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Bali Journal of Anesthesiology
Published by Bali Journal of Anesthesiology
ISSN : -     EISSN : -     DOI : -
Core Subject : Health, Education,
Health Professions Medicine & Pharmacology Other
Arjuna Subject : -
Articles 83 Documents
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Anaesthesia management on pregnancy with co-morbid asthma undergoing non-obstetric surgery Aryasa, Tjahja; Senapathi, Tjokorda GA; Ryalino, Christopher; Pranoto, Theodorus Pascalis Yullie
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.479 KB) | DOI: 10.15562/bjoa.v3i0.141

Abstract

In the pregnancy process, there is a significant physiological change in the mother. Physiological changes, pre-pregnancy conditions, or those that arise during the pregnancy process will affect the delivery outcome. Also, it turns out that the presence of this preexisting condition will affect the outcome process, especially the anaesthetic technique used, the chosen anaesthetic technique is determined based on the age of the pregnancy, surgical procedures to be performed, surgery site, and overall patient condition. Whatever technique is selected, it must use the right method based on clinical decisions and accordingly to the existing guidelines. This condition is a challenge for an anesthesiologist.
The Effect of Contralateral Head Rotation on Internal Jugular Vein to Carotid Artery Distance and Overlap Ratio Heriwardito, Aldy; Dachlan, Muhammad Ruswan; Hidayat, Jefferson; Rokyama, Hadli
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4525.866 KB) | DOI: 10.15562/bjoa.v3i2.158

Abstract

Introduction: Carotid artery puncture during central venous catheter (CVC) insertion could lead to serious complication if there was overlapping of internal jugular vein (IJV) and carotid artery (CA). IJV and CA overlap ratio and distance were determined by contralateral head rotation angle. Optimal angle of contralateral head rotation during CVC insertion can decrease the risk of CA puncture complication. This study was aimed to investigate the optimal angle of contralateral head rotation on IJV to CA distance and overlap ratio at the cricoid level by ultrasound guidance.Methods: This was a cross-sectional study of 34 patients undergoing elective surgery with CVC insertion. IJV to CA distance and overlap ratio at the cricoid level on each subject in supine position was measured by using two-dimensional ultrasound  (Sonosite® M-Turbo, 6-13 MHz probe) at 0o, 30o, 45o, 60o contralateral head rotation of insertion site. Collected data were analyzed using SPSS 21.0.Results: There were significant differences on IJV to CA distance and overlap ratio at different contralateral rotation angles (0o, 30o, 45o, 60o, p<0.001). Overlapping of IJV and CA started to occur at contralateral head rotation 30o (11.72%) and increased in line with the increasing of contralateral head rotation angle (21.21% at 45o).Conclusion: There were significant effects of contralateral head rotation to distance and overlapping IJV to CA at cricoid level. Optimal contralateral head rotation angle for CVC was less than 30o to prevent IJV and CA overlapping.
Anesthesia management of carotid body tumour excision kumara, vijaya
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.625 KB) | DOI: 10.15562/bjoa.v3i2.186

Abstract

Carotid body tumour (CBT) is a rare tumour of chemoreceptor cells, which arises at the bifurcation of the carotid artery. These cells sense the partial pressure of oxygen and carbon dioxide from the blood. Hence, the carotid body plays an important role in the control of ventilation during hypoxia, hypercapnia and acidosis. The tumour arising from these cells is benign and tends to turn out malignant. This tumour is found in persons who live at high altitudes. Removal of tumour poses several anaesthetic challenges and perioperative morbidity or mortality. We report successful anaesthetic management of CBT excision. 

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