Taufiq Agus Siswagama
Departemen Anestesiologi Dan Terapi Intensif; Fakultas Kedokteran; Universitas Brawijaya/RSUD Dr. Saiful Anwar; Malang

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Integrating Quadratus Lumborum and Transabdominal Plane Blocks for Effective Pain Management in Colon Cancer: A Case Report Shallahudin, Shallahudin; Laksono, Ristiawan Mudji; Siswagama, Taufiq Agus; Asmoro, Aswoco Andyk
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 5, No 2 (2025): October 2025
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v5i2.78834

Abstract

Background: The Quadratus Lumborum Block (QLB) is an ultrasound-guided posterior abdominal wall block that targets the interfascial plane. This case report investigates the concurrent application of QLB and transabdominal plane block for pain management in a patient with colon cancer-related pain.Case Illustration: A 53-year-old male patient presented with abdominal pain at the site of an abdominal stoma and his back over the past 3 months. The pain was characterized as sharp and exacerbated by movement. Laboratory tests revealed leukocytosis and a prolonged activated partial thromboplastin time. A 2022 CT scan indicated a residual mass in the transverse colon with associated fat stranding involving the adjacent ileal wall. The patient was diagnosed with cancer-related pain due to colon cancer, and a comprehensive pain management plan involving the combination of QLB, transabdominal plane block, and a Durogesic patch (12.5 mcg/3 days) was devised. The abdominal pain significantly diminished, with an initial resting Numerical Rating Scale (NRS) score of 5-6 and an initial exacerbated NRS score of 7-9, reducing to a final resting NRS score of 1-2 and a final exacerbated NRS score of 2-3 after administering the pain management regimen: QLB with Ropivacaine 0.375% + Methylprednisolone injection 62.5 mg, totaling 20 cc, along with transabdominal plane block using Ropivacaine 0.375% with a total volume of 10 cc. No occurrences of nausea or vomiting were reported.Conclusion: Employing a combined approach of QLB and transabdominal plane block for pain management holds the potential to alleviate acute and chronic pain while facilitating a robust post-operative recovery. Further research involving a larger patient population is warranted to explore the full efficacy and effectiveness of the QLB technique.
The Effectiveness of Basic Life Support Training on the Level of Knowledge of Teachers in Islamic Boarding Schools Yusuf, Muhammad Farlyzhar; Jaya, Wiwi; Isngadi, Isngadi; Asmoro, Aswoco Andyk; Laksono, Ristiawan Muji; Laksono, Buyung Hartiyo; Hartono, Ruddi; Siswagama, Taufiq Agus; Fatoni, Arie Zainul; Vitraludyono, Rudy; Fadhlurrahman, Ahmad Feza; Agustina, Ayu Yesi; Nofiyanto, Eko; Sidiq, Muhamad Akbar; Fanniyah, Fanniyah; Sawitri, Dewi Arum
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 6, No 1 (2026): April 2026
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v6i1.98730

Abstract

Background: Teachers in Islamic boarding schools (pesantren) must be prepared for emergencies. Basic Life Support (BLS) training is essential for improving their knowledge. This study evaluated the effectiveness of BLS training in enhancing teachers' knowledge.Methods: A pre-experimental study with a pretest-posttest design involving 15 teachers. Respondent receive BLS training by anesthesiologist team. Respondent's knowlegde were assesed before and after BLS training using questionnair. Data were analyzed using Shapiro-Wilk and paired T-tests.Result: This study enroll 15 respondent (teacher) from boarding school. The average score increased from 56.67 to 66.00 (p = 0.048), indicating a significant improvement.Conclusion: BLS training is effective in increasing teachers' knowledge and is recommended for regular implementation