Article Per Year (5 Year)
p-Index From 2020 - 2025
5.305
P-Index
This Author published in this journals
All Journal Jurnal Ilmu Tanah dan Lingkungan (Journal of Soil Science and Environment) At-Taqaddum Agrotekma: Jurnal Agroteknologi dan Ilmu Pertanian MEDIAN Jurnal Inotera CARADDE: Jurnal Pengabdian Kepada Masyarakat IKRA-ITH EKONOMIKA Jurnal Ilmu Manajemen (JIMMU) EDUTEC : Journal of Education And Technology Vocatech : Vocational Education and Technology Journal Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Surya Teknika Jurnal Cahaya Mandalika Ekasakti Jurnal Penelitian dan Pengabdian (EJPP) International Journal of Social Service and Research Jurnal Pengabdian Masyarakat J-Innovation Jurnal Teknik Sipil Institut Teknologi Padang Communio: Jurnal Pengabdian kepada Masyarakat Commerce Law Manajemen Kreatif Jurnal BULLET : Jurnal Multidisiplin Ilmu Journal Of Artificial Intelligence And Software Engineering Jurnal KALANDRA Al-Kharaj: Jurnal Ekonomi, Keuangan & Bisnis Syariah Jurnal Research Ilmu Pertanian Nusantara Economics and Entrepreneurships Journals Jurnal Manajemen dan Akuntansi (JAME) Deiksis: Jurnal Pendidikan Bahasa dan Sastra Indonesia Insight: Islamic Education and Learning
Mahmud
Unknown Affiliation
Religion Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Transportation Other

Published : 41 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search
Journal : Indonesian Journal of Anesthesiology and Reanimation (IJAR)

 1 
Using Multimodal Analgesia for Breakthrough Pain in Stage IV Breast Cancer Patient Wijaya, Indriyani; Mahmud
Indonesian Journal of Anesthesiology and Reanimation Vol. 5 No. 1 (2023): 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.V5I12023.37-44

Abstract

Introduction: Breakthrough Pain (BTP) is experienced as mild to moderate-severe pain, from only a few seconds to hours. It causes a decrease in the quality of life and functional capacities. Furthermore, BPT must be recognizable, assessed, and controlled to prevent its relapse and severity. Case report: A woman, 45 years old, having breast cancer along with pulmonary, femur, and cervical metastases, came with the main complaint of pain. The patient had a pain score of NRS 9, which was felt intermittently for the last 3 months. Treatment has been carried out with MST 10 mg/8 hours and a Durogesic® patch (fentanyl 50 mcg/h) but the pain did not subside. Moreover, the patient was unable to identify any precipitating factors or pain relievers, while the diagnosis confirmed BTP. The rescue dose was administered in a range of 10 – 20% of the total daily dose in the last 24 hours equivalent to 11 – 22 mg intravenous Morphine or equianalgesic with 110 – 220 mcg of fentanyl. For immediate effect, transmucosal fentanyl was recommended, but this preparation is currently unavailable. Moreover, therapy was carried out with the continuous administration of Morphine, and the pain reduced to NRS 0 – 3 on the second day. Conclusion: Transmucosal fentanyl, either buccal, sublingual, oral, or nasal mucosa, was proven to be effective in treating BTP. However, when transmucosal fentanyl is not available, multimodal analgesia is an effective alternative.
Co-Authors Abimanyu Bagus Saputra1 Abu Bakar Ja’far Afrahamiryano Afrahamiryano Ahmad Imtaz Sumbari Al Aziz, Mauludil Alfin Andriansyah Alin Deri Utama Alzami, Farrikh Amnilis ANDRIANSYAH Anggi Rahmad Anggun Permata Sari Aprizal, Yarza Ardiman ARI KURNIAWAN Astriyani Aswar Aswar Azwar Azwar Yunus Azzahari, Muhammad Bambang Nugroho Chairul Adhim Chasanah, Amalia Nur Cindi Fatikasari Cuandi Devi Mulya Sari Dika Setiagraha, Dika Dwiranti, Febriza Eka Rizky Pradiyatni Pratiwi Eko Setiawan Elfisa Endri Sentosa Esa Diya Wahyuni Fazriyansyah, Fiqih Febrianton, Adi Feri Susilwati Galuh Tri Pratiwi Gunawan, Bakti Hamdani Hamdani, Hamdani Hamdik, Dino Hamdika, Dino Hamsinah Hegemur, Siti Hanafiah Herda Gusvita Hermansyah Hilmi Hilmi Ibnu Khaldun Ichsan Ichsan IRWANSYAH Kusmiyati Kusmiyati Lalu Achmad Fathoni Luky Indra Mustofa Lutfiah M. Dirhamsyah M. Dirhamsyah Mahdany, Diny Maryuni, Elza Maula Nuha Syarfillah Mauzu, Fahrul Melisa Mhd Ridho Pratama Mizanul Ahkam Mochammad Eric S.W Mohamad Erihadiana, Mohamad Muhammad Dirhamsyah Muhammad Toriqularif Muhibuddin Muhibuddin, Muhibuddin Munzir Umran MUTAKIM Nadia Ayu Majiid Nurdiyanto Piji Pakarti Pono, Wahyudi Sayuti Putri, Yulianti Rahayu Putri, Ilmiyanti Ramadhani Rendy Almaheri Adhi Pratama Renfiyeni Rizki Faulianur Rozaliana Rozaliana Rudi Kurniawan RumintoSubekti Safwan, Safwan Sariyusda Sigit Muryanto, Sigit Sinaga, Jufri Siti Fatimah, Elva Siti Nurhalizah Suharyadi Pancono Suhita Whini Setyahun Suhita Whini Setyahuni SUMARNI Sumarno, Wawan Syaftriandi Tsaltsa Awani Arzakia WAHYUDI Wanda Ayu Salsabila Wawan Welan Wijaya, Danang Jatmika Wahyu Wijaya, Indriyani Yora, Muharama Yuniar Rahmadieni, Risky Zuhriah Zulfadli Zulfadli Zulfadli