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All Journal Jurnal Anestesiologi Indonesia Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Anestesi Perioperatif Mutiara Medika: Jurnal Kedokteran dan Kesehatan JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Jurnal Anestesi Obstetri Indonesia Jurnal Neuroanestesi Indonesia Jurnal Komplikasi Anestesi
Yusmein Uyun
Departemen Anestesiologi Dan Terapi Intensif; Fakultas Kedokteran; Universitas Gadjah Mada; Yogyakarta
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Jurnal Komplikasi Anestesi

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Cost Effectiveness General Anesthesia Combined with Scalp Block Compared to General Anesthesia in Patients Undergoing Removal Tumor Craniotomyin Dr. Sardjito Hospital Wicaksono, Galih Sahid; Sudadi; Uyun, Yusmein
Jurnal Komplikasi Anestesi Vol 11 No 1 (2023): Volume 11 Number 1 (2023)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v11i1.10199

Abstract

Background. Providers of anesthesia services have many opportunities to reduce these costs, of course with the aim of maintaining balance between profit, security and costs. Craniotomy surgery removal of the scalp block tumor is an alternative option that can be combined with general anesthesia. The scalp block itself can blunt stress response in craniotomy and can maintain unwanted hemodynamic instability. Purpose. Find out the cost effectiveness of the scalp block in craniotomy patients removing tumors at Dr. SARDJITO Hospital. Method. Method. Twenty patients ranging in age from 18 - 65 years with intracranial tumors who underwent tumor binding craniotomy at RSUP Dr. SARDJITO is grouped into two treatment groups with general anesthesia and general anesthesia with a combination of scalp blocks, both techniques are calculated using drugs and consumables during the operation. Results. Total cost on the general anesthesia combined scalp block was Rp. 1,347,276 lower Rp. 377,833 compared to general anesthesia Rp. 1,725,109 with a significant difference (p = 0.005). Similarly, the hourly cost of the group in the combined general anesthesia scalp block was Rp. 286,351 Rp. 97,107 lower than general anesthesia Rp. 383,457 with a significant difference (p = 0.038). Conclusion. Combination of general anesthesia and scalp block using 0.5% levobupivacaine more cost effective than general anesthesia and scalp block with placebo in supratentorial tumor patients undergoing tumor removal craniotomy.
Co-Authors . Mujahidin Adi Hidayat Adi, Danis Woro Kuncoro Adrin, Olga Elenska Akhmad Yun Jufan Annemarie Chrysantia Melati Ardi Pramono Arief Hariyadi Santoso Arif Ikhwandi Arif Supriyono Artika, I Gusti Ngurah Rai Ayu Rosema Sari Bambang Suryono Bambang Suryono Bambang Suryono Bambang Suryono, Bambang Bhirowo Yudo Pratomo Budianti, Nugrahaeni Calcarina Fitriani Retno Wisudarti Dadik Wahyu Wijaya Daniswara Dewi Yulianti Bisri Djoko Wahyono Djoko Wahyono Djoko Wahyono Dwiana Sulistyanti Ekuarianto, Donny Erna Fitriana A Fadinie, Wulan Fitri Hapsari Dewi Fitri, Lillah Fitriana A, Erna Gutama, Bayu Satria Hartono, Pinter Hayati, Farida Helmina Wati Hendra, Maijoni Hernawan, Agung Diky Hidayat, Nopian Isngadi Isngadi Isngadi Juni Kurniawaty Muhdar Abubakar Djayanti Sari Liza, Helda Mahisa, Orizanov Mahmud Mahmud Muhammad Iqbal Noegroho, Wahyu Nopian Hidayat Nova Maryani Nugroho, Alfan Mahdi Nurul Ulfah Hayatunnisa Perbatasari, Inggita Dyah Perwira, Rendra Prakosa, Nur Hamam Prihatna, Hendi Purnomo, Dedi Pujo Rahma, Aulia Zuhria Ratih Kumala Fajar Apsari Redhy Sindharta Rizqi Adhelia Rose Mafiana RTH Supraptomo Ruddi Hartono Sandi, Dita Ayulia Dwi Sandi, Dita Ayulia Dwi Santoso, Arief Hariyadi Satrio Adi Wicaksono SATRIYAS ILYAS Septica, Rafidya Indah Septica, Rafidya Indah Septika, Rafidya Indah Siti Helmyati Sri Rahardjo Sri Rahardjo Sri Rahardjo Sudadi Suharso, Pamungkas Hary Sunartejo, Bayu Supraptomo Suryasaputra, Wahyu Untung Widodo Untung Widodo, Untung Utomo, F uad Cipto Wicaksono, Galih Sahid Wirawan, Angga Aditya Yunita Widyastuti Yusmalinda Yusmalinda