{"title":"Comparison of the Effectiveness of Total Intravenous Anesthesia (TIVA) vs Inhalation Techniques in Patients with Morbid Obesity at Dr. M. Djamil General Hospital, Padang, Indonesia","authors":"Abdul Mutholib, Zuriatinah","doi":"10.37275/jacr.v5i2.539","DOIUrl":"https://doi.org/10.37275/jacr.v5i2.539","url":null,"abstract":"Introduction: Morbidly obese patients (BMI ≥ 40 kg/m²) present unique challenges in anesthesia. Total intravenous anesthesia (TIVA) and inhalation techniques have their respective advantages and disadvantages in this group of patients. This study aims to compare the effectiveness and safety of TIVA and inhalation anesthesia in morbidly obese patients at Dr. M. Djamil General Hospital Padang. \u0000Methods: A prospective, randomized study was conducted on 80 morbidly obese patients undergoing elective surgery. Patients were randomized to receive TIVA with propofol and remifentanil or inhalation anesthesia with sevoflurane and desflurane. \u0000Results: The TIVA group demonstrated faster recovery time (p = 0.02) and less postoperative opioid requirements (p = 0.01) than the inhalation group. There was no significant difference in the incidence of intraoperative or postoperative complications. \u0000Conclusion: TIVA is an effective and safe option for morbidly obese patients undergoing elective surgery. TIVA offers faster recovery and fewer postoperative opioid requirements than inhalation anesthesia.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of Risk Factors for Postoperative Delirium in Geriatric Patients at Skopje Macedonia Hospital: An Observational Study","authors":"Konstantina Pekovska, Igor Mitevska","doi":"10.37275/jacr.v5i2.533","DOIUrl":"https://doi.org/10.37275/jacr.v5i2.533","url":null,"abstract":"Introduction: Postoperative delirium (DPO) is a complication that often occurs in geriatric patients and can increase morbidity and mortality. Risk factors for DPO in geriatric patients are multifactorial, including advanced age, history of DPO, dementia, comorbidities, and use of certain medications. \u0000Methods: This study was carried out prospectively on 100 geriatric patients undergoing surgery at Skopje Macedonia Hospital. Patient data was collected using questionnaires, interviews, and physical examinations. DPO is defined using the confusion assessment method (CAM). \u0000Results: Of 100 patients, 20 (20%) experienced DPO. Risk factors for DPO identified in this study were elderly (OR = 2.5; 95% CI 1.2-5.1), history of DPO (OR = 3.0; 95% CI 1.4-6.2), dementia (OR = 4.0; 95% CI 1.8-8.8), and use of anticholinergic drugs (OR = 2.2; 95% CI 1.1-4.4). \u0000Conclusion: Elderly, history of DPO, dementia, and use of anticholinergic drugs are risk factors for DPO in geriatric patients. Efforts to prevent DPO in geriatric patients should focus on modifying these risk factors.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"24 66","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140408835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Baby Gym on Improving Baby Development in Purwakarta Regency, Indonesia","authors":"Desty Budi Lestari, Nova Rati Lova","doi":"10.37275/jacr.v5i1.521","DOIUrl":"https://doi.org/10.37275/jacr.v5i1.521","url":null,"abstract":"Introduction: Infancy is a critical period for physical, cognitive, and social-emotional development. Baby gym is a stimulation program designed to improve baby development through various physical, sensory, and social activities. This research aims to analyze the effectiveness of baby gym in improving baby development in Purwakarta Regency, Indonesia. \u0000Methods: Quasi-experimental research design with pre-test and post-test. A sample of 60 babies aged 6-12 months was divided into two groups: intervention (n=30) who participated in the baby gym program for 3 months and controls (n=30) who did not participate in the baby gym program. Infant development was measured using the Denver developmental screening test (DDST) before and after intervention. \u0000Results: There was a significant difference in the development of babies in the intervention group compared to the control group (p<0.05). The intervention group showed a higher increase in the DDST total score and gross motor, fine motor, language, and personal social subdomains. \u0000Conclusion: The baby gym program is effective in improving baby development in Purwakarta Regency, Indonesia.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"83 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"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","authors":"Dita Humaeroh","doi":"10.37275/jacr.v5i1.519","DOIUrl":"https://doi.org/10.37275/jacr.v5i1.519","url":null,"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. \u0000Methods: 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. \u0000Results: 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. \u0000Conclusion: Al-Qur'an murottal therapy Surah Ar-Rahman is effective in lowering blood pressure in menopausal women with hypertension.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"18 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Lavender Aromatherapy on Reducing Afterpain in Postpartum Mothers in Purwakarta Regency, Indonesia","authors":"Resa Reviani, Mayta Tazkiya Amalia","doi":"10.37275/jacr.v5i1.520","DOIUrl":"https://doi.org/10.37275/jacr.v5i1.520","url":null,"abstract":"Introduction: Afterpain is cramping pain that occurs in the stomach of postpartum mothers after giving birth. This pain can interfere with activities and reduce the mother's quality of life. Lavender aromatherapy has been proven effective in reducing pain in several conditions. This study aims to determine the effectiveness of lavender aromatherapy in reducing afterpain in postpartum mothers in Purwakarta Regency. \u0000Methods: This research uses a quasi-experimental design with a pre-test and post-test design. A total of 60 postpartum mothers were randomly divided into two groups: the intervention group (lavender aromatherapy) and the control group (no intervention). The intervention group was inhaled with lavender aromatherapy for 30 minutes twice a day for 3 days. The control group was not given any intervention. Afterpain was measured using the visual analogue scale (VAS) on the first, third, and seventh days postpartum. \u0000Results: The results showed that there was a significant difference in the reduction of afterpain between the intervention group and the control group on the third (p=0.002) and seventh (p=0.001) postpartum day. \u0000Conclusion: Lavender aromatherapy is effective in reducing afterpain in postpartum mothers in Purwakarta Regency.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"31 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of Risk Factors for External Genital Health of Women of Childbearing Age in Purwakarta Regency, Indonesia","authors":"Ruciah Ruciah","doi":"10.37275/jacr.v5i1.490","DOIUrl":"https://doi.org/10.37275/jacr.v5i1.490","url":null,"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. \u0000Methods: 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. \u0000Results: 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). \u0000Conclusion: Age, parity, and history of STIs are risk factors for external genital health in women of childbearing age in Purwakarta Regency.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"164 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140482064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of Prenatal Yoga in Reducing Anxiety and Back Pain in Pregnancy: A Systematic Literature Review","authors":"Ade Krisna Ginting","doi":"10.37275/jacr.v5i1.489","DOIUrl":"https://doi.org/10.37275/jacr.v5i1.489","url":null,"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. \u0000Methods: 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. \u0000Results: 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. \u0000Conclusion: Prenatal yoga is an effective intervention to reduce anxiety and back pain in pregnancy.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"40 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139594015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Percutaneous Dilatational Tracheostomy; Diagnosis and Mortality Rate in Intensive Care Saiful Anwar Hospital","authors":"Randika Rea Ariady, Wiwi Jaya, Arie Zainul Fatoni, Isngadi, Aswoco Andyk Asmoro","doi":"10.37275/jacr.v5i1.457","DOIUrl":"https://doi.org/10.37275/jacr.v5i1.457","url":null,"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. \u0000Methods: 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. \u0000Results: 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. \u0000Conclusion: The most common diagnosis of PDT is HAP pneumonia. There was no significant correlation between diagnosis and mortality of patients performed by PDT.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"68 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139452754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spinal Anesthesia Ambulation Time of Cervical Cancer Brachytherapy Outpatient Clinic: Comparison of 5 mg Hyperbaric Bupivacaine Fentanyl with 2,5 mg Hyperbaric Bupivacaine and 25 mcg Fentanyl","authors":"Rica Dm, Mafiana R, Zainal R, Bahar E","doi":"10.37275/jacr.v5i1.443","DOIUrl":"https://doi.org/10.37275/jacr.v5i1.443","url":null,"abstract":"Introduction: Regional anesthetic techniques and local anesthesia have proven to be more effective than general anesthesia in the practice of ambulatory anesthesia. Spinal anesthesia is the technique of choice for ambulatory anesthesia in cervical cancer brachytherapy patients. Low-dose local anesthetics can speed up the ambulation time. This study aims to compare the ambulation time of low-dose spinal anesthesia with conventional doses. Fast ambulation time can speed up recovery time for patients, thereby reducing the patient's length of stay. \u0000Methods: This study was a double-blind, randomized controlled trial conducted in August – September 2022 at the Radiotherapy Installation of Dr. Mohammad Hoesin General Hospital (RSMH) Palembang. All cervical cancer patients undergoing brachytherapy in adults with ASA I-II physical status were included in the study sample. Samples will be randomized into two groups, namely a combination of hyperbaric bupivacaine 5 mg and fentanyl 25 mcg and a group of bupivacaine 2.5 mg and fentanyl 25 mcg. Patients with allergies, impaired motor function, spinal failure, block level not achieved, shock, apnea, respiratory depression, and experiencing pain during the procedure were excluded from the study. \u0000Results: Ambulation time in the hyperbaric bupivacaine 5 mg and 25 mcg fentanyl group was longer than the hyperbaric bupivacaine 2.5 mg and 25 mcg fentanyl (155.22 + 10.68 minutes versus 98.69 + 7.13 minutes) with a significance level of p<0.001. Spinal anesthetic drugs work in a dose-dependent manner. Increasing the dose will increase the duration of action of the spinal anesthetic. The only side effects found were hypotension and pruritus. \u0000Conclusion: Spinal anesthesia with hyperbaric bupivacaine 2.5 mg and fentanyl 25 mcg can accelerate the ambulation time of cervical cancer patients undergoing brachytherapy.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"139 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Albertus Medianto Walujo, None Dewa Ayu Mas Shintya Dewi, None FX. Adinda Putra Pradhana
{"title":"Opioid-Free Anesthesia (OFA) as a Safe Anesthetic Choice for Epilepsy Patient","authors":"Albertus Medianto Walujo, None Dewa Ayu Mas Shintya Dewi, None FX. Adinda Putra Pradhana","doi":"10.37275/jacr.v5i1.415","DOIUrl":"https://doi.org/10.37275/jacr.v5i1.415","url":null,"abstract":"Introduction: The opioid-free anesthesia (OFA) approach, although not widely employed in anesthesia, offers distinct benefits for some populations, such as epilepsy patients, due to the propensity of opioids to trigger seizures. Hence, the objective of this study was to conduct an opioid-free anesthesia (OFA) procedure on the left lateral rhinotomy in a patient with concurrent epilepsy.Case presentation: Our patient is a 59-year-old woman suffering from epilepsy with a left nasal cavity tumor, scheduled for a left midfacial degloving rhinotomy. Given the patient's epilepsy comorbid, we have opted for an opioid-free anesthesia (OFA) procedure. OFA procedures are not yet widely employed in anesthesia; however, they offer advantages for specific patient populations, including epilepsy patients, as opioids have the potential to induce seizures.
 Conclusion: The various OFA protocols being conducted worldwide require refinement, and the potential interactions of each component should be explored further.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"24 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135091546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}