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Anesthesiology and Intensive Therapy Program, Medicine FacultyBrawijaya University, Malang Indonesia Jl. Jaksa Agung Suprapto no.2, Malang, Indonesia
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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
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Search results for , issue "Vol. 7 No. 1 (2026): January" : 4 Documents clear
Comparison of General Anesthesia vs Spinal Anesthesia on Post Operative Pain After Hysterectomy - A Systematic Review and Meta-analysis Lalchanzani, Jawaharlal Akbar; Faida, Nova Auliyatul; Auzan, Asyrafly
Journal of Anaesthesia and Pain Vol. 7 No. 1 (2026): January
Publisher : Faculty of Medicine, Brawijaya University

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

Abstract

Background: Hysterectomy is among the most frequently performed major surgical procedures. General anesthesia (GA) remains the most commonly used technique. The selection between GA and spinal anesthesia (SA) can significantly impact patient outcomes, particularly in terms of pain control and the incidence of postoperative nausea and vomiting. This systematic review and meta-analysis aim to compare the effects of GA versus SA on duration of operation, pain intensity, post-operative analgesic consumption, and the incidence of nausea and vomiting in patients undergoing hysterectomy. Methods: This systematic review and meta-analysis were conducted to assess the duration of operation, pain intensity, postoperative analgesic consumption, and the incidence of nausea and vomiting in GA and SA in hysterectomy. The data was tested using random-effect models.   Result: Out of eight studies, a total of 1.054 patients were included. Our findings indicate that the intensity of postoperative pain in the GA group obtained a significantly higher Visual Analogue Scale (VAS) Score compared to the SA group (MD, 0.84; 95% CI, [0.11, 1.56]; p = 0.02, I² = 56%). However, no significant results were found on other outcomes including operative time (MD, 1.95; 95% CI, [-1.30, 5.19]; p = 0.24, I² = 10%), analgesic consumption (MD, -7.48; 95% CI, [-20.38, 5.43]; p = 0.26, I² = 96%) and nausea vomiting events (RR, 0.71; 95% CI, [0.48, 1.05]; p = 0.09, I² = 0%). Conclusion: SA showed significant reductions in pain scores compared with GA, suggesting potential benefits for pain relief. However, the choice of anesthesia should be guided by patient-specific factors, the complexity of the surgery, and clinical preferences.
Combined Lumbar Plexus and Sciatic Nerve Blocks Improve Postoperative Recovery in Lower Extremity Surgery: A Randomized Controlled Trial Wiranata, Jeremia Alvian; Aribawa, I Gusti Ngurah Mahaalit; Parami, Pontisomaya; Senapathi, Tjokorda Gde Agung; Hartawan, I Gusti Agung Gede Utara; Adi, Made Septyana Parama; Kurniajaya, I Gusti Agung Made Wibisana; Pradhana, Adinda Putra
Journal of Anaesthesia and Pain Vol. 7 No. 1 (2026): January
Publisher : Faculty of Medicine, Brawijaya University

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

Abstract

Background: Patients undergoing lower extremity orthopedic surgery often experience moderate to severe postoperative pain, commonly managed with opioids. Regional anesthesia techniques, such as peripheral nerve blocks, offer promising alternatives. This study evaluates the efficacy of combined lumbar plexus block (LPB) and sciatic nerve block (SNB) versus intravenous opioid analgesia in enhancing postoperative recovery and pain control. Methods: In a single-blind, randomized controlled trial, 42 patients scheduled for lower extremity orthopedic surgery under spinal anesthesia were allocated to two groups. Group P1 received postoperative LPB and SNB using 20 mL of 0.25% bupivacaine, while group P2 received intravenous opioids. Outcomes at 24 hours included quality of recovery (QoR-40) scores, total morphine consumption, duration of analgesia, and monitored adverse events. Result: Group P1 showed significantly better recovery scores [QoR-40: 183 (178–188) vs. 152 (136–161.5), p < 0.001], reduced morphine consumption [4 (4–6.5) mg vs. 18 (16–22) mg, p < 0.001], and longer analgesia duration [480 (340–600) min vs. 75 (60–110) min, p < 0.001]. No adverse events were observed. Conclusion: Combined LPB and SNB significantly improve postoperative recovery quality and analgesia in patients undergoing lower extremity orthopedic surgery, reducing opioid requirements and extending pain-free duration compared to intravenous opioids.
A Comprehensive Review of Complex Regional Pain Syndrome: Diagnostic Challenges and Therapeutic Innovations Nur Azza, Kamala Kan; Mahmud, Mahmud; Susianti, Noor Alia; Widyastuti, Yunita; Puspitasari, Ika; Nathania, Caroline Evanthe
Journal of Anaesthesia and Pain Vol. 7 No. 1 (2026): January
Publisher : Faculty of Medicine, Brawijaya University

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

Abstract

Complex regional pain syndrome (CRPS) is a medical condition marked by disturbances in motor, sensory, and autonomic functions in the affected extremities, which may occur with or without trauma. The prevalence of CRPS is approximately 2–5% in adults, with a higher incidence in females. Annually, CRPS affects between 5.4 and 26.2 individuals per 100,000 population. The diagnosis of CRPS presents a significant clinical challenge, as its symptoms often mimic those of other conditions, frequently leading to misdiagnosis. A thorough understanding of CRPS and its diagnostic criteria is crucial for clinicians, as accurate diagnosis directly affects treatment selection and outcomes. An effective management approach should encompass the four foundational pillars of CRPS therapy, i.e., education and information for the patients, pain management including both pharmacologic and pain intervention approaches, vocational and physical rehabilitation, and psychological interventions. A comprehensive and individualized treatment strategy is crucial to achieving optimal outcomes. When inadequately treated, CRPS can have profound effects on the physical, emotional, social, and quality-of-life (QoL) aspects, as well as the financial well-being, of both patients and their families. Given the relatively high prevalence of CRPS, the diagnostic complexity, and the broad implications for patient care and QoL, a thorough review of the existing knowledge and treatment strategies for CRPS is warranted. This review aims to provide clinicians with the latest information on diagnosing and managing CRPS, thereby supporting timely and effective clinical decision-making. Accurate diagnosis and appropriate therapy are expected to yield positive outcomes for the patients and their families.
The Effect of Intrathecal 20 mg Ketamine on 0.5% 15 mg Bupivacaine in Spinal Anesthesia For Lower Extremity Surgery Chandra, Nopial Ade; Hamdi, Tasrif; Lubis, Andriamuri Primaputra
Journal of Anaesthesia and Pain Vol. 7 No. 1 (2026): January
Publisher : Faculty of Medicine, Brawijaya University

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

Abstract

Background: Regional anesthesia is widely used in orthopedic procedures to reduce complications such as nausea, vomiting, and pulmonary aspiration. Intrathecal ketamine is known to prolong analgesia duration, but evidence remains limited. This study aimed to compare the effectiveness and side effects of combining intrathecal ketamine 20 mg with 0.5% bupivacaine 15 mg versus bupivacaine alone in spinal anesthesia for lower extremity surgery. Methods: A randomized controlled trial (RCT) was conducted at RS Haji Medan and Rumkit Tk II Putri Hijau Medan, involving 30 patients undergoing spinal anesthesia. Subjects were divided into two groups: Group A (Ketamine + Bupivacaine) and Group B (Bupivacaine only). Variables observed included onset and duration of sensory and motor blockade, sedation level, hemodynamic responses, and adverse effects. Data were analyzed using SPSS v24.0. Results: No significant differences were found in baseline characteristics between the two groups. The addition of ketamine did not significantly affect the onset or duration of sensory and motor blockade. Hemodynamic parameters such as heart rate and blood pressure remained stable in both groups. However, sedation levels were lower and the incidence of adverse effects (such as nausea, shivering, and hallucinations) was higher in the ketamine group. Conclusion: The addition of intrathecal ketamine 20 mg to bupivacaine 0.5% 15 mg slightly prolonged spinal anesthesia but was associated with an increased risk of adverse effects and lower sedation. This combination should be used cautiously in clinical practice.

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