Journal of Anesthesiology and Clinical Research最新文献

Challenges of Anesthetic Management in Pediatric Patients with Hernia Inguinalis Lateralis Dextra Reponibilis: A Case Report 小儿腹股沟侧右再疝患者麻醉管理的挑战：病例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2024-07-08 DOI: 10.37275/jacr.v5i3.598

Puspita Wahyu Lestari, Muh Iswan Wahab, Gede Indrajaya

{"title":"Challenges of Anesthetic Management in Pediatric Patients with Hernia Inguinalis Lateralis Dextra Reponibilis: A Case Report","authors":"Puspita Wahyu Lestari, Muh Iswan Wahab, Gede Indrajaya","doi":"10.37275/jacr.v5i3.598","DOIUrl":"https://doi.org/10.37275/jacr.v5i3.598","url":null,"abstract":"Introduction: Hernia inguinalis lateralis dextra reponibilis (HILD repr.) is a common condition in infants and children, but anesthetic management in these pediatric patients requires special attention. Children's unique physiological and pharmacological characteristics, potential comorbidities, and risk of postoperative pain demand a careful and integrated approach. \u0000Case presentation: This case report presents comprehensive anesthetic management of a 6-month-old male infant who underwent elective herniorrhaphy for HILD repr. The anesthesia procedure involved induction with sevoflurane and fentanyl, maintenance of anesthesia with sevoflurane, and multimodal pain management with paracetamol and bupivacaine. The surgery was successful without complications, and the patient recovered well. \u0000Conclusion: This case highlights the importance of implementing modern anesthetic practices in pediatric patients with HILD repr., including selection of appropriate anesthetic agents, close monitoring, and multimodal pain management. Specific challenges such as unique airway anatomy, variability in drug pharmacokinetics, and risk of perioperative complications are also highlighted. The successful anesthetic management of this case highlights the importance of an individualized approach and close monitoring to optimize clinical outcomes and minimize complications in pediatric patients with HILD repr.","PeriodicalId":496787,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"119 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667502","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

USG Guided Interscalene Nerve Block as Perioperative Management in Close Fracture Clavicula with Traumatic Brain Injury Patient and Contusio Pulmonum: A Case Report USG 引导下的锁骨内神经阻滞作为闭合性锁骨骨折伴创伤性脑损伤和肺挫伤患者的围手术期处理方法：病例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2024-06-14 DOI: 10.37275/jacr.v5i3.582

Novandi Lisyam Prasetya, Muhammad Husni Thamrin, Ellen Josephine Handoko

{"title":"USG Guided Interscalene Nerve Block as Perioperative Management in Close Fracture Clavicula with Traumatic Brain Injury Patient and Contusio Pulmonum: A Case Report","authors":"Novandi Lisyam Prasetya, Muhammad Husni Thamrin, Ellen Josephine Handoko","doi":"10.37275/jacr.v5i3.582","DOIUrl":"https://doi.org/10.37275/jacr.v5i3.582","url":null,"abstract":"Introduction: Blunt trauma from motor vehicle accidents (MVA) often results in multisystem injuries, including chest, head, and musculoskeletal injuries. Management of these complex injuries requires a multidisciplinary approach and can present unique anesthetic challenges. \u0000Case presentation: A 22-year-old man was treated in the emergency department (ER) after experiencing an MVA. The patient experienced chest and shoulder pain and was found to have anemia, increased creatinine, respiratory acidosis, prolonged prothrombin time (PT), and increased serum glutamic oxaloacetic transaminase (SGOT). Radiological examination revealed left tension hydropneumothorax, right hydropneumothorax, bilateral lung contusions, fractures of the ribs, clavicle, and scapula. In addition, the patient also experienced subarachnoid hemorrhage (SAH) in the left parietotemporal region and right cistern (Fisher Scale III), brain edema, right pneumo-orbita, type III septal deviation, bilateral inferior nasal concha hypertrophy, and concha bullosa on the medial nasal concha. The patient's physical status was assessed as ASA III. The patient underwent open reduction and internal fixation (ORIF) with an S-plate on the right clavicle. Anesthesia was provided with an interscalene block using 0.375% levobupivacaine and premedication with Fentanyl and Midazolam. \u0000Conclusion: This case highlights the complexity of managing blunt trauma patients with multisystem injuries. A multidisciplinary approach, including careful airway management, hemodynamic monitoring, and selection of appropriate anesthetic techniques, is essential for optimal results.","PeriodicalId":496787,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"58 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141339174","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

Fast-Track Anesthesia for Cito Craniotomy Evacuation Hematoma Due to Temporoparietal Subdural Hemorrhagic Hematoma in a Pediatric Patient: A Case Report 小儿颞顶硬膜下出血性血肿所致 Cito 开颅抽吸血肿的快速通道麻醉：病例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2024-06-04 DOI: 10.37275/jacr.v5i3.569

Anggia Rarasati Wardhana, Ardana Tri Arianto

引用次数: 0

Intensive Management of Post Caesarean Section with Eclampsia: A Case Report 剖腹产后子痫的重症监护：病例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2024-06-03 DOI: 10.37275/jacr.v5i3.568

Ardian Pratiaksa, Eko Setijanto

{"title":"Intensive Management of Post Caesarean Section with Eclampsia: A Case Report","authors":"Ardian Pratiaksa, Eko Setijanto","doi":"10.37275/jacr.v5i3.568","DOIUrl":"https://doi.org/10.37275/jacr.v5i3.568","url":null,"abstract":"Introduction: Eclampsia, a severe form of pre-eclampsia characterized by high blood pressure and seizures, poses a significant threat to both maternal and fetal health. With a global incidence of 2-8% among pregnancies affected by pre-eclampsia, eklampsia remains a leading cause of maternal mortality, particularly in low-resource settings. Given the potential for serious complications associated with postpartum eklampsia, it is crucial for anesthesia teams to possess a comprehensive understanding of the condition's management and the specific considerations required in the postpartum setting. \u0000Case presentation: We report a 19 years old woman post caesarean section with eclampsia. The patient had a recurrent seizure on the first day at the ICU. After had an intensive therapy at the ICU the patient showed a clinically improvement and extubated on the second day. The case highlights the importance of a holistic and comprehensive approach to postpartum care in eklampsia patients. By addressing not only the immediate symptoms but also the underlying physiological and neurological derangements, the ICU team was able to effectively manage the patient's condition and facilitate her recovery. \u0000Conclusion: Postpartum care in the intensive care unit needs to be hollistic and comprehensive with the aim of not aggravating the patient's condition and worsening the patient's prognosis.","PeriodicalId":496787,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"55 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141268891","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 and Consideration of Anesthesia Procedures in Eclampsia: A Case Report 子痫患者麻醉程序的管理与考虑：病例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2024-05-10 DOI: 10.37275/jacr.v5i3.560

Alvin Rauwelio, I Wayan Widana

引用次数: 0

Dexamethasone as an Adjuvant to Lidocaine 2% and Levobupivacaine 0,5% in Transversus Abdominis Plane (TAP) Block after Appendectomy Surgery: A Case Report 阑尾切除手术后，地塞米松作为利多卡因 2% 和左旋布比卡因 0.5% 的辅助药物用于腹横肌平面 (TAP) 阻滞：病例报告

Journal of Anesthesiology and Clinical Research Pub Date : 2024-05-06 DOI: 10.37275/jacr.v5i3.558

Ida Ayu Apsari Pradnya Niti, Albertus Medianto, Agus Suardhesana

{"title":"Dexamethasone as an Adjuvant to Lidocaine 2% and Levobupivacaine 0,5% in Transversus Abdominis Plane (TAP) Block after Appendectomy Surgery: A Case Report","authors":"Ida Ayu Apsari Pradnya Niti, Albertus Medianto, Agus Suardhesana","doi":"10.37275/jacr.v5i3.558","DOIUrl":"https://doi.org/10.37275/jacr.v5i3.558","url":null,"abstract":"Introduction: Post-appendectomy pain can hinder patient recovery and increase opioid consumption. TAP (transversus abdominis plane) block is an effective regional anesthetic technique for controlling pain after abdominal surgery. Dexamethasone, as an anti-inflammatory, can be added as an adjuvant to enhance the analgesic effect. \u0000Case presentation: This study describes the effectiveness of TAP block with adjuvant dexamethasone in patient A, a 17-year-old woman who underwent appendectomy. The patient received a TAP block with lidocaine 20 ml, levobupivacaine 10 ml, and dexamethasone 10 mg. Patient pain was measured using the numeric rating scale (NRS) at 1, 2, 6, 12, and 24 hours after surgery. Patients experienced low NRS values, even 0 at 1, 2, 6, 12, and 24 hours after surgery. Adjuvant dexamethasone to TAP block likely increases the analgesic effect and reduces opioid requirements. \u0000Conclusion: TAP block with adjuvant dexamethasone is an effective regional anesthesia technique for controlling post-appendectomy pain, increasing patient comfort, and speeding recovery.","PeriodicalId":496787,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"58 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141007570","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

Overview of Acute Kidney Injury (AKI) in the Intensive Care Unit: Observational Study at Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia 重症监护病房急性肾损伤 (AKI) 概览：印度尼西亚登巴萨 I.G.N.G Ngoerah 教授总医院的观察研究

Journal of Anesthesiology and Clinical Research Pub Date : 2024-04-24 DOI: 10.37275/jacr.v5i3.555

Pontisomaya Parami, Tjokorda Gde Agung Senapathi, Gede Wirya Kusuma Duarsa, Putu Bagus Gin Gin Pramana

{"title":"Overview of Acute Kidney Injury (AKI) in the Intensive Care Unit: Observational Study at Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia","authors":"Pontisomaya Parami, Tjokorda Gde Agung Senapathi, Gede Wirya Kusuma Duarsa, Putu Bagus Gin Gin Pramana","doi":"10.37275/jacr.v5i3.555","DOIUrl":"https://doi.org/10.37275/jacr.v5i3.555","url":null,"abstract":"Introduction: Acute kidney injury (AKI) is a serious clinical syndrome with complications that can be life-threatening. AKI is associated with increased length of stay and mortality in patients in the intensive care unit (ICU). This study aims to determine the incidence and characteristics of AKI in ICU patients at Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar. \u0000Methods: This descriptive observational research was conducted by collecting data from medical records of ICU patients for three months. Data were analyzed to determine the incidence of AKI, stage of severity, and mortality rate. \u0000Results: Of the 388 patients treated in the ICU, 87 (22.37%) experienced AKI. The mortality rate in AKI patients was 12.9% (n=50). A total of 11.05% (n=25) of AKI patients were classified as stage 1, 5.91% (n=17) as stage 2, and 5.40% (n=8) as stage 3. \u0000Conclusion: The incidence of AKI in the ICU of Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar. is quite high (22.37%). AKI is associated with a significant mortality rate (12.9%). This study provides a preliminary description of the incidence and characteristics of AKI in the ICU of this hospital, which may be useful for improving the quality of patient care and prevention of AKI.","PeriodicalId":496787,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"38 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663093","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 Lidocaine Efficacy in Preventing Succinylcholine-Induced Postoperative Myalgia in Surgical Adult Patients at Tikur Anbessa Specialized Hospital 蒂库尔-安贝萨专科医院静脉注射利多卡因预防琥珀酰胆碱诱发的成人手术患者术后肌痛的功效

Journal of Anesthesiology and Clinical Research Pub Date : 2024-03-04 DOI: 10.37275/jacr.v5i2.536

Esubalew Muluneh Aligaz, Senait Aweke Yadeta, Amanuel Sisay Endeshaw, Mulualem Sitot Fekede, Hirbo Samuel Hirbo

{"title":"Intravenous Lidocaine Efficacy in Preventing Succinylcholine-Induced Postoperative Myalgia in Surgical Adult Patients at Tikur Anbessa Specialized Hospital","authors":"Esubalew Muluneh Aligaz, Senait Aweke Yadeta, Amanuel Sisay Endeshaw, Mulualem Sitot Fekede, Hirbo Samuel Hirbo","doi":"10.37275/jacr.v5i2.536","DOIUrl":"https://doi.org/10.37275/jacr.v5i2.536","url":null,"abstract":"Introduction: Medical professionals exclusively utilize succinylcholine as a depolarizing muscle relaxant. Some of the negative symptoms include fasciculation, myalgia, muscle spasms, and hyperkalemia. The study aimed to evaluate the efficacy of intravenous lidocaine in preventing succinylcholine-induced postoperative myalgia. \u0000Methods: A prospective cohort study was undertaken on 80 elective surgery patients. Participants were categorized into two groups: one group received intravenous lidocaine (the exposed group), and the other did not receive lidocaine (the control group). The study participant was chosen using a rigorous random sampling procedure. Data collectors monitored patients for post-operative myalgia at 12, 24, and 48 hours following the procedure. We analyzed the data using SPSS version 26. A P-value below 0.05 indicated statistical significance. \u0000Results: Demographic and clinical data in both groups are similar, with a p-value greater than 0.05. The total incidence rate of succinylcholine-induced postoperative myalgia was 39.3%. 22.5% of the group that received lidocaine experienced postoperative myalgia, compared to 60% of the group that did not receive lidocaine. The group that received lidocaine had lower postoperative myalgia severity generated by succinylcholine compared to the group that did not receive lidocaine, with percentages of 42.9% against 53.3% for mild myalgia, and 15.8% versus 84.3% for moderate myalgia, respectively, with a p-value of 0.001. \u0000Conclusion: Administering lidocaine intravenously prior to surgery effectively reduced the occurrence and intensity of succinylcholine-induced muscle pain after the operation.","PeriodicalId":496787,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"94 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079774","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

Effectiveness of Dexmedetomidine vs Propofol in Post-Open Heart Surgery Patients: A Prospective, Randomized, Double-Blind Study at the PLA Army Central Hospital in Beijing, China 右美托咪定与异丙酚对开胸手术后患者的疗效对比：中国人民解放军陆军总医院的一项前瞻性、随机、双盲研究

Journal of Anesthesiology and Clinical Research Pub Date : 2024-03-01 DOI: 10.37275/jacr.v5i2.534

Li Shen

{"title":"Effectiveness of Dexmedetomidine vs Propofol in Post-Open Heart Surgery Patients: A Prospective, Randomized, Double-Blind Study at the PLA Army Central Hospital in Beijing, China","authors":"Li Shen","doi":"10.37275/jacr.v5i2.534","DOIUrl":"https://doi.org/10.37275/jacr.v5i2.534","url":null,"abstract":"Introduction: Dexmedetomidine and propofol are sedation drugs commonly used in patients after open heart surgery. The aim of this study was to compare the effectiveness of dexmedetomidine and propofol in patients after open heart surgery in terms of sleep quality, delirium, and hemodynamics. \u0000Methods: A prospective, randomized, double-blind study was conducted on 120 patients after open heart surgery at the PLA Army Central Hospital in Beijing, China. Patients were randomized to receive dexmedetomidine (n = 60) or propofol (n = 60). Sleep quality was measured using the Pittsburgh Sleep Quality Scale (PSQI), delirium was measured using the confusion assessment method for the intensive care unit (CAM-ICU), and hemodynamics were monitored continuously. \u0000Results: Patients receiving dexmedetomidine had lower PSQI scores (p < 0.05) and a lower incidence of delirium (p < 0.05) compared with patients receiving propofol. There were no significant differences in hemodynamic parameters between the two groups. \u0000Conclusion: Dexmedetomidine is more effective than propofol in improving sleep quality and reducing delirium in patients after open heart surgery.","PeriodicalId":496787,"journal":{"name":"Journal of Anesthesiology and Clinical Research","volume":"106 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140089966","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

The Effect of Implementing the Sepsis Early Goal-Directed Therapy (EGDT) Protocol on Patient Mortality in the Hospital ICU in Cairo, Egypt 埃及开罗医院重症监护室实施败血症早期目标导向疗法（EGDT）方案对患者死亡率的影响

Journal of Anesthesiology and Clinical Research Pub Date : 2024-03-01 DOI: 10.37275/jacr.v5i2.535

M. A. Gabbar, Amr Hassan

引用次数: 0