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Jurnal Anestesi Perioperatif
Published by Universitas Padjadjaran
ISSN : 23377909     EISSN : 23388463     DOI : 10.15851/jap
Core Subject : Health, Education,
Education Health Professions
Jurnal Anestesi Perioperatif (JAP)/Perioperative Anesthesia Journal is to publish peer-reviewed original articles in clinical research relevant to anesthesia, critical care, case report, and others. This journal is published every 4 months with 9 articles (April, August, and December) by Department of Anesthesiology and Intensive Care Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung.
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Articles 484 Documents
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Perbandingan Efek Lidokain dengan Magnesium Sulfat Intravena terhadap Nilai Numeric Rating Scale dan Kebutuhan Analgesik Pascabedah Kolesistektomi Perlaparoskopi Ratu Lewi; Suwarman Suwarman; Ruli Herman Sitanggang
Jurnal Anestesi Perioperatif Vol 4, No 1 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.787 KB) | DOI: 10.15851/jap.v4n1.741

Abstract

Lidokain dan magnesium sulfat mempunyai efek antihiperalgesia yang dapat digunakan sebagai obat tambahan untuk mengurangi nyeri pascaoperasi dan mengurangi kebutuhan analgesik opioid. Tujuan penelitian ini membandingkan efek lidokain dan magnesium sulfat intravena nilai numeric rating scale (NRS) dan kebutuhan analgesik pertolongan. Penelitian eksperimental dengan double blind randomized controlled trial dilakukan di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Januari–Maret 2015 terhadap 30 pasien yang menjalani kolesistektomi per laparoskopi. Pasien dikelompokkan menjadi 2. Kelompok lidokain mendapatkan 1 mg/kgBB intravena dilanjutkan dengan 1 mg/kgBB/jam dan kelompok magnesium sulfat mendapatkan 30 mg/kgBB intravena dilanjutkan dengan 10 mg/kgBB/jam. Data hasil penelitian dianalisis menggunakan Uji Mann-Whitney, uji-t, dan dianggap bermakna bila p<0,05. Hasil analisis statistik menunjukan bahwa lidokain mengurangi nilai NRS secara bermakna dibanding dengan magnesium sulfat pada jam ke-4 pascaoperasi (p<0,05), dengan kebutuhan analgesik pertolongan fentanil pada kelompok lidokain rata-rata 66,4±15,2 µg dan pada kelompok magnesium sulfat rata-rata 86,0±7,8 µg. Simpulan, lidokain intravena mengurangi NRS pascaoperasi lebih baik dan mengurangi kebutuhan opioid lebih banyak dibanding dengan magnesium sulfat pada pasien operasi kolesistektomi per laparoskopi.Kata kunci: Kebutuhan analgesik opioid, lidokain, magnesium sulfat, nyeri pascaoperasi, numeric rating scale Comparison between the Effect of Intravenous Lidocaine and Magnesium Sulphate on Numeric Rating Scale and Postoperative Analgetic Requirement for Laparoscopic CholecystectomiAbstractPostoperative pain management after laparoscopic cholecystectomy is one measure of successful anesthesia and surgery. Lidocaine and magnesium sulphate have anti-hyperalgesia effects applicable as an additional medication to attenuate postoperative pain and reduce the need for opioid analgesics. A total of 30 of patients aged 18–65 years with ASA physical status I–II who underwent laparoscopic cholecystectomy in Dr. Hasan Sadikin General Hospital Bandung were included in a double-blind, randomized, controlled clinical trial. Patients were randomly assigned into 2 groups. The L group, treated with 1 mg/kgBW intravenous followed by 1 mg/kgBW/h intravenous, and M group, treated with 30 mg/kgBW intravenous followed by 10 mg/kgBW/h. Data were analyzed using Mann-Whitney Test and t-test, p<0.05 was considered significant. Statistical analysis showed that lidocaine significantly reduced NRS value compared to magnesium sulphate at 4 hours postoperatively (p<0.05), with the average rescue analgesic fentanyl requirement in the lidocaine group and the magnesium sulphate group of 66.4±15.2 mg and 86.0±7.8 g, respectively. In conclusions, intravenous lidocaine administration may reduce the postoperative NRS value and opioid analgetic requirement more than the intravenous magnesium sulphate administration in patients undergoing laparoscopic cholecystectomy.Key words: An opioid analgetic rescue, lidocaine, magnesium sulphate postoperative pain, numeric rating scale DOI: 10.15851/jap.v4n1.741
Lactate Clearance sebagai Prediktor Mortalitas pada Pasien Sepsis Berat dan Syok Septik di Intesive Care Unit Rumah Sakit Dr. Hasan Sadikin Bandung Muhammad Budi Kurniawan; Erwin Pradian; Muthalib Nawawi
Jurnal Anestesi Perioperatif Vol 5, No 1 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.202 KB) | DOI: 10.15851/jap.v5n1.1003

Abstract

Tingkat mortalitas pasien sepsis berat di Intensive Care Unit (ICU) dihitung dengan menggunakan skor acute physiology and chronic health evaluation (APACHE II), namun memerlukan pemeriksaan yang banyak serta kompleks. Penurunan lactate clearance berhubungan dengan kondisi mikrosirkulasi yang buruk. Lactate clearance diharapkan memiliki kemampuan untuk menentukan tingkat mortalitas pasien sepsis berat dan syok septik. Penelitian ini bertujuan mengetahui kegunaan lactate clearance sebagai prediktor mortalitas pasien sepsis berat dan syok sepsis di ICU Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung yang lebih mudah dan efisien. Penelitian ini dilakukan secara prospektif observasional cohort terhadap 51 orang. Penelitian dilakukan di ICU RSHS Bandung dari bulan September–November 2015 dengan uji Mann Whitney pada data numerik dan Exact Fisher pada data kategorik. Setiap subjek penelitian diperiksa nilai laktat secara berkelanjutan pada jam pertama (H0) dan jam ke-24, kemudian dihitung nilai lactate clearance dengan rumus laktat awal-laktat serial/laktat awal x 100%. Subjek dibagi menjadi 2 kelompok berdasar atas nilai lactate clearance rendah (<40%) dan nilai lactate clearance tinggi (>40%). Hasil penelitian menunujukkan bahwa lactate clearance memiliki sensisitivitas 100%; spesifisitas 88,4%; nilai duga positif 89,2%; nilai duga negatif 100%; rasio kemungkinan positif 86,6%; rasio kemungkinan negatif 0 dan akurasi 94,11%. Simpulan penilitian adalah lactate clearance dapat digunakan sebagai prediktor mortalitas pada pasien sepsis berat dan syok septik di ICU RSHS Bandung.Kata kunci: Lactate clearance, mortalitas, sepsisLactate Clearance as Mortality Predictor in Severe Sepsis and Septic Shock Patient in Intensive Care Unit Dr. Hasan Sadikin General Hospital Bandung Mortality incidence predictor used for sepsis and shock septic in Intensive Care Unit (ICU) were measured using Acute Physiology and Chronic Health Evaluation (APACHE) II score, which needs many complex examinations. The purpose of this study was to examine lactate clearance as an alternative mortality predictor. Decreased percentage of lactate clearance is related to poor perfusion in microcirculation which leads to the possibility that lactate clearance can be used to predict mortality incidence in severe sepsis and shock septic patients in the ICU of Dr. Hasan Sadikin General Hospital Bandung. This was a prospective observational cohort study involving 51 patients who met sepsis and shock septic criteria during the period of September to November 2015. Lactate was examined continuously in all patients at first hour (H0) and H24 and then the lactate clearance value was measured using the following formula: lactate initial–lactate delayed/lactate initial x100%. Subjects were divided into two groups according to the low lactate clearance(<40%) and high lactate clearance (>40%). The Mann Whitney test was used for numeric data and exact Fisher test was used for categorical data. Results showed that the lactate clearance had a sensitivity of 100%, specificity of 88.4%, positive predictive value of 89.2%, negative predictive value of 100%, likelihood ratio positive of 86.6%, likelihood ratio negative of 0% and accuracy of 94.11%. Thus, lactate clearance can be used to predict mortality incidence in severe sepsis and shock septic patients.Key words: Lactate clearance, mortality, sepsis 
Pemberian Bolus 7,5 mL Poligelin pada Ruang Epidural untuk Menurunkan Kejadian Postdural Puncture Headache pada Anestesi Spinal I. B. Krisna Jaya Sutawan; Erwin Pradian; Tinni T. Maskoen
Jurnal Anestesi Perioperatif Vol 1, No 3 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Post dural puncture headache (PDPH) mengakibatkan morbiditas pada ibu yang menjalani seksio sesarea dengan anestesi spinal. PDPH disebabkan karena penurunan tekanan intratekal akibat kebocoran cairan serebrospinalis. Bolus poligelin pada ruang epidural diharapkan secara sementara meningkatkan tekanan ruang epidural dan mengurangi kebocoran cairan serebrospinalis sehingga dapat menurunkan kejadian PDPH. Penelitian dilakukan dengan uji klinis single blind randomized controled trial pada 90 wanita hamil yang menjalani seksio sesarea dengan anestesi spinal pada Oktober sampai Desember 2011 Rumah Sakit Dr. Hasan Sadikin Bandung. Sampel dikelompokkan secara random menjadi kelompok bolus 7,5 mL poligelin dan kelompok kontrol, selanjutnya dilakukan penilaian PDPH sampai hari kelima pascaanestesi spinal. Analisis statistik berdasarkan Uji Eksak Fisher, memperlihatkan bahwa angka kejadian PDPH pada kedua kelompok perlakuan menunjukkan perbedaan bermakna secara statistik (p<0,05). Simpulan dari penelitian ini adalah bolus poligelin pada ruang epidural dapat menurunkan angka kejadian PDPH pada pasien yang menjalani operasi seksio sesarea dengan anestesi spinal.Kata kunci: Anestesi spinal, poligelin, post dural puncture headache, ruang epidural  Bolus 7.5 mL Polygeline into the Epidural Space in Reducing the Incidence of Postdural Puncture Headache on Spinal AnesthesiaAbstractPost dural puncture headache (PDPH) may cause morbidity in women undergoing caesarean section with spinal anesthesia. PDPH is caused by a reduction of intrathecal pressure due to leakage of cerebrospinal fluid. Polygeline bolus into the epidural space is expected to temporarily increase the pressure of the epidural space therefore reduces cerebrospinal fluid leakage so that it may reduce the incidence of PDPH. The study conducted was a single-blind randomized clinical trial on 90 pregnant women undergoing caesarean section with spinal anesthesia from October until December 2011 in Dr. Hasan Sadikin Hospital Bandung. Samples were randomly divided into the bolus of 7.5 mL polygeline group and the control group. Evaluation of PDPH was performed until 5th day post-spinal anesthesia. Statistical analysis using Fisher's Exact Test, showed that the incidence of PDPH in both treatment groups showed a statistically significant difference (p<0.05). The conclusion of this study is polygeline bolus into the epidural space may decrease the incidence of PDPH in patients undergoing caesarean section with spinal anesthesia.Key words: Epidural space, polygeline, post dural puncture headache, spinal anesthesia DOI: 10.15851/jap.v1n3.193
Efektivitas Analgesik 24 Jam Pascaoperasi Elektif di RSUP Dr. Hasan Sadikin Bandung Tahun 2017 Dita Aryanti Prabandari; Indriasari Indriasari; Tinni Trihartini Maskoen
Jurnal Anestesi Perioperatif Vol 6, No 2 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (69.545 KB) | DOI: 10.15851/jap.v6n2.1221

Abstract

Nyeri akut pascaoperasi masih merupakan permasalahan dalam pelayanan kesehatan di seluruh dunia. Hampir 50% pasien pascaoperasi elektif mengalami nyeri yang berujung terhadap peningkatan kejadian nyeri kronik dan penurunan kepuasan pasien terhadap pelayanan kesehatan. Penelitian ini bertujuan memberikan gambaran mengenai analgesik yang digunakan di RSUP Dr. Hasan Sadikin Bandung dan efektivitasnya terhadap nyeri pascaoperasi. Penelitian ini menggunakan metode deskriptif observasional prospektif cross-sectional yang dilakukan pada pasien usia 18–65 tahun dengan status fisik American Society of Anaesthesiologist (ASA) kelas I–III di ruang perawatan pada jam ke-24 pascaoperasi selama tahun 2017 sebanyak 476 pasien. Subjek penelitian dikelompokkan berdasar atas jenis operasi yang menyebabkan nyeri ringan, sedang dan berat. Jenis analgesik pascaoperasi yang digunakan dan skala nyeri menggunakan numeric rating scale (NRS) dicatat. Efektif bila skala nyeri menggunakan NRS pada jam ke-24 pascaoperasi <4 dan tidak efektif bila NRS ≥4. Hasil penelitian didapatkan jenis analgesik terbanyak yang digunakan pada pasien pascaoperasi elektif adalah kombinasi petidin dan ketorolak i.v. dan derajat nyeri pada jam ke-24 pascaoperasi elektif yang dialami pasien adalah nyeri ringan NRS 1–3 (57,8%), nyeri sedang NRS 4–6 (26,9%), dan nyeri berat NRS 7–10 (2,7%). Simpulan penelitian ini adalah efektivitas analgesik pascaoperasi di RSUP Dr. Hasan Sadikin Bandung masih belum baik karena masih terdapat sepertiga pasien mengalami nyeri NRS ≥4 dari target rumah sakit 100% bebas nyeri.Kata kunci: Analgesik pascaoperasi, derajat nyeri pascaoperasi, efektivitas analgesik pascaoperasi Effectiveness of Analgesics 24 Hours Post-Post-Elective Surgery in Dr. Hasan Sadikin General Hospital in 2017Acute post-operative pain is still a worldwide issue in healthcare services. Nearly 50% of post-elective surgery patientspost- experience post-post-operative pain, causing increased chronic pain and decreased patient satisfaction towards healthcare services. This study aimed to provide  description on the types of analgesics used in Dr,Hasan Sadikin General Hospital and their effectiveness on post-operative pain. This  was a cross-sectional descriptive observational prospective study performed on 476 patients aged 18–65 years old with a physical status American Society of Anaesthesiologist (ASA) class I–III, treated in the ward 24 hours post- surgery in 2017. Subjects were classified based on the type of surgery that induced mild, moderate, and severe pain. The types of post-operative analgesics used and post-surgery Numeric Rating Scale (NRS) were documented. Analgesics was considered effective if the 24 hour post-surgery NRS was <4 and ineffective if the NRS was ≥4. This study showed that the type of analgesicsa mostly used for post-operative pain  was the combination of pethidine and ketorolac i.v. Pain scales experienced by patients at 24 hours post- surgery were mild withNRS 1–3 (57.8%), moderate pain with NRS 4–6 (26.9%), and severe pain with NRS 7–10 (2.7%). In conclusion, the post-operative analgesics provided in Dr. Hasan Sadikin General Hospital has not met the 100% pain free target set by the hospital target because some patients still experience pain with NRS ≥4.  . Hence, the effectiveness is still not adequate. Key words: Effectivity of post- operative analgesia, post- operative analgesia, post- operative pain scale
Perbandingan Efek Pregabalin 150 mg dengan 300 mg Dosis Tunggal terhadap Nilai Numeric Rating Scale dan Kebutuhan Analgetik Pascabedah pada Pasien Histerektomi Abdominal - Elvidiansyah; Iwan Fuadi; Ruli Herman Sitanggang
Jurnal Anestesi Perioperatif Vol 2, No 2 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Pregabalin memiliki efek antihiperalgesia, antialodinia, dan antinosiseptif. Penelitian bertujuan untuk membandingkan pregabalin 150 mg dengan 300 mg dosis tunggal 1 jam prabedah terhadap nyeri pascabedah dan kebutuhan opioid pada operasi histerektomi abdominal dalam anestesi umum. Uji klinik acak terkontrol buta ganda dilakukan terhadap 60 wanita (18–60 tahun) status fisik American Society of Anesthesiologist (ASA) I–II di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Mei–Agustus 2013. Pasien dibagi menjadi dua kelompok yang menerima pregabalin 150 mg atau 300 mg. Analisis statistik data hasil penelitian menggunakan uji-t, chi-kuadrat, dan Uji Mann-Whitney. Pada penelitian ini ditemukan nilai numeric rating scale (NRS) saat mobilisasi pada kelompok pregabalin 150 mg dan pregabalin 300 mg  berbeda bermakna (p<0,05). Pemberian analgetik tambahan pascabedah antara kedua kelompok tidak berbeda bermakna (p>0,05). Simpulan penelitian adalah pregabalin dosis 150 mg memiliki efek analgesia dan penambahan opioid yang tidak jauh berbeda dibandingkan dengan dosis 300 mg.Kata kunci: Histerektomi abdominal, numeric rating scale, nyeri pascabedah, pregabalinComparison Between the Effect of Single Dose 150 mg and 300 mg Pregabalin of Numeric Rating Scale Value and Post operative Analgesia Requirement  in Abdominal Hysterectomy PatientsPregabalin has the effect of anti hyperalgesia, anti allodynia, and anti nociception. This study aimed to compare single dose of 150 mg pregabalin with 300 mg pregabalin given 1 hour preoperatively in regards to postoperative pain and opioid requirements in abdominal hysterectomy patients. Double blind randomized controlled trial has been conducted on 60 women (18–60 years),  American Society of Anesthesiologist (ASA) physical status I-II, who underwent abdominal hysterectomy in a double-blind randomized controlled trial under general anesthesia in Dr. Hasan Sadikin Hospital-Bandung within May to August 2013. Patients were divided into two groups whose received 150 mg pregabalin or 300 mg pregabalin pre operatively. Statistical analysis of research data is performed using the student’s t-test, chi square, and Mann-Whitney U-test. This study found that numeric rating scale (NRS) scores during mobilization in the 150 mg pregabalin group and 300 mg pregabalin were significantly different (p<0.05). There was no significant differences in postoperative supplemental analgesic administration between the two groups (p>0.05). The conclusion of the study is preoperative pregabalin dosage 150 mg and 300 mg has insignificant differences in its therapeutic effect and supplemental opioid.Key words: Abdominal hysterectomy, numeric rating scale, postoperative pain, pregabalin DOI: 10.15851/jap.v2n2.308
Efektivitas Analgesik Pascaoperasi pada Pasien Pediatrik di Ruang Pemulihan Rumah Sakit Dr. Hasan Sadikin Bandung Periode Juni–November 2018 Bernadeth Bernadeth; Ezra Oktaliansah; Indriasari Indriasari
Jurnal Anestesi Perioperatif Vol 7, No 1 (2019)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (866.174 KB) | DOI: 10.15851/jap.v7n1.15647

Abstract

Nyeri merupakan pengalaman sensorik dan emosional yang tidak menyenangkan. Penyebab utama nyeri akut pada anak adalah prosedur pembedahan, trauma, dan penyakit akut. Penilaian nyeri merupakan bagian penting dari manajemen nyeri. Penelitian ini bertujuan mengetahui efektivitas analgesik pascaoperasi pada pasien pediatrik  di ruang pemulihan RSUP Dr. Hasan Sadikin Bandung periode Juni-November 2018. Penelitian menggunakan metode deskriptif observasional prospektif terhadap 471 pasien pediatrik pascaoperasi di ruang pemulihan. Subjek penelitian dikelompokkan berdasar atas jenis operasi yang menyebabkan nyeri ringan, sedang, dan berat. Jenis analgesik pascaoperasi yang diberikan dan penilaian nyeri selama di ruang pemulihan dicatat untuk melihat efektivitas analgesik pascaoperasi tersebut. Dari hasil penelitian efektivitas analgesik pascaoperasi pada jenis operasi nyeri ringan sebanyak 181 pasien (99,5%), jenis operasi nyeri sedang sebanyak 231 pasien (98,7%), dan pada jenis operasi nyeri berat sebanyak 53 pasien (96,4%). Simpulan penelitian ini adalah efektivitas analgesik pascaoperasi pada pasien pediatrik di RSUP Dr. Hasan Sadikin Bandung masih kurang efektif karena belum memenuhi target rumah sakit 100% bebas nyeri dan pemberian analgesik juga belum efisien karena masih banyak terdapat ketidaksesuaian antara pilihan analgesik dan derajat nyeri.Effectiveness of Post-Operative Analgesia on Pediatric Patients in the recovery room of Dr. Hasan Sadikin General Hospital Bandung from June to November 2018Pain is an unpleasant sensory and emotional experience. Pain assessment is an important part of pain management. The main causes of acute pain in children are surgical procedures, trauma, and acute diseases. This study aimed to study the effectuIveness of postoperative analgesics in pediatric patients in the recovery room of Dr. Hasan Sadikin General Hospital Bandung from June to November 2018. This was a prospective observational descriptive study on 471 postoperative pediatric patients in recovery rooms. The research subjects were grouped based on the type of surgery pain, i.e. mild, moderate, and severe. The type of postoperative analgesics given and assessment of pain during the stay in the recovery room were recorded to see the effectiveness of the postoperative analgesic drug. From the results of the study it was identified that the of postoperative analgesics was effective for 181 patients (99.5%) in the mild pain surgery group, for 231 patients (98.7%) in the moderate pain surgery, and for 53 patients (96.4%)  in severe pain surgery. It is concluded that the postoperative analgesics provided to pediatric patients at Dr. Hasan Sadikin General Hospital Bandung is still less effective because it has not met the target of 100% pain free set by the hospital and that analgesic administration is also not efficient because there are still many discrepancies in analgesic choices and the degree of pain.  
Perbandingan Ketepatan Pengukuran Tekanan Balon Pipa Endotrakeal setelah Intubasi antara Metode Palpasi pada Pilot Balon dan Teknik Melepas Spuit secara Pasif Gunawan Mutiara; - Suwarman; Ruli Herman Sitanggang
Jurnal Anestesi Perioperatif Vol 3, No 3 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Metode palpasi pada pilot balon merupakan teknik yang tidak akurat untuk menentukan tekanan balon pipa endotrakeal (endotracheal tube/ETT). Tujuan penelitian ini membandingkan ketepatan pengukuran tekanan balon ETT antara metode palpasi pada pilot balon (MP) dan teknik melepas spuit secara pasif (MSP). Penelitian dilakukan pada bulan Juni 2014 di Rumah Sakit Dr. Hasan Sadikin Bandung, menggunakan metode kuantitatif eksperimen dengan rancangan uji acak silang tersamar tunggal. Subjek penelitian adalah 94 orang pasien berusia 18−65 tahun dengan status fisik American Society of Anesthesiologists (ASA) I–III, yang menjalani pembedahan dengan anestesi umum secara intubasi endotrakeal. Saat akan dilakukan intubasi, balon ETT dikembangkan dengan dua teknik yang berbeda kelompok metode palpasi (n=48) dan kelompok teknik melepas spuit secara pasif (n=46). Data hasil penelitian dianalisis menggunakan uji-t tidak berpasangan dan uji chi-kuadrat. Hasil penelitian didapatkan tekanan rata-rata pada kelompok MP 57,7±26,0 cmH2O dan MSP 28,7±4,5 cmH2O, sedangkan untuk ketepatan pengukuran pada kelompok MSP 56,5% dan kelompok MP 6,2% (p<0,001). Simpulan penelitian ini menunjukkan bahwa metode palpasi merupakan teknik pengukuran tekanan balon ETT yang tidak adekuat.Kata kunci: Metode palpasi pada pilot balon, teknik melepas spuit secara pasif, endotracheal tubeComparison between Pilot Balloon Palpation Method and Passive Release Technique on the Accuracy of Measurements of  Endotracheal Tube Cuff Pressure Estimation of cuff pressure by palpating the pilot balloon is not accurate to determine the cuff pressure of endotracheal tube (ETT). Hence, this study we conducted to compare the accuracy of indirect measurements between pilot balloon palpation method (MP) and passive release technique (MSP). This was a single blind randomized crossover study performed in june 2014 at Dr. Hasan Sadikin General Hospital Bandung, in which patients received each technique and as a control group. Subjects were 94 patients aged 18−65 years old with American Society of Anesthesiologists (ASA) physical status I−III who underwent surgery requiring tracheal intubation. These subjects were randomized into two groups. After induction of anesthesia, the cuff was inflated with two different techniques: pilot balloon palpation technique (n=48) and passive release technique (n=46). Data were statistically analyzed using independent t-test and chi-square test. The mean cuff pressures of group MP was 57.7±26.0 cmH2O and for group MSP was 28.7±4.5 cmH2O,  whereas the precision of measurements in the MSP group was 56.5% and 6.2% in the MP group (p<0.001). It is conclude that the palpation method for cuff inflation are inadequate. Therefore, it is suggested that the endotracheal tube cuff pressure must be kept within the optimal range using a standard manometer. Key words: Endotracheal cuff pressure, passive release technique, pilot balloon palpation method  DOI: 10.15851/jap.v3n3.608
Perbandingan Waktu Awitan dan Lama Kerja Kombinasi Bupivakain 0,5% dan Lidokain 2% dengan Bupivakain 0,5% pada Blokade Infraklavikular untuk Operasi Lengan Bawah Andy Pawana Destiara; Dedi Fitri Yadi; Rudi Kurniadi Kadarsah
Jurnal Anestesi Perioperatif Vol 4, No 3 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Penggunaan kombinasi obat anestesi lokal bupivakain dan lidokain dapat menghasilkan waktu awitan yang cepat dan lama kerja yang panjang. Penelitian ini bertujuan membandingkan waktu awitan dan lama kerja kombinasi bupivakain 0,5% dan lidokain 2% dengan bupivakain 0,5% pada blokade infraklavikular untuk pembedahan lengan bawah. Penelitian menggunakan uji klinis acak terkontrol buta ganda terhadap 36 pasien dewasa usia 18–60 tahun yang menjalani pembedahan lengan bawah dan dilakukan blokade infraklavikular dengan panduan nerve stimulator di Rumah Sakit Dr. Hasan Sadikin Bandung selama periode April–Juni 2015. Pasien dibagi dalam dua kelompok, kelompok bupivakain dan lidokain (BL) dan bupivakain (B). Analisis stastistik menggunakan student’s t-test, chi-square, Eksak Fisher, Kolmogorov Smirnov dan Mann-Whitney U-test. Hasil penelitian didapatkan waktu awitan blokade sensorik dan motorik pada kelompok BL, yaitu 7,1±2 menit dan 10,9±5,3 menit, pada kelompok B, yaitu 19,8±4,5 menit dan 29±7,7 menit. Lama kerja blokade sensorik dan motorik pada kelompok BL, yaitu 540,9±195,1 menit dan 445,6±158,9 menit, pada kelompok B, yaitu 837,6±376,6 menit dan 653,9±304,3 menit. Simpulan, kombinasi bupivakain 0,5% dan lidokain 2% menghasilkan awitan blokade sensorik serta motorik lebih cepat dan lama kerja yang lebih singkat dibanding dengan bupivakain 0,5%.Kata kunci: Blokade infraklavikular, kombinasi bupivakain-lidokain, bupivakain, lama kerja blokade, waktu awitan blokade Comparison of Onset and Duration of Action between 0.5% Bupivacaine and 2% Lidocaine Combination and 0.5% Bupivacaine on Infraclavicular Block for Forearm SurgeryAbstractThe combination of local anesthetic drugs bupivacaine and lidocaine can produce rapid onset and long duration of action. The purpose of this study was to compare the onset and duration of action between 0.5% bupivacaine and 2% lidocaine combination and 0.5% bupivacaine on infraclavicular block for forearm surgery. This study was conducted using a randomized double blind controlled clinical trial on 36 adult patients aged 18–60 years who underwent forearm surgery under infraclavicular block using nerve stimulator guidance in Dr. Hasan Sadikin General Hospital between the period of April to June 2015. Patients were divided into two groups: patients in bupivacaine and lidocaine (BL) group and bupivacaine (B)group. The statistical analysis were performed using the student’s t-test, chi-square, Fisher’s Exact, Kolmogorov Smirnov, and Mann-Whitney U-test. The onsets of sensory and motor blocks in BL group were 7.1±2 min and 10.9±5.3 min, repectively and B group were 19.8±4.5 min and 29±7.7 min, respectively. The durations of sensory and motor blocks in BL group were 540.9±195.1 min and 445.6±158.9 min and B group were 837.6±376.6 min and 653.9±304.3 min. This study reveals that the combination of 0.5% bupivacaine and 2% lidocaine in infraclavikular block had a faster onset of sensory and motor blocks compared to 0.5% bupivacaine and a shorter duration of action compared to 0.5% bupivacaine.Key words: Bupivacaine, combination of bupivacaine–lidocain, duration of block, infraclavicular block, onset of block DOI: 10.15851/jap.v4n3.902
Pengaruh Penggunaan Plastic Wrap Terhadap Core Temperature Pasien Pediatrik 1-3 Tahun Yang Menjalani Operasi Palatoplasty Mikhail Averoes; Suwarman -; Eri Surahman
Jurnal Anestesi Perioperatif Vol 1, No 1 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Laju penurunan suhu tubuh dapat dikurangi dengan insulasi pasif yaitu dengan cara menutupi tubuh dengan bahan material tertentu yang mempunyai daya hantar kalor yang buruk (insulator). Bahan insulator yang yang dibalutkan pada tubuh dapat mencegah proses konveksi, konduksi dan evaporasi sehingga derajat kehilangan suhu berkurang rata-rata 30%. Salah satu bahan yang dapat dipakai sebagai insulator adalah plastik. Penelitian ini dilakukan untuk menilai pengaruh penggunaan plastik wrap terhadap core temperature pediatrik usia 1 sampai 3 tahun yang menjalani operasi celah langit. Penelitian dilakukan terhadap 30 pasien anak , status fisik ASA I, dan berusia 1-3 tahun yang menjalani operasi celah langit dengan anestesi umum. Pasien dibagi dalam dua kelompok. Kelompok plastic wrap dengan penggunaan plastik yang dibalutkan pada tubuh, dan kelompok kontrol. Dicatat suhu rektal selama anestesi. Data hasil penelitian diuji dengan uji Mann-Whitney. Dari hasil penghitungan statistik, didapatkan lama suhu inti rata-rata selama anestesi pada kelompok plastik wrap lebih tinggi dibandingkan kelompok kontrol dengan hasil yang sangat bermakna (p < 0,001). Suhu inti rata-rata pada kelompok plastik wrap adalah 36,17 oC (0,31oC) lebih besar bila dibandingkan dengan kelompok kontrol yaitu 35,88°C (0,43°C). Simpulan penelitian ini menunjukkan bahwa penggunaan plastic wrap menghasilkan derajat penurunan suhu lebih kecil dibanding kelompok kontrol yaitu 0,8 oC pada kelompok plastic wrap dan 1,2 oC pada kelompok kontrol (p < 0,005).Kata Kunci : Insulasi pasif, suhu inti tubuh, plastik Effect Of Plastic Wrap On Core Temperature In Pediatric Patient Aged 1 – 3 Year Who Underwent Palatoplasty SurgeryThe decrease rate of body temperature can be reduced by passive insulation by covering the body with certain materials which have poor heat conductivity (insulator). Insulator material which is wrapped on the body can prevent the process of convection, conduction and evaporation so that the degree of heat loss was reduced on average 30%. One material that can be used as an insulator is the plastic. This study was conducted to assess the effect of plastic wrap on the core temperature of pediatric aged 1 to 3 years who underwent cleft palate surgery. The study was conducted on 30 pediatric patients, aged 1-3 years, with ASA I physical status who underwent cleft surgery with general anesthesia. Patients were divided into two groups. One group used plastic wrap to be wrapped on the body, and another is the control group. Rectal temperature was recorded during anesthesia. Research data was tested statistically by the Mann-Whitney test. The results of statistical calculation indicated that the average core temperature during anesthesia in plastic wrap group was higher than the control group with a significant result (p <0.001). The average core temperature in the plastic wrap is 36.17° C (0.31° C) which is higher than the control group (35.88° C (0.43° C). It can be concluded that the use of plastic wrap causes temperature reduction degree to be lower than the control group. The degree in plastic wrap group is 0.8 °C while the degree in control group is 1.2°C in the control group (p <0.005). Keywords: passive insulation, core body temperature, plastic.DOI: 10.15851/jap.v1n1.156
Gambaran Penggunaan, Obat, Teknik, dan Permasalahan yang Dihadapi pada Blokade Kaudal di Kota Bandung Tahun 2016 Handoyo Harsono; Doddy Tavianto; Suwarman Suwarman
Jurnal Anestesi Perioperatif Vol 6, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (800.395 KB) | DOI: 10.15851/jap.v6n3.1487

Abstract

Penanganan nyeri pada pasien anak merupakan tantangan yang cukup besar bagi dokter spesialis anestesi. Blokade kaudal merupakan salah satu teknik anestesi regional yang mudah dan sangat efektif sebagai analgetik pada anak yang menjalani operasi di bawah umbilikus. Data yang diperoleh dari Inggris dan Irlandia selama bulan April sampai dengan Juni 2008 menunjukkan bahwa penggunaan blokade kaudal masih rendah ( 61% ). Tujuan penelitian ini adalah mengetahui penggunaan, obat, teknik, dan masalah yang dihadapi pada blokade kaudal di Kota Bandung. Penelitian dilakukan selama bulan Maret hingga April 2018. Penelitian ini bersifat deskriptif dengan  menggunakan kuesioner yang diberikan kepada 70 dokter spesialis anestesi di kota Bandung yang direspons oleh 64 orang (78%) dengan mengembalikan kuesioner. Dari penelitian ini didapatkan dokter spesialis anestesi yang melakukan blokade kaudal pada tahun 2016 sebesar 55%. Blokade kaudal digunakan untuk kombinasi anestesi dan analgesik pascaoperasi pada 62% responden. Teknik yang digunakan dalam blokade kaudal ini adalah blind technique tanpa alat bantu. Obat yang paling sering digunakan adalah bupivakain (91%). Permasalahan yang dihadapi di Kota Bandung yang mengakibatkan rendahnya penggunaan blokade kaudal adalah keterbatasan waktu tindakan (20%) dan ketersediaan obat dan alat (23%).Kata kunci: Blokade kaudal, bupivakain, teknik butaOverview on Usage, Drug, Technique and Problems on Caudal Blockade Procedure in Bandung City on 2016Pediatric pain management in pediatric is a big challenge for anesthesiologists. The caudal blockade is one of the easy and highly effective analgesic approaches for surgical procedure below umbilicus in children. Data from Ireland and United Kingdom show that the application of caudal blockade is relatively low (61%). The aim of this study was to explore the drug, technique, and challenges faced in caudal blockade application in Bandung City. This study was conducted from March to April 2018. This was a descriptive study using a questionnaire distributed to 70 anesthesiologist in Bandung city. The response rate was 77.65% (64 persons). This study found that 59.09% anesthesiologist had performed caudal block during 2016 which was used for anesthesia and post-operative analgesics by 61,54% respondents. Blind technique was used in this procedure without using additional equipment. The most frequently used was bupivacaine (97.44%). The low application of caudal block in Bandung during 2016 was caused by the limited time for the procedure (23.44%) and the availability of drug and equipment (23.44%).Key words: Caudal block, Bupivacaine, Blind technique

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