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All Journal Bali Journal of Anesthesiology Syntax Literate: Jurnal Ilmiah Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Anestesi Obstetri Indonesia COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Journal of Anesthesiology and Clinical Research Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif
Tjahya Aryasa
Faculty Of Medicine Universitas Udayana Bali
Humanities Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Journal : Syntax Literate: Jurnal Ilmiah Indonesia

 1 
Anaesthesia Management in Parturient with Peripartum Cardiomyopathy: A Case Report Leo, Joseph Nelson; Aryasa, Tjahya; Senapathi, Tjokorda Gde Agung
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i11.16917

Abstract

Peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy secondary to left ventricle systolic dysfunction towards the end of pregnancy or in the months following delivery. Generally, the clinical presentation and anaesthetic management principle are similar to heart failure due to other causes. We report a case of a 27-year-old woman with a diagnosis of first pregnancy, 34 weeks, single and viable fetus, with preeclampsia with severe presentation and lung oedema et causa PPCM planned to have an emergency cesarean section. Pre-anesthesia evaluation revealed physical status ASA III E with lung edema (SpO2 96% with NRM 10 lpm) and EF 38% from echocardiography. The surgery was done with a regional anaesthesia epidural on L1-L2 using bupivacaine 0.25% with lidocaine 1% volume 10 ml caudally and bupivacaine 0.25% volume 10 ml via the epidural catheter. During surgery, blood pressure drops and is manageable with vasopressor. After surgery, the mother and baby were stable. The patient was treated in intensive care for three days and then transferred to a general ward. PPCM is relatively rare. This case could be used as a reference in managing future PPCM cases.
Airway Management Using Awake Fiberoptic in Thyroid Tumors: Case Report Labobar, Otniel Adrians; Ratumasa, Marilaeta Cindryani Ra; Aryasa, Tjahya; Irawan, Ferry
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i2.57740

Abstract

This case report aims to evaluate the effectiveness of the awake fiberoptic intubation (AFOI) technique in airway management for a patient with a thyroid mass. This is a descriptive case report that provides a detailed account of airway management in a patient with a thyroid mass. The subject of this study is a 47-year-old female with a thyroid mass. Data were collected through history-taking, physical examination, radiographic evaluation, and assessment using criteria such as MOANS, LEMON, and RODS to identify potential airway challenges. Anesthetic management and the intubation process were meticulously documented during surgery, including vital signs, drug administration, and the intubation procedure. The data were then presented in a narrative format, supported by preoperative clinical images, radiographic evaluation, and intraoperative monitoring. The results indicate that various airway assessment tests can predict difficult airway scenarios, and this case was successfully managed following ASA guidelines. The AFOI technique, which includes premedication, local anesthesia, and sedation, demonstrated a high success rate with minimal complications. In this case, AFOI was successfully performed via the oral route, with the patient remaining calm, awake, and cooperative throughout the procedure.
Co-Authors Christopher Ryalino Cynthia Dewi Sinardja Devina Martina Bumi Dewi Sinardja, Cynthia Ferry Irawan Fikrawan, Putu Filla Jaya FX Adinda Putra Pradhana Hartawan, IGAG Utara I Gede Budiarta I Gusti Agung Gede Utara Hartawan I Made Agus Kresna Sucandra I Made Gede Widnyana I Made Prema Putra I Wayan Suranadi Ida Bagus Krisna Jaya Sutawan Khamandanu, Kadek Fabrian Kristian Felix Wundiawan Labobar, Otniel Adrians Leo, Joseph Nelson Made Wiryana Pamudji, Ivan Sebastian Pontisomaya Parami Pranoto, Theodorus Pascalis Yullie Putu Agus Surya Panji Ratih Kumala Fajar Apsari Ratumasa, Marilaeta Cindryani Ra Reni Anggraeni Satria Pinanditas S Sri Rahardjo Sucandra, MA Kresna Tanuwijaya, Tommy M Tjokorda Gde Agung Senapathi Wangsa, Aditya