Perbandingan Efektivitas Kombinasi Fentanyl Patch 12,5 µg/jam dan 25 µg/jam dengan Ketorolak 30 mg Intravena pada Pascabedah Ortopedi Ekstremitas Bawah

Fentanyl patch is the first injection-free system for post surgery pain management that is a safe, easy to use, and comfortable modality for patient. The aim of this study was to differentiate the effectiveness and side effect of 12.5 µg/hour and 25 µg/hour fentanyl patch combinations with 30 mg int...

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Main Authors: Poppy Novita Rini, Mhd. Ihsan, Asmin Lubis
Format: Article
Language:Indonesian
Published: Universitas Padjadjaran 2016-08-01
Series:Jurnal Anestesi Perioperatif
Subjects:
Online Access:http://journal.fk.unpad.ac.id/index.php/jap/article/view/823
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author Poppy Novita Rini
Mhd. Ihsan
Asmin Lubis
author_facet Poppy Novita Rini
Mhd. Ihsan
Asmin Lubis
author_sort Poppy Novita Rini
collection DOAJ
description Fentanyl patch is the first injection-free system for post surgery pain management that is a safe, easy to use, and comfortable modality for patient. The aim of this study was to differentiate the effectiveness and side effect of 12.5 µg/hour and 25 µg/hour fentanyl patch combinations with 30 mg intravenous ketorolac after orthopedic surgery of lower extremity under spinal anesthetic. This was a double random clinical trial for 24 patients with physical status American Society of Anesthesiologist (ASA) I and II, 18–50 years old of age, who underwent orthopedic extremity surgery in the operating theaters of H. Adam Malik Hospital and other hospitals in October–November 2015. Patients were divided into two groups, i.e. 12 patients received 12.5 µg/hour fentanyl patch (A) and 12 patients received 25 µg/hour fentanyl patch (B) for ±2 hours before surgery, combined with 30 mg intravenous ketorolac given at the start of incision. The pain was scored using a visual analog scale. Data were then statistically analyzed using chi-square test. The result of the study showed that the use of 25 µg/hour fentanyl patch was significantly more effective than the 12.5 µg/hour fentanyl patch (p<0.05). It is concluded that the clinical VAS scores for the two groups after orthopedic surgery of lower extremity are different.
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spelling doaj.art-27cbe142106b49199b0d2b5b3e0b74a82022-12-22T03:43:44ZindUniversitas PadjadjaranJurnal Anestesi Perioperatif2337-79092338-84632016-08-01429510210.15851/jap.v4n2.823Perbandingan Efektivitas Kombinasi Fentanyl Patch 12,5 µg/jam dan 25 µg/jam dengan Ketorolak 30 mg Intravena pada Pascabedah Ortopedi Ekstremitas BawahPoppy Novita Rini0Mhd. Ihsan1Asmin Lubis2Rumah Sakit Umum Daerah Dr. Agoesdjam Kalimantan BaratDepartemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Sumatera Utara/Rumah Sakit H. Adam Malik MedanDepartemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Sumatera Utara/Rumah Sakit H. Adam Malik MedanFentanyl patch is the first injection-free system for post surgery pain management that is a safe, easy to use, and comfortable modality for patient. The aim of this study was to differentiate the effectiveness and side effect of 12.5 µg/hour and 25 µg/hour fentanyl patch combinations with 30 mg intravenous ketorolac after orthopedic surgery of lower extremity under spinal anesthetic. This was a double random clinical trial for 24 patients with physical status American Society of Anesthesiologist (ASA) I and II, 18–50 years old of age, who underwent orthopedic extremity surgery in the operating theaters of H. Adam Malik Hospital and other hospitals in October–November 2015. Patients were divided into two groups, i.e. 12 patients received 12.5 µg/hour fentanyl patch (A) and 12 patients received 25 µg/hour fentanyl patch (B) for ±2 hours before surgery, combined with 30 mg intravenous ketorolac given at the start of incision. The pain was scored using a visual analog scale. Data were then statistically analyzed using chi-square test. The result of the study showed that the use of 25 µg/hour fentanyl patch was significantly more effective than the 12.5 µg/hour fentanyl patch (p<0.05). It is concluded that the clinical VAS scores for the two groups after orthopedic surgery of lower extremity are different.http://journal.fk.unpad.ac.id/index.php/jap/article/view/823Fentanyl patchketorolacside effectvisual analog score (VAS)
spellingShingle Poppy Novita Rini
Mhd. Ihsan
Asmin Lubis
Perbandingan Efektivitas Kombinasi Fentanyl Patch 12,5 µg/jam dan 25 µg/jam dengan Ketorolak 30 mg Intravena pada Pascabedah Ortopedi Ekstremitas Bawah
Jurnal Anestesi Perioperatif
Fentanyl patch
ketorolac
side effect
visual analog score (VAS)
title Perbandingan Efektivitas Kombinasi Fentanyl Patch 12,5 µg/jam dan 25 µg/jam dengan Ketorolak 30 mg Intravena pada Pascabedah Ortopedi Ekstremitas Bawah
title_full Perbandingan Efektivitas Kombinasi Fentanyl Patch 12,5 µg/jam dan 25 µg/jam dengan Ketorolak 30 mg Intravena pada Pascabedah Ortopedi Ekstremitas Bawah
title_fullStr Perbandingan Efektivitas Kombinasi Fentanyl Patch 12,5 µg/jam dan 25 µg/jam dengan Ketorolak 30 mg Intravena pada Pascabedah Ortopedi Ekstremitas Bawah
title_full_unstemmed Perbandingan Efektivitas Kombinasi Fentanyl Patch 12,5 µg/jam dan 25 µg/jam dengan Ketorolak 30 mg Intravena pada Pascabedah Ortopedi Ekstremitas Bawah
title_short Perbandingan Efektivitas Kombinasi Fentanyl Patch 12,5 µg/jam dan 25 µg/jam dengan Ketorolak 30 mg Intravena pada Pascabedah Ortopedi Ekstremitas Bawah
title_sort perbandingan efektivitas kombinasi fentanyl patch 12 5 µg jam dan 25 µg jam dengan ketorolak 30 mg intravena pada pascabedah ortopedi ekstremitas bawah
topic Fentanyl patch
ketorolac
side effect
visual analog score (VAS)
url http://journal.fk.unpad.ac.id/index.php/jap/article/view/823
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AT mhdihsan perbandinganefektivitaskombinasifentanylpatch125μgjamdan25μgjamdenganketorolak30mgintravenapadapascabedahortopediekstremitasbawah
AT asminlubis perbandinganefektivitaskombinasifentanylpatch125μgjamdan25μgjamdenganketorolak30mgintravenapadapascabedahortopediekstremitasbawah