Journal of Anesthesiology and Clinical Research最新文献_第3页

Anesthetic Management of Wilms’ Tumor Patient Using Thoracal Epidural Block: A Case Report 胸硬膜外阻滞治疗Wilms肿瘤1例

Journal of Anesthesiology and Clinical Research Pub Date : 2023-05-30 DOI: 10.37275/jacr.v4i2.306

Alamsyah Tenggara, None Dewa Ayu Mas Shintya Dewi

引用次数: 0

Validity of Acute Physiology and Chronic Health Evaluation (APACHE) IV for the Prediction of Prolonged Intensive Care Unit (ICU) Length of Stay in Dr. Sardjito General Hospital in the COVID Era 急性生理和慢性健康评估(APACHE) IV预测新冠肺炎时期Sardjito综合医院重症监护病房(ICU)延长住院时间的有效性

Journal of Anesthesiology and Clinical Research Pub Date : 2023-05-19 DOI: 10.37275/jacr.v4i2.302

Muhammad Mufti Sofyanoor, Y. Widyastuti, Juni Kurniawaty, Djayanti Sari

{"title":"Validity of Acute Physiology and Chronic Health Evaluation (APACHE) IV for the Prediction of Prolonged Intensive Care Unit (ICU) Length of Stay in Dr. Sardjito General Hospital in the COVID Era","authors":"Muhammad Mufti Sofyanoor, Y. Widyastuti, Juni Kurniawaty, Djayanti Sari","doi":"10.37275/jacr.v4i2.302","DOIUrl":"https://doi.org/10.37275/jacr.v4i2.302","url":null,"abstract":"Introduction: APACHE IV was a good predictor of ICU length of stay in the USA and some countries outside the USA but poor in others. It is important to develop a scoring system for the Indonesian population, especially in this scope, Dr. Sardjito General Hospital. To develop such a scoring system, it is reasonable to study the validity of APACHE IV in ICU Dr. Sardjito General Hospital for predicting prolonged length of stay. \u0000Methods: A retrospective cohort observational study using data from January 1st, 2020, to December 31st, 2020, taken from the ICU of Dr. Sardjito General Hospital. The data are the patient's observed ICU LOS and data required in calculating APACHE IV score and ICU LOS prediction. Discrimination is calculated using the area under (AUC) the receiver operating characteristic curve (ROC) and calibration by the Hosmer-Lemeshow test. \u0000Results: Samples were 329 patients. APACHE IV ICU length of stay prediction showed moderate discriminatory ability (AUC-ROC: 0.74) and poor calibration (p <0.001) to predict prolonged ICU stay. The APACHE IV score has a strong discriminatory ability (AUC-ROC: 0.83). Using the DeLong method, the AUC from ROC APACHE IV score was greater than the AUC from ROC predicted length of stay in APACHE IV ICU (p <0.001). APACHE IV predicted ICU length of stay overestimated observed ICU length of stay. \u0000Conclusion: APACHE IV ICU length of stay prediction has moderate discrimination and poor calibration to predict prolonged ICU stay. The APACHE IV score has better discrimination than the APACHE IV ICU length of stay prediction in predicting prolonged ICU stay.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127231349","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}

引用次数: 0

Non-Sleep Non-Apnea Nasal Fiber Optic Intubation for Difficult Airway Management: A Case Series 非睡眠非呼吸暂停鼻纤维插管治疗困难气道:一个病例系列

Journal of Anesthesiology and Clinical Research Pub Date : 2023-05-03 DOI: 10.37275/jacr.v4i2.297

Fivilia Anjelina Bora, I. Made, Gede Widnyana, Article Info

{"title":"Non-Sleep Non-Apnea Nasal Fiber Optic Intubation for Difficult Airway Management: A Case Series","authors":"Fivilia Anjelina Bora, I. Made, Gede Widnyana, Article Info","doi":"10.37275/jacr.v4i2.297","DOIUrl":"https://doi.org/10.37275/jacr.v4i2.297","url":null,"abstract":"Introduction: Patients with tumors on the neck and mouth are known to be at risk for difficult intubation. Failing to secure the airway can lead to increased patient morbidity and mortality. This study aimed to present a case series with non-sleep non-apnea fiber optic intubation for difficult airway management. \u0000Case presentation: In this paper, we present three patients; a 57-year-old woman, a 59-year-old man, and a 68-year-old woman who have airway problems with a tumor located on their neck and mouth but were successfully intubated by non-sleep non-apnea nasal fiber optic intubation, one of airway management technique. Good visualization was achieved by fiber optic devices. Preparing the patient holistically and systematically during the perioperative period was the other important thing to do. MOANS score and LEMON score are used to predict the potential event of a difficult airway preoperatively. These scores help the physician to decide what step will be done with the patient. \u0000Conclusion: Anesthetic morbidity and mortality can be reduced with better preoperative evaluation and clear guidelines and practice for difficult intubation.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126235169","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}

引用次数: 0

Current Anesthesia Management of Congenital Diaphragmatic Hernia: A Narrative Literature Review 先天性膈疝的麻醉管理现状:一篇叙述性文献综述

Journal of Anesthesiology and Clinical Research Pub Date : 2023-01-25 DOI: 10.37275/jacr.v5i1.276

Rusmin Syukur, Elizeus Hanindito

引用次数: 0

Ablation of Rami Communicans in Patients with Symptomatic Schmorl's Nodes: A Case Report 有症状Schmorl淋巴结患者的Rami通讯器消融一例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2022-12-14 DOI: 10.37275/jacr.v4i2.271

Henny Widyastuti

{"title":"Ablation of Rami Communicans in Patients with Symptomatic Schmorl's Nodes: A Case Report","authors":"Henny Widyastuti","doi":"10.37275/jacr.v4i2.271","DOIUrl":"https://doi.org/10.37275/jacr.v4i2.271","url":null,"abstract":"Introduction: Schmorl's node is a herniation or extrusion of an intervertebral disc nucleus into the end plate of an adjacent vertebral body. This case study aims to report a patient with symptoms of axial pain followed by MRI overview that supports the clinical symptoms. \u0000Presentation case: A man, 36 years old, working as a soldier, came to the hospital with complaints of low back pain. The patient is referred by an orthopedic doctor. The patient complained of lower back pain 2 years ago. Initially, the pain was intermittent, but in recent months it has been continuous. The pain gets worse when the patient gets out of bed, moves, and performs movements such as bowing, breathing, and coughing. The pain subsides when the patient is in a lying position. Physical examination showed pain intensity based on a visual analogue scale (VAS) 8-9/10. Examination of the extremities showed 5/6 motor strength in all extremities. Facet loading test: positive extension, forward bending (+). Anteroposterior/lateral lumbosacral X-ray examination showed no abnormalities. MRI examination showed degenerative disc disease and Schmorl's nodes corpus VL 1-2-4-5 (Figure 1). The patient was diagnosed with chronic discogenic et causa Schmorl’s node pain. \u0000Conclusion: Ablation of rami communicans is useful in the management of Schmorl's node pain.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132676090","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}

引用次数: 0

Combination of Local Anesthetics and Corticosteroids as Pain Management in Supraspinatus Tendinitis: A Case Report 局麻药联合皮质类固醇治疗冈上肌腱炎1例

Journal of Anesthesiology and Clinical Research Pub Date : 2022-12-12 DOI: 10.37275/jacr.v4i2.270

Nurhayati Dumbela, Alamsyah Ambo Ala Husain

{"title":"Combination of Local Anesthetics and Corticosteroids as Pain Management in Supraspinatus Tendinitis: A Case Report","authors":"Nurhayati Dumbela, Alamsyah Ambo Ala Husain","doi":"10.37275/jacr.v4i2.270","DOIUrl":"https://doi.org/10.37275/jacr.v4i2.270","url":null,"abstract":"Introduction: This study aimed to report the treatment of tendinitis in combination with local anesthetics and corticosteroids. \u0000Case presentation: A man, 34 years old, came to the hospital with complaints of pain in the right shoulder. This pain is felt especially when moving the right shoulder, and the patient also cannot raise his right hand. Pain when moving the right arm appeared after falling off a motorbike about 1 month ago. The intensity of pain has been getting higher for the last 14 days, especially when going to bed, so the patient complains of difficulty sleeping. The patient has been treated at the public health center for a month and has received pain relievers. Physical examination showed vital signs within normal limits and pain intensity of 8/10 based on the visual analogue scale. Examination of the extremity shows the abduction of pain starting at 60°-70° on activity and no pain on passive movement. In the special tests, the Neer test is positive, the Hawkin test is positive, and the Empty Can test is positive. The patient was diagnosed with supraspinatus tendinitis. The treatment for this patient is supraspinatus tendon injection. The anesthetic agent used was 2% lidocaine combined with 20 mg triamcinolone corticosteroids. This procedure is performed under ultrasound guidance for precise injection sites. Evaluation after the action found no side effects. After 1 month of action, the patient felt that the pain was greatly reduced (1/10) and the joint movement was not limited. \u0000Conclusion: The use of a combination of triamcinolone and lidocaine is beneficial in reducing pain in cases of supraspinatus tendinitis.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132638921","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}

引用次数: 0

Management of Postherpetic Neuralgia with Pulsed Radiofrequency Dorsal Root Ganglion: A Case Report 脉冲射频背根神经节治疗带状疱疹后神经痛1例

Journal of Anesthesiology and Clinical Research Pub Date : 2022-12-09 DOI: 10.37275/jacr.v4i2.269

M. Dahlan, Alamsyah Ambo Ala Husain

{"title":"Management of Postherpetic Neuralgia with Pulsed Radiofrequency Dorsal Root Ganglion: A Case Report","authors":"M. Dahlan, Alamsyah Ambo Ala Husain","doi":"10.37275/jacr.v4i2.269","DOIUrl":"https://doi.org/10.37275/jacr.v4i2.269","url":null,"abstract":"Introduction: Radiofrequency therapy is a minimally invasive procedure that has been used for about three decades to treat various chronic pain, such as postherpetic pain. This case study aims to describe the use of PRF in postherpetic neuralgia. \u0000Case presentation: A woman, 71 years old, came with complaints of right low back pain. Pain that is felt like burning, burning, sometimes pain feels like being stabbed, electrocuted, throbbing, and the pain will increase if the area of the skin is touched by a cloth. The pain began to be felt approximately 11 years ago. Physical examination shows vital signs; blood pressure 140/75 mmHg, pulse 76x/minute, respiratory rate 20x/minute, oxygen saturation 97%, temperature 36,5oC, numeric rating scale (NRS) 8-9/10. On examination of the right lumbar region, hypopigmented lesions appeared around the right waist at L3, L4, and L5 levels. No hyperemia and edema were found, and no obvious sensory loss. Assessment of pain score according to the Socrates method 8/10, S-LANSS score (self-report Leeds assessment of neuropathic symptoms and signs) 16. The patient has been diagnosed with postherpetic neuralgia. Patients were treated with a pulsed radiofrequency (PRF) procedure on the dorsal root ganglion (DRG). Pulsed radiofrequency was performed on the dorsal root ganglion at L1, L2, L3, and L4 levels. \u0000Concussion: The pulsed radiofrequency procedure on the dorsal root ganglion is a minimally invasive procedure that is effective and safe in treating postherpetic neuralgia pain. The use of imaging guidance in this procedure can improve the accuracy of needle tip placement and prevent side effects and complications.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"84 305 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125969714","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}

引用次数: 0

Neural Prolotherapy in Persistent Post-Surgery Pain: A Case Report 神经前驱疗法治疗术后持续性疼痛1例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2022-12-08 DOI: 10.37275/jacr.v4i2.268

Abdul Muttalib, Nur Surya Wirawan

{"title":"Neural Prolotherapy in Persistent Post-Surgery Pain: A Case Report","authors":"Abdul Muttalib, Nur Surya Wirawan","doi":"10.37275/jacr.v4i2.268","DOIUrl":"https://doi.org/10.37275/jacr.v4i2.268","url":null,"abstract":"Introduction: Persistent postoperative pain is a clinical condition of discomfort (pain) and lasts more than 2 months after surgery without other causes, such as chronic infection or pain due to chronic conditions that occurred before surgery. This study aims to describe PPSP management and its outcomes. \u0000Case presentation: A woman, 54 years old, a housewife, came to the hospital with complaints of persistent pain from a surgical scar in the abdominal area. The pain has gotten worse in the last 3 months and sometimes feels like it's spreading to the area around the surgical wound. The pain is felt sharp and hot, spreads to the area around it, and is felt when resting, aggravated by activity experienced 5 months ago since the operation to remove the uterus. The patient was diagnosed with persistent post-surgical pain. Neural prolotherapy is performed on patients with PPSP indications. The drugs used are 5% dextrose solution and 2% lidocaine. Injection of 0.5-1 ml of dextrose was carried out in the area along the surgical scar and its surroundings. After the injection, the patient felt that the pain was reduced (numeric rating scale 1/10). \u0000Conclusion: Neural prolotherapy can be used in the management of patients with PPSP complaints. Treatment with neural prolotherapy injection using a mixture of D5% solution and lidocaine has a good prognosis for symptom improvement and relatively minimal complications.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117211706","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}

引用次数: 0

Post-C-Section Pain Management with the Enhanced Recovery after Surgery and Multimodal Analgesia Methods: A Case Series 剖腹产后疼痛管理与术后恢复和多模式镇痛方法:一个案例系列

Journal of Anesthesiology and Clinical Research Pub Date : 2022-11-28 DOI: 10.37275/jacr.v4i2.266

Poppy Novita Rini, Charles Wijaya Tan

{"title":"Post-C-Section Pain Management with the Enhanced Recovery after Surgery and Multimodal Analgesia Methods: A Case Series","authors":"Poppy Novita Rini, Charles Wijaya Tan","doi":"10.37275/jacr.v4i2.266","DOIUrl":"https://doi.org/10.37275/jacr.v4i2.266","url":null,"abstract":"Introduction: This study aims to present the management of postoperative c-section pain using multimodal analgesia. \u0000Case presentation: There were two patients who received multimodal analgesia as a treatment for postoperative C-section pain. The first patient, a woman 15 years old, will undergo a Caesarean section operation with indications G1P0A0, term pregnancy, and cephalopelvic disproportion (CPD). The second patient, a 23-year-old woman, will undergo a Caesarean section operation with indications G1P0A0, term pregnancy, and 1x umbilical cord. Physical examination of both patients showed vital signs within normal limits. Laboratory evaluation within normal limits. Both patients were included in the ASA II category. The anesthetic method used intraoperatively was subarachnoid block with hyperbaric bupivacaine 0.5% 10 mg and morphine 50 mcg. Lidocaine infiltration injection is performed intraoperatively in combination with the following; lidocaine 2% (3 ampoules), dexamethasone 4 mg, ketorolac 60 mg, and morphine 4000 mcg dissolved in aquabides into 20 ml subcutaneously. \u0000Conclusion: A multimodal analgesia is an appropriate approach for postoperative pain management in patients undergoing cesarean section.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130276665","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}

引用次数: 0

Continuous Intravenous Ketamine for Management of Acute Pain Postoperative Laparotomy with Septic Shock: A Case Report 持续静脉注射氯胺酮治疗脓毒性休克剖腹手术后急性疼痛1例

Journal of Anesthesiology and Clinical Research Pub Date : 2022-11-22 DOI: 10.37275/jacr.v4i1.264

Sri Ayu Nugrainy, Charles Wijaya Tan

{"title":"Continuous Intravenous Ketamine for Management of Acute Pain Postoperative Laparotomy with Septic Shock: A Case Report","authors":"Sri Ayu Nugrainy, Charles Wijaya Tan","doi":"10.37275/jacr.v4i1.264","DOIUrl":"https://doi.org/10.37275/jacr.v4i1.264","url":null,"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. \u0000Case 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. \u0000Conclusion: 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.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131984988","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}

引用次数: 0