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All Journal JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Jurnal Komplikasi Anestesi
Suhadi, Andrio
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Medicine & Pharmacology Public Health

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Management of a ruptured large arteriovenous malformation: A case report Suhadi, Andrio; Junaidi, Fachrul
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 1, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss1.art15

Abstract

Arteriovenous malformations (AVMs) are congenital vascular disorders. In their early phase, they often go unrecognized due to their asymptomatic nature until they develop clinical symptoms such as swelling, skin discoloration, and signs of arteriovenous shunting. The high flow from the arteries directly into the veins may potentially increase the risk of vessel rupture. We reported a case of a 54-year-old male who complained of back bleeding, accompanied by pain and sores that had persisted for the previous three days. The patient had been aware of a mass since birth, progressively worsening with age. A physical examination revealed bleeding from the pulsating mass and measured approximately 17.5 cm x 15 cm x 3 cm on the back. The patient was diagnosed with ruptured AVM by Computed Tomography (CT) angiography. He was managed with endovascular coil embolization, polyvinyl alcohol particles, and skin grafts. AVMs are often asymptomatic; an ultrasound examination can be the initial diagnostic tool, while CT Angiography is considered a gold standard. AVMs are managed through embolization and surgical intervention. Regular follow-up is necessary due to the potential for recurrence.
Blok Saraf Perifer pada Amputasi Bawah Lutut: Telaah Sistematis Krislee, Andre; Suhadi, Andrio; Debora, Charina Geofhany
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v12i3.16237

Abstract

Background: Patients who undergo below knee amputation (BKA) surgery are often accompanied with many comorbidities so that BKA surgery with general anesthesia (GA) or spinal or epidural may not be possible. Peripheral nerve block (PNB) is an alternative to this situation. This study aims to investigate the used of PNB in BKA. Methods: We performed a detailed search of PubMed, Scopus, and Web of Science database using the following search terms and their synonyms: “peripheral nerve block”, and “below knee amputation”. Only english articles are included in this study. Data extraction and systhesis were performed according to PRIMA guidelines Results: A total 7 articles were included in this research, see table 1. For the case report and case series, five patients were undergo BKA using sciatic and femoral block combination, one patients using sciatic and lumbar plexus block combination, and five patients using sciatic and adductor canal block combination. One cohort showed that PNB had p=0.04 with adjusted OR 0.75 (0.57 – 0.98) againts GA.
Co-Authors Debora, Charina Geofhany Junaidi, Fachrul Krislee, Andre