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All Journal Jurnal Anestesiologi Indonesia Jurnal Neuroanestesi Indonesia
Fadhila, Fulki
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Penggunaan Lidokain Intravena untuk Adjuvan Obat Analgesik pada Operasi Bedah Saraf Firdaus, Riyadh; Tantri, Aida Rosita; Kurniawan, Teddy; Agusta, Laksmi Senja; Fadhila, Fulki; Sukoco, Gunawan; Reza, Harris Putra
Jurnal Neuroanestesi Indonesia Vol 11, No 2 (2022)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.975 KB) | DOI: 10.24244/jni.v11i2.448

Abstract

Nyeri merupakan suatu perasaan atau pengalaman yang bersifat subjektif yang melibatkan sensoris, emosional, dan tingkah laku yang tidak menyenangkan yang disebabkan oleh kerusakan jaringan. Manajemen nyeri pascaoperasi dinilai esensial karena akan memberikan hasil luaran yang baik pada pasien serta meningkatkan kualitas hidup pascaoperasi. Opioid merupakan obat analgesik intravena yang paling sering digunakan sebagai terapi nyeri perioperatif, namun memiliki efek samping yang kurang menyenangkan. Pengembangan dalam penggunaan obat analgesik yang lebih efektif diperlukan, salah satu adalah lidokain intravena yang memiliki efek samping yang lebih kecil dibandingkan opioid. Beberapa studi menunjukkan bahwa penggunaan lidokain sebagai obat analgesik intraoperatif memiliki efek samping minimal dan pemulihan lebih cepat. Penelitian lain juga menunjukkan penggunaan lidokain sebagai analgesik pada operasi bedah saraf memiliki efek yang cukup baik. Maka dari itu, tinjauan pustaka ini akan membahas mengenai penggunaan lidokain sebagai terapi adjuvan obat analgesik, khususnya pada operasi bedah saraf.The Use of Intravenous Lidocaine as Adjuvant Analgesia in NeurosurgeryAbstractPain is a subjective feeling or experience involving sensory, emotional, and unpleasant behavior caused by tissue damage. Postoperative management is considered essential because it will provide excellent results for patients and improve postoperative quality of life. Opioids are intravenous analgesic drugs that are most often used as perioperative pain therapy but have unpleasant side effects. Developments in using more effective analgesic drugs are needed, one of which is intravenous lidocaine which has fewer side effects than opioids. Several studies have shown that lidocaine as an intraoperative analgesic drug has minimal side effects and faster recovery. Other studies have also shown lidocaine as an analgesic in neurosurgery surgery to have a fairly good effect. Therefore, this literature will discuss lidocaine as an adjuvant therapy, especially in neurosurgery operations.
Colorado Pediatric Airway Score (COPUR) as a Predictor of Intubation Difficulty in Children Aged 1-8 Years Kapuangan, Christopher; Perdana, Aries; Fadhila, Fulki; Ramlan, Andi Ade Wijaya; Zahra, Raihanita; Ferdiana, Komang Ayu; Rahendra, Rahendra
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 2 (2025): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.70707

Abstract

Background: Airway management is critical in pediatric anesthesia, as failure can lead to severe complications, including cardiac arrest. Anticipating and preparing for difficult intubation is essential, particularly in children with unique anatomical and physiological characteristics. The Colorado Pediatric Airway Score (COPUR) is a predictive tool for assessing intubation difficulty in pediatric patients.Objective: This study evaluates the validity of COPUR in predicting difficult intubation in children.Methods: A cross-sectional diagnostic study was conducted on 121 pediatric patients (aged 1–8 years) undergoing general anesthesia at Cipto Mangunkusumo Hospital. COPUR assesses jaw structure, mouth opening, prior intubation history, uvula visibility, neck movement, and additional modifying factors (macroglossia, obesity, mucopolysaccharidosis, and protruding teeth). A COPUR score >7 was used to predict difficult intubation, while intubation difficulty was defined by an Intubation Difficulty Score (IDS) >5.Results: A COPUR score ≥8 predicted difficult intubation in 15.7% of patients, whereas actual difficult intubation occurred in 9.92%. A COPUR threshold of ≥7 provided optimal sensitivity (83.3%) and specificity (61.47%), outperforming the original cutoff of 8 (50% sensitivity, 87% specificity). The score demonstrated good discriminative ability (AUC-ROC: 0.770, 95% CI: 0.685–0.842) and suitable calibration (Hosmer-Lemeshow test, p = 0.584).Conclusion: The COPUR score is a valid tool for predicting difficult intubation in pediatric patients aged 1–8 years, demonstrating fairly good discrimination and calibration values.
Co-Authors Agusta, Laksmi Senja Ferdiana, Komang Ayu Firdaus, Riyadh Kapuangan, Christopher Kurniawan, Teddy Perdana, Aries Rahendra, Rahendra Ramlan, Andi Ade Wijaya Reza, Harris Putra Sukoco, Gunawan Tantri, Aida Rosita Zahra, Raihanita