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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.
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Articles 502 Documents
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Association Between Eccentricity Index and Stroke Volume Variation in Septic Patients: A Cross-Sectional Observational Study Julita, lda; Lubis, Bastian; Bangun, Chrismas Gideon
Jurnal Anestesi Perioperatif Vol 14, No 1 (2026)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v14n1.4625

Abstract

Introduction: Fluid overload (FO) is common in septic ICU patients and increases morbidity and mortality. Assessing fluid status remains challenging. Stroke Volume Variation (SVV) is a dynamic parameter of fluid responsiveness, while the Eccentricity Index (EI) reflects right ventricular geometric changes due to volume overload. This study evaluated the relationship between EI and SVV in patients with sepsis.Methods: This cross-sectional study included 29 newly diagnosed septic patients admitted to the ICU of Adam Malik Hospital. Fluid status was assessed within 24 hours after initial resuscitation (30 mL/kg crystalloids) based on the Surviving Sepsis Campaign. SVV was measured using an Ultrasonic Cardiac Output Monitor (USCOM), and EI was assessed by transthoracic echocardiography at end-systole using the Ryan protocol. FO was defined as SVV <10%.Results: Participants were 55.2% male, with a mean age of 47.17±12.25 years. Respiratory tract infection was the main source of sepsis (65.5%). A strong negative correlation was found between EI and SVV (r=–0.802; p<0.05). Significant differences in EI and SVV were observed between patients with and without FO (p<0.05).Discussion: Higher EI values were associated with lower SVV, indicating that septal deformation corresponds with fluid overload. EI may complement SVV in evaluating fluid status.Conclusion: EI shows a strong negative correlation with SVV in septic ICU patients and may serve as an adjunct parameter for fluid assessment. Further studies are required to confirm the diagnostic value.
Comparison of Trendelenburg Tilt Angles 0°, 10°, and 25° on The Diameter of The Internal Jugular Vein And Optical Nerve Sheath Rais, Rahman; Tavianto, Doddy; Aditya, Ricky; Galuh, Harry
Jurnal Anestesi Perioperatif Vol 14, No 1 (2026)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v14n1.4243

Abstract

Introduction: The trendelenburg position is widely utilized to facilitate central venous cannulation. However, the optimal angle to balance efficacy and safety remains debated.Methods: This experimental study aimed to compare the impact of 0°, 10°, and 25° trendelenburg tilt angles on internal jugular vein (IJV) and optic nerve sheath (ONS) diameters in 28 healthy adults. Measurements of maximal diameters were performed using ultrasound at each specified angle from May to June 2024.Results: Results demonstrated that while both 10° and 25° positions significantly increased IJV and ONS diameters compared to 0° (P<0.05), the 25° tilt caused ONS diameters to exceed the critical safety threshold (>4.5 mm) in five subjects. In contrast, the 10° position achieved a significant increase in IJV diameter while successfully maintaining ONS measurements within safe limits.Discussion: The findings suggest that although greater trendelenburg angles enhance IJV dilation, they may also increase ONS diameter beyond safe thresholds, raising the risk of elevated intracranial pressure. Therefore, balancing vascular access benefits with neurological safety is essential when determining the appropriate tilt angle.Conclusion: A 10° trendelenburg tilt is recommended as the optimal angle to increase IJV diameter without elevating ONS diameter in healthy populations.

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