Correlation Between Blood Pressure at Admitted Emergency Room and Clinically Outcome in Acute Thrombotic Stroke Patients

Rianawati, Sri Budhi; Aurora, Habiba; Nugrahanitya, Yulia

doi:10.21776/ub.mnj.2015.001.02.4

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…While age, gender, and race are risk factors that cannot be modified. 11 The most frequent risk factor affecting the incidence of stroke is hypertension, both in young-onset (age group less than 50 years) and in old-onset. 1 When the patient experiences hypertension, the increase in intraluminal pressure will eventually damage the endothelium.…”

Section: Dicussionmentioning

confidence: 99%

Patient with Foreign Accent Syndrome in Post Infarct Thrombotic Stroke: A Case Report

Tiffany,

Ristinawati,

Nur Hanifa

2024

magna-neurologica

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Background: Stroke is the second leading cause of death in the world and the leading cause of disability worldwide. One of the disabilities is language disorder. Foreign Accent Syndrome (FAS) is a clinical condition associated with a noticeable change of accent, affecting verbal communication and social interaction skills. By identifying this case earlier, we hope the patient’s daily living is less disrupted. Case: A 54-year-old woman came with complaints of weakness and tingling in the right limbs accompanied by a change in language accent. Weakness in the right limbs was felt since 4 years ago, then 1 year later the patient began to experience a change in the speech accent, from a Javanese accent to a Madurese accent, where previously the patient had never lived or studied Madurese. The results of the neurobehavior examination showed the patient had disturbances in the language and memory domain. MRI revealed cerebral infarction in the bilateral hippocampi, small vessel ischemic in the bilateral frontal lobes, and corona radiata. Discussion: The accent change, known as FAS experienced by the patients, is thought to be due to neurological causes, which was stroke. In a study using a lesion network mapping approach, it was concluded that the lesion causing accent disorder was located within a single network in the bilateral frontal lobe. In line with the existing theory, the MRI results in this patient showed ischemia in the blood vessels of the bilateral frontal lobes.

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Section: Dicussionmentioning

confidence: 99%

Patient with Foreign Accent Syndrome in Post Infarct Thrombotic Stroke: A Case Report

Tiffany,

Ristinawati,

Nur Hanifa

2024

magna-neurologica

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“…Tindakan laringoskopi intubasi biasa dilakukan untuk menjaga jalan nafas, ventilasi mekanik, dan sebagai fasilitasi pemberian gas anestesi, namun dapat menstimulasi refleks batuk, spasme laring, dan sistem saraf simpatis yang berakibat meningkatnya tekanan darah dan denyut nadi yang dapat berbahaya bagi pasien. [1][2][3] Obat-obatan pelumpuh otot dengan dosis yang besar sering digunakan sebagai fasilitasi untuk memudahkan laringoskopi intubasi. 4,5 Tindakan ini diikuti tindakan reversal dengan obat-obat anticholinesterase untuk mendapatkan kembali nafas spontan pasien, yang apabila inadekuat tidak jarang menyebabkan rekurarisasi atau kelumpuhan otot kembali.…”

Section: Pendahuluanunclassified

Comparison of Intubation Quality and Haemodynamic Response in Endotracheal Intubation Between Superior Laringeus and Transtracheal Block and Muscle Relaxants

Primadita

Murti

Santosa

2018

MNJ

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ABSTRAKLatar Belakang. Tindakan intubasi endotrakeal dapat menstimulasi respons batuk, spasme laring, serta meningkatkan hemodinamik. Obat pelumpuh otot memudahkan intubasi namun tidak menekan respons hemodinamik. Blok superior laringeus dan transtrakeal diduga menghasilkan kualitas intubasi setara obat pelumpuh otot dan mampu menekan peningkatan hemodinamik. Tujuan. Membandingkan kualitas intubasi dan respons hemodinamik yang dihasilkan oleh blok nervus superior laringeus dan transtrakeal dengan obat pelumpuh otot. Metode. Kualitas intubasi diukur menurut Helbo-Hansen Raulo dan Trap Anderson. Tekanan darah, denyut nadi, dan saturasi diukur sebelum intubasi dan setelah intubasi. Hasil. Grup pelumpuh otot (100%) dan satu pasien (5,9%) buruk pada grup blok. Hemodinamik setelah intubasi kedua grup berbeda signifikan (p=<0,05) dengan sistolik (148,35±26,33 vs 109,53±15,98); diastolik (94,88±20,18 vs 68,00±15,54); MAP (109,65±21,18 vs 79,94±16,94); nadi (101,71±16,34 vs 87,47±20,03); kecuali saturasi (99,35±0,79 vs 99,35±0,99) tidak berbeda. Simpulan. Pelumpuh otot dan blok menghasilkan kualitas intubasi yang serupa, namun respons hemodinamik lebih baik pada blok dibanding pelumpuh otot. Kata kunci: Intubasi, blok, superior laringeus, transtrakeal ABSTRACT Background. Endotracheal intubation stimulates various responses such as coughing and bucking, bronchial and laryngeal spasm and hemodynamic changes. Muscle relaxants facilitate easy intubation, but not suppressing hemodynamic response. Superior laryngeus and transtracheal block is presume to suppress hemodynamic changes while maintain intubation quality. Objective. To compare intubation quality and hemodynamic response from superior laryngeus and transtracheal block and muscle relaxants. Methods. Intubation quality is assessed using Helbo-Hansen Raulo and Trap Anderson. Blood Pressure, pulse and saturation were measured before and after intubation. Results. All intubation is acceptable in muscle relaxants group (100%), one unacceptable in block group (5.9%). After intubation hemodynamic in both groups were significantly different (p=<0.05) for systolics (148.35±26.33 vs 109.53±15.98), diastolics (94.88±20.18 vs 68.00±15.54), MAP (109.65±21.18 vs 79.94±16.94), and for pulse (101.71±16.34 vs 87.47±20.03), except for saturation (99.35±0.79 vs 99.35±0.99). Conclusion. Muscle relaxant and block deliver similar intubation quality, however block giving out better hemodynamic response stability.

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Correlation Between Blood Pressure at Admitted Emergency Room and Clinically Outcome in Acute Thrombotic Stroke Patients

Cited by 2 publications

References 2 publications

Patient with Foreign Accent Syndrome in Post Infarct Thrombotic Stroke: A Case Report

Patient with Foreign Accent Syndrome in Post Infarct Thrombotic Stroke: A Case Report

Comparison of Intubation Quality and Haemodynamic Response in Endotracheal Intubation Between Superior Laringeus and Transtracheal Block and Muscle Relaxants

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