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All Journal Jurnal Anestesiologi Indonesia Jurnal Komplikasi Anestesi
Akhsaniati, Novi Dwi
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Health Professions Medicine & Pharmacology Public Health

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Efektifitas Analgesi Blok Transversus Abdominis Plane (TAP) Bupivacaine 0,25% dan Epinefrine 1 : 200.000 dengan Kombinasi Obat Anti Inflamasi Non Steroid (Studi Pasca Laparoskopi Ginekologi) Akhsaniati, Novi Dwi; Wisudarti, Calcarina Fitriani Retno; Suryono, Bambang
Jurnal Komplikasi Anestesi Vol 4 No 2 (2017): Volume 4 Number 2 (2017)
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.v4i2.7292

Abstract

Latar belakang : Berbagai cara digunakan untuk mengatasi nyeri pasca laparoskopi, di antaranya dengan opioid intraavena, obat antiinflamasi nonsteroid, pemberian lokal anestesi dengan instilasi ataupun blok TAP.Tujuan : Mengetahui efektifitas analgetik blok transversus abdominis plane bupivakaine 0,25% 20 cc di tiap sisi dan epinefrine 1 : 200.000 dikombinasi dengan ketorolac 30 mg intravena sebagai analgetik pasca laparoskopi ginekologi.Metode : Rancangan penelitian adalah Single Blind Randomized Control Trial. Sebanyak 42 pasien status fisik ASA I-II yang akan menjalani operasi laparoskopi ginekologi dengan anestesi umum yang memenuhi kriteria inklusi dibagi secara acak menjadi kelompok perlakuan dan kontrol. Kelompok perlakuan diberikan blok transversus abdominis plane 20 cc bupivakaine 0,25 % dan adjuvan epinefrin 1 : 200.0000 dan pasca operasi ketorolac 30 mg intravena. Kelompok kontrol mendapatkan analgetik ketorolac 30 mg intravena. Nyeri pasca operasi diukur dengan Numeric Rating Scale dan total rescue analgetik fentanyl selama 24 jam pasca operasi.Hasil : Numeric rating scale pada kelompok kontrol pada jam ke 0,6,12 lebih rendah dibandingkan dengan kelompok kontrol (p<0.05). Total rescue fentanyl lebih rendah pada kelompok perlakuan sampai denganjam ke 6 pasca operasi (p<0.05).Kesimpulan : Blok Transversus Abdominis Plane dengan ketorolac 30 mg intravena mempunyai efek analgetik yang lebih baik untuk pasca laparoskopi ginekologi.
Literature Review: Palliative Care in Intensive Care Units Akhsaniati, Novi Dwi; Adiyanto, Bowo
JAI (Jurnal Anestesiologi Indonesia) Vol 16, No 3 (2024): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.62195

Abstract

Palliative care is defined as care with an approach that improves the quality of life of patients and their families in dealing with problems associated with life-threatening illnesses. As many as 75% of patients treated in the intensive care unit experience unpleasant symptoms. Various studies have shown that palliative care can reduce symptoms caused by invasive procedures in intensive care units and can provide end-of-life care. Thus, assisting patients proactively, decision-making with families, prospects for continued care planning and possible scenarios for end-of-life decisions are essential in intensive care units (ICUs). The integration of palliative care is an important part of comprehensive critical patient care. Critical care providers are often asked to provide pain relief to critically ill patients, hold family meetings to clarify the goals of care, deliver bad news, or provide end-of-life care and care for critically ill patients while providing support to their loved ones. Most ICU patients who are unable to make decisions rely on their families or carers for clinical decision making. Decision making for cardiopulmonary resuscitation, cessation of life-sustaining treatment (LST), and provision of artificial nutrition and hydration should be based on the patient's willingness to discontinue LST, with the involvement of family members and the multidisciplinary team, ensuring that decisions are aligned with the patient's values and goals. The application of palliative care in ICU care can relieve symptoms experienced by patients and can reduce unnecessary invasive procedures. In its application, decision making in palliative care must be based on ethical principles and involve the patient's family, and the decisions made must also be in line with the wishes and values of the patient. The application of palliative care focuses on good symptom management to reduce patient suffering.
Co-Authors Bambang Suryono, Bambang Bowo Adiyanto Calcarina Fitriani Retno Wisudarti