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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Format: | Article |
Language: | Indonesian |
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Universitas Padjadjaran
2016-08-01
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Series: | Jurnal Anestesi Perioperatif |
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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. |
first_indexed | 2024-04-12T06:40:07Z |
format | Article |
id | doaj.art-27cbe142106b49199b0d2b5b3e0b74a8 |
institution | Directory Open Access Journal |
issn | 2337-7909 2338-8463 |
language | Indonesian |
last_indexed | 2024-04-12T06:40:07Z |
publishDate | 2016-08-01 |
publisher | Universitas Padjadjaran |
record_format | Article |
series | Jurnal Anestesi Perioperatif |
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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