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Bali Journal of Anesthesiology
Published by Bali Journal of Anesthesiology
ISSN : -     EISSN : -     DOI : -
Core Subject : Health, Education,
Health Professions Medicine & Pharmacology Other
Arjuna Subject : -
Articles 13 Documents
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Search results for , issue " Vol 2, No 3 (2018)" : 13 Documents clear
PAIN MANAGEMENT IN BURN INJURY Jaya, A A Gde Putra Semara; Anggreni, Anak Agung Ayu; Senapathi, Tjokorda Gde Agung
Bali Journal of Anesthesiology Vol 2, No 3 (2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (200.457 KB) | DOI: 10.15562/bjoa.v2i3.86

Abstract

Burn injury is one of the challenging cases in medical practice, which need comprehensive and multidiscipline management. Pain management is one of an important factors in caring for the burn patient. Pain management in burn injury is challenging and the patient may be at risk for undertreatment. Undertreated severe acute pain can lead to adverse consequences of many organ systems, delay recovery and discharge process, and potentially lead to chronic pain. Reports of inadequate pain relief persist, although there are advances in the acute pain management in recent years.An understanding of pain pathway can achieve effective burn injury pain management, types of pain in burn injury, analgesics selection, continuous and accurate assessment of the pain and the response to therapy, dose adjustment to achieve maximum effect and minimal side effect, and role of nonpharmacological treatment as a complement to medication. Acute pain service plays an important role in providing effective burn injury pain management for reducing morbidity and mortality.
SURGEONS BEHAVIOR TOWARD PROPHYLAXIS ANTIBIOTICS IN SANGLAH HOSPITAL Suranadi, I Wayan; Sukrama, Dewa Made; Budayanti, Ni Nyoman Sri; Pradhana, Adinda Putra; Amin, Yusuf Sidang
Bali Journal of Anesthesiology Vol 2, No 3 (2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.011 KB) | DOI: 10.15562/bjoa.v2i3.102

Abstract

 Background: The emergence of antibiotic resistance is a complicated problem due to many factors, especially its use and abuse. Inappropriate use of antibiotics is very common in both developed and developing countries. The goal of this study was to see the knowledge of the surgeons toward prophylaxis antibiotic at Sanglah Hospital.Methods: This is a descriptive study of 55 surgeons who performed elective surgery at Sanglah Hospital. A questionnaire was filled by the surgeons randomly without prior notice about the study. The information about their behavior toward prophylaxis antibiotics was gathered from medical record of the day.Result: Out of the 55 surgeons participated in this study, 85.5% have followed a training on rational antibiotic use. The level of knowledge about factors that can increase surgical wound infections is quite good (94.4%), while the knowledge regarding factors that can reduce surgical wound infections very low (16.4%). Almost all (92.7%) clean-surgery patients were given prophylactic antibiotics. The most given antibiotic was ceftriaxone (72.7%), the third generation of cephalosporins.Conclusion: The mean knowledge of the surgeons toward antibiotic prophylaxis was 59.8%. The most used antibiotic as pre-surgical prophylaxis was ceftriaxone. And the time of administration for prophylaxis antibiotic was 16-60 minutes prior to surgical incision.
ANAESTHESIA CHALLENGES DURING MANAGEMENT OF EMERGENCY CESAREAN SECTION IN A POST-PNEUMONECTOMY PRIMIGRAVIDA WITH PLACENTA PREVIA Chavan, Surekha Sudhir; Raghuvanshi, Amruta Arvind; Gedam, Priyanka H
Bali Journal of Anesthesiology Vol 2, No 3 (2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.34 KB) | DOI: 10.15562/bjoa.v2i3.88

Abstract

Pulmonary disease is a known risk factor for perioperative respiratory complications. So anesthesiologists are expected to experience these postpneumonectomy patients coming for elective or emergency surgeries. But there is little data to anesthesia management for cesarean delivery of postpneumonectomy parturient. On reviewing the literature, there is only one reported case of the trial of vaginal delivery followed by cesarean section done under epidural anesthesia, a 41 years-old parturient having preoperative respiratory failure and pneumonia in the antenatal period which was managed on continuous positive airway pressure (CPAP) simultaneously. Our case presented a 24 years-old primigravida of 34 weeks gestation with placenta previa and complaints of two days per vaginal bleeding was posted for the emergency cesarean section. She had past history of left lung lobectomy 10 years back, video bronchoscopy 3 years back and history of admission for treatment of an episode of pneumonia at 32 weeks of present gestation. Emergency cesarean section was managed successfully under spinal anesthesia. This case report highlights that spinal anesthesia may remain a good option in anesthesia management for cesarean section in a primigravida with postpneumonectomy.

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