Bonardo Pardede, Dimas Kusnugroho
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Pencegahan Emergence Agitation Pascaoperasi pada Pasien Anak Bonardo Pardede, Dimas Kusnugroho
Cermin Dunia Kedokteran Vol 47, No 1 (2020): Bedah
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (176.799 KB) | DOI: 10.55175/cdk.v47i1.336

Abstract

Emergence agitation (EA) adalah gangguan perilaku pascaoperasi terkait pemulihan anestesi yang sering dijumpai pada pasien anak usia prasekolah. Meskipun hanya sementara, EA tetap berpotensi membahayakan pasien, menambah biaya perawatan dan ketidakpuasan orang tua pasien. Etiologi pasti belum jelas diketahui, diduga multifaktorial. Diagnosis EA dengan skala Pediatric Anesthesia Emergence Delirium (PAED). Manajemen anestesi yang baik melalui intervensi non-farmakologis dan farmakologis yang tepat dapat mencegah EA. Emergence agitation (EA) is an anesthetic recovery-related postoperative negative behaviour, usually in preschool pediatric patients. Although temporary and self-limited, it may increase the risk of self-harm, medical care costs and decrease parent’s satisfaction. The exact cause and underlying mechanism are yet to be determined but several factors may be involved. Diagnosis is by Pediatric Anesthesia Emergence Delirium (PAED) scale. Proper anesthetic management implementing non-pharmacological and pharmacological interventions may prevent EA.