Jurnal Anestesi Perioperatif
Vol 9, No 2 (2021)

Perbandingan Numeric Rating Scale Nyeri Pascaoperasi Kolesistektomi Laparoskopik Antara Blokade Erector Spinae Plane Dan Pethidine Intravena

Arrys Prabowo (Departemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjajaran/RSUP Dr. Hasan Sadikin Bandung)
Reza Widianto Sudjud (Departemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjajaran/RSUP Dr. Hasan Sadikin Bandung)
Ricky Aditya (Departemen Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjajaran/RSUP Dr. Hasan Sadikin Bandung)



Article Info

Publish Date
31 Aug 2021

Abstract

Nyeri pascaoperasi harus diatasi dengan baik. Berbagai metode analgetik dilakukan untuk mengatasi nyeri pascaoperasi kolesistektomi laparoskopik, namun tidak ada yang ideal dalam menangani nyeri pascaoperasi. Blokade erector spinae plane adalah teknik baru untuk penanganan nyeri pascaoperasi kolesistektomi laparoskopik. Penelitian ini bertujuan mengetahui perbedaan nyeri pascaoperasi kolesistektomi laparoskopik yang dinilai dengan NRS nyeri antara pasien yang menggunakan blokade erector spinae plane dan petidin intravena. Penelitian dilakukan pada periode Juni–Oktober 2020 di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan metode uji klinis acak terkontrol buta tunggal terhadap 30 pasien. Pasien dibagi menjadi dua kelompok, kelompok petidine intravena (kelompok A, n=15) dan kelompok blokade erector spinae plane (kelompok B, n=15). Nyeri pascaoperasi dinilai dengan NRS pada 0–1 jam, 1–6 jam, 6–12 jam, dan 12–24 jam. Analisis data numerik dengan uji T tidak berpasangan dan Mann Whitney. Data kategorik dengan uji chi square. Skor NRS pada kelompok blokade erector spinae plane lebih rendah dibanding dengan kelompok petidin intravena pada 6–12 jam pascaoperasi (p=0,002) dan kebutuhan rescue analgetik pada 6–12 jam lebih rendah pada kelompok blokade. Metode analgetik blokade erector spinae plane pada pasien pascaoperasi kolesistektomi laparoskopik lebih baik daripada petidin intravena. Comparison of Pain Numeric Rating Scale between Erector Spinae Plane Block and Intravenous Pethidine Post-Laparoscopic Cholecystectomy Postoperative pain is a complaint that must be properly managed. Various analgesic methods are implemented to alleviate laparoscopic cholecystectomy postoperative pain, but none are ideal in managing postoperative pain. Erector spinae plane block is a new technique in laparoscopic cholecystectomy postoperative pain.  This study aims to discover the difference in post laparoscopic cholecystectomy pain measured using the NRS pain scale in patients with erector spinae plane block and intravenous pethidine. The study was conducted between June–October 2020 in Dr. Hasan Sadikin General Hospital Bandung. This was a single blind control trial in 30 patients. Patients were divided into two groups, an intravenous pethidine group (group A, n=15) and an erector spinae plane block group (group B, n=15). Postoperative pain was measured using the NRS pain scale on hour 0–1, 1–6, 6–12, and 12–24. Numerical data was analyzed using the unpaired T test and the Mann Whitney test. Categorical data using the chi square test. NRS measurements in the erector spinae plane block group were lower compared to the intravenous pethidine group in hour 6–12 postoperation (p=0.002) and the need for a rescue analgesic in hour 6–12 lower in the blokade group. The analgesic method erector spinae plane block in patients post laparoscopic cholecystectomy is better than intravenous pethidine. 

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Journal Info

Abbrev

jap

Publisher

Subject

Education Health Professions

Description

Jurnal Anestesi Perioperatif (JAP)/Perioperative Anesthesia Journal is to publish peer-reviewed original articles in clinical research relevant to anesthesia, critical care, case report, and others. This journal is published every 4 months with 9 articles (April, August, and December) by Department ...