Efektivitas Analgesik 24 Jam Pascaoperasi Elektif di RSUP Dr. Hasan Sadikin Bandung Tahun 2017

Prabandari, Dita Aryanti; Indriasari, Indriasari; Maskoen, Tinni T.

doi:10.15851/jap.v6n2.1221

Cited by 5 publications

(7 citation statements)

References 7 publications

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“…Therefore, timing of analgesics administration was essential to reduce the incidence of analgesia gap. Based on the Institute for safe medication practices (ISMP), provision of maintenance drugs administered over 30 minutes behind schedule would have negative impact on patients and provide suboptimal results (12, 13). This study had several limitations.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Analgesia Gap and Type of Surgery, Analgesic Drugs, and Timing of Analgesic Administration: What Do We Know?

et al. 2019

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Background Inadequate postoperative pain management poses unique challenges for anesthesiologists. The transition from epidural analgesia to other analgesic drugs has its own challenges. Increasing pain during this period is defined as analgesia gap. Objectives This study aimed at determining the incidence of analgesia gap and its associated factors, such as type of surgery, analgesic drugs, and timing of analgesic administration. Methods This was a prospective cohort among acute pain service patients at a tertiary hospital from July to October 2018. There were 220 subjects included in this study. All subjects were scheduled for elective surgery with epidural analgesia. Following last epidural regimen administration, the pain scale was assessed using VAS. If the patient had VAS more than four, then they were classified as having analgesia gap. Type of surgery, type of analgesic drugs, and timing of drugs administration were measured as the associating factors. Results The incidence of analgesia gap in this tertiary hospital was 26.6%. Type of surgery was not significantly associated with the incidence of analgesia gap (P = 0.057). However, type of analgesic drugs and timing of analgesic administration were related to incidence of analgesic gap (P = 0.016 and P < 0.001). Conclusions The incidence of analgesia gap in this study was 26.6%. Type of analgesic drugs and timing of analgesic administration had a significant association with the incidence of analgesia gap. However, type of surgery did not have a significant association with the incidence of analgesia gap.

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Section: Discussionmentioning

confidence: 99%

The Association Between Analgesia Gap and Type of Surgery, Analgesic Drugs, and Timing of Analgesic Administration: What Do We Know?

et al. 2019

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“…Nyeri akut yang tidak teratasi dapat menyebabkan beberapa akibat, yaitu respons nyeri yang tidak hilang atau berkurang, meningkatkan risiko nyeri kronik, mampu meningkatkan respons inflamasi tambahan, mengganggu proses penyembuhan luka, meningkatkan waktu perawatan di rumah sakit yang akan berakibat lanjut peningkatan risiko infeksi nasokomial, bahkan dapat meningkatkan kejadian mortalitas. [3][4][5] Penelitian di Rumah Sakit Umum Pusat Cipto Mangunkusumo Jakarta tahun 2011 sampai dengan 2012 menggambarkan angka mortalitas pada pasien luka bakar masih cukup tinggi, yaitu sebesar 27,6%. Salah satu upaya menurunkan angka mortalitas yang tinggi tersebut adalah diterapkan manajemen nyeri yang baik.…”

Section: Pendahuluanunclassified

Evaluasi Kepatuhan Pelaksanaan Standar Prosedur Operasional Manajemen Nyeri pada Pasien Luka Bakar di RSUP Dr. Hasan Sadikin Bandung

Yudhanarko¹,

Suwarman²,

Aditya³

2019

jap

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Nyeri didefinisikan sebagai pengalaman sensorik dan emosional yang tidak menyenangkan terkait dengan kerusakan jaringan aktual atau potensial. Manajemen nyeri pada luka bakar merupakan bagian yang tidak terpisahkan dari terapi luka bakar. Nyeri pada luka bakar merupakan nyeri akut, penanganan yang tidak baik akan menyebabkan komplikasi, salah satunya nyeri kronik. Rumah Sakit Umum Pusat (RSUP) Dr. Hasan Sadikin Bandung telah membuat Standar Prosedur Operasional (SPO) manajemen nyeri yang berguna untuk meningkatkan kepatuhan dalam pelaksanaan manajemen nyeri. Penelitian ini bertujuan mengevaluasi kesesuaian teknik pengkajian, tindak lanjut dan evaluasi ulang nyeri pada pasien luka bakar dengan SPO manajemen nyeri. Penelitian menggunakan metode deskriptif observasional retrospektif terhadap 99 rekam medis pasien luka bakar yang memenuhi kriteria inklusi di RSUP Dr. Hasan Sadikin Bandung pada tahun 2018. Hasil penelitian didapatkankan bahwa pengkajian nyeri yang dilakukan sesuai dengan SPO menggunakan numeric rating scale atau Wong Baker faces pain scale ditemukan pada 99 pasien (100%). Tindak lanjut hasil pengkajian nyeri luka bakar yang dilakukan sesuai dengan SPO sebanyak 71 pasien (72%). Evaluasi ulang setelah tindak lanjut pengkajian nyeri yang sesuai SPO pada 93 pasien (94%). Simpulan, pengkajian nyeri di RSUP Dr. Hasan Sadikin Bandung sudah sesuai dengan SPO manajemen nyeri, namun tindak lanjut dan evaluasi ulang pada nyeri luka bakar belum sesuai dengan SPO manajemen nyeri.Evaluation of Compliance to Standard Operating Procedures for Pain Management in Patients with Burns in Dr. Hasan Sadikin General Hospital BandungPain is defined as an unpleasant sensory and emotional experience related to actual or potential tissue damage. Pain management for burns is an integral part of burn therapy. Pain in burns is an acute pain and poor management will lead to health complications including chronic pain. Dr. Hasan Sadikin General Hospital Bandung has made a standard operating procedure (SOP) for pain management to improve compliance to pain management standard. This study aimed to evaluate the compliance to the standards in assessment techniques, follow-up, and re-evaluation of pain in patients with burn according to the applicable pain management SOP. This was a retrospective descriptive observational study on 99 medical records of burn patients who met the inclusion criteria in Dr. Hasan Sadikin General Hospital Bandung in 2018. The results of the study revealed that the pain assessment for these patient was carried out according to the SOP which refers to the use of a numeric rating scale or Wong Baker face pain scale in 99 patients (100%). In the follow-up, 71 were performed according to the SOP (72%) while the re-evaluation was performed in compliance with the SOP in 93 patients (94%). In conclusion, pain assessment in Dr. Hasan Sadikin General Hospital Bandung is performed in accordance with SOP on pain management but not all patients receive follow-up and re-evaluation of burn pain in accordance with the SOP on pain management.

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“…Nyeri pascabedah yang tidak ditangani dengan baik menyebabkan pemanjangan masa rawat, penyembuhan luka, dan dapat berubah menjadi nyeri kronik. [1][2][3] Pemberian analgetik preventif merupakan salah satu cara mengurangi nyeri pascabedah. Beberapa obat telah digunakan sebagai terapi analgetika preventif antara lain parasetamol, nonsteroidal anti-inflammatory drugs (NSAID), opioid, ketamin, obat anestesi lokal, dan gabapentin.…”

Section: Pendahuluanunclassified

Pengaruh Pemberian Magnesium Sulfat Intravena Prainduksi terhadap Kebutuhan Analgetik Pasca-Simple Mastectomy

Asyer¹,

Fuadi²,

Rachman³

2019

jap

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Nyeri pascabedah masih menjadi masalah dan perhatian di dunia. Pemberian analgetik preventif merupakan salah satu cara untuk mengurangi nyeri pascabedah. Beberapa obat digunakan sebagai terapi analgetik preventif antara lain opioid dan NSAID, namun obat ini mempunyai banyak efek samping. MgSO4 dapat digunakan sebagai analgetik preventif karena bersifat antagonis reseptor NMDA nonkompetitif. Tindakan operasi yang memiliki skor nyeri yang tinggi salah satunya adalah simple mastectomy dengan skor nyeri 4 sampai 8. Penelitian ini bertujuan mengetahui pengaruh MgSO4 i.v. dengan dosis bolus 50 mg/kgBB 20 menit prainduksi terhadap kebutuhan analgetik pasca-simple mastectomy. Penelitian ini merupakan penelitian analitik komparatif dengan data tidak berpasangan secara prospektif dengan uji klinis acak terkontrol buta ganda (RCT double blind) yang dilakukan terhadap 26 subjek penelitian yang menjalani simple mastectomy di RSUP Dr. Hasan Sadikin Bandung pada bulan Agustus sampai Desember 2018. Analisis statistik pada data numerik diuji dengan uji t berpasangan, sedangkan data kategorik diuji dengan uji chi-Square. Subjek dibagi menjadi kelompok M (MgSO4 20% 50 mg/kgBB) dan kelompok C (NaCl 0,9%). Hasil penelitian ini didapatkan kebutuhan opioid pascabedah pada kelompok yang diberikan MgSO4 lebih rendah dibanding dengan kelompok yang mendapatkan NaCl dengan perbedaan bermakna (p<0,05). Simpulan penelitian ini adalah MgSO4 i.v. prainduksi menurunkan kebutuhan opioid dibanding dengan kelompok kontrol pada simple mastectomy. Effect of Intravenous Magnesium Sulfate Pre-induction on Analgesics Consumption in Post-Simple MastectomyPostoperative pain is still a global problem that raises concerns all over the world. Preventive analgesics is one method to reduce postoperative pain. Several drugs are used as preventive analgesics including opioids and NSAIDs. However, these drugs have many side effects. MgSO4 can be used as alternative preventive analgesic as it is a non-competitive NMDA receptor antagonist. One of the surgical procedure that has a high pain score is simple mastectomy with a pain score of 4 to 8. The aim of this study was to determine the effect of MgSO4 i.v. with a bolus dose of 50 mg/kgBW, 20 minutes pre-induction, on the need for post-simple mastectomy analgesics. This was a comparative double blind randomized controlled trial (RCT) analytical study on prospective unpaired data from 26 study subjects who underwent simple mastectomy at Dr. Hasan Sadikin General Hospital Bandung during the period of August to December 2018. Subjects were divided into group M (MgSO4 20% 50 mg/kgBW) and group C (NaCl 0.9%). The results of this study revealed that the need for postoperative opioids in the group given MgSO4 was significantly lower compared to the group receiving NaCl (p<0.05). Therefore, MgSO4 i.v. preinduction has the ability to reduce opioid requirements in simple mastectomy when compared to NaCl.

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Efektivitas Analgesik 24 Jam Pascaoperasi Elektif di RSUP Dr. Hasan Sadikin Bandung Tahun 2017

Cited by 5 publications

References 7 publications

The Association Between Analgesia Gap and Type of Surgery, Analgesic Drugs, and Timing of Analgesic Administration: What Do We Know?

The Association Between Analgesia Gap and Type of Surgery, Analgesic Drugs, and Timing of Analgesic Administration: What Do We Know?

Evaluasi Kepatuhan Pelaksanaan Standar Prosedur Operasional Manajemen Nyeri pada Pasien Luka Bakar di RSUP Dr. Hasan Sadikin Bandung

Pengaruh Pemberian Magnesium Sulfat Intravena Prainduksi terhadap Kebutuhan Analgetik Pasca-Simple Mastectomy

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