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All Journal Jurnal Anestesi Perioperatif Jurnal Kesehatan Hesti Wira Sakti Folia Medica Indonesiana Jurnal NERS Jurnal Analisa Sosiologi Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Aplikasi dan Inovasi Iptek (JASINTEK) Jurnal Layanan Masyarakat (Journal of Public Service) Jurnal Syntax Transformation Jurnal Manajemen dan Ilmu Administrasi Publik (JMIAP) Abimanyu: Journal of Community Engagement Jurnal Widya Medika
Christrijogo Soemartono Waloejo
Departemen Anestesiologi Dan Reanimasi, Fakultas Kedokteran, Universitas Airlangga/RSUD Dr. Soetomo Surabaya, Indonesia
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Journal : Jurnal Widya Medika

 1 
Effects Of Regional Scalp Block With Ropivacaine 0.5% Preincision As A Preemptive Analgesia After Craniotomy Surgery R. Muhammad Aviv Pasa; Christrijogo Soemartono; Soni Sunarso Sulistiawan; Arie Utariani
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2500

Abstract

Studies reported that more than 55% of patients complained of moderate to severe pain up to 48 hours post craniotomy. Fentanyl is the drug of choice to manage acute pain with disadvantages. Regional scalp block (RSB) technique using local anesthesia may be an alternative for post craniotomy pain management. Objective: to analyze the effects of RSB using ropivacaine 0.5% before incision compared to general anesthesia alone on the pain scale and opioid requirements 24-hour post craniotomy. This is a single-blind randomized experimental study. 14 Subjects were divided into two intervention groups. Patients were 18–64 years, GCS (Glasgow Coma Scale) 15, physical status ASA (American Society of Anesthesiologists) 1–3, undergoing craniotomy. In this study, the mean of fentanyl dose in RSB group was smaller than the group without RSB, which was statistically significant (p=0.017). Pain was also significantly reduced in RSB group at 30 minutes (p=0.009), 1 hour (p=0.003), 2 hours (p=0.003), 4 hours (p=0.001), 8 hours (p=0.050), and 12 hours (p=0.003) post-surgery. There was no difference in pain scale between the two groups at 24 hours post-surgery (p=0.393). RSB using ropivacaine 0.5% preincision is more effective in reducing pain scale up to 12 hours and also reduced the requirement of fentanyl within 24-hours post craniotomy compared to general anesthesia alone.
The Effect Between Transverse Abdominis Plane Block And Quadratus Lumborum Block On Endorphin Beta Levels And Pain Scales In Post Cesarean Section Patients Rudyanto Wiharjo Seger; Christrijogo Sumartono; Puspa Wardhani; Aditiawarman Aditiawarman
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2783

Abstract

Background: Cesarean section is a surgical procedure that is often performed in labor and causes moderate to severe pain for 48 hours postoperatively. The provision of local anesthesia drugs post-cesarean section can be given by the Transverse Abdominis Plane (TAP) block and Quadratus Lumborum (QL) block. This study was to determine the effect of analgesia between the Transverse Abdominis Plane block and Quadratus Lumborum block on the scale of post-cesarean section pain and level of the beta-endorphin post-operative cesarean section under spinal anesthesia. Methods: An experimental randomized controlled clinical trial study was conducted on 30 pregnant women aged 18-45 years post-cesarean section who were treated electively with ASA I - II and anesthesia under spinal anesthesia. Patients who met the inclusion criteria were treated by dividing three groups randomly through the computer. In group A, control and Transverse Abdominis Plane Block are given; group B, given control and Quadratus Lumborum Block; and group C, given control (ketorolac and tramadol). Furthermore, it was recorded and measured the level of beta-endorphin, and the Wong Baker Faces Scale (WBFS) pain scale postoperatively and 6 hours postoperatively. Data collected then analyzed by SPSS’s computer program. Results: The effect of QL block administration helps relieve the WBFS pain scale by five times and decreases beta-endorphin level by 0.2 times compared to TAP block administration. The effect of QL block administration helped relieve the WBFS pain scale by 13.5 times and decreased beta-endorphin level by 5.4 times compared to standard therapy. The effect of TAP block administration helps to reduce the WBFS pain scale by 7.4 times and to reduce beta-endorphin level by 5.1 times compared to standard therapy. Conclusion: QL block relieves the WBFS pain scale and decreases the beta-endorphin level better than the TAP block. Keywords: Cesarean section, post-operative pain, beta-endorphin, Quadratus Lumborum block, Transversus Abdominis Plane block
Co-Authors Aditiawarman Aditiawarman, Aditiawarman Ah. Yusuf Ahmad Faiz Muhammad Noer Alivery Raihanda Armando Ardiansyah Arief Hargono Belindo Wirabuana Belindo Wirabuana Dedi Susila Eddi Basuki Kurniawan Evi Susanti Fadly Usman Fauzi, Asra Al Hamzah Hamzah Hardiono Hardiono Ika Zulkafika Mahmudah Imam Susilo Kun Arifi Abbas Machin, Abdulloh Maulana Hanif Ibrahim Moses Glorino Rumambo Pandin Muh Kemal Putra Muhammad Rivai Mukhamad Fathoni Nancy Margaritta Rehatta Pandin , Moses Pandin Paulyna, Anita Pratama Ananda Puspa Wardhani R. Muhammad Aviv Pasa Rezki Muhammad Hidayatullah Rudyanto Wiharjo Seger Sandi Ardiya Rasitullah Seger, Rudyanto Wiharjo Semedi, Bambang Pujo Septiana Hariyani Shodiq, Muhammad Ja'far Soni Sunarso Sulistiawan Soni Sunarso Sulistiawan Sulistiawan, Soni Sunarso Suparno Adi Santika Teuku Aswin Husain Toetik Koesbardiati Utariani, Arie Zuyyinna Choirunnisa