EFEKTIVITAS TRANSVERSUS ABDOMINIS PLANE BLOCK SEBAGAI ANALGESIA MULTIMODAL PADA PASIEN SEKSIO SESAREA DI RSUP DR MOHAMMAD HOESIN PALEMBANG

STEVANI, STEVANI and Mafiana, Rose and Miarta, Andi and Martadiansyah, Abarham (2024) EFEKTIVITAS TRANSVERSUS ABDOMINIS PLANE BLOCK SEBAGAI ANALGESIA MULTIMODAL PADA PASIEN SEKSIO SESAREA DI RSUP DR MOHAMMAD HOESIN PALEMBANG. Undergraduate thesis, Sriwijaya University.

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Abstract

Background: Pain after caesarean section is a very important problem faced by postoperative patients. Transversus Abdominis Plane Block (TAP) as a part of multimodal analgesia provides safe and effective analgesia in patients undergoing caesarean section (SC) procedures, which can reduce opioid use. Methods: This research is an intervention study with a randomized controlled double blind trial with a sample size of 17 samples in the treament group and 17 samples in the control group. The treatment group was given a TAP block using 20 ml of 0,375% ropivacaine and the control group was given a TAP block using 20 ml of 0,9% NaCl. Pain was measured using a VAS (Visual Analog Scale) score at the 0th hour, 2nd hour, 6th hour, 12th hour, and 24th hour after surgery. Use of rescue analgesia was also assessed in both groups. Results: There were differences in VAS scores 2 hours, 6 hours, 12 hours, and 24 hours after cesarean section surgery between treatment groups, both at rest and movement. The TAP block group using 0.375% ropivacaine had a significantly different VAS score at 12 hours post-surgery (p=0.01) compared to the control group using 0.9% NaCl. There was a difference in the use of rescue analgesia between the TAP block group using 0.375% ropivacaine and the control group using 0.9% NaCl, with an average time of using rescue analgesia of 13.20+1.30 hours. No side effects have been reported with TAP block use. Conclusion: Transversus Abdominis Plane Block (TAP) is effective as multimodal analgesia in caesarean section patients at RSUP dr Mohammad Hoesin Palembang Key words: Pain, Caesarean section, Transversus Abdominis Plane Block, ropivacaine, VAS score, rescue analgesia, multimodal analgesia

Item Type:	Thesis (Undergraduate)
Uncontrolled Keywords:	Nyeri, Seksio sesarea, Transversus Abdominis Plane Block, ropivacaine, Skor VAS, rescue analgesia, multimodal analgesia
Subjects:	R Medicine > RD Surgery > RD78.3-87.3 Anesthesiology R Medicine > RG Gynecology and obstetrics > RG500-991 Obstetrics R Medicine > RG Gynecology and obstetrics > RG551-591 Pregnancy R Medicine > RG Gynecology and obstetrics > RG725-791 Obstetric operations. Operative obstetrics
Divisions:	04-Faculty of Medicine > 11706-Anestesiology and Reanimation (Sp
Depositing User:	Stevani Stevani
Date Deposited:	22 May 2024 03:12
Last Modified:	22 May 2024 03:12
URI:	http://repository.unsri.ac.id/id/eprint/144937

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