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All Journal Jurnal Anestesi Perioperatif Majalah Anestesia dan Critical Care Jurnal Neuroanestesi Indonesia
A. Muthalib Nawawi
Departemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Journal : Majalah Anestesia dan Critical Care

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The Effect of Additional Magnesium Sulphate 80 mg with 0,5% Hiperbaric Bupivacaine to Onset and Duration of Action of Sensory and Motor Block Spinal Anaesthesia for Caesarean Section , Suwarman; Purwaningsih, Sriwahyuniati; Nawawi, A. Muthalib; Yuwono, Hendro Sudjono
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

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Addition of adjuvants to 0.5% hyperbaric bupivacaine for spinal anaesthesia performed to accelerate sensory and motor onset, minimal side effect of hemodynamics and prolongation analgesia. The aim of the study was to investigate the effect of additional 80 mg of magnesium sulphate 40% intratecal to 0.5% hyperbaric bupivacaine on onset and duration of sensory and motor block for cesarean section. The study was randomized double blind controlled study to 40 patients with American Society of Anesthesiology (ASA) physical status II whom underwent caesarean section in Dr. Hasan Sadikin General Hospital Bandung from April till May 2015. The additional 80 mg of 40% magnesium sulphate to 0.5% hyperbaric bupivacaine intratecal resulted earlier onset of sensory and motor block than group 0,9% sodium chloride (p˂0,001). The duration of sensory and motor block was longer in magnesium group than sodium chloride 0,9% group (p˂0,001). The study concluded that spinal anesthesia using 0.5% hyperbaric bupivacaine with magnesium sulphate produce faster onset and prolonged duration of sensory and motor blockade compared to 0.5% hyperbaric bupivacaine in cesarean section.
Comparison of Agitation Incidence in Adult Ambulatory Patients who Underwent Surgery by General Anesthesia Using Desflurane or Sevoflurane Putri, Andika C.; Nawawi, A. Muthalib; Bisri, Tatang
Majalah Anestesia dan Critical Care Vol 33 No 1 (2015): Februari
Publisher : Perdatin Pusat

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Postanesthesia agitation is a problem that sometimes occurs in patients who underwent general anesthesia. Thisstudy aims to compare the magnitude of the incident postanesthesia agitationin patienambulatory surgery performedunder general anesthesia with desflurane or sevoflurane use. Research single blinde randomized controlled trial in94 ambulatory surgical patients ASA I. Subjects divided into two groups: group I received desfluran and group IIreceived sevoflurane. Both groups at induction with propofol 2 mg/kg, fentanyl 2 μg/kgBW, atrakurium 0,1 mg/kg, then do laringeal mask airway (LMA) installation. Agitation in patiens assesed since the LMA is removed,the use of anesthetic drugs has beeb stoped, then at minute 5, 10, 15, 20, 25, 30, every five minutes after usingagitation-sedation scale riker. Statistic analysis using Chi-square and Mann-Whitney Test. The results obtainedindicate that the ratio of the incidence of agitation in the recovery room between the desflurane with sevofluranegroups were not statistically significant. Obtained 7 patients experiencing agitation pascaanestesi desflurane groupof 47 samples (14.9%), whereas only 5 patients with agitation of 47 samples sevoflurane group (10.6%). Onepatient from group desflurane assessed his agitation scale 6 (very agitated). The result of comparative magnitudeof the incidence of agitation in the group performed under general anesthesia using desflurance with sevofluranegroup using there is not a statistically significant difference.
Co-Authors , Suwarman - Sardinata A Himendra Wargahadibrata Adi Nugroho Ardi Zulfariansyah Budi Fitriyana Dedi Fitri Yadi Doni Arief Rahmansyah Erwin Pradian Hendro Sudjono Yuwono Iwan Fuadi Mirza Oktavian Nur Intan Nasution, Nur Intan Purwaningsih, Sriwahyuniati Putri, Andika C. Suwarman - Tatang Bisri Tinni T. Maskoen Zamzami, Nyiemas Moya Zamzami, Nyiemas Moya