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All Journal Jurnal Prima Medika Sains (JPMS) Jurnal Anestesi Obstetri Indonesia Journal of Anesthesiology and Clinical Research Majalah Anestesia & Critical Care (MACC)
Nur Surya Wirawan
Departemen Anestesiologi, Perawatan Intensif, Dan Manajemen Nyeri, Fakultas Kedokteran, Universitas Hasanuddin - Rumah Sakit Wahidin Sudirohusodo, Makassar, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Journal of Anesthesiology and Clinical Research

 1 
Transabdominal Plane Block for Postoperative Pain Management: A Case Series Iwan Setiawan Makmur; Nur Surya Wirawan
Journal of Anesthesiology and Clinical Research Vol. 3 No. 2 (2022): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v3i2.250

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. Case 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. Conclusion: 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.
Quadratus Lumborum Block in Caesarean Section: A Case Report Harsakti Rasyid; Nur Surya Wirawan
Journal of Anesthesiology and Clinical Research Vol. 3 No. 2 (2022): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v3i2.253

Abstract

Introduction: Quadratus lumborum (QLB) block is a posterior abdominal wall block (interfascial plane block) with ultrasound guidance. This study describes the administration of quadratus lumborum block as pain management on C-section. Case presentation: A woman, 31 years old, G2P1A0 post-C-section 4 years ago, is planning to undergo elective C-Section surgery. Vital sign examination within normal limits. The patient was included in the ASA II category. Prior to surgery, the patient was given premedication in the form of omeprazole 40 mg intravenously, paracetamol 1 gram intravenous drip for 15 minutes, and metoclopramide 10 mg intravenously. Quadratus lumborum block was given postoperatively. Postoperative management consisted of ibuprofen 800 mg/8 hour drip for 30 minutes and paracetamol 750 mg/6 hour drip. Conclusion: Pain management with the QLB method reduces postoperative acute pain and recovery. Further studies with a wider population are needed to explore the efficacy and effectiveness of QLB blocks.
Radiofrequency Ablation for Trigeminal Neuralgia Patient: A Case Report Usman; Nur Surya Wirawan
Journal of Anesthesiology and Clinical Research Vol. 3 No. 2 (2022): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v3i2.256

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. Case 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. Conclusion: 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.
Neural Prolotherapy in Persistent Post-Surgery Pain: A Case Report Abdul Muttalib; Nur Surya Wirawan
Journal of Anesthesiology and Clinical Research Vol. 4 No. 1 (2023): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v4i2.268

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. Case 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). Conclusion: 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.
Co-Authors Abdul Muttalib Alamsyah Husein Andi Muhammad Musba Andi Tanra Edlin Edlin Harsakti Rasyid Hisbullah Iwan Setiawan Makmur Madonna Datu Madonna Datu Muh. Ramli Ahmad Muh. Wirawan Harahap Muhammad Ramli Ahmad Ratnawati Srimulyanto Sardi Syafruddin Gaus Syafruddin Gaus Usman Weni Wahyuni