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Pratiaksa, Ardian
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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Intensive Management of Post Caesarean Section with Eclampsia: A Case Report Pratiaksa, Ardian; Eko Setijanto
Journal of Anesthesiology and Clinical Research Vol. 5 No. 3 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i3.568

Abstract

Introduction: Eclampsia, a severe form of pre-eclampsia characterized by high blood pressure and seizures, poses a significant threat to both maternal and fetal health. With a global incidence of 2-8% among pregnancies affected by pre-eclampsia, eklampsia remains a leading cause of maternal mortality, particularly in low-resource settings. Given the potential for serious complications associated with postpartum eklampsia, it is crucial for anesthesia teams to possess a comprehensive understanding of the condition's management and the specific considerations required in the postpartum setting. Case presentation: We report a 19 years old woman post caesarean section with eclampsia. The patient had a recurrent seizure on the first day at the ICU. After had an intensive therapy at the ICU the patient showed a clinically improvement and extubated on the second day. The case highlights the importance of a holistic and comprehensive approach to postpartum care in eklampsia patients. By addressing not only the immediate symptoms but also the underlying physiological and neurological derangements, the ICU team was able to effectively manage the patient's condition and facilitate her recovery. Conclusion: Postpartum care in the intensive care unit needs to be hollistic and comprehensive with the aim of not aggravating the patient's condition and worsening the patient's prognosis.
Central Venous Catheterization in the ICU: A Comparison of Anatomical Landmark and Ultrasound-Guided Techniques Pratiaksa, Ardian; Purwoko; Muhammad Husni Thamrin; Bambang Novianto Putro; Fitri Hapsari Dewi
Journal of Anesthesiology and Clinical Research Vol. 6 No. 1 (2025): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v6i1.656

Abstract

Introduction: Central venous catheterization (CVC) is frequently required in intensive care units (ICUs) for administering medications, fluids, and monitoring central venous pressure. However, CVC insertion can lead to complications such as arterial puncture, hematoma formation, and pneumothorax. Ultrasound guidance has been advocated to reduce these complications, but its effectiveness in the ICU setting remains debated. This study compared the complication rates of anatomical landmark-guided versus ultrasound-guided CVC insertion in ICU patients. Methods: A prospective cohort study was conducted in the ICU of a tertiary care hospital. Patients requiring CVC were divided into two groups: anatomical landmark-guided and ultrasound-guided insertion. The primary outcome was the incidence of complications, including arterial puncture, hematoma, and pneumothorax. Secondary outcomes included cannulation time and the number of cannulation attempts. Results: A total of 39 patients were included in the study. The incidence of complications was significantly lower in the ultrasound-guided group (2 complications) compared to the anatomical landmark group (7 complications) (p=0.017). The most common complication was arterial puncture, occurring in 7 patients in the anatomical landmark group and 2 patients in the ultrasound-guided group. Conclusion: Ultrasound guidance significantly reduces the risk of complications during CVC insertion in the ICU. This technique should be considered the standard of care for CVC insertion in this setting.
Co-Authors Bambang Novianto Putro Eko Setijanto Fitri Hapsari Dewi Muhammad Husni Thamrin Purwoko