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Journal : Indonesian Journal of Anesthesiology and Reanimation (IJAR)

Pain Level of Postoperative Orthopedic Patients at Dr. Soetomo General Hospital David Wicaksono; Lilik Herawati; Herdy Sulistyono
Indonesian Journal of Anesthesiology and Reanimation Vol. 1 No. 1 (2019): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (20.348 KB) | DOI: 10.20473/ijar.V1I12019.19-25

Abstract

Introduction: Postoperative pain is the most undesirable consequence of the surgery. If it is not managed properly, it can lead to a long healing. However, assessment and treatment of postoperative pain in surgical wards still have not received attention. Differences in patient’s pain level after surgery and after being transferred to the surgical ward is very important in monitoring the effectiveness postoperative pain management. Objective: This study was conducted to determine the overview of pain level experienced by patients following orthopedic surgery and to know the individual factors that can affect the patient's pain level. Method and Material: This research was observational analytic with 43 orthopedic postoperative patients as a sample. The Patients’ pain level was measured by the Numeric Rating Scale (NRS) at one hour after surgery and 24 hours after surgery. Result and Discussion:The Pain level one hour after surgery varied between pain level 0 as much as 53% to pain level 8 as much as 4.7%. The results of measurements of pain 24 hours after surgery only 23.3% of the patients who did not complain of pain, and there was a patient who experienced pain level 10. The results of the statistical calculation, the difference between the level of pain one hour and 24 hours post-surgery obtained value of p=0.037 (p<0.05). Conclusion: There was a significant difference between the pain level at one hour and 24 hours post-surgery. It might be due to the process of peripheral and central sensitization in patients with delayed pain management. It also may be influenced by individual factors as well as medical personnel.
Systematic Review Comparison of Endotracheal Intubation Success Rate Using McGrath® Mac Videolaryngoscope with Direct Laryngoscope (Macintosh): A Manikin Studies Dicha Niswansyah Auliyah; Lilik Herawati; Prananda Surya Airlangga
Indonesian Journal of Anesthesiology and Reanimation Vol. 3 No. 1 (2021): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.706 KB) | DOI: 10.20473/ijar.V3I12021.22-33

Abstract

Introduction: McGrath® MAC videolaryngoscope is a single-handed device designed to facilitate intubation in patients both in patients with normal airway conditions (without any complications) or airway conditions with complications such as cervical spine and/or anatomic abnormalities. Objective: This study aims to compare McGrath® MAC videolaryngoscope and direct laryngoscope using Macintosh blades as learning material or study simulators for medical personnel (including anesthesiologist and paramedics) and novice operator (medical students). Method: this study is a systematic review using the PRISMA method which was carried out systematically. Data was collected through Pubmed, direct science, EBSCOHost, and Proquest using the keywords ‘airway management ', ‘laryngoscopy', and 'manikin'. Journal included based on published publication time between 2008 and 2020, a study using SimMan Laerdal Airway manikin, a journal discussing intubation using McGrath® MAC videolaryngoscope and direct laryngoscope with Macintosh blades here, where it is normal airway (without complications) and difficult airway. Results: 1556 journals were collected through 4 journal search sites and then carried out a screening process for the publication year approved in 2008 to 2020. Four studies use adult manikin SimMan Laerdal Airway including 247 participants were included in this systematic review. Conclusion: Based on journals that have been reviewed, McGrath® MAC videolaryngoscope provides better and superior results compared to Macintosh in terms of the success rate and visualization of glottis. Also, the intubation time using McGrath® MAC videolaryngoscope is shorten compared to Macintosh both on the normal airway (without complication) and difficult airway. The participants (medical personnel and novice operators) in all studies that reviewed prefer to use McGrath® Mac videolaryngoscope instead of using direct laryngoscope with Macintosh blade for Endotracheal Intubation mainly used for learning or study simulators.
Co-Authors Adek Ardiansyah Aditiawarman - Ahmad Rukhani Lutfi Ahmad Rukhani Lutfi Angga Miftakhul Nizar Angga Miftakhul Nizar Anggis Putri Wijayanti Anggraeni Dyah Kumalasari Anissa Maulina Rinjani Annas, Jimmy Yanuar Anny Setijo Rahaju, Anny Setijo Ario Imandiri Ashon Sa’adi Ashon Sa’adi Bambang Harijono Bambang Purwanto Cantika Putri Melyana Chiquita Febby Pragitara Choesnan Effendi Citrawati Dyah Kencono Wungu Damayanti Tinduh David Wicaksono Dede Gantini Desi Rianti Rahmadhani Dicha Niswansyah Auliyah Dina Delvin Anggriani Dita Mega Utami Dwi Putri Rahayu Tampubolon Dwikora Novembri Utomo Eddy Rahardjo Eka Arum Cahyaning Putri Ema Qurnianingsih Endyka Erye Frety Ernawati Ernawati Ernawati Ernawati Faizah, Zakiyatul Fajar Shamsudin Fajar Syamsudin Farah Yusrania Gadis Meinar Sari Gantini, Dede Gebyar Catur Wahyuning Rohmawati Giwang Yayi Retnosari Gosy Endra Vigriawan Hanik Badriyah Hidayati, Hanik Badriyah HariSetijono Hayuris Kinandita Setiawan Herdy Sulistyono Hermina Novida Hidayat Arifin I Ketut Sudiana I'tishom, Reny Indira Syahraya Indriani, Aliza Umar Innani Wildania Husna Iqbal Laksana Irwanto, Irwanto Jimmy Yanuar Annas Junian Cahyanto Wibawa Krismaningrum, Veronika Intan Kusnanto Kusnanto Kusnanto Kusnanto Kusnanto Kusnanto Laylatul Fitriah Mukarromah Lila Tri Harjana Lina Lukitasari, M.Si M. Ali Machfud Maharani Ayuputeri Wijaya Mahmudin Aritanoga Maulana Arif Murtadho Maya Septriana Misbah Abdul Haris Nasution Alhanif Mohammad Anam Al-Ari Mohammad Anam Al-Arif Muchammad Rif’at Fawaid As’ad Muchammad Rif’at Fawaid As’ad Mufarrihul Ihsan Mufidah Sheena Andani Prastini Muhammad Miftahussurur Muhammad Zainul Arifin Nancy M. Rehatta, Nancy M. Ningrum, Astika Gita Niwanda Yogiswara Nugroho, Ardi Setyo Nuniek Nugraheni Sulistiawaty Nurcholis Majid Paulus Liben Paulus Liben Pradika Gita Baskara Prananda Surya Airlangga Purwo Sri Rejeki Purwo Sri Rejeki Purwo Sri Rejeki Purwo Sri Rejeki Purwo Sri Rezeki Putri Lisdiana Rahmawati Putri Rizkiya Raden Argarini Rehatta, Nancy Margarita Rezy Ramawan Melbiarta Rias Gesang Kinanti Rifka Kurniati Risa Etika, Risa Rivarti, Arina Windri Senja Himaya Senja Himaya Silvia Maya Ananta Siti Khaerunnisa Siti Khaerunnisa Soetojo Soetojo Sony Wibisono Sri Ratna Dwiningsih Suhartati Suhartati Sundari Indah Wiyasihati Susi Wahyuning Asih Tato Nuryanto Viskasari P. Kalanjati Wardhani, Indrayuni Lukitra Wibi Riawan Widati Fatmaningrum Widayana, Maeril Kirana Widjiati Wigati, Kristanti Wanito Windhu Purnomo Winna Adelia Amru Yudi Her Oktaviano Yusuf Salim Zulhabri Othman Zulhabri Othman