Jenis Anastesi Dengan Kejadian Hipotermi Di Ruang Pemulihan RSUD Banyumas

Cases that often occur after the distinction in the recovery room one of them is hypothermy. One of the causes of postoperative hypothermy is the type of anaesthetic used. The purpose of the study was to find out the relationship of anaesthetic type to the incidence of hypothermic. Research design uses correlational with cross sectional approaches. The population of all postoperative patients in the Recovery Room of Banyumas Hospital over the past 3 months as many as 500 patients. A large sample of 83 patients using consecutive sampling techniques. The research instrument used is an observation sheet to record the type of anaesthetic and body temperature. Data analysis using the chi square test. Patients mostly respondents aged 36-46 years as many as 51 respondents (61.4%), men as many as 52 respondents (62.7%) and high school / vocational education as many as 39 respondents (47.0%). Respondents received general anaesthetics of 58 respondents (69.9%) and hypothermi as many as 60 respondents (72.3%). Statustic test results obtained a value of p = 0.000 which showed there was a relationship of anaesthetic type with the incidence of hypothermi in the Recovery Room of Banyumas Hospital. The type of anaesthetic used can determine the occurrence of changes in body temperature, namely hypothermy. Keywords: anesthesia, hypothermia, recovery room

Analisa Faktor Waktu Pulih Sadar Pasien Post Laparatomi Anestesi Umum

This study aims to analyze the dominant factors associated with the time to recover consciousness of patients with laparotomy, general anesthesia in the Recovery Room of Bhayangkara Hospital Tk I Jakarta. The research method used is analytical research with a cross-sectional approach. The results showed a relationship between age and recovery time after general anesthesia post-laparotomy (p = 0.028). There was a difference between the sexes and the time to recover consciousness of the laparotomy patients with general anesthesia (p = 0.04). There was a difference between ASA and recovery time of conscious laparotomy patients with general anesthesia (p = 0.01). There was a correlation between BMI and awake in patients with available anesthesia laparotomy (p = 0.0005). There was no relationship between body temperature, fasting time, and duration of operation with p values (0.59, 0.6, and 0.94), respectively. In conclusion, the dominant factor that affects the recovery time of consciousness in post-laparotomy general anesthesia patients is body temperature, namely hypothermia. Keywords: Anesthesia, Laparotomy, Conscious Recovery, Thermoregulation

Determination of Clove Extract Anesthetic Dosage in Transport Activities of Carp (Cyprinus carpio) Supply Chain

This study examines the impact of the clove extract anesthetic dose on carp (Cyprinus carpio) seedlings and provides information on the best dose of anesthesia for carp seed transport. Carp seeds with 3-5 cm length from the Fish Seed Center, alive, healthy, and not defective. Carp fish and 50 x 35 x 30 cm Styrofoam boxes are used as containers during the delivery of carp seeds, and their placement is random. The study was conducted with four treatments of different clove extract levels, treatment A as a control (0 ppm), B (3.3 ppm), C (6.7 ppm), and D (10 ppm), with three replications each. The examination of the anesthetic condition of carp was carried out four times during transportation, at 0, 6, 12, and 24 hours. Analysis of Variance (ANOVA) was conducted to see the impact of the treatments, and then the Tukey test was carried out to see the differences between treatments. The analysis was carried out using SPSS version 21. The results showed that increasing the anesthetic dose of clove extract impacted the health condition and survival of the carp seedlings during transportation. The highest survival rate (85%) was achieved at a concentration of 6.7 ppm. Keywords: anesthesia dosage, clove extract, common carp (C. carpio) seeds, the survival rate

The Perioperative and Anesthetic Adverse Events in Thailand (PAAd Thai) Study of Endobronchial Intubation: An Analysis of 2,000 Incident Reports

Background: The Royal College of Anesthesiologists of Thailand hosted a multicentered project, namely the Perioperative and Anesthetic Adverse Events in Thailand (PAAd Thai) Study. Objective: The aims of the present study were to investigate incidences, contributing factors and suggested preventive strategies of anesthesia-related complications particularly the endobronchial intubation (EBI). Materials and Methods: The PAAd Thai study was a collaborative incident report among 22 hospitals across Thailand. After approval by the Institutional Ethical Committee, the structured incident report together with open ended data record form of anesthesia-related complications such as cardiac arrest, death within 24 hours, and respiratory complications including EBI were requested to be sent to the data management center together with monthly statistics of anesthesia service in each hospital for 12 months (between January 2015 and December 2015) on an anonymous and voluntary basis. The EBI reports were reviewed by three anesthesiologists. Any discretion was discussed to achieve a consensus. Descriptive statistics were used. Results: Among the first 2,000 incident reports, there were 23 EBIs, at the rate of 1.06:10,000 (95% CI 0.62 to 1.49) or 1.15% of all reports. Two-thirds of the incidents occurred in patients with age less than 5 years old and more than 60 years old, and in elective cases. The common sites of surgery were trunk, head and neck, and laparoscopic procedures. EBIs were diagnosed by pulse oximeter (13 cases, 54.0%), increased airway pressure (four cases, 17.2%) and clinical monitoring (four cases 17.2%). Common phases of detection were pre-induction (one case, 4.3%), induction (nine cases, 39.2%), maintenance (12 cases, 52.2%), and emergence (one case, 4.3%). Contributing factors were lack of knowledge, inexperience, and haste, while factors minimizing the incidents were having experience and vigilance. Suggested preventive strategies were additional training, including simulation, practice guidelines, improvement of supervision, and communication. Conclusion: The authors have found that EBI was uncommon, but it is one of the serious anesthesia-related adverse events. It can happen anytime during the entire course of anesthesia. Under these circumstances, careful monitoring and vigilance of the anesthesiologists is essential. Keywords: Anesthesia, Complication, Endobronchial intubation, Intubation, Hypoxia

PROJETO DE EXTENSÃO SERVIÇO DE ANESTESIOLOGIA ANIMAL NA UNIVERSIDADE FEDERAL DA FRONTEIRA SUL, CAMPUS REALEZA - PR: EVOLUÇÃO DE 2014 A 2017

Resumo: O projeto de extensão Serviço de Anestesiologia Animal é uma ação contínua vinculada às atividades desenvolvidas na Superintendência Unidade Hospitalar Veterinária Universitária da Universidade Federal da Fronteira Sul, Campus Realeza – PR. Entre seus objetivos está o auxílio à realização de procedimentos ambulatoriais e cirúrgicos, proporcionar terapia e controle da dor em diferentes espécies, estimular o envolvimento acadêmico à vivência das técnicas e protocolos anestésicos. Desde a sua criação em 2014, foram realizados mais de 1.160 procedimentos anestésicos divididos em 77,5% procedimentos em caninos, 18,9% em felinos, 1,9% em silvestres, 0,9% em aves e 0,8% em animais de produção. O número de procedimentos anestésicos realizados desde a implantação, bem como o trabalho desempenhado no projeto de anestesiologia animal, evidenciam a necessidade de manutenção e ampliação de projetos similares. Além de proporcionar o crescimento acadêmico e a vivência profissional, o projeto atua efetivamente no bem-estar dos animais e no auxílio à comunidade externa, principalmente a população carente do município e região. Palavras-chave: Anestesia; Bem-estar Animal; Extensão Universitária; Medicina Veterinária Extension project of Animal Anesthesiology Service at the Universidade Federal da Fronteira Sul, campus Realeza PR: evolution from 2014 to 2017 Abstract: The extension Project Animal Anesthesiology Service is an ongoing action linked to the activities developed at the Superintendência Unidade Hospitalar Veterinária Universitária da Universidade Federal da Fronteira Sul, Campus Realeza - PR. Among its objectives is the assistance to the accomplishment of ambulatory and surgical procedures, to provide therapy and control of pain in different species, and to stimulate the academic involvement to the experience of the techniques and anesthetic protocols. Since its creation in 2014, more than 1,160 anesthetic procedures have been performed, divided into 77.5% procedures in canines, 18.9% in felines, 1.9% in wild animals, 0.9% in birds and 0.8% in animals of production. The number of anesthetic procedures performed since the implantation, as well as the work performed in the animal anesthesiology project, evidences the need for maintenance and expansion of similar projects. In addition to providing academic growth and professional experience, the project works effectively on animal welfare and assistance to the outside community, especially the needy population of the municipality and region. Keywords: Anesthesia; Animal welfare; University extension; Veterinary medicine Proyecto de extensión Servicio de Anestesiología Animal en la Universidade Federal da Fronteira Sul, campus Realeza PR: evolución de 2014 a 2017 Resumen: El proyecto de extensión del Servicio de Anestesiología Animal es una acción continua vinculada a las actividades desarrolladas en la Superintendência Unidade Hospitalar Veterinária Universitária da Universidade Federal da Fronteira Sul, Campus Realeza, Paraná, Brasil. Sus objetivos incluyen ayudar a realizar procedimientos ambulatorios y quirúrgicos, proporcionar terapia y control del dolor en diferentes especies, estimular la participación académica en la experiencia de las técnicas y protocolos anestésicos. Desde su inicio en 2014, se han realizado más de 1,160 procedimientos anestésicos, divididos en 77,5% de procedimientos caninos, 18,9% de felinos, 1,9% de animales salvajes, 0,9% de aves de corral y 0,8%. Animales de producción. El número de procedimientos anestésicos realizados desde la implantación, así como el trabajo realizado en el proyecto de anestesiología animal, evidencia la necesidad de mantenimiento y expansión de proyectos similares. Además de proporcionar crecimiento académico y experiencia profesional, el proyecto trabaja efectivamente en el bienestar animal y la asistencia a la comunidad externa, especialmente a la población necesitada del municipio y la región. Palabras-clave: Anestesia; Bienestar animal; Extensión universitaria; Medicina veterinaria

EFFICACY OF CRYSTALLOIDS AND COLLOIDS AS PRELOADING FLUIDS TO PREVENT HYPOTENSION IN SPINAL ANESTHESIA IN ELECTIVE C-SECTIONS

Background: Different crystalloids commonly used in preloading are Ringer lactate, normal saline and colloids that are used in preloading are gelatin, dextran, hetastarch, pentastarch, tetrastarch. This study was aimed to compare the efficacy of both as preloading infusion to prevent hypotension, requirement of vasopressors and requirement of total fluid given during surgery to maintain stable hemodynamics Methods: This randomized control trials was conducted in the Department of Anaesthesia , R.V.R.S. Medical College, Bhilwara. 60 patients between 18- 40 years of age, belonging to American society of anaesthesia grade I or II going for elective caesarian section under spinal anesthesia were screened for the study eligibility criteria Results: In group (I), in 20 females, efficacy was achieved while in 10 females efficacy could not be achieved because of drop in BP. In group (II), in 22 females, efficacy was achieved while in 8 females, efficacy could not be achieved. The difference between both groups was statistically insignificant but there were more females in group II in which efficacy was achieved. (p-value=>0.05) Conclusion: According to this randomized trial we did not find any significant difference between both groups for prevention of hypotension. Keywords: Anesthesia, coload, hypotension, preload, spinal

Prevention of Shivering during Spinal Anesthesia: Comparison between Tramadol, Ketamine and Ondansetron

Introduction: Shivering is an unpleasant experience after spinal anesthesia. We conducted this study to evaluate the efficacy of ondansetron, ketamine and tramadol for prevention of shivering. Methods: In this prospective, randomized controlled study, 120 patients aged 18-65 years of American Society of Anesthesiologist (ASA) physical status I&II undergoing various surgical procedures were included and allocated alternately to one of the 4 groups; Normal saline (Group1), Ondansetron 4mg (Group2), Ketamine 0.25mg/kg (Group3) and Tramadol 0.5mg/kg (Group4). Incidence of shivering, effect on hemodynamics, nausea, vomiting, sedation and emergence reactions were recorded. Data was analyzed using SPSS (The Statistical Package for Social Sciences) version 20.0 software. Results: The patients were comparable in terms of demographic variables, baseline temperature, type of surgery, median level of sensory blockade, duration of surgery and anesthesia. Shivering was present in 17 (56.7%), 5 (16.7%), 3 (10%) and 3 (10%) patients respectively in Group 1, 2, 3 and 4 which was statistically significant when compared to Group 1 (P=0.00) The odds of NS and ondansetron, NS and ketamine, NS and tramadol was 6.53, 11.76 and 11.76 respectively which showed that study drugs were effective in preventing shivering. None of the patients were sedated in Group 1 and 2. Mild to moderate sedation was present in Group 3 and 4 (P=0.00). None of the patients had drug related adverse reactions. Conclusions: Prophylactic use of ondansetron, low doses of ketamine and tramadol is effective in preventing shivering post spinal anesthesia without untoward effects. Keywords: Anesthesia spinal; Ketamine; Ondansetron; Shivering; Tramadol.

GAMBARAN EFEK PEMBERIAN ANESTESI LOKAL DENGAN TEKNIK BLOK MANDIBULA FISHER PADA PEMINUM ALKOHOL

The habit of consuming alcoholic beverages have special characteristics when dealing with drugs, especially related to the anesthesia, when compared with those who did not consume alcoholic beverages because alcohol may alter the response to drugs given simultaneously. Anesthetic drugs and alcohol has the same content, namely the content of ether. Ether is a substance that is widely used as an anesthetic in medicine today. This study aims to describe the provision of local anesthetic effects with mandibular block technique fisher drinkers of alcoholic beverages and also to know the reaction to anesthesia and anesthesia reaction ratio. The research was conducted in a non-descriptive statistics, the data processing and analysis is based on data which is then treated observations described qualitatively. The data is processed and presented in tables and described textually. The results of research on the treatment of anesthesia and extraction indicate that there are differences in the duration of time to react calculated from first injection until such time as the disappearance of pain at the time of extraction. Similarly, there are differences in the duration of time when anesthesia is performed on the area of ​​the lips, tongue, buccal mucosa, and lingual mucosa based on the amount of alcohol you drink and the alcohol content. Keywords: Anesthesia, Mandibular block fisher, Alcoholic beverages. Abstrak: Kebiasaan mengonsumsi minuman beralkohol memiliki karakteristik khusus bila berhubungan dengan obat-obatan, terlebih berkaitan dengan anestesi, jika dibanding dengan orang yang tidak mengonsumsi minuman beralkohol karena alkohol dapat merubah respon terhadap obat yang diberikan secara bersamaan. Obat anestesi dan alkohol mempunyai kandungan yang sama yaitu kandungan eter. Eter ialah suatu zat yang banyak digunakan sebagai anestesi dalam dunia kedokteran hingga saat ini. Penelitian ini bertujuan untuk mengetahui gambaran pemberian efek anestesi lokal dengan teknik blok mandibula fisher pada peminum minuman beralkohol dan juga untuk mengetahui masa reaksi anestesi serta perbandingan reaksi anestesi. Penelitian ini dilakukan secara deskriptif non-statistik, yaitu pengolahan data dan analisis yang didasarkan pada data hasil observasi perlakuan yang kemudian dijelaskan secara kualitatif. Data diolah dan disajikan dalam bentuk tabel serta diuraikan secara tekstual. Hasil penelitian pada perlakuan anestesi dan ekstraksi menunjukkan bahwa terdapat perbedaan durasi masa bereaksi dihitung dari injeksi pertama sampai dengan waktu hilangnya rasa sakit pada saat dilakukan ekstraksi. Begitu pula terdapat perbedaan durasi waktu ketika anestesi dilakukan pada area bibir, lidah, mukosa bukal dan mukosa lingual berdasarkan jumlah alkohol yang diminum serta kandungan kadar alkohol. Kata kunci: Anestesi, Blok mandibula fisher, Minuman beralkohol.