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All Journal Jurnal Anestesiologi Indonesia Indonesian Journal of Anesthesiology and Reanimation (IJAR)
wicaksono, desmiko haryo
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Health Professions Medicine & Pharmacology Public Health

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Comparison Between the Use of 10% Lidocaine Spray on the Mole Palate, Posterior Pharynx, Tonsillar Pillar, Hypopharynx, and Endotracheal Tube on Hemodynamics and Post-Intubation Throat Pain Wicaksono, Desmiko Haryo; Hamdi, Tasrif; Ihsan, Mhd; Amelia, Rina
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 3 (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.v0i0.69005

Abstract

Background: Intubation causes various side effects such as pain and parasympathetic stimulation, hemodynamic changes, increased intracranial pressure, and increased risk of intracranial hemorrhage. Topical lidocaine has been applied for decades via intratracheal spray, oxygen atomization, intracuff filling, or gel lubrication due to its advantages in simplicity of operation. Topical lidocaine is one of the drugs of choice to prevent post-intubation sore throat by decreasing the permeability of nerve membrane cells to sodium ions.Objective: To determine the relationship between the use of 10% lidocaine spray on the mole palate, posterior pharynx, tonsillar pillar, hypopharynx, and endotracheal tube on hemodynamics and post-intubation throat pain.Methods: This study employed a single-blind, randomized clinical trial design with 17 research subjects per group. Group A was given xylocaine spray on the endotracheal tube, and 17 subjects belonging to group B were given xylocaine spray on the soft palate, hypopharynx, and tonsil pillars.Result: Mean arterial pressure in this study in group A was found to be 91.11 + 6.55 and in group B 91.11 + 6.55, for post-operative sore throat (POST) scores in group A 0.51 + 0.26 and for group B 1.21 + 0.13.Conclusion: There is a difference between the use of 10% lidocaine spray on the soft palate, posterior pharynx, tonsillar pillars, hypopharynx, and endotracheal tube on hemodynamics and the incidence of sore throat after endotracheal intubation in elective patients with general anesthesia at RS Adam Malik, Medan.
Correlation Between Total Lymphocyte Count and SOFA Score in Adult Sepsis Patients: A Cross-Sectional Study in An ICU Setting Wicaksono, Desmiko Haryo; Lubis, Bastian; Bisono, Luwih
Indonesian Journal of Anesthesiology and Reanimation Vol. 8 No. 1 (2026): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V8I12026.42-47

Abstract

Objective: This research is an observational analytical study with a cross-sectional approach in adult patients diagnosed with sepsis in integrated inpatient wards and intensive care wards at Haji Adam Malik Hospital Medan. Methods: The subject sampling technique used was non-probability sampling with a consecutive sampling method where 115 subjects were required. Bivariate analysis used the Spearman correlation test on the Total Lymphocyte Count value and SOFA score with a 95% confidence interval, with a p-value <0.05 considered significantly significant. Results and Discussion: The results of the research on the first day found that the average lymphocyte count was 0.92 + 0.29 (0.78) and the average SOFA score was 9.96 + 2.88 (11), where an r-value of -0.783 was obtained, which indicates a high and significant negative relationship between lymphocyte count and SOFA score as a predictor of sepsis patients (p-value = 0.001, p <0.05). Conclusion: Lymphocyte count has a strong negative correlation with the SOFA score in adult patients diagnosed with sepsis in integrated inpatient wards and intensive care wards.
Co-Authors Bisono, Luwih Hamdi, Tasrif Ihsan, Mhd Lubis, Bastian Rina Amelia