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All Journal Indonesian Journal of Multidisciplinary Science The Journal of Society Medicine (JSOCMED)
Erlangga, Muchammad Erias
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Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Management of Guillain-Barré Syndrome with Respiratory Distress in a Pregnant Woman: A Case Report Wahyu Wardana, Artha; Erlangga, Muchammad Erias
Journal of Society Medicine Vol. 3 No. 1 (2024): January
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.115

Abstract

Guillain-Barré Syndrome (GBS) is a rare neurological disorder characterized by the immune system's attack on the peripheral nerves. It is typically preceded by an infection, such as a respiratory or gastrointestinal infection, although the exact cause is still unknown. While GBS can occur in anyone, its occurrence during pregnancy poses unique challenges and considerations. GBS in pregnancy is relatively uncommon, but it is a critical condition that requires careful management due to the potential risks to both the mother and the developing fetus. Pregnant women with GBS may present with a variety of symptoms, including muscle weakness, tingling sensations, and loss of reflexes. These symptoms often start in the legs and can progress to the arms and upper body. Early diagnosis and early definitive treatment has promising outcome for GBS in pregnancy. We report this case to review management of GBS in pregnancy.
Management of a Critically Ill Post-Cesarean Section Patient with Antepartum Hemorrhage Due to Placenta Previa Totalis in a G2P1A0 at 27–28 Weeks Gestation with Severe Preeclampsia, HELLP Syndrome, Pulmonary Edema, Stage 2 Acute Kidney Injury, and Hypoalbuminemia Bernadeth, Bernadeth; Erlangga, Muchammad Erias
Journal of Society Medicine Vol. 4 No. 7 (2025): July
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i7.225

Abstract

Introduction: Massive antepartum hemorrhage in pregnancy, particularly due to placenta previa totalis, poses life-threatening risks requiring intensive care unit (ICU) management. The ROSE (Resuscitation, Optimization, Stabilization, Evacuation) approach is critical in managing critically ill patients with massive bleeding, emphasizing fluid resuscitation, massive transfusion protocols, and coagulopathy management. This case report highlights the complex management of a patient with placenta previa totalis, severe preeclampsia, and HELLP syndrome, complicated by pulmonary edema, acute kidney injury (AKI), and hypoalbuminemia. Case Description: A 35-year-old woman, G2P1A0 at 27–28 weeks gestation, was admitted to the ICU following an emergency cesarean section due to antepartum hemorrhage from placenta previa totalis. She presented with hemorrhagic shock and severe preeclampsia complicated by HELLP syndrome. Initial resuscitation at a referring facility included 2000 cc Ringer’s lactate and 500 cc 0.9% NaCl. In the hospital, damage control surgery and massive transfusion (packed red blood cells, fresh frozen plasma, and platelets) were performed. Postoperatively, the patient required mechanical ventilation and vasopressor support in the ICU. On day 1, she developed volume overload, pulmonary edema, stage 2 AKI, and hypoalbuminemia, managed with furosemide. Extubation was achieved on day 3, and she was transferred to the high-care unit on day 4. Conclusion: In pregnant patients with trauma and massive hemorrhage, early diagnosis, damage control surgery, and appropriate massive transfusion management are critical interventions required to save the patient's life.
Ketorolac Administration with Ketorolac and Bilateral Superficial Cervical Plexus Block's Comparison to Total Post-Thyroidectomy Analgesic Rescue Needs Fathir, Sandi; Suwarman, Suwarman; Erlangga, Muchammad Erias
Indonesian Journal of Multidisciplinary Science Vol. 2 No. 8 (2023): Indonesian Journal of Multidisciplinary Science
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/ijoms.v2i8.520

Abstract

Thyroidectomy is generally performed by a surgeon with a short operating duration. Inadequate postoperative pain treatment results in several physiological and psychological outcomes, including prolonged hospital stays and the development of chronic pain. This study aims to compare the administration of ketorolac with a combination of ketorolac and bilateral superficial cervical plexus blocks to the total need for analgetic rescue after thyroidectomy surgery. This study used an experimental study with a single-blind randomized control trial method for both study groups. After surgery, group A was given an IV injection of 30 mg ketorolac, while group B was given IV injections of 30 mg ketorolac and bilateral superficial cervical plexus block under ultrasound guidance and 10 ml of 0.25% bupivacaine on each side of the neck before surgery was completed. Both groups would be monitored for 2 hours. The average value of total analgetic rescue needs in the patient group given ketorolac was 195.24 ± 72.72 mcg. While the total need for analgetic rescue in the group of patients who were given a combination of ketorolac and bilateral superficial cervical plexus blocks was 44.05 ± 19.21 mcg. The results of the unpaired T-test showed a p-value of 0.001. There is a significant difference in the total need for analgetic rescue in patients receiving ketorolac.
Co-Authors Bernadeth, Bernadeth Fathir, Sandi Suwarman Suwarman, Suwarman Wahyu Wardana, Artha