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Bali Journal of Anesthesiology
Scopus
ISSN 2549-2276 · Wolters Kluwer Medknow Publications · 449 artikel di indeks
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Artikel Jurnal
A Combination of Hydrocortisone, Ascorbic Acid, and Thiamine for Septic Shock: A Systematic Review of Randomized Controlled Trials Evaluating Mortality Outcomes
Background: The Sepsis-3 definition highlighted the dysregulated immune response to infection. However, evidence supporting therapeutic strategies for this complex dysregulation has not yielded promising results. This systematic review aimed to evaluate the effectiveness of hydrocortisone as an…
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Artikel Jurnal
Early Versus Late Tracheostomy in Neurosurgical Intensive Care Patients Requiring Prolonged Mechanical Ventilation: A Prospective Observational Cohort Study
Background: The optimal timing of tracheostomy in neurosurgical intensive care unit (ICU) patients remains uncertain. This study compared early- and late-tracheostomy groups in critically ill neurosurgical patients requiring prolonged mechanical ventilation. Materials and Methods: This prospective…
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Comparative Validation of Two-Tier Wells and Revised Geneva Clinical Decision Rules in Emergency Department Patients with Suspected Pulmonary Embolism: A Retrospective Study
Background: Pulmonary embolism (PE) is a potentially life-threatening condition with nonspecific clinical presentations. Scores such as the Wells rule and the revised Geneva score (RGS) are widely used to guide diagnostic strategies. The study aimed to validate and compare the diagnostic…
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Artikel Jurnal
Assessing the Reliability and Agreement between Two Low-Cost Dynamometers in Critically Ill Patients: A Cross-Sectional Study of Handgrip Strength Assessment
Background: Handgrip strength assessment with dynamometers has gained significant attention as a simple bedside tool for diagnosing muscle weakness. The availability of affordable dynamometers demands further investigation into their agreement with validated tools. Thus, this study aimed to assess…
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Artikel Jurnal
Bilateral Infraorbital Nerve Block Versus Topical Intranasal Bupivacaine for Hemodynamic Stability During Endoscopic Transsphenoidal Pituitary Adenoma Resection: A Randomized, Double-Blinded, Controlled Study
Background: Endoscopic transsphenoidal pituitary adenoma resection may provoke marked hemodynamic responses during nasal instrumentation and mucosal dissection. This trial compared the effects of bilateral infraorbital nerve block with those of topical intranasal bupivacaine packing for attenuation…
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Artikel Jurnal
Comparison of Efficacy of Real-Time Ultrasound Versus Preprocedural Ultrasound on Success Rate of Spinal Anesthesia in Elderly Patients Undergoing Elective Infraumbilical Surgeries: A Randomized Control Study
Background: Spinal anesthesia is suitable for the elderly, but the traditional landmark-based technique is difficult to perform. We aimed to compare the success rates of real-time (R) and preprocedural (P) ultrasound techniques for paramedian spinal anesthesia in elderly patients. Materials and…
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Combination Effects of General Anesthesia with Continuous Caudal Block Using Ropivacaine Compared to General Anesthesia on Inflammation and Length of Stay in Pediatric Patients After Urethroplasty: A Randomized Controlled Trial
Background: Surgery triggered a significant sympathetic stress response that mediates inflammation and pain. Urethroplasty is often performed repeatedly in pediatric patients, which leads to significant psychological stress and severe pain due to this inflammatory response. This study aimed to…
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Reassessment of Vaginal Delivery Feasibility After Induction of General Anesthesia in Placental Abruption with Intrauterine Fetal Demise and Severe Coagulopathy: A Case Report
Placental abruption complicated by intrauterine fetal demise (IUFD) is frequently associated with major obstetric hemorrhage, consumptive coagulopathy, and progressive maternal organ dysfunction. In such cases, vaginal delivery is generally preferred to avoid the additional bleeding risk of…
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Artikel Jurnal
Anesthetic Consideration in a Cerebral Palsy Patient Undergoing Bilateral Breast Excision Biopsy: A Case Report
Cerebral palsy (CP) is a neurodevelopmental disorder associated with a spectrum of motor and systemic impairments that pose unique anesthetic challenges. We describe the perioperative management of a 20-year-old woman with spastic quadriplegic CP undergoing bilateral breast excision biopsy under…
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Artikel Jurnal
Intraoperative Hypothermia Remains Common Despite Routine Use of Warming Devices in Spine Surgery: A Retrospective Study
Background: Intraoperative hypothermia is common during spine surgery despite routine warming measures. Because conventional temperature outcomes do not fully reflect cumulative thermal stress, we aimed to quantify the real-world burden of intraoperative hypothermia using burden-based metrics…
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The Trendelenburg Maneuver versus Passive Leg Raising for Predicting Fluid Responsiveness in High-Risk Postoperative Surgical Patients: A Randomized Controlled Parallel-Group Study
Background: Optimizing intravascular volume in high-risk postoperative surgical patients in the intensive care unit (ICU) requires a reliable assessment of fluid responsiveness, yet commonly used methods have important limitations. Passive leg raising (PLR) is well validated but may be impractical…
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Clinical Spectrum of Total Anomalous Pulmonary Venous Drainage: A Case Series
Total anomalous pulmonary venous drainage (TAPVD) represents a critical congenital heart defect requiring urgent surgical intervention. This case series presents two patients with different TAPVD presentations and outcomes from a tertiary cardiac center. Case 1 involved a 15-month-old boy with…
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Artikel Jurnal
Push-Dose Adrenaline versus Ephedrine for the Management of Intraoperative Hypotension: A Retrospective Observational Study
Background: Intraoperative hypotension (IOH) is common during anesthesia and is associated with adverse postoperative outcomes. Ephedrine is widely used to treat acute IOH, while push-dose adrenaline has emerged as a potential alternative, offering rapid hemodynamic effects. This study aimed to…
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Artikel Jurnal
Propofol-Associated Seizure-Like Phenomenon During Anesthetic Induction: A Case Report
Propofol is a widely used intravenous anesthetic agent known for its anticonvulsant properties and off-label use in refractory status epilepticus. However, paradoxical excitatory manifestations, collectively termed seizure-like phenomena (SLP), have been documented despite their central nervous…
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Artikel Jurnal
Modulation of Inflammatory and Neuroendocrine Biomarkers by PC6 Acupressure in Hyperemesis Gravidarum: A Randomized Double-Blind Controlled Trial
Background: PC6 acupressure is clinically effective against hyperemesis gravidarum (HG), but its biomolecular mechanism remains unclear. This study aimed to determine whether PC6 acupressure reduces inflammatory and neuroendocrine biomarkers and symptom severity in hospitalized HG patients compared…
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Artikel Jurnal
Thoracic Epidural-Based Opioid-Free Anesthesia Versus Opioid-Based Balanced Anesthesia for Laparoscopic Cholecystectomy: A Randomized Controlled Trial
Background: Opioid-free anesthesia (OFA) has been proposed to reduce opioid-related adverse effects while maintaining adequate intraoperative hemodynamic stability and postoperative analgesia. We compared epidural-based OFA with opioid-based balanced anesthesia (OBA) in patients undergoing elective…