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INTERNATIONAL JOURNAL OF CREATIVE RESEARCH THOUGHTS - IJCRT (IJCRT.ORG)
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Published Paper Details:
COMPARATIVE ANALYSIS OF POSTOPERATIVE EFFECT BETWEEN OPIOID FREE ANESTHESIA (KETAMIN + LIDOCAINE 2%) AND OPIOID ANESTHESIA (FENTANYL) IN ELECTIVE SURGERY PATIENTS AT RSUD DR. SOETOMO
Authors
Pratama Ananda,Anna Surgean Veterini,Nancy Margarita Rehatta
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Keywords
delirium, hypoxia, ileus, nausea and vomiting, opioid free anesthesia, WBFS
Abstract
Background : Opioid Free Anesthesia (OFA) is an anesthetic technique that avoids intraoperative opioids to minimize side effects of opioids, reduce the need for postoperative opioids and produce better postoperative outcomes. This study aims to analyze the comparison of the side of OFA and opioid anesthesia (OA) in elective surgery patients at Dr. Hospital Soetomo
Method : This study is an experimental study with Single Blind randomized involving adult patients undergoing elective surgery from May 2021 to August 2021 under general anesthesia for airway management intubation at RSUD DR. Soetomo. Side observed were Wong Baker Face Scale (WBFS), incidence of hypoxia, ileus, delirium and postoperative nausea and vomiting.
Results: 60 samples obtained 30 subjects in the control group and 30 people in the treatment group with 23 male and 37 female. Evaluation of postoperative pain found 5 subjects with moderate-severe WBFS scale in the control group and 3 subjects in the treatment group (0.706); and significant differences in the incidence of hypoxia (9 subjects in the control group and 2 subjects with hypoxia (p = 0.020); ileus in the form of 14 subjects in the control group and 2 subjects in the treatment group (p = 0.002); the incidence of delirium (p = 0.026) in the form of 8 subjects in the control group. and 1 subject in the treatment group, and the incidence of nausea and vomiting (p=0.012) in 14 subjects in the control group while 5 subjects in the treatment group.
Conclusion: Both groups received adequate analgesics so that they had similar WBFS, but the incidence of side was significantly different in the two groups where the incidence of hypoxia, ileus, delirium, and postoperative nausea and vomiting are lower. So that OFA could be considered as an anesthetic technique of choice.
IJCRT's Publication Details
Unique Identification Number - IJCRT2110214
Paper ID - 212538
Author type - Foreign Author
Page Number(s) - b775-b782
Pubished in - Volume 9 | Issue 10 | October 2021
DOI (Digital Object Identifier) -
No Of Downloads - 560
Author Country - Indonesia, 60286, Surabaya, Surabaya, 60286, Humanities All
Publisher Name - IJPUBLICATION | www.ijcrt.org | ISSN : 2320-2882
E-ISSN Number - 2320-2882
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Pratama Ananda,Anna Surgean Veterini,Nancy Margarita Rehatta, "COMPARATIVE ANALYSIS OF POSTOPERATIVE EFFECT BETWEEN OPIOID FREE ANESTHESIA (KETAMIN + LIDOCAINE 2%) AND OPIOID ANESTHESIA (FENTANYL) IN ELECTIVE SURGERY PATIENTS AT RSUD DR. SOETOMO", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.9, Issue 10, pp.b775-b782, October 2021, Available at :http://www.ijcrt.org/papers/IJCRT2110214.pdf
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