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All Journal Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran
Naufal Anasyi
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Perbandingan Penggunaan Adjuvant Fentanyl 25µg Dan Klonidine 50µg Pada 10mg Bupivacain 0,5% Hiperbarik Terhadap Lama Kerja Blokade Sensorik Motorik Spinal Anestesi Naufal Anasyi; Fransi Arsani; Mustoha Mustoha
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 1 No. 1 (2022): April : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v1i1.1972

Abstract

Surgery still often causes various problems, one of which is pain, but the problem of pain during and after surgery can be overcome by anesthesia technique. One of them is spinal anesthesia technique. However, spinal anesthesia still has drawbacks where the duration of sensory and motor blockade is still very short. Various methods are used to prolong the duration of sensory and motor blockade of spinal anesthesia, one of which is the addition of adjuvants such as fentanyl and clonidine. This study was conducted to compare the speed of onset of action of sensory-motor blockade and the lengthening of duration of action of sensory-motor blockade between the addition of 25 g fentanyl compared to 50 g conidine in 10 mg hyperbaric 0.5% bipivacaine administered under spinal anesthesia. This study used a Randomized Control Trial (RCT) design with a double-blind randomized control trial and was conducted at Mitra Plumbon Hospital Cirebon from March-April 2021. There were 42 patients who met the inclusion criteria who underwent surgery with spinal anesthesia. Patients were divided into 2 groups, group 1 used 10mg hyperbaric 0.5% bupivacaine plus 25µg fentanyl, while group 2 used 10mg hyperbaric 0.5% bupivacaine plus 50µg clonidine. We investigated the onset of action and duration of action of sensory-motor blockade, the effect of hemodynamic shock, the effect of sedation levels and intraoperative adverse effects (side effects). Data analysis using SPSS 20.0. In the group of 10 mg bupivacaine 0.5% hyperbaric plus clonidine 50 g, the onset of action of sensory-motor blockade was faster and the duration of action was longer than in the group of 10 mg bupivacaine 0.5% hyperbaric plus 25 g fentanyl with a P value <0.05. Likewise, the effect of hemodynamic fluctuations in the 10mg hyperbaric 0.5% bupivacaine group plus 50 g clnidine was more stable than the 10mg hyperbaric 0.5% bupivacaine group plus 25 g fentanyl. While the effect of the level of sedation and intraoperative side effects are comparable
Efektifitas Pemberian Pre-Emtif Paracetamol Intravena 1000mg Terhadap Nyeri Pasca Operasi Sectio Caesarea Dengan Anestesi Spinal Galih Pambayun; Naufal Anasyi; Ayu Rahmawati
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 2 (2023): April : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v1i2.2635

Abstract

Background: Pain after cesarean section surgery often results in moderate and severe pain for up to 48 hours. To overcome this pain, pain management is very necessary, namely by providing pre-emptive analgesics, one of the postoperative pain management which refers to drug administration before the pain occurs, in connection with the prevention of sensitization of the central and peripheral nervous system. The use of paracetamol as part of a multimodal technique in postoperative patients can increase the analgesic potency.Methods: This type of experimental research has been carried out on 16 patients who will undergo sectio caesarea surgery. Pre-emptive administration of paracetamol 1000 mg intravenously was given 30 minutes before surgery or pre-incision, after which the pain level was measured using a Numerical rating scale (NRS) by means of observation and interviews 8 hours after surgery, 16 hours and 24 hours. In this study, the data were processed using the Shapiro-Wilk normality test and the Wilcoxon test. Results: The results showed that the majority of respondents experienced moderate pain. This is proven by the majority of 8 hours postoperatively, 13 respondents (81.3%) experienced moderate pain and 11 respondents (68.8%) experienced moderate pain, while at 24 hours the majority had mild pain with 13 respondents (81.3 %). Conclusion: Based on the results of this study, giving 1000 mg intravenous pre-emptive for postoperative cesarean section pain with spinal anesthesia was effective in reducing postoperative cesarean section pain
Co-Authors Ayu Rahmawati Fransi Arsani Galih Pambayun Mustoha Mustoha