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All Journal E-Jurnal Medika Udayana Bali Journal of Anesthesiology Syntax Literate: Jurnal Ilmiah Indonesia Hearty : Jurnal Kesehatan Masyarakat Bioscientia Medicina : Journal of Biomedicine and Translational Research PREPOTIF : Jurnal Kesehatan Masyarakat Neurologico Spinale Medico Chirurgico Journal of Anaesthesia and Pain Jurnal Kesehatan Tambusai Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal of Anesthesiology and Clinical Research Sehat Rakyat: Jurnal Kesehatan Masyarakat Journal of Global Pharma Technology Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif
Adinda Putra Pradhana
Department Of Anesthesiology And Intensive Care, Faculty Of Medicine, Udayana University, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : Syntax Literate: Jurnal Ilmiah Indonesia

 1 
Lidocaine 2% and Xylocaine Spray as A Combination in Successful Awake Intubation in Difficult Airway: How to Do it? Murti, Dede Taruna Kreisnna; Senapathi, Tjokorda Gde Agung; Pradhana, Adinda Putra; Labobar, Otniel Adrians
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i1.56380

Abstract

Awake intubation is a technique used to insert an endotracheal tube while maintaining the patient's consciousness. It is particularly beneficial for patients with difficult airway anatomy, as it allows better visualization using a fiber optic bronchoscope, reduces discomfort with local anesthesia, and ensures the preservation of spontaneous breathing. This approach is critical in high-risk procedures such as total thyroidectomy. This case report aims to describe the application of awake intubation in a high-risk patient undergoing total thyroidectomy due to a thyroid mass causing tracheal narrowing. A 47-year-old female with airway management difficulties (LEMON 3/10, MOANS 0/5) was scheduled for a 3–4-hour total thyroidectomy. Preoperative preparation included fasting, informed consent, and ensuring complete anesthesia equipment. Airway preparation involved Xylocaine spray and Lidocaine nebulization, followed by premedication with Dexamethasone, Diphenhydramine, and Midazolam. Induction was achieved using Propofol, and intubation was performed with an endotracheal tube guided by a fiber optic bronchoscope. Maintenance of anesthesia utilized Oxygen, Sevoflurane, and Atracurium. The results show the patient tolerated the awake intubation procedure well, with no episodes of desaturation or significant bleeding during surgery. Postoperative management included analgesia with Fentanyl and Ketamine, as well as respiratory therapy intervention (RTI) during recovery. Awake intubation, combined with effective airway preparation and anesthesia protocols, provides a safe and reliable approach for managing patients with difficult airways, particularly in high-risk procedures like total thyroidectomy. The technique ensured patient comfort, maintained oxygenation, and minimized perioperative complications.
Opioid Free Anesthesia During Sectio Caesarea Surgery in Pregnant Patients with Dengue Hemorrhagic Fever (A Case Report) Dwipayana, I Made Agus Yudha; Pradhana, Adinda Putra
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i11.16915

Abstract

This study aims to evaluate the effectiveness of Opioid-Free Anesthesia (OFA) in maintaining hemodynamic stability and reducing side effects in emergency cesarean section patients. The background of this research lies in the high risk of opioid addiction and the rising death toll from opioid overdoses in the United States, along with common opioid-related side effects such as respiratory depression, ileus, and postoperative nausea and vomiting (PONV). The patient in this study is a 22-year-old woman at 38 weeks of pregnancy, in the latent phase of labor, with a history of fever due to Dengue infection without warning signs. The method used was general anesthesia without opioids, employing a multimodal pain management approach with non-opioid analgesics aimed at preemptively inhibiting pain receptors along the complex pain pathway, both centrally and peripherally. Results showed that OFA provided consistent hemodynamic stability from induction through to post-operation without any pain complaints, use of additional analgesics, or PONV. OFA effectively provides stable anesthesia and reduces the common side effects of opioids in patients, while supporting safe and efficient pain control without the risk of addiction. The study suggest that OFA with a multimodal approach is a viable option for perioperative anesthesia, reducing opioid dependency and associated side effects, and promoting patient safety in surgical procedures.
Manajemen Anestesi pada Pasien Pediatri yang Menjalani Operasi Reseksi Tumor dengan Posisi Pronasi: Sebuah Laporan Kasus Kamaswari, Ida Ayu Dwi; Pradhana, Adinda Putra; 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.v9i12.17001

Abstract

Posisi pronasi dapat menimbulkan tantangan dalam manajemen anestesi, khususnya pada pasien pediatri. Sacrococcygeal teratoma (SCT) adalah tumor pediatrik langka dan menimbulkan tantangan anestesi yang signifikan karena lokasi anatomi dan komplikasi yang terkait. Laporan kasus ini membahas manajemen anestesi pada seorang anak perempuan berusia tiga tahun dengan massa pada regio sacrococcygeal yang semakin membesar sejak lahir, menyebabkan nyeri intermiten tanpa gejala fungsional atau sistemik. Pemeriksaan fisik menunjukkan refleks normal dan anemia normositik normokromik ringan dengan trombositosis. Temuan magnetic resonance imaging (MRI) menunjukkan adanya massa heterogen dengan komponen kistik dan lemak yang menginfiltrasi otot di sekitarnya dan menekan rektum, menunjukkan adanya massa jaringan lunak ganas yang memerlukan reseksi bedah dan rekonstruksi. Evaluasi pra operasi mengikuti protokol standar, termasuk puasa dan pemantauan terperinci. Induksi anestesi melibatkan midazolam, ketamine, dan sevoflurane, dengan manajemen intraoperatif memastikan oksigenasi yang memadai dan stabilitas hemodinamik. Nyeri pasca operasi ditangani dengan fentanil, parasetamol, dan ibuprofen. Laporan ini menggarisbawahi pentingnya pelaporan protokol anestesi dalam posisi pronasi pada pasien pediatri secara rinci untuk perbandingan dan evaluasi langsung. Perbedaan fisiologis terkait usia secara signifikan berdampak pada stabilitas dan hasil hemodinamik, seperti terlihat pada kondisi intraoperatif yang berbeda antara pasien ini dan kasus neonatal yang dilaporkan. Selain itu, temuan MRI dapat bervariasi berdasarkan waktu diagnosis dan pertumbuhan tumor, sehingga memengaruhi presentasi klinis dan perencanaan pembedahan. Penanganan dan pemeriksaan diagnostik yang lebih komprehensif diperlukan untuk meningkatkan penanganan dan manajemen anestesi pada kasus SCT.
Co-Authors Adi, Made Septyana Parama Agus Aryanda Putra Agus Roy Rusli Hamid Amin, Yusuf Sidang Andi Irawan Andi Kusuma Wijaya, Andi Cahyono, Ardy Wibowo Christopher Ryalino Cynthia Dewi Sinardja Demoina, I Gede Patria Deni Salmon Dewa Ayu Karunia Dewi Dewa Ayu Mas Shintya Dewi Dwipayana, I Made Agus Yudha Eric Makmur, Eric Eva Dharma Yanti Farha, Nabilla Hartawan, IGAG Utara Heryana, Kadek Agus I Dewa Made Sukrama I Gede Budiarta I Gusti Agung Gede Utara Hartawan I Gusti Ngurah Mahaalit Aribawa I Gusti Putu Sukrana Sidemen I Ketut Sinardja I Made Darma Junaedi, I Made I Made Dwi Pramana I Made Gede Widnyana I Putu Agus Surya Panji I Wayan Aryabiantara, I Wayan I Wayan Suranadi Kadek Agus Heryana Putra, Kadek Agus Kamaswari, Ida Ayu Dwi Kapitan, Titin Agustin Ketut Wibawa Nada Kurniajaya, I Gusti Agung Made Wibisana Labobar, Otniel Adrians Made Widnyana Made Wiryana Mahaalit, I Gusti Ngurah Mauritius Septa Murti, Dede Taruna Kreisnna Nada, I Ketut Wibawa Nantha Kusuma, Putu Eka Narakusuma, I Putu Fajar Ni Nyoman Sri Budayanti Ni Putu Novita Pradnyani, Ni Putu Novandi Kurniawan Pande Nyoman Kurniasari, Pande Pontisomaya Parami Prisca Oriana Sutanto Putra, Putu Enggi Pradana Putu Kurniyanta Putu Pramana Suarjaya Raka-Sudewi A. A. Rapa, Fransiscus Braveno Senapathi, Tjokorda Gede Agung Sonni Soetjipto, Sonni Sumanti, Alan F. A. Supono, Benny Suwardana, Muhammad Bayu Syamsuddin, Johanis Bosco Troy Tjokorda Gde Agung Senapathi Wiranata, Jeremia Alvian Yadikusumo, Andrian