cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Ristiawan Muji Laksono
Contact Email
anestpain@ub.ac.id
Phone
+6281336172271
Journal Mail Official
anestpain@ub.ac.id
Editorial Address
Anesthesiology and Intensive Therapy Program, Medicine FacultyBrawijaya University, Malang Indonesia Jl. Jaksa Agung Suprapto no.2, Malang, Indonesia
Location
Kota malang,
Jawa timur
INDONESIA
Journal of Anaesthesia and Pain
Published by Universitas Brawijaya
ISSN : 27223167     EISSN : 27223205     DOI : http://dx.doi.org/10.21776/ub.jap
Core Subject : Health,
Health Professions Medicine & Pharmacology
Journal of Anaesthesia and Pain is a peer-reviewed and open-access journal that focuses on anesthesia and pain. Journal of Anaesthesia and Pain, published by Anesthesiology and Intensive Therapy Specialist Program of Medicine Faculty, Brawijaya University. This journal publishes original articles, case reports, and reviews. The Journal s mission is to offer the latest scientific information on anesthesiology and pain management by providing a forum for clinical researchers, scientists, clinicians, and other health professionals. This journal publishes three times a year. Subjects suitable for the Journal of Anaesthesia and Pain are all subjects related to anesthesiology and pain management.
Arjuna Subject : Kedokteran - Anesthesiology and Pain Medicine
Articles 4 Documents
 1 
Search results for , issue "Vol. 6 No. 1 (2025): January" : 4 Documents clear
Comparison of Analgesic Effects of Nalbuphine and Buprenorphine on Caudal Ropivacaine in Children Undergoing Infraumbilical Surgeries Kaur, Navdeep; Chinnappa, Jithendra; Iyer, Sadasivan Shankar; Suresh, Govindswamy; Turai, Ashwini
Journal of Anaesthesia and Pain Vol. 6 No. 1 (2025): January
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Background: Caudal anesthesia is the most commonly performed regional anesthesia in children. Nalbuphine and buprenorphine provide the advantage of prolonging the duration and quality of analgesia without the risk of respiratory depression. The study compares the analgesic effects of nalbuphine versus buprenorphine on caudal ropivacaine. Method: Randomized, double-blind study on 54 patients aged 1-10 years scheduled for elective infraumbilical surgeries, randomly assigned to three groups. Group R (n = 17, receive ropivacaine 0.2% 1 ml/kg), group RN (n = 17, receive 0.2% ropivacaine with 0.1 mg/kg nalbuphine), and group RB (n = 17, receive 0.2% ropivacaine with 3 µg/kg buprenorphine). The time taken for the first rescue analgesic, children and infants postoperative pain scale (CHIPPS), sedation scores, motor blockade, and side effects were noted every 30 minutes in the postoperative room. Data were analyzed using students’ unpaired t-test, ANOVA, Yates' and Fisher’s chi-square tests, with α = 0.05 and 95% confidence intervals (CI). Result: Time to rescue analgesia was 15.54 ± 7.74 hours in RN, 17.96  ±  5.56 hours in RB, and 11.25  ± 8.85 hours in R group. Most patients had a CHIPPS score of 1 in all 3 groups. Motor blockade was not present in all groups (p = 0.650). All three groups were comparable in sedation scores (2, tranquil and oriented) (p = 0.650). There were no significant difference in the side effects between groups (p = 0.060).     Conclusion: Both nalbuphine and buprenorphine prolong the duration of postoperative analgesia when combined with caudal ropivacaine, compared to solely caudal ropivacaine.
Efficacy of Opioid-Free Anesthesia vs Opioid Anesthesia in Postoperative Outcome of Patients Underwent General Anesthesia Ananda, Pratama; Anggraeni, Novita; Sari, Valencia Ayu
Journal of Anaesthesia and Pain Vol. 6 No. 1 (2025): January
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Background: Opioids are widely used narcotic analgesics in perioperative settings. However, it has a series of postoperative side effects. Opioid-free anesthesia (OFA) is an anesthetic technique that avoids the use of opioids intraoperatively to minimize their side effects. This study aimed to compare the postoperative outcome and side effects between OFA and opioid anesthesia. Methods: This is a randomized comparative experimental study in adults undergoing elective surgery under general anesthesia. We enrolled 30 patients and divided them into Group A (treatment) (n = 15), who were given ketamine at 0.25-0.5 mg/kg repeated every 30 minutes and 2% lidocaine at 1-1.5 mg/kg followed by maintenance doses. Group B (control) (n = 15) received fentanyl at 1-5 µg/kg/hour. Postoperative outcome (pain intensity) using the Wong-Baker FACES® Pain Rating Scale and side effects of opioids, including postoperative hypoxia, ileus, delirium, and postoperative nausea and vomiting (PONV), were observed. The data between groups were analyzed using the Wilcoxon, chi-square, unpaired t-test, Fisher’s exact, and Mann-Whitney test with α = 0.05. Result: Moderate to severe postoperative pain was observed to be higher in the control group than in the treatment group (88.9% vs 11.1%) (p = 0.020). Incidence of hypoxia, ileus, delirium, nausea, and vomiting in group A (p = 0.003; p = 0.030; p = 0.042; p = 0.001, respectively) was higher compared to group B. Conclusion: The use of OFA results in better postoperative pain control and a lower incidence of postoperative opioid-related side effects, i.e., postoperative hypoxia, ileus, delirium, and PONV.  
Diabetes Insipidus in Severe Traumatic Brain Injury Patient: A Case Report Zaelany, Allief Ilman; Fatoni, Arie Zainul
Journal of Anaesthesia and Pain Vol. 6 No. 1 (2025): January
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Background: Traumatic brain injury (TBI) contributes to significant morbidity and mortality. It leads to neuronal and vascular damage that can disrupt the function of the hypothalamus and pituitary gland, sometimes resulting in diabetes insipidus (DI). This study aims to examine DI as a complication of severe TBI and seeks to emphasize the importance of appropriate diagnosis, intervention, and monitoring to reduce the risk of mortality from TBI with DI. Case: We present a case of a severe TBI patient who had a traffic accident, resulting in subdural hematoma (SDH), subarachnoid hemorrhage (SAH), and ala magna fracture of the sphenoid bone. On the fourth day of treatment (the second day in the ICU), the patient experienced DI, characterized by a urine output rate of 4.2 cm3/kg/hour and hypernatremia (147 mmol/l). The patient was treated with fluid resuscitation and desmopressin. Symptoms improved after eight days of treatment, characterized by a urine output rate of 2.8 cm³/kg/hour and a serum sodium level of 159 mmol/l. This showed significant clinical improvement. On the tenth day, urine output returned to normal, with a lower serum osmolality, and the patient was discharged from the hospital. Conclusion: DI, as a severe complication of TBI, has the potential to increase mortality. This case underscores the importance of early detection, appropriate treatment, and ongoing monitoring to improve prognosis and reduce the risk of death associated with DI after traumatic brain injury (TBI).
Supraclavicular Block in Neglected Closed Fracture of the Intercondylar Humerus Imunu, Naim Ismail; Siswagama, Taufiq Agus
Journal of Anaesthesia and Pain Vol. 6 No. 1 (2025): January
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Background: The supraclavicular block is used in upper extremity surgery, offering the advantages of easy access, reliability, and low risk, with the added benefit of ultrasound guidance to enhance safety and effectiveness. The aim of this case study was to evaluate the effectiveness and role of the supraclavicular block with ultrasound as the primary anesthetic and analgesic technique in the surgical management of neglected closed intercondylar humeral fractures. Case: A 57-year-old woman presented with an intra-articular fracture of the distal third of the left humerus according to the osteosynthesefragen and the orthopedic trauma association (AO/OTA) classification, type C2, with soft tissue swelling on the dorsal aspect of the left elbow. The patient had diabetes and hypertension, American Society of Anesthesiologists (ASA)  III, and a BMI of 27.8 kg/m2. The patient received a supraclavicular block with 0.5% ropivacaine and 10 mg dexamethasone in a total volume of 20 cm3. Needle placement was performed using ultrasound. During surgery, the patient received dexmedetomidine 0.3 µg/kg/hour plus intermittent fentanyl. Postoperatively, the patient was given ketorolac 3 x 30 mg and paracetamol 500 mg orally three times a day. One day after the procedure, the patient's numerical rating scale at rest was approximately 0 to 1, and a score of 1-2 was recorded during movement. Conclusion: A supraclavicular block, ultrasound-guided, with ropivacaine 0.5% can improve the accuracy and effectiveness of local anesthetic administration. This technique is helpful for patients with excess body mass because the brachial plexus is located superficially in the supraclavicular region

Page 1 of 1 | Total Record : 4

 1 

Filter by Year

2025 2025


Reset
Filter By Issues
All Issue Vol. 6 No. 3 (2025): In Press Vol. 6 No. 2 (2025): May Vol. 6 No. 1 (2025): January In Press Vol. 5 No. 3 (2024): September Vol 5, No 3 (2024): September Vol 5, No 2 (2024): May Vol. 5 No. 2 (2024): May Vol 5, No 1 (2024): January Vol. 5 No. 1 (2024): January Vol 4, No 3 (2023): September Vol. 4 No. 3 (2023): September Vol. 4 No. 2 (2023): May Vol 4, No 2 (2023): May Vol 4, No 1 (2023): January Vol. 4 No. 1 (2023): January Vol 3, No 3 (2022): September Vol 3, No 2 (2022): May Vol. 3 No. 2 (2022): May Vol 3, No 1 (2022): January Vol 2, No 3 (2021): September Vol 2, No 2 (2021): May Vol 2, No 1 (2021): January Vol 1, No 3 (2020): September Vol 1, No 2 (2020): May Vol 1, No 1 (2020): January More Issue