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All Journal Jurnal Komplikasi Anestesi
Prandani, Muhammad Yogi
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Medicine & Pharmacology

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Case Series: Lumbar Cerebrospinal Fluid Drainage in Aneurysm Clipping Bayu, Timor Krisna; Prandani, Muhammad Yogi; Farid, Anisa Fadhila; Adiyanto, Bowo
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v12i3.14679

Abstract

Intracranial aneurysm rupture is a medical emergency often accompanied by subarachnoid hemorrhage (SAH), which requires immediate medical intervention to reduce the risk of morbidity and mortality. This case report provides an overview of lumbar cerebrospinal fluid drainage (LCFD) as a method to reduce increased intracranial pressure and prevent or treat hydrocephalus that can occur after SAH. It is done by inserting an epidural catheter in the subarachnoid lumbar. The effectiveness of LCFD is more significant in patients with MFS 3-4. This finding supports the use of LCFD in managing SAH aneurysm to improve patients’ prognosis. Management of this case involved meticulous preoperative evaluation, appropriate intraoperative intervention, and strict postoperative monitoring, including treatment of cerebral vasospasm that may arise as a complication of SAH. The results suggest that LCFD can successfully reduce complications and improve clinical outcomes in patients with ruptured aneurysms who have undergone aneurysm clipping. The success of this method emphasizes the importance of a multidisciplinary approach in the management of SAH to achieve optimal patient outcomes.
Case Series: Lumbar Cerebrospinal Fluid Drainage in Aneurysm Clipping Bayu, Timor Krisna; Prandani, Muhammad Yogi; Farid, Anisa Fadhila; Adiyanto, Bowo
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v12i3.14679

Abstract

Intracranial aneurysm rupture is a medical emergency often accompanied by subarachnoid hemorrhage (SAH), which requires immediate medical intervention to reduce the risk of morbidity and mortality. This case report provides an overview of lumbar cerebrospinal fluid drainage (LCFD) as a method to reduce increased intracranial pressure and prevent or treat hydrocephalus that can occur after SAH. It is done by inserting an epidural catheter in the subarachnoid lumbar. The effectiveness of LCFD is more significant in patients with MFS 3-4. This finding supports the use of LCFD in managing SAH aneurysm to improve patients’ prognosis. Management of this case involved meticulous preoperative evaluation, appropriate intraoperative intervention, and strict postoperative monitoring, including treatment of cerebral vasospasm that may arise as a complication of SAH. The results suggest that LCFD can successfully reduce complications and improve clinical outcomes in patients with ruptured aneurysms who have undergone aneurysm clipping. The success of this method emphasizes the importance of a multidisciplinary approach in the management of SAH to achieve optimal patient outcomes.
The Effect of Music Listening on Anxiety Levels in Post-Subarachnoid Block Anaesthesia Patients Prandani, Muhammad Yogi; Kurniawaty, Juni; Apsari, Ratih Kumala Fajar
Jurnal Komplikasi Anestesi Vol 13 No 1 (2025)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v13i1.18170

Abstract

Background: The patients’ perioperative conditions can affect post-operative anxiety. Subarachnoid block anaesthesia can increase the incidence of post-operative anxiety. Methods to reduce post-operative anxiety are divided into pharmacological, with the administration of sedative drugs, and non-pharmacological, with holistic education, acupuncture, listening to music during surgery, and othersObjective: This study aims to observe the effect of listening to music on the anxiety level of surgical patients undergoing subarachnoid block anesthesia.Methods: This study was a Randomized Controlled Trial (RCT), with an intervention group (n=50) listening to music after subarachnoid block during surgery and a control group (n=50) receiving standard routine anesthetic care. Anxiety assessment using the STAI score and vital signs were performed at 3 different times in both groups.Results: There were no differences in patient characteristics between the two groups. Anxiety measurement in the reception room (X1) showed 37 patients (74%) and 31 patients (62%) with moderate anxiety in the intervention and control groups, respectively (p>0.05). There was no difference in patient anxiety levels between the two groups (p>0.05) in the operating room (X2). Post-operative anxiety measurement in the recovery room (X3) showed 43 patients (86%) with low anxiety in the intervention group, compared to 32 patients (64%) in the control group. Patients who listened to music during surgery had a lower level of post-operative anxiety compared to the control group (p=0.011). Conclusion: Listening to music can reduce post-operative anxiety in patients undergoing surgery with subarachnoid block, compared to patients receiving standard routine care
Co-Authors Anisa Fadhila Farid Bayu, Timor Krisna Bowo Adiyanto Juni Kurniawaty Muhdar Abubakar Djayanti Sari Ratih Kumala Fajar Apsari