Proporsi Kejadian Awareness selama Anestesi Umum pada Pasien Pediatrik dengan Monitored Anesthesia Care (MAC)

*Yunita Widyastuti scopus  -  Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia
Fadhilah Zulfa  -  Fakultas Kedokteran; Kesehatan Masyarakat; dan Keperawatan; Universitas Gadjah Mada/RSUP Dr. Sardjito; Yogyakarta, Indonesia
Djayanti Sari  -  Bagian Anestesiologi dan Terapi Intensif; Fakultas Kedokteran; Kesehatan Masyarakat; dan Keperawatan; Universitas Gadjah Mada/RSUP Dr. Sardjito; Yogyakarta, Indonesia
Received: 3 Sep 2019; Published: 31 Mar 2021.
DOI: https://doi.org/10.14710/jai.v13i1.25264 View
Proporsi Kejadian Awareness selama Anestesi Umum pada Pasien Pediatrik dengan Monitored Anesthesia Care (MAC)
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Proporsi Kejadian Awareness selama Anestesi Umum pada Pasien Pediatrik dengan Monitored Anesthesia Care (MAC)
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Proporsi Kejadian Awareness selama Anestesi Umum pada Pasien Pediatrik dengan Monitored Anesthesia Care (MAC)
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Abstract

Latar Belakang: Selama anestesi berlangsung, awareness intraoperatif dapat terjadi. Kejadian awareness intraoperatif pada pasien dewasa dengan anestesi umum dilaporkan sebesar 0,1%, sedangkan pada pasien pediatrik sebesar 2,7% dan 5%. Penelitian mengenai awareness intraoperatif pada pasien pediatrik dengan monitored anesthesia care (MAC) belum pernah dilakukan di RSUP Dr. Sardjito Yogyakarta.

Tujuan: Mengetahui angka kejadian awareness selama anestesi umum pada pasien pediatrik dengan MAC

Metode: Studi observasional dilakukan pada 30 pasien pediatrik (usia 1-18 tahun) yang direncanakan akan dilakukan MAC. Kedalaman anestesi dimonitor dengan menggunakan index of consciousness (IoC) dan skor pressure, heart rate, sweating, tears (PRST)/Skor Evan. Proporsi awareness dianalisis dan dikelompokkan dalam kriteria-kriteria seperti usia, jenis kelamin, status fisik, indikasi tindakan yang dilakukan, serta medikasi yang digunakan untuk anestesi.

Hasil: Pasien dengan nilai IoC positif awareness sebesar 63,3%, sedangkan pasien dengan skor PRST positif awareness sebanyak 3,33%. Penjelasan mengapa hasil dari IoC lebih besar adalah karena nilai pada IoC dapat dipengaruhi oleh nistagmus yang terjadi pada pasien-pasien yang menggunakan ketamin (15/30 (50%)).

Kesimpulan: Kejadian awareness intraoperatif pada pasien pediatrik dengan prosedur MAC di RSUP Dr. Sardjito sebanyak 3,33%. Pencegahan awareness diperlukan agar awareness tidak terjadi lagi di kemudian hari.

Note: This article has supplementary file(s).

Keywords: anestesi; awareness intraoperatif; index of consciousness; monitored anesthesia care (MAC); pediatrik

Article Metrics:

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Last update: 2021-05-11 04:13:15

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