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Journal of Anesthesiology and Clinical Research
Published by HM Publisher
ISSN : -     EISSN : 27459497     DOI : https://doi.org/10.37275/jacr
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience
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.
Arjuna Subject : Kedokteran - Anesthesiology and Pain Medicine
Articles 132 Documents
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Morphine Consumption and/or Numerical Scale in Pain Studies: Silverman Integrating Approach (SIA SCORE) Laouamri, Okba
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.452

Abstract

Introduction: Ligamentoplasty pain management is dynamic performance, demanding constant vigilance and adaptation. The aim of this prospective study was to compare the analgesic efficacy of three techniques for knee ligamentoplasty using an integration score, the SIA score. Methods: The study included 165 patients undergoing primary reconstruction of the anterior cruciate ligament of the knee. The first group, systemic analgesia (SA), received balanced systemic analgesia postoperatively for a minimum of five days, based on Paracetamol, Diclofenac, and a morphine PCA. In addition to the systemic analgesia already described, the second group, femoral analgesia (FA), will benefit from a femoral peri-nervous catheter in the crural position. The third intra-articular analgesia (IAA) group received, in addition to the same systemic analgesia, an infusion through an epidural catheter of 20 ml of 0.125% bupivacaine, followed by maintenance with 8 ml/h of the same local anesthetic via an electric syringe pump for 36 h. Cumulative morphine consumption was assessed, as well as pain at rest, using a numerical scale (EN) from 1 to 10 and an integration of these two parameters. Results: Morphine consumption was lower in the AF group. The lowest mean rank was in the AF group, followed by the AIA group, and the difference was statistically significant with an H = 6.89 and a p= 0.032. The difference was significant between the AS group and the AF group (p = 0.09); the other inter-group differences were not significant. 23.2% of patients had an AIS score between [-100, -200], and were in little pain and consumed little morphine (effective treatment); 14.2% of patients had an AIS score between [100, 200] and were in great pain and consumed a lot of morphine (morphine-resistant or very sensitive to pain). Conclusion: Analgesia in the femoral peri-nerve group was more effective, with a reduction in mean EN compared with the other two groups.
Percutaneous Dilatational Tracheostomy; Diagnosis and Mortality Rate in Intensive Care Saiful Anwar Hospital Ariady, Randika Rea; Wiwi Jaya; Arie Zainul Fatoni; Isngadi; Aswoco Andyk Asmoro
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.457

Abstract

Introduction: Tracheostomy is a common surgical procedure performed on critically ill intensive care patients. Reports have documented considerable associated morbidity, with complication rates varying from 6 to 66%. The reports on mortality associated with tracheostomy range from 0 to 5%. Since its introduction, percutaneous dilatational tracheostomies (PDT) have gained increasing popularity. The most commonly cited advantages are the ease of the familiar technique and the ability to perform the procedure at the bedside.7 This paper aims to study the mortality rate and diagnosis of patients who performed the percutaneous dilatational tracheostomy procedure in the ICU of Saiful Anwar Malang Hospital. Methods: Observational analytical research is carried out cross-sectionally. Data was collected from the medical records of patients undergoing PDT for the period July 2022 – October 2022. Statistical analysis using the Chi-square test. Results: From 39 subjects, 34 (87.2%) subjects experienced respiratory failure. The most common cause was HAP pneumonia (61.5%), followed by CVA (17.9%) and CAP pneumonia (12.8%); the rest were EDH, SAH, and ASD secundum, as much as 2.6%. The outcome was that 13 (33.3%) subjects died, and the rest survived and were transported to a care ward. Correlation between patient outcomes with respiratory failure p=0.735, with diagnosis p=0.309. Conclusion: The most common diagnosis of PDT is HAP pneumonia. There was no significant correlation between diagnosis and mortality of patients performed by PDT.
The Impact of Ultrasound-Guided Subcostal Transversus Abdominis Plane (SCTAP) Block on Postoperative Pain Relief in a Patient Undergoing Cholecystectomy: A Case Report Sucipto, Priskila Wulan; Marilaeta Cindryani Ra Ratumasa
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.469

Abstract

Introduction: Handling post-operative pain in cholecystectomy requires several considerations, especially in terms of pain management. Various multimodal analgesia strategies to optimize postoperative pain control include epidural catheter placement, intravenous opioids, and the recently introduced ultrasonography (USG)-guided subcostal transversus abdominis plane (SCTAP) block. This case report aims to describe the postoperative analgesic effectiveness of ultrasound-guided SCTAP block in a patient undergoing open cholecystectomy. Case presentation: A 57 year old female patient with a diagnosis of multiple cholelithiasis, cholecystitis, was planned to undergo cholecystectomy, under general anesthesia and SCTAP block, with an ultrasound probe placed under the costal margin, the transversus abdominis muscle fascia was identified and local anesthetic infiltration laterally with bupivacaine plain 0.25 % 20 ml each on the left and right sides. Postoperatively, the patient returned to the room and received oral analgesics without opioids for pain management. Conclusion: Ultrasound-guided SCTAP blocks provide effective postoperative analgesia, reduce the need for postoperative analgesics, while supporting recovery after open cholecystectomy.
Effectiveness of Prenatal Yoga in Reducing Anxiety and Back Pain in Pregnancy: A Systematic Literature Review Ginting, Ade Krisna
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.489

Abstract

Introduction: Prenatal yoga is a form of exercise that pregnant women can do to improve physical and mental fitness. Several studies have shown that prenatal yoga can reduce anxiety and back pain in pregnancy. This study aims to examine the potential of prenatal yoga in reducing anxiety and back pain in pregnancy through a systematic literature review. Methods: This research was conducted using a systematic literature review method. The articles analyzed were articles published in international scientific journals and in English with the following inclusion criteria: Research conducted on pregnant women in the second or third trimester, Research using prenatal yoga as an intervention, Research using outcome measures for anxiety and/or pain back. Results: Of the 123 articles found, 10 articles met the inclusion criteria and were analyzed. The results showed that prenatal yoga could significantly reduce anxiety (mean difference = -4.20; 95% CI = -6.31, -2.09) and back pain (mean difference = -2.97; 95% CI = -3.96, -2.08) in pregnant women. Conclusion: Prenatal yoga is an effective intervention to reduce anxiety and back pain in pregnancy.
Analysis of Risk Factors for External Genital Health of Women of Childbearing Age in Purwakarta Regency, Indonesia Ruciah, Ruciah
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.490

Abstract

Introduction: The health of women's external genitalia is an important aspect of reproductive health. This study aims to analyze the health risk factors for the external genitalia of women of childbearing age in Purwakarta Regency, Indonesia. Methods: This research is an analytical observational study with a cross-sectional design. The research sample was 240 women of childbearing age in Purwakarta Regency who were selected randomly. Data was collected through questionnaires and physical examination. Data analysis was carried out univariate and bivariate. Results: The results of the study showed that the risk factors for the health of the external genitalia of women of childbearing age in Purwakarta Regency were age, parity, and a history of sexually transmitted infections (STIs). Women aged more than 35 years have a higher risk of external genital health than women aged less than 35 years (OR = 2.65; 95% CI: 1.22-5.83). Women with parity more than 2 have a higher risk of external genital health than women with parity 1-2 (OR = 2.32; 95% CI: 1.14-4.71). Women with a history of STIs have a higher external genital health risk than women without a history of STIs (OR = 3.52; 95% CI: 1.58-8.17). Conclusion: Age, parity, and history of STIs are risk factors for external genital health in women of childbearing age in Purwakarta Regency.
Study of the Potential for Using Virtual Reality (VR) Technology in Reducing Pain and Anxiety During Childbirth: A Systematic Literature Review Widiyastuti, Rika
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.491

Abstract

Introduction: Childbirth is a natural physiological process, but it can cause significant pain and anxiety for the mother. Labor pain can have a negative impact on the health of the mother and fetus, while anxiety can worsen the pain and slow down the labor process. Virtual reality (VR) technology is a non-pharmacological method that has the potential to reduce pain and anxiety during labor. This study aims to examine the potential of using VR technology to reduce pain and anxiety during childbirth. Methods: This research was conducted using a systematic literature review method. The search and article selection process was carried out through the Google Scholar and PubMed search engines. Article inclusion criteria are research articles that use quantitative methods, are published in scientific journals, and are in English or Indonesian. Results: The research results show that VR technology can reduce pain and anxiety during labor. Labor pain can be reduced by up to 20%, while anxiety can be reduced by up to 50%. VR technology can work by diverting the mother's attention from pain and anxiety, as well as increasing the production of endorphins, which function as natural analgesics. Conclusion: VR technology is a potential method for reducing pain and anxiety during labor. VR technology can be a safe and effective alternative non-pharmacological method for reducing pain and anxiety during labor.
Effectiveness of Adding Tomato Juice to Fe Tablet Supplementation on the Hemoglobin Levels of Anemic Adolescent Girls in Class XII at SMK Negeri 1 Sukanagara, Indonesia Sri Utami Nur Amalia; Yulianti, Lia
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.513

Abstract

Introduction: Iron deficiency anemia (IDA) in adolescent girls is a serious public health problem. Iron supplementation is one of the most effective efforts to control ADB. The addition of tomato juice to Fe tablet supplementation is expected to increase iron absorption and reduce side effects. This study aims to determine the effectiveness of adding tomato juice to Fe tablet supplementation on the hemoglobin levels of anemic teenage girls in class XII at SMK Negeri 1 Sukanagara, Indonesia. Methods: This research used a quasi-experimental design with a pretest-posttest with control group design. The research sample was 60 anemic teenage girls in class Fe tablet supplementation. The intervention was carried out for 4 weeks. Hemoglobin levels were measured before and after intervention. Data were analyzed using the t-test. Results: The results showed that there was a significant difference in hemoglobin levels between the intervention group and the control group after the intervention (p<0.05). Hemoglobin levels in the intervention group increased by an average of 1.2 g/dL, while in the control group, they only increased by an average of 0.5 g/dL. Conclusion: The addition of tomato juice to Fe tablet supplementation is effective in increasing hemoglobin levels in anemic adolescent girls.
The Effectiveness of Health Promotion Media for Expressed Breast Milk in Increasing the Knowledge of Working Mothers to Provide Exclusive Breast Milk in Purwakarta Regency, Indonesia Armiyanti, Armiyanti
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.516

Abstract

Background: Exclusive breastfeeding during the first six months of a baby's life is very important for the baby's health and development. However, many working mothers have difficulty providing exclusive breastfeeding because they have to return to work after giving birth. This research aims to determine the effectiveness of expressed breast milk health promotion media in increasing the knowledge of working mothers to provide exclusive breast milk in Purwakarta Regency. Methods: This research used a quasi-experimental design with a pre-test and post-test with control group design. The research sample was 60 working mothers who were divided into two groups, namely the intervention group (n=30) who were given expressed breast milk health promotion media and the control group (n=30) who were not given promotional media. Data were analyzed using the t-test. Results: The results showed that there was a significant difference (p<0.05) in the level of knowledge of working mothers about exclusive breastfeeding between the intervention group and the control group after the intervention. Conclusion: Expressed breast milk health promotion media is effective in increasing working mothers' knowledge about exclusive breastfeeding in Purwakarta Regency.
Rebozo Technique on Pain Intensity in the First Stage of the Active Phase and Length of Labor in Multigravida Mothers, Wanayasa District, Purwakarta Regency, Indonesia Sari, Daris Yolanda
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.517

Abstract

Background: Pain during the first stage of the active phase is one of the main obstacles in the labor process. The rebozo technique, a traditional technique from Mexico, has been proven to be effective in reducing labor pain. This study aims to determine the effectiveness of the rebozo technique on the intensity of pain in the first stage of the active phase and the duration of labor in multigravida mothers in Wanayasa District, Purwakarta Regency. Methods: This research used a quasi-experimental design with a pre-test and post-test with a control group design. The research sample was 60 multigravida mothers who were divided into two groups: the intervention group (n=30), who received the rebozo technique, and the control group (n=30), who received standard care. Pain intensity was measured using the visual analogue scale (VAS) and duration of labor was calculated from 4 cm of cervical dilatation to complete dilation. Results: The results showed that there was a significant difference in the intensity of pain during the first active phase between the intervention group and the control group (p=0.001). The mean pain intensity in the intervention group was lower than the control group (VAS: 4.2 ± 1.5 vs. 6.1 ± 1.8). There was no significant difference in length of labor between the two groups (p=0.123). Conclusion: The rebozo technique is effective in reducing the intensity of pain during the first active phase in multigravida mothers but has no effect on the length of labor.
The Effect of Al-Qur'an Murottal Therapy Surah Ar-Rahman on Reducing Blood Pressure in Menopausal Women Suffering from Hypertension in Purwakarta Regency, Indonesia Humaeroh, Dita
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.519

Abstract

Background: Hypertension is a chronic disease that often occurs in menopausal women. Murottal therapy from Al-Qur'an Surah Ar-Rahman is believed to lower blood pressure. This study aims to determine the effectiveness of murottal therapy from Al-Qur'an Surah Ar-Rahman on reducing blood pressure in menopausal women with hypertension in Purwakarta Regency, Indonesia. Methods: This research used a quasi-experimental design with a pretest-posttest with a control group design. A total of 60 menopausal women with hypertension in Purwakarta Regency were randomly divided into two groups: the intervention group (n=30) who received murottal therapy of Al-Qur'an Surah Ar-Rahman for 30 minutes every day and the control group (n=30) who did not receive the intervention. Blood pressure was measured before and after intervention for 4 weeks. Results: The results showed that there was a significant difference in the reduction in systolic and diastolic blood pressure between the intervention and control groups after 4 weeks (p<0.05). Systolic blood pressure in the intervention group fell by an average of 10.5 mmHg, while in the control group, it fell by an average of 3.2 mmHg. Diastolic blood pressure in the intervention group fell by an average of 7.4 mmHg, while in the control group it fell by an average of 2.8 mmHg. Conclusion: Al-Qur'an murottal therapy Surah Ar-Rahman is effective in lowering blood pressure in menopausal women with hypertension.

Page 7 of 14 | Total Record : 132

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