EFEKTIVITAS KOMBINASI ANALGETIK INTRAVENA-ERECTOR SPINAE PLANE BLOCK TERHADAP NYERI PASCA PEMBEDAHAN TORAKOTOMI DI RS MOHAMMAD HOESIN PALEMBANG

WIJAYA, RAHMAT and Irwanto, Fredi Heru and Fitrisyah, Aidyl and Liberty, Iche Andriyani (2025) EFEKTIVITAS KOMBINASI ANALGETIK INTRAVENA-ERECTOR SPINAE PLANE BLOCK TERHADAP NYERI PASCA PEMBEDAHAN TORAKOTOMI DI RS MOHAMMAD HOESIN PALEMBANG. Undergraduate thesis, Sriwijaya University.

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Abstract

Latar Belakang: Torakotomi merupakan prosedur bedah yang sering menyebabkan nyeri pascaoperasi yang berat. Erector Spinae Plane block (ESP), sebagai blok bidang myofascial yang dipandu USG, menjadi alternatif menjanjikan untuk mengendalikan nyeri secara efektif. Metode: Penelitian randomized controlled trial tersamar tunggal ini melibatkan 31 pasien dewasa yang menjalani torakotomi di RS Dr. Mohammad Hoesin Palembang. Subjek dibagi menjadi dua kelompok: satu menerima ESP block dengan 30 mL bupivakain 0,25%, dan kelompok lain menerima ESP dengan NaCl 0,9% (plasebo). Pasien dengan pemberian analgetik lokal sebelum insisi, perawatan ICU pascaoperasi, atau kegagalan blok dikeluarkan dari studi. Hasil: Skor VAS saat istirahat dan aktivitas pada 1, 12, dan 24 jam pascaoperasi secara signifikan lebih rendah pada kelompok bupivakain dibandingkan kelompok plasebo (p<0,001). Tidak ada pasien pada kelompok bupivakain yang mengalami nyeri sedang, sedangkan pada kelompok plasebo terdapat 40% pasien dengan nyeri sedang. Kesimpulan: ESP block yang dipandu USG dengan bupivakain 0,25% secara signifikan menurunkan nyeri pascaoperasi torakotomi dibandingkan plasebo. Teknik ini efektif sebagai bagian dari analgesia multimodal. Kata Kunci: anestesi regional, erector spinae plane block, nyeri pascaoperasi, torakotomi

Item Type: Thesis (Undergraduate)
Uncontrolled Keywords: anestesi regional, erector spinae plane block, nyeri pascaoperasi, torakotomi
Subjects: R Medicine > RC Internal medicine > RC86-88.9 Medical emergencies. Critical care. Intensive care. First aid
R Medicine > RD Surgery > RD1-811 Surgery
Divisions: 04-Faculty of Medicine > 11706-Anestesiology and Reanimation (Sp
Depositing User: Rahmat Wijaya
Date Deposited: 15 May 2025 08:01
Last Modified: 15 May 2025 08:01
URI: http://repository.unsri.ac.id/id/eprint/172608

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