Journal of Anesthesiology and Clinical Research最新文献_第4页

Pain Management after Bilateral Mastectomy Surgery with Continued Intravenous Ketamine: A Case Report 双侧乳房切除术后持续静脉注射氯胺酮治疗疼痛1例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2022-11-16 DOI: 10.37275/jacr.v4i1.263

Zulfikar Djafar, A. Husni Tanra

{"title":"Pain Management after Bilateral Mastectomy Surgery with Continued Intravenous Ketamine: A Case Report","authors":"Zulfikar Djafar, A. Husni Tanra","doi":"10.37275/jacr.v4i1.263","DOIUrl":"https://doi.org/10.37275/jacr.v4i1.263","url":null,"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. \u0000Case 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. \u0000Conclusion: The use of ketamine in postoperative bilateral mastectomy can reduce pain intensity and have minimal side effects.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131133279","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

Intravenous Magnesium Sulfate for Acute Pain Management After Laparotomy Surgery: A Case Series 静脉注射硫酸镁治疗剖腹手术后急性疼痛:一个病例系列

Journal of Anesthesiology and Clinical Research Pub Date : 2022-11-14 DOI: 10.37275/jacr.v4i1.262

Nur Rahmat Kardiansyah Umar, Nursurya Wirawan

{"title":"Intravenous Magnesium Sulfate for Acute Pain Management After Laparotomy Surgery: A Case Series","authors":"Nur Rahmat Kardiansyah Umar, Nursurya Wirawan","doi":"10.37275/jacr.v4i1.262","DOIUrl":"https://doi.org/10.37275/jacr.v4i1.262","url":null,"abstract":"Introduction: Perioperative pain management is indicated to relieve patient complaints, allow early mobilization after surgery, reduce the duration of hospital stay, and provide a better level of satisfaction. This study aims to describe the use of magnesium sulfate in post-laparotomy patients. \u0000Case presentation: There were two cases, and the first was a 41-year-old female patient with endometrial cysts and adenomyosis who underwent laparotomy under general anesthesia. The patient was given magnesium sulfate 30 mg/kgBW 20 minutes before induction, then a continuous dose via a syringe pump 10 mg/kgBW/hour until the operation was completed. This patient showed an NRS scale 1 hour after surgery 1/10 and after 24 hours a maximum of 3/10. The second case was a 42-year-old female patient with suspected Leimiosarcoma who underwent a total hysterectomy and bilateral salpingoovorectomy under general anesthesia. Patients also received the same administration of magnesium sulfate and were assessed on the NRS scale up to 2 hours postoperatively 1/10 and after 24 hours a maximum of 2/10. \u0000Conclusion: Magnesium sulfate is used as an adjuvant in postoperative analgesia and analgesic therapy to treat acute or chronic pain and has antinociceptive effects due to NMDA receptor blocking, making it useful for the prevention of central sensitization.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133005906","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

Periarticular Steroid Injection in Sacroiliac Joint Pain Patients with Ultrasound Guidance: A Case Report 超声引导下关节周围类固醇注射治疗骶髂关节疼痛1例

Journal of Anesthesiology and Clinical Research Pub Date : 2022-11-11 DOI: 10.37275/jacr.v4i1.260

Muhammad Nala, Alamsyah Ambo Ala Husain

引用次数: 0

Continuous Intravenous Lidocaine for Acute Pain Management Post Laparotomy Surgery: A Case Series 连续静脉注射利多卡因治疗剖腹手术后急性疼痛:一个病例系列

Journal of Anesthesiology and Clinical Research Pub Date : 2022-11-11 DOI: 10.37275/jacr.v4i1.261

S. Wahyuningsih, Charles Wijaya

{"title":"Continuous Intravenous Lidocaine for Acute Pain Management Post Laparotomy Surgery: A Case Series","authors":"S. Wahyuningsih, Charles Wijaya","doi":"10.37275/jacr.v4i1.261","DOIUrl":"https://doi.org/10.37275/jacr.v4i1.261","url":null,"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. \u0000Case 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. \u0000Conclusion: 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.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"205 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114153775","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

Treatment of de Quervain's Tenosynovitis with Prolotherapy: A Case Report Prolotherapy治疗de Quervain氏腱鞘炎1例

Journal of Anesthesiology and Clinical Research Pub Date : 2022-11-03 DOI: 10.37275/jacr.v4i1.257

Veronika Susanty Siampa, Charles Wijaya Tan

{"title":"Treatment of de Quervain's Tenosynovitis with Prolotherapy: A Case Report","authors":"Veronika Susanty Siampa, Charles Wijaya Tan","doi":"10.37275/jacr.v4i1.257","DOIUrl":"https://doi.org/10.37275/jacr.v4i1.257","url":null,"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. \u0000Case 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. \u0000Conclusion: 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.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124950562","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

Postoperative Pain Management Total Hysterectomy with Intravenous Patient-Controlled Analgesia Oxycodone: A Case Series 全子宫切除术后疼痛管理与静脉注射羟考酮自控镇痛:一个病例系列

Journal of Anesthesiology and Clinical Research Pub Date : 2022-11-02 DOI: 10.37275/jacr.v3i2.255

Muh. Nur Abadi, Alamsyah Ambo Ala Husain

引用次数: 0

Radiofrequency Ablation for Trigeminal Neuralgia Patient: A Case Report 射频消融治疗三叉神经痛1例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2022-11-02 DOI: 10.37275/jacr.v3i2.256

Usman, Jaka Herbiyanto

{"title":"Radiofrequency Ablation for Trigeminal Neuralgia Patient: A Case Report","authors":"Usman, Jaka Herbiyanto","doi":"10.37275/jacr.v3i2.256","DOIUrl":"https://doi.org/10.37275/jacr.v3i2.256","url":null,"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. \u0000Case 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. \u0000Conclusion: 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.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116501263","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

Stellate Ganglion Block as Pain Management in Post Herpetic Neuralgia: A Case Report 星状神经节阻滞治疗带状疱疹后神经痛1例

Journal of Anesthesiology and Clinical Research Pub Date : 2022-10-28 DOI: 10.37275/jacr.v3i2.254

A. Amin

{"title":"Stellate Ganglion Block as Pain Management in Post Herpetic Neuralgia: A Case Report","authors":"A. Amin","doi":"10.37275/jacr.v3i2.254","DOIUrl":"https://doi.org/10.37275/jacr.v3i2.254","url":null,"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. \u0000Case 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. \u0000Conclusion: Ultrasonographic-guided stellate ganglion block can reduce post-herpetic neuralgia symptoms with minimal complications.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131376342","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

Quadratus Lumborum Block in Caesarean Section: A Case Report 剖宫产术中腰方肌阻滞1例

Journal of Anesthesiology and Clinical Research Pub Date : 2022-10-28 DOI: 10.37275/jacr.v3i2.253

Harsakti Rasyid, Nur Surya Wirawan

引用次数: 0

Transabdominal Plane Block for Postoperative Pain Management: A Case Series 经腹平面阻滞用于术后疼痛管理:一个病例系列

Journal of Anesthesiology and Clinical Research Pub Date : 2022-10-13 DOI: 10.37275/jacr.v3i2.250

Iwan Setiawan Makmur, Nur Surya Wirawan

{"title":"Transabdominal Plane Block for Postoperative Pain Management: A Case Series","authors":"Iwan Setiawan Makmur, Nur Surya Wirawan","doi":"10.37275/jacr.v3i2.250","DOIUrl":"https://doi.org/10.37275/jacr.v3i2.250","url":null,"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. \u0000Case 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. \u0000Conclusion: 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.","PeriodicalId":177081,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116057961","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