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All Journal Mandala of Health : A Scientific Journal
Bambang Sulistyo
Department of Anesthesiology, Dirgahayu Hospital, Samarinda, Indonesia
Dentistry Health Professions Public Health

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ULTRASOUND GUIDED PERIPHERAL NERVE BLOCK FOR TRIGEMINAL NEURALGIA: A CASE REPORT Bambang Sulistyo; Wisnu Budi Pramono
Mandala Of Health Vol 19 No 1 (2026): Mandala of Health: A Scientific Journal
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mandala.2026.19.1.17754

Abstract

Background: Trigeminal neuralgia (TN), also known as tic douloureux, is a severe neuropathic pain disorder characterized by recurrent unilateral facial pain. Although pharmacological therapy remains the first-line treatment, a significant proportion of patients experience inadequate pain control or adverse effects. Alternative minimally invasive approaches are therefore needed. Case Presentation: A 26-year-old woman presented with a one-year history of severe, paroxysmal, electric shock-like pain on the left side of her face, with a Visual Analog Scale (VAS) score of 6. The pain was triggered by daily activities such as talking, eating, and brushing teeth. Clinical and laboratory examinations showed no abnormalities, and the patient was diagnosed with trigeminal neuralgia. Pharmacological treatment with paracetamol and pregabalin provided only temporary relief. The patient declined invasive procedures targeting the trigeminal ganglion. Intervention and Outcome: The patient underwent ultrasound-guided peripheral nerve block targeting the supraorbital, infraorbital, and mental nerves using lidocaine and dexamethasone. Immediately after the procedure, the patient reported complete pain relief (VAS score 0). At 7 days follow-up, the patient discontinued medication without recurrence of symptoms. At 3 months follow-up, the patient remained pain-free. Conclusion: Ultrasound-guided peripheral nerve block may serve as an effective and minimally invasive alternative for managing trigeminal neuralgia, particularly in patients who do not respond to pharmacological therapy or refuse more invasive procedures.
ANALYSIS OF THE IMPACT OF TRANSVERSUS ABDOMINIS PLANE BLOCK AND INTRATHECAL MORPHINE AS POST-CESAREAN Bambang Sulistyo; Wisnu Budi Pramono; Wahyudin Wahyudin
Mandala Of Health Vol 19 No 1 (2026): Mandala of Health: A Scientific Journal
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mandala.2026.19.1.17755

Abstract

Background: Surgical wound pain 24 hours after cesarean section is still a problem found in obstetric patients. Many drugs are used to reduce pain scores both orally, intravenously, transdermally and others. However, it is necessary to pay attention to the dosage of the drug so that it does not harm the postoperative patient. Other methods that can be used include preoperative administration of intrathecal morphine and administration of transversus abdominis muscle blocks. Methods :The study's experimental design uses a post-test only control group. Three groups were created from 108 cesarean patients who had no problems. As per standard protocol, the control group (K) had a cesarean section with intravenous analgesia after the procedure. The Intrathecal Morphine (M) group got preoperative intrathecal morphine in addition to the same treatment as the K group. Apart from receiving the same treatment as group K, the Transversus Abdominis Plane Block (B) group also underwent bilateral transversus abdominis muscle blocks guided by ultrasonography. SPSS for Windows Release 26.0 was used to process the data, and differences with a significance level of 0.05 were examined using the One-Way ANOVA test analysis and the Bonferroni Post Hoc test. Outcomes: Group B differed significantly from group K on the visual analogue scale (p value = 0.000). Similar results were obtained for Group M compared to Group K (p value = 0.000). Group B and group M differ significantly from one another, as can be shown, Compared to group M, group B's visual analogue scale is lower (p=0.000). Conclusion: Intrathecal morphine and transversus abdominis block are effective in reducing post-cesarean section pain. Obtained a lower pain score in the administration of transversus abdominis block compared to intrathecal morphine with a significant difference.
Co-Authors Wahyudin Wahyudin Wisnu Budi Pramono