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All Journal Biomedical Journal of Indonesia Journal of Anaesthesia and Pain Blantika : Multidisciplinary Journal Jurnal Inovasi Global
Fitrisyah, Aidyl
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Astronomy Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Education Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Public Health Social Sciences

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Comparison of the Effectiveness of 5 IU Oxytocin Bolus and 20 IU Infusion on Uterine Contraction and Hemodynamic Response in Caesarean Section Fitrisyah, Aidyl; Rose Mafiana; Agustina Br Haloho; Theodorus
Biomedical Journal of Indonesia Vol. 7 No. 2 (2021): Biomedical Journal of Indonesia
Publisher : Fakultas Kedokteran Universitas Sriwijaya (Faculty of Medicine, Universitas Sriwijaya) Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v7i2.293

Abstract

Uterine atonic can result in postpartum hemorrhage, gravid hysterectomy andmaternal mortality. Oxytocin is the most commonly used agent for the preventionand treatment of atonic uterine during cesarean section. However, the provision ofrapid and increasing the dose may result in hemodynamic instability, cardiovascularcollapse, and death. This study aimed to compare the effectiveness of oxytocin bolus5 IU and oxytocin infusion 20 IU to contractions of the uterus and the hemodynamicresponse in cesarean section with spinal anesthesia.An experimental study, Randomized Controlled Trial (RCT) was conducted in theoperating room Mohammad Hoesin Hospital Palembang from July to August 2016.It was obtained a 44 pregnant at term women who will do a cesarean section thatmeet the inclusion and exclusion criteria. The frequency and distribution of data aredescribed in tables and comparisons between the two groups were analyzed usingSPSS.Of the 44 pregnant women at term, 22 women in the group of oxytocin bolus 5 IUand 22 women in the group of oxytocin infusion 20 IU. By statistical analysis, therewas no significant hemodynamic changes after bolus administration of oxytocin 5 IUor oxytocin infusion 20 IU (p> 0.05) and there were no significant hemodynamicdifferences between oxytocin bolus 5 IU and infusion of 20 IU oxytocin (p> 0.05). Inaddition, there are significant changes in uterine contractions after bolusadministration of oxytocin 5 IU or oxytocin infusion 20 IU (p< 0.05) and there weresignificant differences in uterine contraction in the 3rd minute (p = 0.006), 6thminute ( p = 0.010) and 9th minute (p = 0.008) between oxytocin bolus 5 IU andinfusion of oxytocin 20 IU.It can be concluded that there is no significant hemodynamic changes afteradministration of oxytocin 5 IU bolus and oxytocin infusion 20 IU and there aredifferences in uterine contractions significantly in the 3rd minute, 6th minute and9th minute between oxytocin bolus 5 IU and oxytocin infusion 20 IU.
Pain and Complications Assessment in Gynecological Cancer Brachytherapy Patients Under Spinal Anesthesia Setiawan, Alfredo Abrian Erlangga; Fitrisyah, Aidyl; Zainal, Rizal; Santoso, Budi; Laeto, Arwan Bin
Journal of Anaesthesia and Pain Vol 4, No 3 (2023): September
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jap.2023.004.03.03

Abstract

Background: Brachytherapy is a radiation therapy that can deliver radiation to cancer by minimizing radiation exposure to adjacent organs or tissues. In its implementation, brachytherapy can cause pain so that adequate anesthesia is needed in order to get optimal results. This study was aimed to determine the adequacy of anesthesia and complications that occur in gynecological cancer patients undergoing brachytherapy with spinal anesthesia.Methods: A descriptive observational study using primary data that taken by interviewing the patients who underwent gynecological brachytherapy under spinal anesthesia at dr. Mohammad Hoesin Palembang. The number of samples in this study that met the inclusion criteria was 18 subjects. Pain was assessed using an 11-point numeric rating scale. Data were collected in 5 different times, before procedure, during applicator insertion, during radiation process, during applicator removal, and 4 hours after brachytherapy. in addition, all complications that occurred during the procedure were recorded. Data were analyzed to describe the mean, median, minimum, and maximum of pain scores.Result: The average pain score before brachytherapy was 0.78, at the time of applicator insertion was 0, 0.28 at irradiation, 0,11 at removal of the applicator and 1.33 after the brachytherapy procedure. The most common complications were back pain (27.8%) and urinary retention (27.8%).Conclusion: For most patients, high dose rate (HDR) brachytherapy under spinal anesthesia was well tolerated, in fact most patients experienced no pain and no significant life-threatening complications. The post-brachytherapy pain score had the highest average score. Then, back pain and urinary retention were the most common complications.
Pain and Complications Assessment in Gynecological Cancer Brachytherapy Patients Under Spinal Anesthesia Setiawan, Alfredo Abrian Erlangga; Fitrisyah, Aidyl; Zainal, Rizal; Santoso, Budi; Laeto, Arwan Bin
Journal of Anaesthesia and Pain Vol. 4 No. 3 (2023): September
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jap.2023.004.03.03

Abstract

Background: Brachytherapy is a radiation therapy that can deliver radiation to cancer by minimizing radiation exposure to adjacent organs or tissues. In its implementation, brachytherapy can cause pain so that adequate anesthesia is needed in order to get optimal results. This study was aimed to determine the adequacy of anesthesia and complications that occur in gynecological cancer patients undergoing brachytherapy with spinal anesthesia.Methods: A descriptive observational study using primary data that taken by interviewing the patients who underwent gynecological brachytherapy under spinal anesthesia at dr. Mohammad Hoesin Palembang. The number of samples in this study that met the inclusion criteria was 18 subjects. Pain was assessed using an 11-point numeric rating scale. Data were collected in 5 different times, before procedure, during applicator insertion, during radiation process, during applicator removal, and 4 hours after brachytherapy. in addition, all complications that occurred during the procedure were recorded. Data were analyzed to describe the mean, median, minimum, and maximum of pain scores.Result: The average pain score before brachytherapy was 0.78, at the time of applicator insertion was 0, 0.28 at irradiation, 0,11 at removal of the applicator and 1.33 after the brachytherapy procedure. The most common complications were back pain (27.8%) and urinary retention (27.8%).Conclusion: For most patients, high dose rate (HDR) brachytherapy under spinal anesthesia was well tolerated, in fact most patients experienced no pain and no significant life-threatening complications. The post-brachytherapy pain score had the highest average score. Then, back pain and urinary retention were the most common complications.
Recent Evidence of Artificial Intelligence in Ultrasound-Guided Regional Anesthesia: A Review Fitrisyah, Aidyl; Hizbullah, Amir Ibnu
Blantika: Multidisciplinary Journal Vol. 3 No. 11 (2025): Blantika: Multidisciplinary Journal
Publisher : PT. Publikasiku Academic Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57096/blantika.v3i11.449

Abstract

Ultrasound-guided regional anesthesia (UGRA) is a critical technique in anesthesiology, but its adoption is limited by the need for expert skill. Artificial Intelligence (AI) offers a solution by enhancing the precision, safety, and accessibility of UGRA. This narrative review explores the current evidence supporting AI in UGRA, focusing on ultrasound image acquisition, interpretation, real-time decision-making, and training. Methods, A comprehensive literature search using PubMed Central, PubMed, and Google Scholar identified relevant studies on AI-assisted UGRA published between December 2020 and August 2024. From 62 initial searches, 5 studies met the inclusion criteria, detailing clinical trials and research on AI in UGRA. Results, AI technologies have demonstrated significant promise in improving ultrasound image quality, enhancing anatomical landmark identification, and reducing complication risks. AI has also proven beneficial in real-time decision-making, assisting both novice and expert anesthesiologists. Additionally, AI-enhanced training systems have shown potential in reducing complication rates and improving learning outcomes. An automated spinal landmark identification program also showed effectiveness in neuraxial anesthesia, particularly for obese patients. Conclusion, AI integration into UGRA could revolutionize anesthetic practice, making the technique more accessible and safer, especially in regions with limited expert availability. Future research should focus on validating AI as a tool for skill acquisition and refining its application in clinical practice.
Strategies for Successful Anesthetic Management in Patients With Threatened Thyroid Storm: a Systematic Review of Case Reports Fitrisyah, Aidyl; Sofiah, Nur Ilmi; Murtadh, Masagus Ahmad Rifqi; Lestari, Mayang Indah
Jurnal Inovasi Global Vol. 3 No. 11 (2025): Jurnal Inovasi Global
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jig.v3i11.450

Abstract

Patients with uncontrolled hyperthyroidism undergoing emergency non-thyroid-related surgeries are at increased risk of perioperative complications, including thyroid storm (TS). This systematic review synthesizes findings from multiple case reports to determine optimal anesthetic management strategies. A systematic review of published case reports, including an additional case report contributed by the authors, was conducted. Cases were analyzed for anesthetic strategies, perioperative complications, and outcomes, with a focus on TS occurrence, survival rates, and risk factors. Five case reports and an additional case were reviewed. The use of beta-blockers, glucocorticoids, antithyroid drugs, and regional anesthesia was found to mitigate TS risk. General anesthesia was employed in most cases, with vigilant intraoperative monitoring. TS was reported in one case, emphasizing the need for early recognition and aggressive management. Comprehensive preoperative assessment, intraoperative vigilance, and postoperative monitoring are critical in managing patients with uncontrolled hyperthyroidism undergoing emergency surgery. Beta-blockers, steroids, and regional anesthesia appear to be key in minimizing TS risk.
Co-Authors Agustina Br Haloho Arwan Bin Laeto Dwi Budi Santoso Hizbullah, Amir Ibnu Lestari, Mayang Indah Murtadh, Masagus Ahmad Rifqi Rose Mafiana Setiawan, Alfredo Abrian Erlangga Sofiah, Nur Ilmi Theodorus Zainal, Rizal