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Contact Name
RACHMAT HIDAYAT
Contact Email
hanifmedisiana@gmail.com
Phone
+6287837160809
Journal Mail Official
journalanesthesiology@gmail.com
Editorial Address
Jl. Sirna Raga no 99, 8 Ilir, Ilir Timur 3, Palembang, Sumatera Selatan, Indonesia
Location
Kota palembang,
Sumatera selatan
INDONESIA
Journal of Anesthesiology and Clinical Research
Published by HM Publisher
ISSN : -     EISSN : 27459497     DOI : https://doi.org/10.37275/jacr
Core Subject : Health, Science,
Journal of Anesthesiology and Clinical Research/JACR that focuses on anesthesiology; pain management; intensive care; emergency medicine; disaster management; pharmacology; physiology; clinical practice research; and palliative medicine.
Articles 118 Documents
Transabdominal Plane Block for Postoperative Pain Management: A Case Series Iwan Setiawan Makmur; Nur Surya Wirawan
Journal of Anesthesiology and Clinical Research Vol. 3 No. 2 (2022): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v3i2.250

Abstract

Introduction: Post-surgery pain is the most common problem found in patients in the treatment room, which can provide patients with emotional experiences that have an impact on the recovery process. This study aims to present a case series of post-operative pain management with transversus abdominis plane (TAP) block and its outcomes. Case presentation: This study was conducted at the Polewali General Hospital, West Sulawesi, Indonesia. There were three patients who participated in this study, namely elective Caesarean section (C-section), emergency C-section and herniorrhaphy. The first patient had adequate analgesia, although the onset of the anesthetic drug worked perfectly two hours after the injection. In the second patient, the patient did not complain of severe pain the day after the transversus abdominis block action. The third patient made an excellent recovery. This patient was not given opioids for post-operative analgesia, only using Dexketoprofen every eight hours intravenously. The next day the patient could be scheduled for outpatient treatment. Conclusion: TAP block is one of the post-operative analgesia techniques that have good analgesia quality, especially when combined with other analgesic drugs in multimodal analgesia techniques.
Quadratus Lumborum Block in Caesarean Section: A Case Report Harsakti Rasyid; Nur Surya Wirawan
Journal of Anesthesiology and Clinical Research Vol. 3 No. 2 (2022): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v3i2.253

Abstract

Introduction: Quadratus lumborum (QLB) block is a posterior abdominal wall block (interfascial plane block) with ultrasound guidance. This study describes the administration of quadratus lumborum block as pain management on C-section. Case presentation: A woman, 31 years old, G2P1A0 post-C-section 4 years ago, is planning to undergo elective C-Section surgery. Vital sign examination within normal limits. The patient was included in the ASA II category. Prior to surgery, the patient was given premedication in the form of omeprazole 40 mg intravenously, paracetamol 1 gram intravenous drip for 15 minutes, and metoclopramide 10 mg intravenously. Quadratus lumborum block was given postoperatively. Postoperative management consisted of ibuprofen 800 mg/8 hour drip for 30 minutes and paracetamol 750 mg/6 hour drip. Conclusion: Pain management with the QLB method reduces postoperative acute pain and recovery. Further studies with a wider population are needed to explore the efficacy and effectiveness of QLB blocks.
Stellate Ganglion Block as Pain Management in Post Herpetic Neuralgia: A Case Report Abd. Samad Amin
Journal of Anesthesiology and Clinical Research Vol. 3 No. 2 (2022): Journal of Anesthesiology and Clinical Research
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v3i2.254

Abstract

Introduction: Stellate ganglion block (SGB) has been used in various conditions. Medical conditions include complex regional pain syndrome and peripheral vascular disease. This study aims to describe the use of stellate ganglion block for pain management in post-herpetic neuralgia. Case presentation: A 68-year-old man came with a complaint of severe headache. Complaints of severe headache since 1 month ago, pain until tears come out. This complaint is accompanied by red blisters, pain on the left side of the face, weakness, and decreased appetite. Physical examination showed compos mentis consciousness, appeared moderately ill, blood pressure 160/90 mmHg, heart rate 112x/minute, respiratory rate 20x/minute, temperature 37.2oC, numeric rating scale 7/10. In the head region, there was cicatricial, paresis of N VII, positive hypersensibility, positive allodynia, spasm neck muscles, right joint shoulder stiffness, and stiffness in the m. right rotator cuff. The patient was given intervention in the form of a stellate ganglion block (SGB). Follow-up 1 day after the GBS procedure showed that the headache and left facial pain were greatly reduced. Conclusion: Ultrasonographic-guided stellate ganglion block can reduce post-herpetic neuralgia symptoms with minimal complications.
Postoperative Pain Management Total Hysterectomy with Intravenous Patient-Controlled Analgesia Oxycodone: A Case Series Muh. Nur Abadi; Alamsyah Ambo Ala Husain
Journal of Anesthesiology and Clinical Research Vol. 3 No. 2 (2022): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v3i2.255

Abstract

Introduction: Patient-controlled analgesia (PCA) with intravenous opioids is a more efficient method to achieve better postoperative analgesia. This study aims to describe the use of patient-control analgesia in post-hysterectomy patients. Case presentation: There were two total hysterectomy postoperative patients who used PCA as postoperative pain management. Postoperatively, the first patient has given paracetamol tablets 500 mg every 6 hours orally, a santagesic 1 gram every 8 hours intravenously, and oxycodone intravenously with PCA. The second patient was given paracetamol tab 1 gram every 8 hours intravenously, analgesics 1 gram every 8 hours intravenously, and PCA intravenous oxycodone. Both patients felt the effectiveness of PCA as postoperative pain management. Conclusion: Multimodal analgesia or balanced analgesia is one method of managing acute postoperative pain. The success of using PCA is very much determined by the knowledge of the patient and the pain management team on PCA tools. Oxycodone provides fairly good analgesia with minimal side effects.
Radiofrequency Ablation for Trigeminal Neuralgia Patient: A Case Report Usman; Nur Surya Wirawan
Journal of Anesthesiology and Clinical Research Vol. 3 No. 2 (2022): Journal of Anesthesiology and Clinical Research
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v3i2.256

Abstract

Introduction: Radiofrequency ablation is the most commonly used percutaneous procedure to treat trigeminal neuralgia. This therapy is less invasive, safe, and provides immediate results and minimal side effects. This study aims to demonstrate the potential of radiofrequency ablation in the management of trigeminal neuralgia pain. Case presentation: A 64-year-old man with recurrent trigeminal neuralgia was treated with radiofrequency ablation at Hasanuddin University Hospital. The patient had previously received radiofrequency ablation at the same site as now, and the patient was pain-free for up to three years. After the procedure, complaints of pain gradually subsided for two months until the patient felt pain-free. Conclusion: Radiofrequency ablation is a minimally invasive alternative treatment for chronic pain that is not controlled by pharmacotherapy, such as trigeminal neuralgia. Good knowledge of anatomy and imaging techniques is required for successful therapy. In this patient, the radiofrequency ablation procedure was quite successful, characterized by complaints of pain which gradually subsided in two months until the patient felt pain-free.
Treatment of de Quervain's Tenosynovitis with Prolotherapy: A Case Report Veronika Susanty Siampa; Charles Wijaya Tan
Journal of Anesthesiology and Clinical Research Vol. 4 No. 1 (2023): Journal of Anesthesiology and Clinical Research
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v4i1.257

Abstract

Introduction: De Quervain's tenosynovitis is a disease with pain in the styloid process area due to chronic inflammation of the tendons covering the abductor pollicis longus and extensor pollicis brevis muscles at the level of the distal radius. This study aims to describe the treatment of de Quervain's tenosynovitis with prolotherapy. Case presentation: A woman, 49 years old, working as a cleaning service, came to the hospital with complaints of pain in her right thumb and wrist. Pain has been felt since 1.5 years ago, especially when using the hand and moving the thumb. The pain has been getting worse in the last 4 months and is sometimes swollen and red near the thumb. Physical examination showed nodules measuring 2x1 cm in the right radial region, positive tenderness, positive Allen test, active and passive movement of digit 1, rotation and adduction inhibition, wrist extension and digitorum positive, wrist flexion and digitorum positive, and a positive Finkelstein test. The patient was diagnosed with de Quervain's tenosynovitis dextra. Prolotherapy was carried out as pain management in this patient. Conclusion: Treatment with injection prolotherapy of patients with complaints of de Quervain's tenosynovitis using a mixture of D40% solution and lidocaine has a good prognosis for symptom improvement and relatively minimal complications.
Periarticular Steroid Injection in Sacroiliac Joint Pain Patients with Ultrasound Guidance: A Case Report Muhammad Nala; Alamsyah Ambo Ala Husain
Journal of Anesthesiology and Clinical Research Vol. 4 No. 1 (2023): Journal of Anesthesiology and Clinical Research
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v4i1.260

Abstract

Introduction: Pain in the sacroiliac joint area is pain below the level of the sacroiliac joint. L5 without symptoms of numbness or paresthesias and lower back pain that is aggravated after prolonged sitting, bending forward, and transitioning from sitting to standing. This study aims to describe cases of sacroiliac joint pain treated with periarticular steroid injection. Case presentation: A man, 47 years old, came with a complaint of pain in the right buttock area. The pain has been felt since 1 month ago. The pain is felt continuously and gets worse when standing for a long time while working. The pain radiates to the right thigh and calf. The patient was diagnosed with sacroiliac joint pain. The patient is then prepared for an ultrasound-guided steroid injection. The drugs injected were triamcinolone 40 mg 1 mL and Bupivacaine 0.5% 3 mL with the help of a linear ultrasound probe Conclusion: The procedure of sacroiliac joint injection provides a significant pain reduction response in sacroiliac joint pain.
Continuous Intravenous Lidocaine for Acute Pain Management Post Laparotomy Surgery: A Case Series Sri Wahyuningsih; Charles Wijaya
Journal of Anesthesiology and Clinical Research Vol. 4 No. 1 (2023): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v4i1.261

Abstract

Introduction: Acute post-operative pain can lead to prolonged use of opioids and progress to chronic pain. Multimodal analgesic approaches have replaced the use of opioid monotherapy, but opioid use continues and contributes to inadequate acute pain management. Intravenous lidocaine has analgesic, anti-hyperalgesic, and anti-inflammatory effects. This study aims to describe post-operative pain management using intravenous lidocaine. Case presentation: There were two cases. The first was a 32-year-old female patient with suspected interrupted ectopic pregnancy who underwent emergency laparotomy under spinal anesthesia and, after 2 hours, was converted to general anesthesia. Postoperatively, the analgesic lidocaine was given as a 52 mg intravenous bolus followed by a continuous 36 mg/hour/syringe pump. The patient's VAS scale was initially 2/10, and on the third day, 1/10 continued treatment. In the second case, an 18-year-old male patient with suspected acute appendicitis underwent a midline incision laparotomy appendectomy with spinal anesthesia. Postoperatively, lidocaine was given a slow bolus of 75 mg intravenously, finished in 5 minutes, then 50 mg/hour/intravenously. The patient's VAS scale was initially 2-3/10 until on the third day. He was transferred to a room with a VAS of 1-2/10. Conclusion: Lidocaine is an effective intravenous analgesic to treat acute pain after laparotomy surgery. Administration of relatively low doses can achieve post-operative analgesia without concern for toxicity.
Pain Management after Bilateral Mastectomy Surgery with Continued Intravenous Ketamine: A Case Report Zulfikar Djafar; A. Husni Tanra
Journal of Anesthesiology and Clinical Research Vol. 4 No. 1 (2023): Journal of Anesthesiology and Clinical Research
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v4i1.263

Abstract

Introduction: Ketamine is recommended as postoperative analgesia because ketamine is a classic anesthetic agent that is available in almost all hospitals, including hospitals with limited resources. This study aims to describe the continuous use of intravenous ketamine as postoperative pain management in a bilateral mastectomy. Case presentation: A woman, 35 years old, was admitted to the hospital with complaints of lumps in both breasts. On physical examination, the patient looked weak, with blood pressure 120/70 mmHg, pulse 105x/minute, respiratory rate 18x/minute, temperature 36.8ºC, and numeric rating scale (NRS) 7/10. In the thoracic region, mammary dextra, there is a lump the size of a fixed tennis ball, 15 cm in diameter, and the skin around the lump looks red with a dry wound. On palpation, there is tenderness and hardness; mamma sinistra has a lump the size of a melon, 20 cm in diameter, with an ulcer that is still wet. On palpation, there is tenderness and hardness, and fixation. The patient was diagnosed as mammary tumor dextra et sinistra, suspected malignancy, and a simple bilateral mastectomy was performed. The anesthetic technique used during the operation was general anesthesia with endotracheal intubation (GETA). The premedication given was dexamethasone 10 mg intravenously, midazolam 3 mg intravenously, and fentanyl 100 mcg intravenously. Postoperative pain management using ketamine 0.15 mg/kgBW was given a bolus, followed by 0.1 mg/kgBW/hour. Conclusion: The use of ketamine in postoperative bilateral mastectomy can reduce pain intensity and have minimal side effects.
Continuous Intravenous Ketamine for Management of Acute Pain Postoperative Laparotomy with Septic Shock: A Case Report Sri Ayu Nugrainy; Charles Wijaya Tan
Journal of Anesthesiology and Clinical Research Vol. 4 No. 1 (2023): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v4i1.264

Abstract

Introduction: Ketamine used for patients in the intensive care unit provides a combination of sedation and analgesia as well as a beneficial effect on hemodynamics. This study aims to describe the use of continuous intravenous ketamine as postoperative laparotomy pain management in septic shock. Case presentation: A man, 55 years old, came to the emergency room with complaints of abdominal pain accompanied by bloating, nausea, and vomiting. From the anamnesis and physical examination and support, a diagnosis of peritonitis generalisata et causa hernia suspect incarceration was found. In postoperative observation, vital sign examination showed blood pressure 80/50, pulse 128x/minute, respiratory rate 24x/minute, temperature 37.7ºC, and numeric rating scale 5/10. The treatment the patient got was simple oxygen mask 6-7 L/ minutes, IVFD ringer lactate 3000 cc/24 hours, intravenous ceftriaxone 1gr/12 hours, intravenous metronidazole 500 mg/8 hours, norepinephrine 0.15-0.2 mcg/kg/minute titration, dobutamine 7.5 mcg/kg/minute titration, fentanyl 0.5 mcg/kg/hour titration, ketamine 0.08-0.1 mg/kg/hour and intravenous paracetamol drips 1gr/ 6 hours. The patient experienced improvement and decreased the need for postoperative fentanyl analgesia from 0.5 mcg to 0.3 mcg/kg/hour. Conclusion: The addition of continuous ketamine for acute pain management has been shown to reduce opioid requirements in critically ill patients. The combination of low doses of ketamine together with continuous opioids resulted in a lower pain scale and decreased cumulative use of opioids.

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