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All Journal Jurnal Anestesiologi Indonesia Jurnal Anestesi Perioperatif Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Universa Medicina Paediatrica Indonesiana Bali Journal of Anesthesiology Oto Rhino Laryngologica Indonesiana Majalah Anestesia dan Critical Care Bioscientia Medicina : Journal of Biomedicine and Translational Research Indonesian Journal of Anesthesiology and Reanimation (IJAR) Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Journal of Global Pharma Technology Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute
Tantri, Aida Rosita
Departemen Anestesiologi Dan Terapi Intensif, Fakultas Kedokteran Univesitas Indonesia – Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo, Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Other

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Terobosan Minimal Nyeri dan Cepat Pulih: Peran Blok Kuadratus Lumborum dalam Manajemen Nyeri Pediatrik Pascaoperasi Abdomen Tantri, Aida Rosita
Majalah Anestesia & Critical Care Vol 42 No 3 (2024): Oktober
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v42i3.424

Abstract

Nyeri pasca-operasi pada pasien pediatrik, khususnya setelah pembedahan abdomen, memerlukan manajemen yang hati-hati untuk mencegah dampak negatif seperti gangguan mobilitas, kecemasan, dan trauma jangka panjang. Salah satu teknik yang efektif untuk mengatasi nyeri ini adalah Quadratus Lumborum Block (QLB), sebuah metode anestesi regional yang berkembang dari teknik truncal block. Berbeda dengan Transversus Abdominis Plane (TAP) block, QLB tidak hanya mengurangi nyeri somatik pada dinding perut, tetapi juga visceral melalui penyebaran anestesi lokal ke ruang paravertebral toraks. Teknik ini terbukti efektif dalam mengurangi kebutuhan opioid pada pasien pediatrik, yang sangat penting mengingat risiko efek samping opioid pada anak-anak, seperti depresi pernapasan dan ketergantungan. Keunggulan QLB juga terletak pada kemampuannya untuk memberikan analgesia multimodal, memungkinkan kontrol nyeri yang lebih baik dengan mengurangi efek samping obat sistemik. Namun, pelatihan yang memadai bagi tenaga kesehatan dalam melakukan QLB, terutama dengan panduan ultrasonografi, sangat diperlukan untuk memastikan keamanan dan efektivitas teknik ini. Dengan demikian, QLB memiliki potensi besar dalam meningkatkan manajemen nyeri pasca-operasi pada pasien pediatrik, mempercepat pemulihan, dan memberikan pengalaman pasca-operasi yang lebih nyaman.
Platelet Rich Plasma Injection for Treatment of Neuropathy After Hernia Repair Tantri, Aida Rosita; Asmara, Yoseph Rohedi; Kwan, Lawrence
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 7 No. - (2023): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v7i-.192

Abstract

A young male patient developed persistent severe right-sided groin and scrotal pain following hernia repair. After two months of failed conservative therapy, he was referred to the pain clinic. Genitofemoral Neuralgia was suspected because the area of pain corresponds to the innervation area of the Genitofemoral nerve. For diagnostic and therapeutic purposes, it was injected with local anesthetic and steroid using ultrasound guidance. The initial injection led to pain relief for one month. There are some choices for treating neuralgia after a confirmatory diagnostic block, such as neurolysis, pulsed radiofrequency, or surgical neurectomy. We chose Platelet Rich Plasma (PRP) injection because it has the potential for nerve regeneration and is less invasive. Ultrasound allows for controlled administration and greatly enhances the technical ability to perform precise localization and injection. The patient, in this case, has more than 50% pain reduction after PRP therapy. He no longer needs medication and can return to normal daily activities. This case report illustrates the first presentation of managing post-herniorrhaphy neuropathy using Platelet Rich Plasma.
Oxygenation and Hemodynamic Changes in Traumatic Brain Injury: A Literature Review Firdaus, Riyadh; Aida Rosita Tantri
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 4 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i4.480

Abstract

Traumatic brain injury (TBI) is a major public health problem and the main cause of death and disability worldwide. TBI can causing primary and secondary injury. Primary brain injury occurs within a moment after a collision and worsen by acute systemic damage such as hypoxia, bleeding, and neurotoxic pathway activation. Under normal conditions, brain has several mechanisms for regulating pressure and volume to prevent ischemia. The purpose of these mechanisms is to maintain a continuous cerebral blood flow (CBF) and adequate oxygen supply.
Oxygenation and Hemodynamic Changes in Traumatic Brain Injury: A Literature Review Firdaus, Riyadh; Aida Rosita Tantri
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 4 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i4.480

Abstract

Traumatic brain injury (TBI) is a major public health problem and the main cause of death and disability worldwide. TBI can causing primary and secondary injury. Primary brain injury occurs within a moment after a collision and worsen by acute systemic damage such as hypoxia, bleeding, and neurotoxic pathway activation. Under normal conditions, brain has several mechanisms for regulating pressure and volume to prevent ischemia. The purpose of these mechanisms is to maintain a continuous cerebral blood flow (CBF) and adequate oxygen supply.
Opioid-Free Anesthesia in Ophthalmic Surgeries Tantri, Aida Rosita; Angkasa, Hansen; Firdaus, Riyadh; Claudia, Tasya; Tantri, Ignatia Novianti
Indonesian Journal of Anesthesiology and Reanimation Vol. 5 No. 2 (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.V5I22023.81-87

Abstract

Introduction: Opioid-free anesthesia (OFA) is an alternative to Opioid based anesthesia (OBA) which uses multimodal analgesia to replace opioids. However, its feasibility, safety, and exact recommended combination remain debatable. Case Series: We administered OFA in 5 types of elective ophthalmic surgeries under general anesthesia in ASA 1-2 adult patients (evisceration, ocular exenteration, periosteal graft, scleral buckling, vitrectomy, and dacryocystorhinostomy) to assess the feasibility of OFA. We gave preoperative Paracetamol and Pregabalin with Dexmedetomidine as a loading dose (1 mcg/kg in 10 minutes) and maintenance at 0.7 mcg kg-1 per hour. Induction was performed using Propofol 1-2 mg kg-1, Lidocaine 1-1.5 mg kg-1 IV, and Rocuronium. Before the incision, Dexamethasone and Ranitidine were given. Maintenance was done using Dexmedetomidine and Sevoflurane. Fentanyl was used as rescue analgesia if required. Dexmedetomidine was stopped 15-30 minutes before the procedure ended. Metoclopramide and Ketorolac were given as postoperative management. Throughout the procedure, our patients had stable hemodynamics, did not experience life-threatening bradycardia, and did not require rescue analgesia. All patients regained full consciousness and did not experience postoperative nausea and vomiting, emergency delirium, or coughing. Conclusion: Multimodal analgesia was an excellent intraoperative OFA regimen as an alternative to OBA and provided controlled hypotension in ocular surgery. Safe OFA is possible with combined analgesia regimens, strict intraoperative monitoring, and adequate anesthesia depth.
Co-Authors , Pryambodho Agusta, Laksmi Senja Ahmad Pasha Natanegara Alatas, Anas Anakotta, Vircha Anasthasia Devina Sutedja Anne Suwan Djaja Arni Diana Fitri Asmara, Yoseph Rohedi Auerkari, Aino Nindya Clarissa Emiko Talitaputri Claudia, Tasya Darto Satoto Edwin, Fahmi Agnesha Ekowati Handharyani Fadhila, Fulki Firdaus, Riyadh Franciscus Dhyana Giri Suyatna Hansen Angkasa Hansen Angkasa Hirda, Reni Ignatia Novita Tantri Irawan Mangunatmadja Kapuangan, Christopher Kurniawan, Teddy Kwan, Lawrence Muhammad A. I. Maulana Muhammad Indera Ramadani Muncieto Andreas Muzal Kadim Prawiro, Eric Priyono, Harim Pryambodho Pryambodho Putri, Armitha Rachmat, Linda Rahendra Rahendra Ratna Farida Soenarto Reza, Harris Putra Riyadh Firdaus Riyadh Firdaus Riyadh Firdaus Ruth Evlin Margaretha Satoto, Darto Saur Maruli Evan Johannes Sri Rejeki Sukmono, R. Besthadi Sukoco, Gunawan Tantri, Ignatia Novianti Tasya Claudia Taufiqo Nugraha S Theresia, Sandy Tri Asmaningrum Larasati Wicaksana, Daffa Abhista Yetty Ramli