Prihartono, M. Andy
Faculty of Medicine, Universitas Padjadjaran

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Perbandingan Laringoskopi Indirek Kaca Laring dengan Laringoskopi Indirek Video Smartphone dalam Menilai Visualisasi Laring dan Kenyamanan Pasien Sulistiono, Paulus; Prihartono, M. Andy; Yadi, Dedi Fitri
Jurnal Anestesi Perioperatif Vol 6, No 2 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (873.967 KB) | DOI: 10.15851/jap.v6n2.1254

Abstract

Salah satu pemeriksaan preoperatif yang dapat digunakan sebagai prediktor kesulitan intubasi adalah laringoskopi indirek.  Penelitian ini bertujuan menilai visualisasi laring dan kenyamanan pasien antara laringoskopi indirek kaca laring dan laringoskopi indirek video smartphone. Penelitian menggunakan  metode prospective randomized parallel trial, dilakukan di Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung pada bulan November–Desember 2017. Pasien dibagi menjadi kelompok laringoskopi indirek kaca laring (kelompok LIKL, n=22) dan kelompok laringoskopi indirek video smartphone (kelompok LIVS, n=22). Uji statistik menggunakan Uji Mann-Whitney. Hasil penelitian mengungkapkan visualisasi laring lebih jelas pada kelompok LIVS (1,73 SD±0,77) dibanding dengan kelompok LIKL (2,50 SD±0,86) dengan perbedaan signifikan (p<0,05). Kenyamanan yang lebih baik pada kelompok LIVS (skala di atas 5) dibanding dengan kelompok LIKL (skala di atas 5) dengan perbedaan signifikan (p<0,05). Simpulan penelitian ini adalah visualisasi laring dan kenyamanan pasien pada laringoskopi indirek dengan video smartphone lebih baik bila dibanding dengan laringoskopi indirek kaca laring.Kata kunci: Kaca laring, kesulitan intubasi, laringoskopi indirek, video smartphone  Comparison between Indirect Laryngoscopy Laryngeal Mirror and Indirect Laryngoscopy Smartphone Video in Evaluating Laryngeal Visualization and Patient ComfortIndirect laryngoscopy is an examination modality which can be performed during pre-operative phase as a predictor of difficult intubation. The purpose of this study was to compare indirect laryngoscopy using laryngeal mirror and indirect laryngoscopy using smartphone video in evaluating laryngeal visualization and providing convenience to patients during the examination procedure. This prospective randomized parallel trial was conducted at Dr. Hasan Sadikin General Hospital Bandung from November to December 2017. Patients were assigned to two study groups: those who underwent indirect laryngoscopy using laryngeal mirror (LIKL group, n=22) and those who underwent indirect laryngoscopy using smartphone video (LIVS group, n=22). Mann-Whitney test was utilized as the statistical test method. Result of this study showed that laryngeal visualization was significantly superior in LIVS group compared to LIKL group (1.73 SD±0.77 vs 2.50 SD±0.86, respectively, p value<0.05). Patient comfort was significantly superior in LIVS group compared to LIKL group (comfort score above 5 vs comfort score above 5, respectively, p value <0.05). Therefore, it is concluded that laryngeal visualization using indirect langryngoscopy with smartphone video is more comfortable than the one that uses direct laryngoscopy with laryngeal mirror.Key words: Difficult intubation, indirect laryngoscopy, laryngeal mirror, smartphone video
Survei Penggunaan, Jenis, Teknik, serta Obat Blok Saraf Perifer di Jawa Barat Tahun 2016 Lestari, Ayu Puji; Suwarman, Suwarman; Prihartono, M. Andy
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (817.911 KB) | DOI: 10.15851/jap.v6n3.1346

Abstract

Blok saraf perifer merupakan salah satu teknik regional anestesi yang memiliki banyak manfaat. Penggunaan blok saraf perifer di Asia, Eropa, Amerika, dan Australia sudah mulai meningkat. Data yang ada saat ini menunjukan bahwa penggunaan, jenis, teknik, dan obat untuk blok saraf perifer di negara lain sangat bervariasi. Di Indonesia khususnya wilayah Jawa Barat belum terdapat data mengenai penggunaan, jenis, teknik, dan obat blok saraf perifer. Tujuan penelitian ini adalah mengetahui penggunaan, jenis, teknik, dan obat yang digunakan untuk blok saraf perifer di Jawa Barat. Penelitian dilakukan selama bulan Maret 2018. Penelitian bersifat deskriptif dengan  menggunakan kuesioner yang dikirimkan kepada 120 dokter spesialis anestesi di Jawa Barat, 66 melalui  jasa pos dan 54 kuesioner diberikan langsung kepada dokter spesialis anestesi yang bekerja di Bandung. Angka respons yang didapatkan sebesar 51,3%. Dari penelitian ini didapatkan dokter spesialis anestesi yang melakukan blok saraf perifer pada tahun 2016 sebesar 44%, blok ankle sebanyak 56%, blok wrist sebanyak 53%, 71% menggunakan blind technique, serta obat paling banyak digunakan adalah bupivakain sebesar 91%. Permasalahan dokter spesialis anestesi di Jawa Barat yang berkaitan dalam pelaksanaan tindakan blok saraf perifer pada tahun 2016 paling banyak disebabkan dokter anestesi yang tidak familiar dengan tindakan blok saraf perifer sebesar 45%.Kata kunci: Blok saraf perifer, Jawa Barat, surveySurvey on Use, Type, Technique, and Drugs Used for Peripheral Nerve Block in West JavaPeripheral nerve block is a beneficial regional anesthesia technique. The use of peripheral nerve block across Asia, Europe, America and Australia has been increasing. Current data have shown a wide variety in the use, technique, and drugs selected for peripheral nerve block. In Indonesia, especially in West Java, no data available yet on the use, technique and drugs selected for peripheral nerve block. This study aimed to explore the use, technique, and drugs selected for peripheral nerve block in West Java. This was a descriptive study using a questionnaire as data collection tool to collect data on peripheral nerve block done in 2016. One hundred and twenty questionnaires were distributed to anesthesiologists in West Java area with 66 were sent via air mail and 54 were given directly to the anesthesiologists who work in Bandung area during the month of March 2018. The response rate was 51.3%. Result shown that in 2016, 44% anesthesiologists performed peripheral nerve blocks. Of these,56% were ankle block and 53% were wrist block with 71% of the respondents chose to usethe blind technique. The most widely used agent was bupivacaine, which was used in 91% of the procedures. The main challengeof peripheral nerve block implementation in West Java is unfamiliarity with the approach that 45% anesthesiologist are not used to use this technique.Key words: Peripheral nerve block, survey, West Java 
Ultrasound Guided Stellate Ganglion Block on Patient with Lung Cancer for Pain Management Prihartono, M. Andy; Yadi, Dedi Fitri; Redjeki, Ike Sri
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Lung cancer is most common cancer that cause metastases. Complex regional pain syndrome (CPRS) type 1 is very severe symptoms such as pain occuring in the damaged tissue that is not caused by trauma and no nerve damage. Stellate ganglion blockade is a blockade on sympathetic nerve ganglion performed on the neck parallel to the cricoid cartilage and Chassaignac’s tubercle (C6). To determine the effectiveness of stellate ganglion block on lung cancer and complex regional pain syndrome type 1 Case report; 65 years old male with lung adenocarcinoma complained of severe pain in the lower back area of the right scapula and shoulder that radiates to the arm and fingers. For the pain, given 8mg hydromorphone (Jurnista®) 1x a day, 4x 500mg paracetamol, 10mg amitriptylin 1x and 2x 75mg pregabalin. Due to increasing pain (VAS 9), liver function and coagulopathy, the stellate ganglion blockade was performed with ultrasound guidance, pain VAS was reduced to four. Pain therapy in lung cancer accompanied with CRPS type 1 can be treated with stellate ganglion blockade in addition to pain therapy can also reduce the amount of oral medications consumed.