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EFEK ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE (TAP) BLOK TERHADAP KEBUTUHAN ANALGETIK PASCA OPERASI SEKSIO SESAREA Artana, I Wayan Budi; Damayanti, Ida Ayu Manik
Jurnal Riset Kesehatan Nasional Vol 3, No 1 (2019)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (866.104 KB) | DOI: 10.37294/jrkn.v3i1.132

Abstract

Pendahuluan: Blok pada bidang transversus abdominis (transversus abdominis plane / TAP) merupakan teknik yang dilakukan dengan injeksi lokal anestesi secara bolus dengan dosis besar tunggal pada bidang transversus abdominis. Dalam penanganan nyeri pasca operasi seksio sesarea, Transversus Abdominis Plane (TAP) block, sebagai komponen regimen analgetik multimodal, memberikan analgesia yang paling baik diantara tehnik non-opioid. Metode: Penelitian ini menggunakan rancangan penelitian Randomized Controlled Trial (RCT). Kelompok A mendapat TAP blok bilateral dengan levobupivacaine 0,5% masing-masning 15 ml, dan kelompok B (kontrol) tidak mendapat TAP blok. Hasil: Penelitian ini menunjukkan bahwa derajat nyeri pada  kelompok blok TAP lebih rendah dibanding kelompok kontrol pada jam ke-4 sampai jam ke-12 pasca operasi. Penelitian ini memperlihatkan bahwa kebutuhan fentanil total selama 24 jam pasca bedah lebih sedikit pada kelompok yang mendapatkan blok TAP (54 +  43.10 ?g) dibanding kelompok kontrol (95 +  43.30 ?g). Perbedaan ini bermakna secara statistik (p<0,05).Diskusi: Pada penelitian ini diketahui TAP blok dengan panduan USG sebagai komponen analgesia multimodal, memberikan analgesia yang efektif dan mengurangi kebutuhan dosis obat anelgetik pasca operasi seksio sesarea.Kata Kunci : Transversus Abdominis Plane (TAP), analgetik, operasi sesarea
KONDISI HABITAT HUTAN MANGROVE DI DESA MEMBUKE KECAMATAN POSO PESISIR UTARA KABUPATEN POSO Artana, I Wayan Budi; Korja, I Nengah; Ramlah, Sitti
ForestSains Vol 14, No 1 (2016): Desember
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.637 KB)

Abstract

The purpose of this research was to determine the condition of mangrove forest habitat in Membuke village, Poso Pesisir Utara District, Poso regency.  The method of this research is descriptive. The location for sampling soil was determined by purposive sampling method. Based on field observations, it was found that there were four types of stands, namely Rhizophora apiculata, Sonneratia alba, Avicennia marina and Xylocarpus granatum. Soil samples were taken at each of stands and analyzed in Laboratory of agricultural faculty, Tadulako University. The results of the research in the field and on the analysis of eight parameters observed showed that soil pH ranged from 5.33 to 6.29, the dominant soil color is black. soil texture from the four observation points was dominated clayey loam to sandy clay, the salinity ranged 26,9 ppt to 31,6 ppt, water pH ranged from 5.93 to 6.52, Nitrogen (N-total) ranged 0.33% to 0.39%, Phosphorus (P-total) ranged 25.72 (mg / 100g)  to 53.76 (mg / 100g). The KTK value ranged 15,20 to 28.76 (cmol (+) kg-1). The depth of the mud in the mangrove forests in four different observation site were different, in which the depth of mud under Rhizophora stand was 45 cm, under Rhizophora was 30 cm, under avicenia marinna stand was 41 cm, and under Xylicarpur Granatum stands have very deep mud that was 143 cm.