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INDONESIA
Majalah Anestesia dan Critical Care
Published by Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif Indonesia
ISSN : -     EISSN : 25027999     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Majalah ANESTESIA & CRITICAL CARE (The Indonesian Journal of Anesthesiology and Critical Care) is to publish peer-reviewed original articles in clinical research relevant to anesthesia, critical care, and case report . This journal is published every 4 months (February, June, and October) by Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif Indonesia (PERDATIN).
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Articles 9 Documents
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Search results for , issue " Vol 33 No 3 (2015): Oktober" : 9 Documents clear
The Effect of Additional Magnesium Sulphate 80 mg with 0,5% Hiperbaric Bupivacaine to Onset and Duration of Action of Sensory and Motor Block Spinal Anaesthesia for Caesarean Section , Suwarman; Purwaningsih, Sriwahyuniati; Nawawi, A. Muthalib; Yuwono, Hendro Sudjono
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

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Abstract

Addition of adjuvants to 0.5% hyperbaric bupivacaine for spinal anaesthesia performed to accelerate sensory and motor onset, minimal side effect of hemodynamics and prolongation analgesia. The aim of the study was to investigate the effect of additional 80 mg of magnesium sulphate 40% intratecal to 0.5% hyperbaric bupivacaine on onset and duration of sensory and motor block for cesarean section. The study was randomized double blind controlled study to 40 patients with American Society of Anesthesiology (ASA) physical status II whom underwent caesarean section in Dr. Hasan Sadikin General Hospital Bandung from April till May 2015. The additional 80 mg of 40% magnesium sulphate to 0.5% hyperbaric bupivacaine intratecal resulted earlier onset of sensory and motor block than group 0,9% sodium chloride (p˂0,001). The duration of sensory and motor block was longer in magnesium group than sodium chloride 0,9% group (p˂0,001). The study concluded that spinal anesthesia using 0.5% hyperbaric bupivacaine with magnesium sulphate produce faster onset and prolonged duration of sensory and motor blockade compared to 0.5% hyperbaric bupivacaine in cesarean section.
Initiation Time and Time Needed to Achieved Ideal Nutrition Level in Mechanically Ventilated Patient admitted to Intensive Care Unit of Dr. Hasan Sadikin Hospital Bandung Irawati, Dian; , Suwarman; Redjeki, Ike Sri
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

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Abstract

Enteral nutrition need to be given in first 24–48 hour after the patient admitted to the ICU, while ideal nutritional level need to be achieved in 48–72 hours after the patient admitted. Both time are “window opportunity” which influence morbidity and mortality. The aim of this study was to identify the initiation time and the time needed for ideal nutrition achieved in patient with mechanical ventilation. This prospective descriptive-observational study was done from June until September 2015 in ICU of Dr. Hasan Sadikin hospital to 39 subject. Result showed initiation time in 38 subject was done in ≤24 hour. In 24 subject, ideal nutrition level was achieved in more than 72 hour. Reason for delay in initiation rescusitation. Reason for ideal nutrition not fullfiled in less 72 hour was gradual nutrition procedure, intolerance, hemodinamic disturbance, absence of small bowel sound, and high glucose level. In conclusion the intiation time of enteral nutrition in almost all patient of Dr. Hasan Sadikin Hospital from June until September 2015 was done in less than 48 hour. After 72 hour of observation, 58,87% subject cannot achieved ideal nutrition in less than 72 hour.
Risk ratio of Delirium in crIticaly ill patient using the Confusion Assessment Method for Intensive Care Unit during admission from October to Desember 2015 in Intensive Care Unit Dr. Hasan Sadikin Hospital Rohmawanur, Tubagus Yuli; , Indriasari; Redjeki, Ike Sri
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

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Abstract

Delirium is an acute and fluctuative state marked by changes in mental, concioussness, attention, cognitive and perspective which develops within a certain time frame (usually hours to days). Delirium has a high incident on criticaly ill patients. The aim of this research is to investigate risk ratio (RR) of delirium in criticaly ill scored by the confusion assessment methode for the intensive care unit ( CAM-ICU) during admission in general intensive care unit (GICU) Hasan Sadikin Hospital. This is an observational analytic study with prospective cohort on 91 patients during 24 hours of GICU care from October to December 2015. Statistical analysis was done with chi square test which measures the percentage and RR of delirium.The result is the incidence of delirium in Hasan Sadikin Hospital GICU was 27.9 %. Analysis shows that there is a significant relationship between delirium with RR >1 to delirium based on sedation history is 3.16, ventilated patients was 2.37, electrolyrte imbalance 2.37, infectious disease 2.13, comorbid 1.86, neurological disorder 1.622, and analysis shows that there is a significant relationship between delirium delirium and history of sedation, electrolyte imbalance and ventilated patients with p value <0,05. The conclussion of this study is that the incidence of delirium in Dr. Hasan Sadikin Hospital GICU has a higher incidence on critically ill patient with risk factors involved. Highest risk factor is sedation history which increases the risk by 3.16 times more.
Ultrasound Guided Stellate Ganglion Block on Patient with Lung Cancer for Pain Management Prihartono, M. Andy; Yadi, Dedi Fitri; Redjeki, Ike Sri
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
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Abstract

Lung cancer is most common cancer that cause metastases. Complex regional pain syndrome (CPRS) type 1 is very severe symptoms such as pain occuring in the damaged tissue that is not caused by trauma and no nerve damage. Stellate ganglion blockade is a blockade on sympathetic nerve ganglion performed on the neck parallel to the cricoid cartilage and Chassaignac’s tubercle (C6). To determine the effectiveness of stellate ganglion block on lung cancer and complex regional pain syndrome type 1 Case report; 65 years old male with lung adenocarcinoma complained of severe pain in the lower back area of the right scapula and shoulder that radiates to the arm and fingers. For the pain, given 8mg hydromorphone (Jurnista®) 1x a day, 4x 500mg paracetamol, 10mg amitriptylin 1x and 2x 75mg pregabalin. Due to increasing pain (VAS 9), liver function and coagulopathy, the stellate ganglion blockade was performed with ultrasound guidance, pain VAS was reduced to four. Pain therapy in lung cancer accompanied with CRPS type 1 can be treated with stellate ganglion blockade in addition to pain therapy can also reduce the amount of oral medications consumed.
The Effect of 2% Lidocaine Intravenous 1,5 mg/kgBW Prior to Extubation on Cough and Sore Throat Incidence in Patients who Underwent Surgery with General Anesthesia , Suwarman; Redjeki, Ike Sri; Ramdhani, Vicky Muhammad
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
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Abstract

One of the problems that often arise in the general anesthesia is in the time of extubation of endotracheal tube. These actions can irritate the respiratory tract mucosa causing cough and sore throat. Intravenous lidocaine is one of the ways to avoid them. This study was conducted to assess the effect of 2% lidocaine intravenous 1.5 mg/kgBW before extubation to reduce the incidence of cough and sore throat in patients who underwent surgery with general anesthesia. Double blind randomized controlled trial study involved 72 patients age 18–60 years old whom underwent surgery with general anesthesia. Subjects were divided into two groups, one group using 2% lidocaine 1.5 mg/kgBW and control group using NaCl 0.9% before extubation. Data was analyzed using Chi square and Mann-Whitney test with result of p<0,05 was significant. The result showed that administration of lidocaine 1.5 mg/kgBW gave significant effects compared to 0.9% NaCl in reducing the incidence of cough with p values=0,034 and sore throat with p values=0,000 at each observation time. It can be concluded from this research that 2% lidocaine intravenous 1.5 mg/kg can reduce the incidence of cough and sore throat caused by extubation in patients who underwent surgery with general anesthesia.
Resuscitative Strategies in Traumatic Hemorrhagic Shock Supandji, Mia; Budipratama, Dhany; Pradian, Erwin
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
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Abstract

Trauma and brain injury are common in young patients with a high incidence of mortality. The classic triadof death in a trauma involves hypothermia, acidosis and coagulopathy. This physiologic derangement plays animportant role in exsanguination and death of trauma patients, if it is not promptly diagnosed and aggressivelytreated. However, the optimal strategy is still debatable. Damage Control Resuscitation along with damage controlsurgery has been proven to increase patients survival. DCR is a management of patients with trauma startedfrom the emergency room up to the operating room and the intensive care unit (ICU). Five pillars of DCR are 1.Body rewarming, 2. Correction of acidosis, 3. Permissive hypotension, 4. Restrictive luids administration and 5.Hemostatic resuscitation. Early and aggressive transfusion of blood and blood products, with comparison of PRC,FFP and platelets of 1:1:1, if no whole blood available, can improve the outcome and survival of the patients.
Correlation between Endoscopy Finding with Clinical Manifestations of Recurrent Abdominal Pain and Helicobacter pylori Infection Ermaya, Yudith Setiati; Prasetyo, Dwi
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
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Abstract

Recurrent Abdominal Pain (RAP) is abdominal pain that occurs three times or more within 3 months that can interfere with daily activities for children. Prevalence of RAP 10%–30%, with functional or organic causes. Organic causes include infection with Helicobacter pylori (H. pylori). Globally >50% of the world’s population is infected with H. pylori, especially in developing countries, as the gold standard histological examination using an endoscope with anesthesia. This research to found the correlation between the endoscopic finding with clinical manifestations RAP and H. pylori infection. A cross-sectional study was conducted on 20 patients with complaints RAP children who come to the Hospital Dr. Hasan Sadikin, the period April–November 2015. Analysis using Pearson Chi-square, Spearman rho, Fisher’s exact and Mann-Whitney test. Subject as 20 children, consisting of 10 boys and 10 girls, median age 12 years, most clinical manifestations are RAP 60% and 80% erosion endoscopic finding. There were no significant correlation between the endoscopic finding with clinical manifestations, but have tendency endoscopic finding worse with severe clinical manifestations. Infection of H. pylori found positive in 90% subjects, boys 55%, there is no significant correlation between the endoscopic finding with H. pylori infection (p=0.133). Conclusions not found a significant correlation between endoscopy finding with clinical manifestations and H. pylori infection.
NutritionTherapy in ICU Patiens Kestriani, Nurita Dian; Budipratama, Dhany; Pradian, Erwin
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

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Abstract

Under ordinary circumstances, feeding is not considered as medical therapy. When normal diet fail to meet daily requirements or when assessment documents deficiencies, then nutritional planning becomes a part of medical therapeutics. The goals of nutritional support for critically ill patients include preserving tissue mass, decreasing usage of endogenous nutrient stores and catabolism, and maintaining or improving organ function (i.e., immune, renal, and hepatic systems; muscle). Specific goals include improving wound healing, decreasing infection, maintaining the gut barrier (decreasing translocation), and decreasing morbidity and mortality all of which may contribute to decreasing the ICU or hospital stay and hospitalization costs.
Comparison of the Accuracy of Intraoperative Hemoglobin Measurement between Estimated Blood Loss and Point-of-Care Testing with Hematology Analyzer Soenarto, Ratna Farida; Nugroho, Alfan Mahdi; Fahmy, Ahmad Faishal
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
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Abstract

Measurement of Estimated Blood Loss (EBL) based on the Allowable Blood Loss (ABL) formula with certain hemoglobin target is often used to guide intraoperative transfusion. Point of Care Testing (POCT) offers easier way to measure haemoglobin. This study aimed to compare the accuracy of the intraoperative hemoglobin measurement between EBL and POCT with Hematology Analyzer in the laboratory as the golden standard. This study used a Bland-Altman test on intraoperative hemoglobin measurement in 43 patients undergoing elective surgery, which were expected require blood transfusion in the Operating Theater of Cipto Mangunkusumo Hospital from December 2014 until March 2015. When EBL had reached ABL with Hb level target 7 g/dL before transfusion was given, blood was drawn for Hb measurement with Sysmex XE-2100® as Hematology Analyzer and HemoCue® Hb 201+ as POCT. Bland-Altman analysis of Hb EBL (7 g/dL) to Hb Hematology Analyzer with interval considered as accurate for Hb 7 g/dL was -1 to 1, revealed wide limits of agreement (-2.267 to 2.467). Bland-Altman analysis of Hb POCT to Hb Hematology Analyzer revealed narrow limits of agreement (-0418 to 0372). There was a significant difference in the accuracy of intraoperative hemoglobin measurement by EBL compared to Hematology Analyzer. Additionally, the measurement by POCT device had good accuracy.

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