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Septian Adi Permana
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Solo Journal of Anesthesi, Pain and Critical Care
Published by Universitas Sebelas Maret
ISSN : 27761770     EISSN : 27970035     DOI : https://doi.org/10.20961
Core Subject : Health, Engineering,
Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology Nursing Public Health
Case Report, Original Research and Review Article in the scope of : Life Support Emergency and Trauma Cardiovascular Anesthesia Pediatric Anesthesia Neuro Anesthesia Pain Management Intensive Care Obstetry Anesthesia Geriatric and Oncology Anesthesia Regional Anesthesia Ambulatory Anesthesia
Arjuna Subject : Kedokteran - Anesthesiology and Pain Medicine
Articles 5 Documents
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Search results for , issue "Vol 2, No 2 (2022): October 2022" : 5 Documents clear
Combined Axillary Block with Spinal Block Anaesthesia Arsil Radiansyah; John Frans Sitepu; Luwih Bisono
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 2, No 2 (2022): October 2022
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v2i2.59188

Abstract

Background:  Patients undergoing upper limb trauma surgery have reported various benefits of regional anesthesia over general anesthesia, including better perioperative analgesia, less opiate use, less postoperative nausea and vomiting (PONV), and a shorter post-anesthesia care period. …………………………….. Case Illustration: We reported an evaluation of 72 years old, 165 cm height and 60 kg weight male patient who was planned for open reduction and internal fixation surgery for neglected left radius ulna close fracture and left neglected tibia fibula close fracture that he was beneath follow-up for hypertension (HT), and was using antihypertensive drugs. Preoperative risk of the patient was assessed as with American Society of Anesthesiologists (ASA) with score 3.General anesthesia would be unsafe due to geriatric issue, cardiovascular problem and delayed surgery term, we chosed to utilize combine axillary block with spinal block. we utilized USG guided infusion procedure in arrange to diminish local anesthetic dosage, and minimize error. During surgical procedure there is no hypotension, bradycardia or decreased oxygen saturation. Surgical anesthesia occurred in left hand within 20 minutes after drug delivery and 10 minutes in lower extremity. Surgery complications was not reported particularly related to vascular punction or adjacent anesthetic and nerve block applications. No complaint was detailed from the patient who was watched for 12 hours after the surgery.Conclusion: Peripheral nerve block and neuraxial block, when utilized appropriately in combination, appear be able to supplant common anesthesia within the larger part of case.
Anesthesia Management in Pregnancy with Heart Disorder using Walking Epidural Analgesia (WELA) Yoram Yudhatama
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 2, No 2 (2022): October 2022
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v2i2.59805

Abstract

Background: Heart disease in pregnancy is one of the leading causes of morbidity and mortality in pregnancy and childbirth. The intrapartum and postpartum periods are critical periods in which most of the deaths occur in this period. Manifestations appear in the form of heart failure which increases maternal and fetal morbidity and mortality.Case Illustration: We will report a case report of a 23-year-old woman with a diagnosis of G2P0A1 H 40 weeks, a single live intrauterine fetus with congestive heart failure due to rheumatic heart disease with mitral stenosis.Conclusion: The patient successfully underwent spontaneous labor under anesthesia facilitated by the walking epidural analgesia (WELA) technique with levobupivacaine and fentanyl agents which were administered continuously using a syringe pump during the labor process.
Spinal Anesthesia in Caesarean Section with Ovarian Cyst Permagna with Meigs Syndrome Aulia Iqbal; Susi Sembiring
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 2, No 2 (2022): October 2022
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v2i2.59961

Abstract

Background: The ovarian cyst is the very common cyst intra-abdominal in the ovary. If it need termination, the common procedure is cesarean section then the best anesthesia technique that suitable is spinal anesthesia. The Meigs Syndrome is an uncommon clinical condition, in which benign ovarian tumors are usually accompanied by ascites and pleural effusion. About 1% of ovarian tumors can indicate Meigs syndrome. Meigs Syndrome case have been reported in woman before 30 years old.Case Illustration: We reported an evaluation of a 29 years old woman, Gestational 1 Partus 3 Abortus 0, 60 kg weight and 165 cm height came to hospital with enlargement of abdomen since 3 months ago. There wasn’t history of bleeding and fluid discharged from genital. There’s no complaint in urination and defecation. The patient has felt an enlarged abdomen since the age of 7 months of pregnancy during antenatal care to a obstetrician. The patient hemodynamic and vital signs are stable and the pregnancy already in 37-38th week. Based on that the obstetrician decided to terminate the pregnancy, we choose to do spinal anesthesia in the cesarean section because it’s easy, common, and best technique for short surgical procedures.Conclusion: In patient with Ovarian Cysts Permagna with Meigs Syndrome in Pregnancy, we need to understand the risk of complication of ovarian cyst is higher in the prenatal period than after birth. The diagnosis of fetal ovarian cyst should not affect the schedule and method of delivery. The management of Meigs Syndrome in Pregnancy this time we terminate the pregnancy because it’s already in 37-38th week, the spinal anesthesia management is nothing different with the normal pregnancy.
The Relationship of Renal Resistive Index and Central Venous Pressure As Predictors of Acute Kidney Injury in Critically III Patients of Intensive Care Unit Adam Malik General Hospital Medan Muhammad Apriandi Wira; Achsanuddin Hanafie; Asmin Lubis; Bastian Lubis
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 2, No 2 (2022): October 2022
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v2i2.59946

Abstract

Background: Changes in the doppler-based renal resistive index (RRI) occur prior to the changes of glomerular filtration rate (GFR) during the development of acute kidney injury (AKI) and during the healing process from AKI. Central venous pressure (CVP) is not only a marker for resuscitation, but also can determine the microcirculatory perfusion pressure as outflow obstruction.Objective: This study aims to determine the relationship between RRI and CVP as a predictor of AKI in critically ill patients admitted to the intensive care unit (ICU) of Adam Malik General Hospital.Methods: This was an observational study with prospective cohort design and diagnostic test method. This research was conducted at the Adam Malik General Hospital Medan from June to July 2020. Forty patients aging 18-65 years old who met the diagnostic criteria of sepsis and septic shock were examined for RI and CVP when admitted to the ICU.Results: RI had better sensitivity and specificity than CVP in predicting the incidence of AKI (sensitivity 68% vs 59%, specificity 77% vs 55.5%, Receiver operating characteristics (ROC) 0.870 vs 0.321 (95% confidence interval)).Conclusion: Based on the results of this study, the renal resistive index has better sensitivity and specificity than central venous pressure in predicting the incidence of AKI in critical patients in the ICU.
Implementation of Enhanced Recovery After Caesarean Section (ERACS) in Elective Procedure : A Case Report Sardimon Sardimon; Yusmalinda Yusmalinda; Zafrullah Khany Jasa; Rahmi Rahmi; Fauzan Bachtiar Amin
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 2, No 2 (2022): October 2022
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v2i2.58950

Abstract

Background: Enhanced Recovery After Cesarean Section (ERACS) protocol includes every component of the pre-operative, intra-operative and post-operative pathway. In the pre-operative phase, the protocol applied to this patient included the shortest possible fasting interval, oral intake of liquid carbohydrate and patient counselling. For intra-operative pathway, the components applied are prevention of hypotension, maintenance of normothermia, optimal uterotonic administration, IONV (intra-operative nausea and vomiting)/PONV (post-operative nausea and vomiting) prophylaxis, multi-modal analgesia and optimization of fluid administration. Post-operatively, the patient was given early nutritional intake, early mobilization, urinary catheter removal, venous thrombo-embolism prophylaxis, multi-modal analgesia and glycemic control. ERACS prove useful for early discharge, improving outcomes such as breastfeeding or reducing post-discharge opioid use.Case Illustration: A 31-year-old woman came with the chief complaint of fluid discharge since ± 3 hours prior to admission to the hospital. Based on the medical history, physical examination, and laboratory findings, the patient was diagnosed with premature rupture of membranes in a gestational age of 37-38 weeks and had a live, single-headed presentation of the fetus. Patient’s physical status is ASA II and scheduled for elective C-section procedure with spinal anesthesia.Conclusion: The implementation of the ERACS protocol in this case has been shown to reduce the rate of infection and post operative complications as well as reducing length of stay for the mother.

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