Pengaruh Anestesi Regional dan General pada Sectio Cesaria pada Ibu dengan Pre Eklampsia Berat terhadap Apgar Score

*Nurhadi Wijayanto  -  Bagian Anestesiologi/ RSU Bhayangkara Sartika Asih, Indonesia
Ery Leksana  -  Bagian Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Universitas Diponegoro/ RSUP Dr. Kariadi, Indonesia
Uripno Budiono  -  Bagian Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Universitas Diponegoro/ RSUP Dr. Kariadi, Indonesia
Published: 1 Jul 2012.
Open Access
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Abstract

Latar belakang : pada pasien preeklampsia berat intubasi merupakan tindakan yang berbahaya karena berkaitan dengan menejeman jalan napas dan gejolak hemodinamik yang mungkin terjadi. Anestesi spinal banyak dihindari berkaitan dengan resiko hipotensinya namun beberapa penelitian telah menunjukkan bahwa anestesi spinal adalah aman bagi ibu maupun janin . perdebatan tentang pengaruh anestesi umum dan anestesi spinal terhadap Apgar score adalah sesuatu yang menarik. Beberapa penelitian menunjukkan bahwa tidak ada perbedaan anestesi pada keduanya namun pada penelitian lainnya dikatakan bahwa dengan apresiasi umum akan menghasilkan anestesi yang lebih rendah daripada anestesi spinal.

Tujuan : untuk membandingkan pengaruh anestesi umum dan anestesi spinal terhadap anak yang dilahirkan oleh ibu dengan sectio caesaria karena preeklampsia berat.

Metode : merupakan penelitian eksperimental dengan desain penelitian prospective randomized control trial, kelompok penelitian dibagi menjadi dua (n:8), kelompok I merupakan kelompok yang mendapat anestesi umum dengan pentothal dosis 5mg/bb dan pelumpuh otot suksinilkholis dosis 1.5mg/bb

Kesimpulan : Apgar score pada kelompok anesthesi spinal lebih tinggi daripada anestesi umum pada pasien sectio caesaria karena preeklampsia berat, tetapi secara klinis berdasarkan kategori Apgar score kedua kelompok sama

Keywords: preeklampsia; Apgar score; anestesi spinal; sectio cesaria, hemodinamik

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Article Info
Section: Penelitian
Language: ID
In Vol 4, No 2 (2012): Jurnal Anestesiologi Indonesia
Statistics: 2183 5068
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