Bali Journal of Anesthesiology最新文献_第5页

Prediction of difficult endotracheal intubation by different bedside tests: An observational study 通过不同床边试验预测气管插管困难:一项观察性研究

Bali Journal of Anesthesiology Pub Date : 2023-01-01 DOI: 10.4103/bjoa.bjoa_228_22

K. Kamal, D. Rani, G. Ahlawat, T. Bansal

{"title":"Prediction of difficult endotracheal intubation by different bedside tests: An observational study","authors":"K. Kamal, D. Rani, G. Ahlawat, T. Bansal","doi":"10.4103/bjoa.bjoa_228_22","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_228_22","url":null,"abstract":"Background: An incidence of difficult intubation in elective surgery is 1.5%–8%. Multiple attempts during tracheal intubation can cause airway injuries bleeding, brain hypoxia, and even cardiac arrest. Unanticipated failure and inability to secure difficult airway can lead to “cannot ventilate, cannot intubate” condition. Preoperative assessment and bedside tests play a vital role in predicting and stratifying risk of difficult intubation. This study was done to determine the incidence of difficult intubation and diagnostic accuracy of different bedside tests for predicting intubation difficulty in patients without airway pathology scheduled for elective surgery under general anesthesia. Materials and Methods: Two hundred patients, aged 20–50 years, American Society of Anaesthesiologists I and II, without airway pathology undergoing elective surgery were evaluated preoperatively using simple bedside tests such as Mallampati grading (MPG), interincisor gap (IIG), thyromental distance (TMD), sternomental distance, upper lip bite test, neck circumference, and atlantooccipital extension to predict difficult intubation. Statistical confirmation was done using Pearson’s chi-square test and univariate and multivariate logistic regression. Results: In our study, the incidence of difficult intubation was observed as 6%. High sensitivity for predicting difficult intubation was seen with IIG > TMD > MPG, and high specificity among the relevant bedside tests was seen with TMD > MPG > IIG. Tests with high positive predictive value were TMD > MPG, whereas high negative predictive value was seen with IIG > TMD >MPG. Conclusion: IIG, TMD, and MPG can be used to predict difficult intubation in patients without airway pathology.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":"7 1","pages":"8 - 12"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44987731","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

Comparison of intraperitoneal dexamethasone, dexmedetomidine, and dexamethasone–dexmedetomidine combination on postoperative nausea, vomiting, and analgesics requirement after gynecological laparoscopy: A randomized clinical trial 地塞米松、右美托咪定与地塞米松-右美托咪定联合腹腔注射对妇科腹腔镜术后恶心、呕吐及镇痛药物需求的比较:一项随机临床试验

Bali Journal of Anesthesiology Pub Date : 2022-10-01 DOI: 10.4103/bjoa.bjoa_202_22

V. Srivastava, Pooja Shree, S. Agrawal, Ambikesh Pandey, Kavita Babbar, K. Manju

{"title":"Comparison of intraperitoneal dexamethasone, dexmedetomidine, and dexamethasone–dexmedetomidine combination on postoperative nausea, vomiting, and analgesics requirement after gynecological laparoscopy: A randomized clinical trial","authors":"V. Srivastava, Pooja Shree, S. Agrawal, Ambikesh Pandey, Kavita Babbar, K. Manju","doi":"10.4103/bjoa.bjoa_202_22","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_202_22","url":null,"abstract":"Background: Female patients who undergo gynecological laparoscopic surgery are more likely to suffer from postoperative nausea and vomiting (PONV). The study aimed to probe and investigate the effectiveness of intraperitoneal administration of dexamethasone, dexmedetomidine, and combination in reducing the incidence of PONV and postoperative analgesic requirements in laparoscopic hysterectomies. Materials and Methods: One hundred ninety-two female patients undergoing laparoscopic hysterectomies were randomly assigned to four groups. Anesthesia was identical in each group. Patients in the group D1 received dexamethasone 8 mg, group D2 received dexmedetomidine 1 μg/kg, group D3 received dexamethasone 8 mg + dexmedetomidine 1 μg/kg combination, and group D4 received 20 mL normal saline intraperitoneally at the end of the surgery, before trocar removal. The primary outcome was the incidence of PONV experienced by the patients within 24-h postoperative period. Results: In the first 24 h postoperatively, the incidence of PONV was significantly reduced in D1, D2, and D3 groups compared with D4 (P = 0.001); however, there were no significant differences among the three groups. The requirement for rescue antiemetic and rescue analgesic was similar among the groups but significantly decreased compared with the control group (group D4) (P = 0.002 and P = 0.0003, respectively). Conclusion: Intraperitoneal administration of dexamethasone, dexmedetomidine, and a combination of dexamethasone–dexmedetomidine in laparoscopic hysterectomies significantly reduces both PONV and postoperative analgesics requirements compared with the control group.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":"6 1","pages":"225 - 230"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41607785","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: 2

Higher dose of dexmedetomidine infusion provides better oxygenation and lung mechanics in obese patients undergoing laparoscopic cancer surgeries: A randomized clinical trial 更高剂量的右美托咪定输注为接受腹腔镜癌症手术的肥胖患者提供更好的氧合和肺力学：一项随机临床试验

Bali Journal of Anesthesiology Pub Date : 2022-10-01 DOI: 10.4103/bjoa.bjoa_173_22

M. Hassan, Mohamed A Wadod

{"title":"Higher dose of dexmedetomidine infusion provides better oxygenation and lung mechanics in obese patients undergoing laparoscopic cancer surgeries: A randomized clinical trial","authors":"M. Hassan, Mohamed A Wadod","doi":"10.4103/bjoa.bjoa_173_22","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_173_22","url":null,"abstract":"Background: As a result of the growing international prevalence of overweightness, following then, the proportion of obese people undergoing major surgery increased. Both obesity and laparoscopic cancer surgeries had physiological effect on the respiratory system. Various studies have shown that Dexmedetomidine improves both lung compliance and oxygenation. The goal of the work to compare the effect of two various doses of dexmedetomidine infusion intraoperative on the oxygenation and lung mechanics in obese underwent laparoscopic cancer surgeries. Materials and Methods: This randomized double-blinded, trial was performed on 70 cases who underwent laparoscopic pelviabdominal cancer surgery. Cases were categorized into 2 equal groups. Group A: was given 1 μg/kg body weight dexmedetomidine then 0.5 μg/kg/hour, and group B: received 0.5 μg/kg body weight then 0.3 μg/kg/hour. Dexmedetomidine was administered as a bolus following intubation, then infusion till the end of surgery. Arterial blood gases and lung mechanics were measured at baseline, 30, 60, 90,120 min, and end of surgery. Results: PaO2/FiO2 ratio at 90min, 120min, and the end of surgery and delta PaO2/FiO2 were significantly increased in group A than in group B (P = 0.045, 0.048, and 0.047, respectively). Dynamic compliance at 120 min and at end of surgery were significantly increased in group A in comparison to group B (P = 0.047 and 0.04, respectively). Conclusions: Dexmedetomidine at a higher dose provides better oxygenation, dynamic compliance, lower dead space in obese laparoscopic cancer patients.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":"6 1","pages":"215 - 220"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43512203","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

Low incidence of vitamin D levels deficiency in anesthesiology residents: A cross-sectional, retrospective study 麻醉科住院医师维生素D水平缺乏的低发生率:一项横断面回顾性研究

Bali Journal of Anesthesiology Pub Date : 2022-10-01 DOI: 10.4103/bjoa.bjoa_172_22

A. Tantri, R. Soenarto, Riyadh Firdaus, Sandy Theresia, Vircha Anakotta

{"title":"Low incidence of vitamin D levels deficiency in anesthesiology residents: A cross-sectional, retrospective study","authors":"A. Tantri, R. Soenarto, Riyadh Firdaus, Sandy Theresia, Vircha Anakotta","doi":"10.4103/bjoa.bjoa_172_22","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_172_22","url":null,"abstract":"Background: Vitamin D deficiency is now a major global health problem. The prevalence of vitamin D deficiency in Indonesia is 60–90% in various studies. Age, race, sunscreen use, medication, and malabsorption diseases are all factors that affect vitamin D levels. Recent studies also show the relation between COVID-19 and vitamin D deficiency in severity and disease mortality. Vitamin D deficiency causes skeletal and extra-skeletal consequences. With limited studies on vitamin D levels of anesthesiology residents in Indonesia, we aim to determine the average vitamin D level and the affecting factors in this population. Materials and Methods: Sixty-nine anesthesiology residents working in a tertiary care hospital were enrolled in this study. The participants were asked to complete the questionnaire, and blood samples were drawn to measure serum 25(OH)D. The factors that influence vitamin D levels were recorded for analysis. Statistical analysis was performed using SPSS version 20. Results: The mean vitamin D level in anesthesiology residents was 39.99 ng/mL. There were no significant relationships between vitamin D levels among anesthesiology residents with vitamin D consumption, high-calcium foods, frequency of exercise, history of COVID-19 infection, comorbidities, and duration of exposure to sunlight. Conclusion: Prevalence of vitamin D deficiency/insufficiency was low among anesthesiology residents. Vitamin D levels were optimal in professionals who are taking vitamin D supplements.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":"6 1","pages":"210 - 214"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49100935","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

Multidrug-resistant organism infections correlate with increased mortality in COVID-19 patients: A retrospective, observational cohort study 多药耐药菌感染与COVID-19患者死亡率增加相关:一项回顾性观察性队列研究

Bali Journal of Anesthesiology Pub Date : 2022-10-01 DOI: 10.4103/bjoa.bjoa_181_22

I. Sumardika, Frederick Cokro, I. Suranadi, K. Pinatih

{"title":"Multidrug-resistant organism infections correlate with increased mortality in COVID-19 patients: A retrospective, observational cohort study","authors":"I. Sumardika, Frederick Cokro, I. Suranadi, K. Pinatih","doi":"10.4103/bjoa.bjoa_181_22","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_181_22","url":null,"abstract":"Background: The uncontrolled use of antibiotics is a big problem that will lead to antibiotic resistance. One of the recommendations for Corona Virus Disease 2019 (COVID-19) therapy is antibiotics. This study aimed to present the incidence of multidrug-resistant organism (MDRO) infections in COVID-19 patients and the risk of mortality in COVID-19 patients in the Indonesian population. Materials and Methods: A retrospective cohort study was conducted at a tertiary medical center in Indonesia. A total of 120 subjects were included in this study and divided equally into group M (COVID-19 patients with MDRO infections) and group N (without MDRO). The culture was conducted between the 17th and 10th days of treatment. A 2 × 2 table and chi-square test calculated the relative risk (RR) of MDRO causing mortality in COVID-19 patients. Results: The median age was 52 and 51 years old in groups M and N, respectively (P = 0.599). Based on the documented data related to microbiological culture to detect the types of microorganisms, carbapenem-resistant Acinetobacter baumannii was found to be the most MDRO isolated (30%), followed by extended-spectrum beta-lactamase (26.6%). Bivariate analysis showed that MDRO infection strongly correlates with the incidence of death with a RR of 4.167 (P < 0.001). Conclusion: MDRO infection is significantly correlated with mortality in COVID-19 patients. MDRO infections pose a four-fold chance of mortality compared to those without MDRO infections.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":"6 1","pages":"231 - 234"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44926727","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: 1

Central venous pressure as end-point fluid removal in drowning patients: A case report 中心静脉压作为溺水患者的终点排液：一例报告

Bali Journal of Anesthesiology Pub Date : 2022-10-01 DOI: 10.4103/bjoa.bjoa_210_22

E. Lantang, Yohanes George, A. Sugiarto, Arifah Diana

{"title":"Central venous pressure as end-point fluid removal in drowning patients: A case report","authors":"E. Lantang, Yohanes George, A. Sugiarto, Arifah Diana","doi":"10.4103/bjoa.bjoa_210_22","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_210_22","url":null,"abstract":"Central venous pressure (CVP) is used as a guidance to control hemodynamics and to achieve the efficacy of hemodynamic balance. The drowning patient experienced a laryngeal spasm, which caused water passively enter the respiratory tract and accumulated in the lungs. Excess fluid in the lungs leads to pulmonary hypertension, venous congestion, and increased CVP. The use of diuretics guided by CVP values is the best way to achieve hemodynamic balance. Two drowning patients in different water had an increased CVP up to 12 mmHg in the sea, with serum creatinine (sCr) of 0.5 mg/dL and cumulative fluid balance (CFB) of −250 cc, and others in the lake CVP up to 14 mmHg with sCr of 0.7 mg/dL and CFB of −320 cc. Both were given furosemide at a dose of 5 mg from the first day of treatment until day 5 when both patients’ CVP returned to normal values, CVP of 5 mmHg, sCr of 0.6 mg/dL, and CFB of −1105 cc, and the others with CVP of 1 mmHg, sCr of 0.6, and CFB of −1170, then furosemide was discontinued. The use of furosemide with CVP guidance shows effective results in reducing fluids and venous congestion and is safe for the kidney, which is marked by normal values of sCr and CFB.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":"6 1","pages":"247 - 250"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44355594","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

Development of stem cells in anesthesiology and intensive therapy 干细胞在麻醉学和强化治疗中的发展

Bali Journal of Anesthesiology Pub Date : 2022-10-01 DOI: 10.4103/bjoa.bjoa_127_22

Z. Zulkifli

引用次数: 0

The “brick” anesthesiologist: Another stone on the wall 砖头麻醉师:墙上的另一块石头

Bali Journal of Anesthesiology Pub Date : 2022-10-01 DOI: 10.4103/bjoa.bjoa_110_22

B. Tutuko, Marilaeta Cindryani

引用次数: 0

An anesthetic management of patient with hemophilia A undergoing recurrent perianal abscesses: A case report 血友病A患者复发性肛周脓肿的麻醉处理1例

Bali Journal of Anesthesiology Pub Date : 2022-10-01 DOI: 10.4103/bjoa.bjoa_187_22

Oktom Nurumbetova, Özer Tuç, N. Çekmen

{"title":"An anesthetic management of patient with hemophilia A undergoing recurrent perianal abscesses: A case report","authors":"Oktom Nurumbetova, Özer Tuç, N. Çekmen","doi":"10.4103/bjoa.bjoa_187_22","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_187_22","url":null,"abstract":"Hemophilia A is an x-linked recessive disorder characterized by an absent or reduced factor VIII (FVIII). It is a genetic deficiency that causes increased bleeding. It can be challenging for anesthesiologists to discover it in the perioperative management. This case report represents the successful management of a 25-year-old male patient having severe hemophilia A. We managed a 25-year-old man, 89 kg, 180 cm, with a recurring history of perianal abscesses. Previously at 13 years old, he experienced prolonged and excessive bleeding after a minor cut and injury. Following clinical and laboratory investigation, he was diagnosed with severe hemophilia A. Ever since, he used to take antihemophilic factor (AHF) VIII transfusion therapy and revealed severe disease with a positive inhibitor. No other coexisting disease was revealed during history-taking. We managed this case with general anesthesia because of the fact that he was hemophilic. We administered 2000 International Unit (IU) of recombinant Factor VIII (rFVIII) preoperatively as per the hematologist’s recommendation. We continued with 2000 IU of AHF FVIII transfusion after the surgery, but unfortunately, he redeveloped the abscess again. Another careful anesthesia and surgery were then conducted with a satisfactory result. The multidisciplinary team approach was provided to a positive outcome in these patients. Perioperative transfusion of AHF FVIII is essential for patients with hemophilia.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":"6 1","pages":"243 - 246"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44474019","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

Pulmonary hypertension crisis management in adult atrial septal defect surgical closure: A case report 成人房间隔缺损封堵术中肺动脉高压危象的处理1例报告

Bali Journal of Anesthesiology Pub Date : 2022-10-01 DOI: 10.4103/bjoa.bjoa_97_22

Prieta Adriane, R. Sedono, N. Dewi

引用次数: 0