective Prognostic Accuracy Study in an Intensive Care Unit Sulistiono, Paulus; Sudjud, Reza Widianto; Budipratama, Dhany
Jurnal Anestesi Perioperatif Vol 13, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n3.4591

Abstract

Introduction: Prognostication in sepsis is challenging. Serum lactate is widely used but cannot separate non-lactate contributions to metabolic acidosis. Alactic Base Excess (ABE) provides a more complete assessment of acid–base status. This study assessed ABE’s value in predicting 28-day mortality in sepsis patients.Methods: A retrospective study included 109 adult sepsis patients meeting Sepsis-3 criteria with arterial blood gas analysis within 24 hours of ICU admission. ABE was calculated from base excess and lactate. Prognostic performance was evaluated using ROC analysis, and association with mortality was assessed using odds ratios (OR).Results: Of 109 patients, 59 (54.1%) died within 28 days. Non-survivors had more negative median ABE than survivors (-7.04 vs. -0.15; p<0.001). Optimal ABE cut-off was ≤ -4.1. Patients with ABE ≤-4.1 had a higher risk of mortality (OR 38.6; 95% CI: 13.2–112.9; p<0.001).Discussion: ABE showed strong prognostic performance, reflecting non-lactate metabolic acidosis not captured by lactate alone. As it is derived from routine arterial blood gas analysis, ABE is practical for early risk stratification in critically ill sepsis patients.Conclusion: ABE demonstrates excellent prognostic value for 28-day mortality in ICU sepsis patients. An ABE ≤-4.1 is linked to significantly higher mortality and may serve as a readily available biomarker for early risk assessment and timely clinical decisions.

Page 50 of 50 | Total Record : 493

 46   47   48   49   50 

Filter by Year

2013 2025


Reset
Filter By Issues
All Issue Vol 13, No 3 (2025) Vol 13, No 2 (2025) Vol 12, No 3 (2024) Vol 12, No 2 (2024) 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 9, No 3 (2021) Vol 9, No 2 (2021) Vol 9, No 1 (2021) Vol 8, No 3 (2020) Vol 8, No 2 (2020) Vol 8, No 1 (2020) Vol 7, No 3 (2019) Vol 7, No 2 (2019) Vol 7, No 1 (2019) Vol 6, No 3 (2018) Vol 6, No 3 (2018) Vol 6, No 2 (2018) Vol 6, No 2 (2018) Vol 6, No 1 (2018) Vol 6, No 1 (2018) Vol 5, No 3 (2017) Vol 5, No 3 (2017) Vol 5, No 2 (2017) Vol 5, No 2 (2017) Vol 5, No 1 (2017) Vol 5, No 1 (2017) Vol 4, No 3 (2016) Vol 4, No 3 (2016) Vol 4, No 2 (2016) Vol 4, No 2 (2016) Vol 4, No 1 (2016) Vol 4, No 1 (2016) Vol 3, No 3 (2015) Vol 3, No 3 (2015) Vol 3, No 2 (2015) Vol 3, No 2 (2015) Vol 3, No 1 (2015) Vol 3, No 1 (2015) Vol 2, No 3 (2014) Vol 2, No 3 (2014) Vol 2, No 2 (2014) Vol 2, No 2 (2014) Vol 2, No 1 (2014) Vol 2, No 1 (2014) Vol 1, No 3 (2013) Vol 1, No 3 (2013) Vol 1, No 2 (2013) Vol 1, No 2 (2013) Vol 1, No 1 (2013) Vol 1, No 1 (2013) More Issue