Nurachman, dr. Syaiful Yudhi and dr. Taufiq Agus Siswagama, Sp.An-TI.,Subsp.M.N.(K) and dr. Isngadi, M.Kes, Sp.An-TI.,Subsp. An.O (K) (2023) Perbandingan efikasi kombinasi field block dan ketorolac dengan Transversus abdominis plane block dan ketorolac sebagai analgesia pascaoperasi sectio caesarea dengan teknik subaracnoid block. Magister thesis, Universitas Brawijaya.
Abstract
Latar belakang: Sectio Caesarea berpotensi menimbulkan nyeri akut. Analgesik pascaoperasi sectio cesarea yang memadai adalah komponen penting agar kondisi ibu lebih cepat mobilisasi dan waktu rawat inap lebih pendek. Blok saraf perifer yang aman dan efektif menjadi pilihan untuk manajemen nyeri pascaoperasi sectio cesarea. Tujuan: Mengetahui perbedaan skala nyeri, waktu mobilisasi dan lama rawat inap pasien pascaoperasi sectio cesarea dengan pemberian Field block dan ketorolac dibandingkan TAP block dan ketorolac. Metode: Analitik observasional pendekatan cross sectional. Data diambil retrospektif periode November 2022 – Mei 2023. Hasil: Sampel berjumlah 40 pasien. Hasil uji chi square NRS antara Field block dan ketorolac dan TAP block dan Ketorolac tidak berbeda signifikan (nilai p>0,05). Waktu mobilisasi pasien yang diberikan Field block dan ketorolac rata-rata selama 20.25 jam pascaoperasi sedangkan pasien yang diberikan TAP block dan ketorolac rata-rata selama 17.2 jam pascaoperasi dengan hasil uji t-independen diperoleh nilai p=0.014 (p<0.05), menunjukkan pasien yang diberikan TAP blockketorolac lebih cepat daripada pasien yang diberikan Field block dan ketorolac. Lama rawat inap pasien yang diberikan Field block dan ketorolac dan TAP block dan ketorolac relatif sama yaitu 2.15 hari dengan hasil uji Mann whitney diperoleh nilai p=1.0 (p>0.05) yaitu tidak ada perbedaan pada lama rawat inap diantara kedua kelompok. Kesimpulan: Tidak didapatkan perbedaan yang signifikan antara NRS dan lama rawat inap pada pasien yang diberikan Field block dan ketorolac dibandingkan TAP block dan ketorolac pascaoperasi sectio caesarea. Namun terdapat perbedaan waktu mobilisasi dimana pemberian TAP block dan ketorolac memberikan outcome waktu mulai mobilisasi yang lebih cepat daripada pemberian Field block dan ketorolac.
English Abstract
Background: Sectio caesarean has a potential to cause acute postoperative pain. An adequate post-cesarean analgesics are important components for faster mobilization and shorter hospital stays of post secarean. Safe and effective peripheral nerve block is an option for postoperative pain management of section cesarean. Objective: Determine the difference in pain numeric rating scale, mobilization time and length of stay of patients after cesarean by giving a combination of Field blockketorolac compared to TAP block-ketorolac. Method: Observational analytics cross sectional approach. Data was taken retrospectively for the period November 2022 – May 2023. Results: Total sample are 40 patients. The results of postoperative NRS by chi square test between Field block-ketorolac and TAP block-Ketorolac were not significantly different (p-value >0.05). The mobilization time post operative patients which given Field block - ketorolac averaged for 20.25 hours while patients given TAP block - ketorolac averaged for 17.2 hours with with t-independent test results obtained a value of p=0.014 (p < 0.05), showing that mobilization time patients given TAP block-Ketorolac faster than patients given Field block-ketorolac. The length of stay patients given Field block-ketorolac and TAP block-ketorolac has a similar average at 2.15 days with the results of the Mann Whitney Test obtained pvalue of 1.0 (p > 0.05) which was no difference in the length of stay between the two groups. Conclusion: There was no significant differences in NRS and length of stay in patients given field block-ketorolac compared to TAP block-ketorolac after sectio caesarean. However, there is a difference in mobilization time where the administration of TAP block-ketorolac provides a faster mobilization time than the provision of field block-ketorolac
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 042306 |
| Uncontrolled Keywords: | NRS, Field block, TAP block, ketorolac |
| Divisions: | Profesi Kedokteran > Spesialis Anestesiologi dan Terapi Intensif, Fakultas Kedokteran |
| Depositing User: | Unnamed user with username ihwan |
| Date Deposited: | 17 Jan 2024 02:26 |
| Last Modified: | 17 Jan 2024 02:47 |
| URI: | http://repository.ub.ac.id/id/eprint/211257 |
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