Perbandingan waktu pencapaian skor aldrete ≥9 pada pasien yang diberikan obat kombinasi propofol-fentanyl dengan ketamine-midazolam pasca biopsi insisi atau eksisi di Rumah Sakit Umum Siloam gedung B = Comparison of time achievement of aldrete scores ≥9 in patients provided with combination drug of propofol-fentanyl with ketamine-midazolam after incision or excision biopsy in Siloam General Hospital building B

Raissa, Nathania (2018) Perbandingan waktu pencapaian skor aldrete ≥9 pada pasien yang diberikan obat kombinasi propofol-fentanyl dengan ketamine-midazolam pasca biopsi insisi atau eksisi di Rumah Sakit Umum Siloam gedung B = Comparison of time achievement of aldrete scores ≥9 in patients provided with combination drug of propofol-fentanyl with ketamine-midazolam after incision or excision biopsy in Siloam General Hospital building B. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

The stress level of surgery will be higher in anesthesia under local anesthesia compared to general anesthesia. General anesthesia for biopsy incision or excision surgery usually uses a combination of drugs that have a short duration and minimal side effects. The most commonly used drug combinations are Propofol-Fentanyl and Ketamine-Midazolam. Therefore, it is necessary to do a research on both these drug combinations for its recovery time and side effects. Aim to Compare the time achievement of Aldrete Score ≥9 in patients provided with drug combinations of Propofol-Fentanyl with Ketamine-Midazolam after incision or excision biopsy in Siloam General Hospital Building B. Material and method this study uses observational retrospective with crosssectional study design. Targeted sample of the research are 50 subjects from patients who underwent incision or excision bipsy in Siloam General Hospital Building B. Samples will be taken by purposive sampling. Secondary data is taken from the patient's medical records. The data obtained will be tabulated using Microsoft Excel 2016, and analyzed using the SPSS 25 program with Chi-square statistic test. Demographic data in both groups in terms of gender, age and BMI statistically did not show significant differences. The time to achieve Aldrete Score ≥9 in patients given Propofol-Fentanyl combination drug with Ketamine-Midazolam statistically did not show significant differences. The incidence of nausea and vomiting in the group given the combination Ketamine-Midazolam drug showed a statistically significant difference compared to patients given the combination drug PropofolFentanyl.There was no significant difference between time achievement of Aldrete Score ≥ 9 in patients provided with combination drug of Propofol-Fentanyl with KetamineMidazolam after incision or excision biopsy in Siloam General Hospital Building B / Tingkat stress pembedahan akan lebih tinggi pada pembiusan dengan anestesi lokal dibandingkan dengan anastesi umum. Pembiusan umum untuk operasi biopsi insisi atau eksisi biasanya sering menggunakan obat yang mempunyai durasi yang singkat dan efek samping yang minimal. Kombinasi obat yang sering digunakan adalah Propofol-Fentanyl dan Ketamine-Midazolam. Oleh karena itu, perlu dilakukan penelitian mengenai kedua kombinasi obat ini terhadap waktu pulih dan efek sampingnya. Tujuan peneliatian ini adalah untuk mengetahui perbandingan waktu pencapaian Skor Aldrete ≥9 pada pasien yang diberikan kombinasi obat anestesi PropofolFentanyl dengan Ketamine-Midazolam saat menjalani biopsi insisi atau eksisi di Rumah Sakit Umum Siloam Gedung B. Penelitian ini dilakukan secara observasional retrospektif dengan desain studi potong lintang. Target sampel penelitian sebanyak 50 subjek dari pasien yang menjalani biopsi insisi atau eksisi di Rumah Sakit Umum Siloam Gedung B dari Juni 2017 sampai dengan Maret 2018. Sampel akan diambil dengan cara purposive sampling. Data sekunder dari rekam medis yang didapatkan akan ditabulasi menggunakan Microsoft Excel 2016 dan dianalisis menggunakan program SPSS 25 dengan metode uji statistik Chi-Square. Hasil analisis data demografis pada kedua kelompok dalam hal jenis kelamin, usia, dan IMT secara statistic tidak menunjukkan perbedaan yang bermakna. Waktu pencapaian Skor Aldrete ≥9 pada pasien yang diberikan obat kombinasi PropofolFentanyl dengan Ketamine-Midazolam secara statistic tidak menunjukkan perbedaan yang bermakna. Insiden mual dan muntah pada kelompok yang diberikan obat kombinasi Ketamine-Midazolam secara statistik menunjukan perbedaan yang bermakna dibandingkan dengan pasien yang diberikan obat kombinasi Propofol-Fentanyl. Tidak terdapat perbedaan yang bermakna pada waktu pencapaian Skor Aldrete ≥9 pada pasien yang diberikan kombinasi obat Propofol-Fentanyl dengan Ketamine-Midazolam pasca menjalani biopsi insisi atau eksisi di Rumah Sakit Umum Siloam Gedung B.

Item Type: Thesis (Bachelor)
Creators:
CreatorsNIMEmail
Raissa, NathaniaUNSPECIFIEDUNSPECIFIED
Contributors:
ContributionContributorsNIDN/NIDKEmail
Thesis advisorTantri, Irma LusianaUNSPECIFIEDUNSPECIFIED
Uncontrolled Keywords: Biopsi; Propofol; Fentanyl; Ketamine; Midazolam; Skor Aldrete; Biopsy; Propofol; Fentanyl; Ketamine; Midazolam; Aldrete Score
Subjects: R Medicine > R Medicine (General)
Divisions: University Subject > Current > Faculty/School - UPH Karawaci > Faculty of Medicine > Medicine
Current > Faculty/School - UPH Karawaci > Faculty of Medicine > Medicine
Depositing User: Users 13 not found.
Date Deposited: 04 Mar 2020 04:13
Last Modified: 17 Jul 2020 01:48
URI: http://repository.uph.edu/id/eprint/6369

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