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All Journal Jurnal Anestesi Perioperatif Indonesian Journal of Anesthesiology and Reanimation (IJAR) SEMAR Solo Journal of Anesthesi, Pain and Critical Care
Purnomo, Heri Dwi
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Humanities Chemical Engineering, Chemistry & Bioengineering Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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Surface Anatomy-Based Clavipectoral Fascia Plane Block for Clavicle Surgery Purnomo, Heri Dwi; Witjaksana, Risnu
Indonesian Journal of Anesthesiology and Reanimation Vol. 7 No. 1 (2025): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V7I12025.30-34

Abstract

Introduction: Clavicular fractures are often observed cases. In the majority of clavicle fractures, both in adults and children, the fracture is located in the midshaft. Generally, General Anesthesia techniques are usd in such instances, as regional anesthesia through peripheral nerve block often presents its own challenges. The clavipectoral fascial plane block was first introduced in 2017. Apart from its ease of implementation, the Surface Anatomy-Based Clavipectoral Plane Block can avoid the risks associated with other regional anesthesia techniques such as Plexus Brachialis Block or Interscalene Block. Objective: This report aims to provide an overview of the procedures for carrying out surface anatomy-based clavipectoral fascia plane block for clavicle surgery. Case Report: A 33-year-old man with the primary complaint of pain in the right shoulder following a fall while playing football. The patient was diagnosed with closed re-fracture of the clavicle (D) Allman Group I. Clavicle surgery was conducted with the Surface Anatomy-Based Clavipectoral Fascia Plane Block technique. In this patient, local anesthetic agents were administered as Levobupivacaine 0.375% in a volume of 20 cc. The operation lasts approximately 1.5 hours. The Patient’s hemodynamic condition was stable during the surgery. The patient had no complaints and post-operative pain was effectively managed. Conclusion: The surface Anatomy-based Clavipectoral fascia plane block can be considered for clavicular surgery, especially in Allman Group type 1. Besides being easy to implement, this technique also poses fewer risks compared to other regional anesthesia techniques.
Effect of Transversus Abdominis Plane Block with Dexmedetomidine and Clonidine on Numerical Rating Scale and Interleukin–6 Heryadi, Mohamad Ismu; Purnomo, Heri Dwi; Arianto, Ardana Tri
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.v14n1.4000

Abstract

Background: The use of adjuvants like dexmedetomidine and clonidine in Tranversus Abdominis Plane (TAP) blocks can enhance analgesic effects. This study aimed to compare the impact of these adjuvants on TAP blocks by measuring postoperative pain using the numerical rating scale (NRS) and interleukin-6 (IL-6) levels.Methods: This study was conducted from January to April 2024 at the Central Surgical Installation of Dr. Moewardi using a double-masked randomized controlled trial design. The study involved 30 patients undergoing cesarean section, divided into two groups: Group A (15 received a TAP block with dexmedetomidine 0.5 mcg/kgBB) and Group B (15 received a TAP block with clonidine 0.5 mcg/kgBB).Results: Independent tests revealed significant differences in NRS and IL-6 levels between the groups (p<0.001), indicating that dexmedetomidine is superior at preventing NRS and IL-6 elevation.Discussion: Conventional epidural opioids effectively manage pain but cause significant side effects and serious risks, including delayed respiratory depression in mothers and adverse effects on breastfed infants, necessitating alternative approaches. TAP block with dexmedetomidine and clonidine adjuvants demonstrated significant effectiveness in reducing postoperative pain, with dexmedetomidine proving superior in prolonging analgesia duration, decreasing rescue medication requirements, and reducing opioid consumption through its anti-inflammatory effects.Conclusion: These findings highlight the positive effects of dexmedetomidine in reducing postoperative inflammation and pain. The results provide grounds for considering dexmedetomidine as an adjuvant in TAP blocks to enhance effective postoperative pain management.
Bantuan Hidup Dasar Dan Edukasi Tatalaksana Nyeri Di Lingkungan Sekolah Menengah Atas Karanganyar Purwoko, Purwoko; Nugroho, Andy; Santosa, Sugeng Budi; Supraptomo, R. Th; Setijanto, Eko; Purnomo, Heri Dwi; Arianto, Ardana Tri; Thamrin, Muhammad Husni; Hananto, Arif Zuhal Amin; Ihsaniar, Aura
SEMAR (Jurnal Ilmu Pengetahuan, Teknologi, dan Seni bagi Masyarakat) Vol 13, No 1 (2024): Mei
Publisher : LPPM UNS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/semar.v13i1.79286

Abstract

Keadaan kegawatdaruratan adalah suatu keadaan dimana korban akan mengalami kecacatan atau bahkan kematian, bila tidak mendapatkan pertolongan dengan segera. Salah satu jenis masalah kegawatdaruratan yang dapat menimbulkan kematian mendadak biasanya ditemui diakibatkan oleh henti jantung (cardiac arrest). Penanggulangan kegawatdaruratan merupakan aspek yang penting dan tidak terbatas pada tenaga medis terlatih. Nyeri adalah sensasi yang sangat tidak menyenangkan dan sangat individual yang tidak dapat dibagi dengan orang lain. Siswa Sekolah Menengah Atas (SMA) adalah pelajar yang menduduki masa pendidikan formal sebelum memasuki bangku perkuliahan. Masih minimalnya pengetahuan siswa SMA akan manajemen nyeri menyebabkan seringkali penanganan dan tindaklanjut mengenai keluhan nyeri tidak adekuat. Hal ini yang menjadi dasar dilakukannya kegiatan ini sehingga siswa SMA dapat lebih teredukasi dan dapat menangani kondisi nyeri dengan baik serta memberikan edukasi berlanjut terutama kepada masyarakat. Departemen Anestesiologi dan Terapi Intensif Rumah Sakit Umum Daerah Dr. Moewardi bermaksud mengadakan pelatihan tentang Bantuan Hidup Dasar (BHD) bagi masyarakat dalam lingkup wilayah SMA untuk melakukan BHD pada korban henti jantung dan memberikan penyuluhan terkait manajemen nyeri dengan harapan agar para peserta lebih teredukasi mengenai kondisi nyeri dan bagaimana cara menanganinya. An emergency is a situation where the victim will experience disability or even death if they do not receive immediate help. One type of emergency problem that can cause sudden death most commonly occurs due to cardiac arrest (cardiac arrest). Emergency management is essential and not limited to trained medical personnel. Pain is a very unpleasant and highly individual sensation that cannot be shared with other people. High School (SMA) students are students who complete a period of formal education before entering college. High school students lack knowledge about pain management, so treatment and follow-up regarding pain complaints are often inadequate. This is the basis for carrying out this activity so that high school students can be more educated, handle pain conditions well, and provide ongoing education, especially to the community. Department of Anesthesiology and Intensive Therapy, Dr. Regional General Hospital. Moewardi intends to hold training on Basic Life Support (BHD) for the community within the SMA area to carry out BHD for cardiac arrest victims and provide counseling regarding pain management with the hope that the public will be more educated about pain conditions and how to handle them. 
The Effect of Melatonin on Platelet Levels in Wistar Rat After Burns in Two Days Qusairi, Velya Lizhariany Hafidha; Purwoko, Purwoko; Purnomo, Heri Dwi
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 4, No 1 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v4i1.67051

Abstract

Background : Burns can caused by high temperatures. Burns have an impact on platelet levels and hemostatic regulation. Melatonin is a therapeutic agent that can increase platelet levels on burns by neutralizing Reactive Oxygen Species (ROS) and Reactive Nitrogen Species (RNS) so it can suppress tissue damage due to burns. This study aims to determine the effect of giving melatonin on the platelet levels of burnt wistar rats in two daysMethods : This is experimental study with a sample of 12 Wistar rats that matched the inclusion and exclusion criteria. Rats were divided into two groups, namely K1 as control and K2 as a group that was given melatonin at a dose of 10 mg/kg. Platelet levels were measured at T1 (0th hour post burn), T2 (24th hour post burn), and T3 (48th hour post burn). The data were analyzed by the Shapiro-Wilk normality test, followed by Parametric Paired t-Test and the Independent t-Test.Result : This experimental results there was a significant increase in the number of platelets between T2 and T3 and between T1 and T3 in control group. And in K2, there was a significant decrease in the number of platelets between T1 and T2 and between T2 and  T3. Meanwhile, between T1 and T3 there was a significant increase in platelet levels.Conclusion: Melatonin can significantly increase the platelet levels of burn Wistar rats at 48 hours post-burn.
Co-Authors Ardana Tri Arianto Eko Setijanto Hananto, Arif Zuhal Amin Heryadi, Mohamad Ismu Ihsaniar, Aura Muhammad Husni Thamrin, Muhammad Husni Nugroho, Andy Purwoko Purwoko Qusairi, Velya Lizhariany Hafidha Santosa, Sugeng Budi Supraptomo, R. Th Witjaksana, Risnu