skip to main content

Pengaruh Jenis Kelamin, Usia, dan Data Antropometrik terhadap Landmark Blok Popliteal

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Universitas Indonesia/ RSUP Nasional Cipto Mangunkusumo, Jakarta, Indonesia

Published: 30 Nov 2022.

Citation Format:
Abstract

Latar Belakang: Teknik blok popliteal menggunakan stimulator saraf masih menjadi pilihan di Indonesia. Keberhasilan blok meningkat jika pengetahuan dan pemahaman landmark anatomi baik. Landmark anatomi berupa jarak titik percabangan saraf skiatik terhadap lipatan fossa popliteal dan kedalaman titik tersebut dari kulit. Perbedaan landmark anatomi dapat terjadi karena perbedaan ukuran tulang panjang dan massa otot. Penelitian ini bertujuan mengetahui pengaruh jenis kelamin, usia, dan data antropometri terhadap landmark blok popliteal dengan menggunakan panduan ultrasonografi (USG).

Metode: Penelitian bersifat analitik observasional dengan rancangan potong lintang. Penelitian dilaksanakan di RSUPN Cipto Mangunkusumo Jakarta setelah mendapatkan izin dari komite etik. Usaha mencari gambaran percabangan saraf skiatik pada tungkai kanan dan kiri menggunakan USG dua dimensi dilakukan pada 107 pasien yang akan menjalani operasi bedah terencana di Instalasi Bedah Terpadu. Data yang diperoleh dianalisis melalui Statistical Program for Social Science (SPSS) untuk mengetahui hubungan dan pengaruh antara jenis kelamin, usia tinggi badan, berat badan dan indeks massa tubuh (IMT) terhadap landmark blok popliteal serta memperoleh formula prediksi landmark blok popliteal.

Hasil: Pada penelitian ini diperoleh hubungan bermakna jenis kelamin, tinggi badan terhadap jarak percabangan saraf skiatik ke lipatan fossa popliteal dan hubungan bermakna berat badan, IMT terhadap jarak percabangan saraf skiatik pada permukaan kulit dengan nilai p <0,005. Tinggi badan (TB) dominan berpengaruh terhadap jarak percabangan saraf skiatik dari lipatan fossa popliteal (adjusted R2 38,8% dan 32,4%) sedangkan berat badan dominan terhadap jarak percabangan saraf skiatik ke permukaan kulit (adjusted R2 22,5% dan 24,7%). Formula prediksi jarak percabangan skiatik dari lipatan fossa popliteal (cm) pada tungkai kanan12,548 + 0,133 x (TB dalam cm) dan tungkai kiri -6,549 + 0,091 x (TB dalam cm) + 0,63 x jenis kelamin. Formula prediksi jarak percabangan skiatik ke kulit pada tungkai kanan 0,277 + 0,288 x (BB dalam kg) dan tungkai kiri 0,319 + 0,028 x (BB dalam kg).

Kesimpulan: Terdapat pengaruh jenis kelamin dan data antropometrik terhadap landmark blok popliteal.

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
Copyright Transfer Agreement
Subject
Type Other
  Download (58KB)    Indexing metadata
 common.other
Ethical Clearance
Subject
Type Other
  View (416KB)    Indexing metadata
Keywords: antropometrik; blok popliteal; blok saraf; fossa popliteal; saraf skiatik

Article Metrics:

  1. Lollo L, Stogicza A. Patient variability in sciatic nerve branch point distrance using ultrasound guided localization. Austin J Anesth and Analg. 2014; 2(5):3
  2. Hadzic A. Hadzic’s peripheral nerve blocks and anatomy for ultrasound guided regional. New York: McGraw-Hill, 2012; 249-65
  3. Reine MM, Canale MB, Ehredt DJ. The popliteal nerve block in foot and ankle surgery: An Efficient and Anatomical Technique. J Anest Clin Res. 2015; 6(8): 1-7
  4. Chiang EP, Dangerfield P, Asay D. Ultrasound imaging of the sciatic nerve division in the popliteal fossa : A volunteer Study. Open J Anesthesiol. 2013; 3: 288-92
  5. Ahuja K, Dureja J, Chaudhary G, Middha S. A Comparative evaluation of techniques in interscalene brachial plexus Block: Conventional blind, nerve stimulator guided and ultrasound guided. Ann Int Med Den Res. 2016; 2(3): 61-6
  6. Andrew G, Lisa W. Ultrasound-guided interscalene blocks. J Ultrasound in Medicine. 2012; 31(7): 979-83
  7. McLeod GS, McArtney CJL, Wildsmith JAW. Principles and practice of regional anesthesia. Oxford: Oxford University Press; 2013; 94-6. Clark P, Tesoriero LJ, Morton DJ, Talavera JO, Karlamangla A, Schneider DL, et al. Hip axis length variation : Its correlation with athropometric measurements in women from three ethnic groups. Osteoporos Int. 2008; 19: 1301-6
  8. Travison TG, Beek TJ, Esche GR, Araujo AB, McKinlay JB. Age treds in proximal femur geometry in Men : Variation by race and ethnicity. Osteoporos Int. 2008; 19: 277-87
  9. Marshall LM. Race and ethnic variation in proximal femur structure and BMD among older men. J bone min res. 2008; 23: 121-30
  10. Clark P, Tesoriero LJ, Morton DJ, Talavera JO, Karlamangla A, Schneider DL, et al. Hip axis length variation : Its correlation with athropometric measurements in women from three ethnic groups. Osteoporos Int. 2008; 19: 1301-6
  11. Reinoso-Barbero F SB, Segura-Grau E, Liamas A. Anatomical comparison of sciatic nerves between adults and newborns: Clinical implications for ultrasound guided block. J. Anat. 2014; 224: 108-12
  12. Alen D, Matti MJ, Klein S Cliff, Rice L Charles, Marsh D Greg. Differential age- related changes in bone geometry between the humerus and the femur in healthy men. JKL International LLC. 2012; 3: 156-63
  13. Kyle GL, Hans D, Karsegard L, Slosman DO, Pichard C. Age-related differences in fat-free mass, skletal muscle, body cell mass and fat mass between 18-94 years. Eur J Clin Nutr. 2001; 55 : 663-72
  14. Schiarite L CM, Maggi G, Abad A, Glisanz F. Location of the sciatic nerve at the Popliteal Fossa in The Adult Population: Relationship With Gender And anthropometric data studied: Implications for daily practice. Rev Esp Anestesiol Reanim. 2015; 62 : 565-9
  15. Saleh HAM, El-Fark MMO, Abdel Hamid GA. Anatomical variations in the bifurcation of the schiatic nerve, a cadaveric study and its clinical implications. Anath Physiol, 2009; 68(4): 256-9
  16. Segura-Grau E, Díez Sebastián J, Reinoso-Barbero F. The influence of age on the anatomical variability of sciatic nerve divisions in the thigh: an ultrasound study. Surgical and Radiologic Anatomy. 2021;43(12):2031-7
  17. Kim H, Chin K, Kim H, Jang H, Bin S, Ro Y et al. Ultrasound‐Guided Anterior Approach to a Sciatic Nerve Block. Journal of Ultrasound in Medicine. 2020;39(8):1641-7
  18. Tammam T. Ultrasound-guided infragluteal sciatic nerve block: a comparison between four different techniques. Acta Anaesthesiologica Scandinavica. 2012;57(2):243-8
  19. Osaka Y, Kashiwagi M, Nagatsuka Y, Miwa S. Ultrasound-guided medial mid-thigh approach to sciatic nerve block with a patient in a supine position. Journal of Anesthesia. 2011;25(4):621-4
  20. Sawant D. The Anatomical Study of Division of the Sciatic Nerve Proximal to its Exit. Global Journal For Research Analysis. 2012;2(1):169-71

Last update:

No citation recorded.

Last update: 2023-12-03 03:57:22

No citation recorded.