Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal Journal of Anaesthesia and Pain Cermin Dunia Kedokteran
Putra, I Made Prema
Unknown Affiliation
Health Professions Medicine & Pharmacology Public Health

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
Patient–controlled Analgesia untuk Nyeri Akut pada Sickle Cell Vaso–occclusive Crisis Putra, I Made Prema
Cermin Dunia Kedokteran Vol 45, No 3 (2018): Muskuloskeletal
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.699 KB) | DOI: 10.55175/cdk.v45i3.190

Abstract

Pada pasien Sickle Cell Disease/SCD, nyeri akut yang berat merupakan manifestasi klinis vaso-occlusive crisis yang paling sering karena bentuk sel darah merah seperti sabit dapat memicu sumbatan/infark jaringan. Penilaian dan penanganan nyeri tersebut harus segera dan tepat. Tidak ada metode penanganan nyeri yang lebih superior dari yang lainnya. Salah satu rekomendasi terapi adalah patient-controlled analgesia (PCA) dengan opioid intravena, on-demand, intermiten di bawah kontrol pasien.
Pendekatan Sepsis dengan Skor SOFA Putra, I Made Prema
Cermin Dunia Kedokteran Vol 45, No 8 (2018): Alopesia
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.634 KB) | DOI: 10.55175/cdk.v45i8.632

Abstract

Sequential Organ Failure Assessment (SOFA) score saat ini digunakan dalam pendekatan sepsis. Modifikasi skor SOFA yaitu quickSOFA (qSOFA) dapat digunakan untuk identifikasi awal sepsis pada pasien yang curiga infeksi sebelum tersedianya hasil pemeriksaan penunjang. Pada laporan kasus, seorang perempuan 50 tahun datang dengan keluhan sesak nafas dan lemas. Dilakukan penilaian awal qSOFA dengan skor 2 berarti curiga sepsis, kemudian diidentifikasi disfungsi organ menggunakan skor SOFA dengan total skor 7. Pasien didiagnosis syok sepsis. Meskipun dengan resusitasi cairan adekuat, diperlukan vasopressor untuk menjaga MAP ≥ 65 mmHg. Pemberian antibiotik broad spectrum juga menjadi terapi utama karena tidak tersedia pemeriksaan kultur darah.Sequential Organ Failure Assessment (SOFA) score is currently used in sepsis approach. Modification of SOFA scores - quickSOFA (qSOFA) - can be used to identify early sepsis in suspected patients prior to the availability of investigation results. This case report was a 50-year-old woman with shortness of breath and weakness. An initial assessment of qSOFA with score 2 means suspected sepsis; identification of organ dysfunction with SOFA score resulted a total score of 7. Patients were diagnosed with septic shock. Despite adequate fluid resuscitation, patients need a vasopressor to keep MAP ≥ 65 mmHg. Broad spectrum antibiotic is also given because of the unavailability of blood culture examination.
Ultrasound-Guided Axillary Block for Distal Radius Fracture Surgery during Second-Trimester Pregnancy: a Case Report Putra, I Made Prema; Sudiantara, Putu Herdita; Aryawangsa, Anak Agung Ngurah
Journal of Anaesthesia and Pain Vol. 7 No. 2 (2026): In Press
Publisher : Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Background: Non-obstetric surgery during pregnancy requires an anesthetic strategy that preserves maternal safety while minimizing fetal risk. Regional anesthesia is an attractive option for upper-extremity surgery because it avoids airway manipulation and reduces systemic drug exposure. We describe the use of ultrasound-guided axillary block for distal radius fracture surgery during second-trimester pregnancy.Case: A 33-year-old woman (gravida 2, para 1, living 1) at 18–19 weeks’ gestation, American Society of Anesthesiologists physical status II, presented with a closed distal-third right radius fracture requiring open reduction and internal fixation. Obstetric assessment and fetal heart rate were normal. Mild sedation was achieved with intravenous midazolam 1 mg and fentanyl 50 µg, with supplemental oxygen and continuous respiratory monitoring. Ultrasound-guided axillary block was performed using 10 mL 0.5% levobupivacaine, 6 mL 2% lidocaine, and dexamethasone 5 mg; total local anesthetic doses remained within accepted safety limits. Complete sensory and motor block developed within 15 minutes. The 1-hour procedure was completed uneventfully without conversion to general anesthesia, with stable maternal hemodynamics and normal fetal heart rate throughout. Postoperative analgesia was satisfactory, requiring one fentanyl patient-controlled analgesia activation. She was discharged on postoperative day 2. At 37 weeks, elective cesarean delivery resulted in a healthy mother and neonate, with no obstetric complications.Conclusion: Ultrasound-guided axillary block provided effective surgical anesthesia and prolonged postoperative analgesia for distal radius fracture surgery in this second-trimester pregnant patient, with favorable maternal and fetal outcomes. pregnancy, non-obstetric surgery, axillary block, brachial plexus block, distal radius fracture, regional anesthesia.
Co-Authors Aryawangsa, Anak Agung Ngurah Putu Herdita Sudiantara, Putu Herdita