Perbandingan Antara Durasi Blok Sensorik dan Motorik pada Seksio Sesarea dengan Spinal Anestesi Kombinasi Bupivakain 0,5% Hiperbarik 5 mg dan Fentanil 25 mg dengan Bupivakain 0,5% Hiperbarik 7,5 mg dan Fentanil 15 mg
Background: Spinal anesthesia or sub arachnoid block (SAB) has been widely used for patients undergoing cesarean operation. However, due to changes in both the anatomy and physiologyof pregnant women, large doses of local anesthetic drugs cause several complications on pregnant women. The purpose...
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| Format: | Article |
| Language: | English |
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Departemen Anestesi dan Terapi Intensif Fakultas Kedokteran Universitas Gadjah Mada RSUP Dr Sardjito
2015
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| Online Access: | https://repository.ugm.ac.id/273595/1/Jurnal%20JKA%20-%20Vol%202%20No%203%20Agustus%202015%20-%20PDF%20-%2027%20AGST%202015_p27-34.pdf |
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| author | Suhanda, Rellig Maret Pratomo, Bhirowo Yudo Widyastuti, Yunita |
| author_facet | Suhanda, Rellig Maret Pratomo, Bhirowo Yudo Widyastuti, Yunita |
| author_sort | Suhanda, Rellig Maret |
| collection | UGM |
| description | Background: Spinal anesthesia or sub arachnoid block (SAB) has been widely used for patients undergoing
cesarean operation. However, due to changes in both the anatomy and physiologyof pregnant women, large
doses of local anesthetic drugs cause several complications on pregnant women. The purpose of this study
is to compare the duration of sensoric and motoric blockof 0.5% hyperbaric bupivacaine 5 mg plus fentanyl
25 μg with 0.5% hyperbaric bupivacaine 7.5 mg plus fentanyl 15 μg on cesarean operation with spinal
anesthesia.
Method: Design of the study was Randomized Double Blind Controlled Trial. The purpose of the study
was to Compare the duration of sensoric and motoric block. The study was conducted on patients who
underwent elective or emergency caesarean operation in emergency room unit and Central Operation
Theater of Sardjito Yogyakarta Hospital, Morangan Hospital and Soeradji Tirtonegoro Hospital of Klaten.
A Total 68 patients were divided into two groups consisted 34 patients each. A group is 0.5% Hyperbaric
Bupivacaine received 5 mg + fentanyl 25 μg, and B group is received 0.5 % hyperbaric Bupivacaine 7.5 mg
+ fentanyl 15 μg. The onset and duration of sensory block and motor block, systolic blood pressure, diastolic
blood pressure, heart rate (HR), O2 saturation and the complications of all the subjects were measured.
Measurements were performed after injection of local anesthetic drugs intrathecal, during surgery and in
the recovery room.
Result: Duration of sensoric block in A group (86.47±11.38 minutes) was shorter than B group (91,76±15,80
minutes) (p>0,05), not statisticaly signifi cant. The duration motoric block in A group (75,88±10,69 minutes),
whereas in B group (91,92±10.52 minutes) it was statisticaly signifi cant (p<0,05). In A group there were
70,58% patient with bromage score 3 and 100% in group B, was statistically signifi cant.
Conclusion: Bupivacain 5 mg added with fentanyl 25 μg had shorter duration of motoric block than
bupivacain 7,5 mg added fentanyl 15 μg statisticaly signifi cant and had sensoric block was not statisticaly
signifi cant. |
| first_indexed | 2024-03-13T23:51:12Z |
| format | Article |
| id | oai:generic.eprints.org:273595 |
| institution | Universiti Gadjah Mada |
| language | English |
| last_indexed | 2024-03-13T23:51:12Z |
| publishDate | 2015 |
| publisher | Departemen Anestesi dan Terapi Intensif Fakultas Kedokteran Universitas Gadjah Mada RSUP Dr Sardjito |
| record_format | dspace |
| spelling | oai:generic.eprints.org:2735952017-07-19T07:20:09Z https://repository.ugm.ac.id/273595/ Perbandingan Antara Durasi Blok Sensorik dan Motorik pada Seksio Sesarea dengan Spinal Anestesi Kombinasi Bupivakain 0,5% Hiperbarik 5 mg dan Fentanil 25 mg dengan Bupivakain 0,5% Hiperbarik 7,5 mg dan Fentanil 15 mg Suhanda, Rellig Maret Pratomo, Bhirowo Yudo Widyastuti, Yunita Other Medical and Health Sciences Background: Spinal anesthesia or sub arachnoid block (SAB) has been widely used for patients undergoing cesarean operation. However, due to changes in both the anatomy and physiologyof pregnant women, large doses of local anesthetic drugs cause several complications on pregnant women. The purpose of this study is to compare the duration of sensoric and motoric blockof 0.5% hyperbaric bupivacaine 5 mg plus fentanyl 25 μg with 0.5% hyperbaric bupivacaine 7.5 mg plus fentanyl 15 μg on cesarean operation with spinal anesthesia. Method: Design of the study was Randomized Double Blind Controlled Trial. The purpose of the study was to Compare the duration of sensoric and motoric block. The study was conducted on patients who underwent elective or emergency caesarean operation in emergency room unit and Central Operation Theater of Sardjito Yogyakarta Hospital, Morangan Hospital and Soeradji Tirtonegoro Hospital of Klaten. A Total 68 patients were divided into two groups consisted 34 patients each. A group is 0.5% Hyperbaric Bupivacaine received 5 mg + fentanyl 25 μg, and B group is received 0.5 % hyperbaric Bupivacaine 7.5 mg + fentanyl 15 μg. The onset and duration of sensory block and motor block, systolic blood pressure, diastolic blood pressure, heart rate (HR), O2 saturation and the complications of all the subjects were measured. Measurements were performed after injection of local anesthetic drugs intrathecal, during surgery and in the recovery room. Result: Duration of sensoric block in A group (86.47±11.38 minutes) was shorter than B group (91,76±15,80 minutes) (p>0,05), not statisticaly signifi cant. The duration motoric block in A group (75,88±10,69 minutes), whereas in B group (91,92±10.52 minutes) it was statisticaly signifi cant (p<0,05). In A group there were 70,58% patient with bromage score 3 and 100% in group B, was statistically signifi cant. Conclusion: Bupivacain 5 mg added with fentanyl 25 μg had shorter duration of motoric block than bupivacain 7,5 mg added fentanyl 15 μg statisticaly signifi cant and had sensoric block was not statisticaly signifi cant. Departemen Anestesi dan Terapi Intensif Fakultas Kedokteran Universitas Gadjah Mada RSUP Dr Sardjito 2015-08 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/273595/1/Jurnal%20JKA%20-%20Vol%202%20No%203%20Agustus%202015%20-%20PDF%20-%2027%20AGST%202015_p27-34.pdf Suhanda, Rellig Maret and Pratomo, Bhirowo Yudo and Widyastuti, Yunita (2015) Perbandingan Antara Durasi Blok Sensorik dan Motorik pada Seksio Sesarea dengan Spinal Anestesi Kombinasi Bupivakain 0,5% Hiperbarik 5 mg dan Fentanil 25 mg dengan Bupivakain 0,5% Hiperbarik 7,5 mg dan Fentanil 15 mg. Jurnal Komplikasi Anestesi, 2 (3). pp. 27-34. ISSN 2354-6514 https://www.anestesi.fk.ugm.ac.id/jka/index.php/jka |
| spellingShingle | Other Medical and Health Sciences Suhanda, Rellig Maret Pratomo, Bhirowo Yudo Widyastuti, Yunita Perbandingan Antara Durasi Blok Sensorik dan Motorik pada Seksio Sesarea dengan Spinal Anestesi Kombinasi Bupivakain 0,5% Hiperbarik 5 mg dan Fentanil 25 mg dengan Bupivakain 0,5% Hiperbarik 7,5 mg dan Fentanil 15 mg |
| title | Perbandingan Antara Durasi Blok Sensorik dan Motorik
pada Seksio Sesarea dengan Spinal Anestesi Kombinasi
Bupivakain 0,5% Hiperbarik 5 mg dan Fentanil 25 mg
dengan Bupivakain 0,5% Hiperbarik 7,5 mg dan Fentanil 15 mg |
| title_full | Perbandingan Antara Durasi Blok Sensorik dan Motorik
pada Seksio Sesarea dengan Spinal Anestesi Kombinasi
Bupivakain 0,5% Hiperbarik 5 mg dan Fentanil 25 mg
dengan Bupivakain 0,5% Hiperbarik 7,5 mg dan Fentanil 15 mg |
| title_fullStr | Perbandingan Antara Durasi Blok Sensorik dan Motorik
pada Seksio Sesarea dengan Spinal Anestesi Kombinasi
Bupivakain 0,5% Hiperbarik 5 mg dan Fentanil 25 mg
dengan Bupivakain 0,5% Hiperbarik 7,5 mg dan Fentanil 15 mg |
| title_full_unstemmed | Perbandingan Antara Durasi Blok Sensorik dan Motorik
pada Seksio Sesarea dengan Spinal Anestesi Kombinasi
Bupivakain 0,5% Hiperbarik 5 mg dan Fentanil 25 mg
dengan Bupivakain 0,5% Hiperbarik 7,5 mg dan Fentanil 15 mg |
| title_short | Perbandingan Antara Durasi Blok Sensorik dan Motorik
pada Seksio Sesarea dengan Spinal Anestesi Kombinasi
Bupivakain 0,5% Hiperbarik 5 mg dan Fentanil 25 mg
dengan Bupivakain 0,5% Hiperbarik 7,5 mg dan Fentanil 15 mg |
| title_sort | perbandingan antara durasi blok sensorik dan motorik pada seksio sesarea dengan spinal anestesi kombinasi bupivakain 0 5 hiperbarik 5 mg dan fentanil 25 mg dengan bupivakain 0 5 hiperbarik 7 5 mg dan fentanil 15 mg |
| topic | Other Medical and Health Sciences |
| url | https://repository.ugm.ac.id/273595/1/Jurnal%20JKA%20-%20Vol%202%20No%203%20Agustus%202015%20-%20PDF%20-%2027%20AGST%202015_p27-34.pdf |
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