DOI: https://doi.org/10.14710/jai.v0i0.68607

COMPARISON OF THE EFFECTS OF FENTANYL 0.7 MCG/KGBB WITH KETAMINE 0.2 MG/KGBB ON THE QUALITY OF RECOVERY POST GENERAL ANESTHESIA WITH QOR-40 SCORING IN LAPARATOMY SURGERY

1Master of Clinical Medicine/ Anesthesiology and Intensive Therapy Study Program, Faculty of Medicine, Universitas Sumatera Utara, Adam Malik General Hospital, Medan, Indonesia;, Indonesia

2Study Program Of Anesthesiology and Intensive Therapy,Faculty of Medicine,Universitas Sumatera Utara, Adam Malik General Hospital, Medan, Indonesia;, Indonesia

Received: 2 Dec 2024; Revised: 18 Jun 2025; Accepted: 4 Jul 2025; Available online: 7 Jul 2025.
Open Access Copyright 2021 JAI (Jurnal Anestesiologi Indonesia)
Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.

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Abstract

COMPARISON OF THE EFFECTS OF FENTANYL 0.7 MCG/KGBB WITH KETAMINE 0.2 MG/KGBB ON THE QUALITY OF RECOVERY POST GENERAL ANESTHESIA WITH QOR-40 SCORING IN LAPARATOMY SURGERY

Imam Syahputra 1, Sinta Irina2, Bastian Lubis 2

 

1Master of Clinical Medicine/ Anesthesiology and Intensive Therapy Study Program, Faculty of Medicine, Universitas Sumatera Utara, Adam Malik General Hospital, Medan, Indonesia;

2Study Program Of Anesthesiology and Intensive Therapy,Faculty of Medicine,Universitas Sumatera Utara, Adam Malik General Hospital, Medan, Indonesia;

 

 Abstract

Background: Evaluation of post-general anesthesia recovery is crucial in assessing the final outcome of anesthesia procedures. Quality of Recovery-40 (QoR-40), a questionnaire instrument specifically assesses the quality of post-general anesthesia recovery comprehensively. Researchers are interested in comparing two types of drugs, namely Fentanyl and ketamine, on the quality of post-general anesthesia recovery.

Methods: This study is a comparative categorical analytical experimental method study with a double-blind randomized clinical controlled trial (RCT) design. Analyzing the comparative effects of fentanyl and ketamine on the quality of post-general anesthesia recovery in laparotomy surgery patients assessed by QoR-40 at General Hospital Haji Medan. Subject selection technique using consecutive sampling method where 42 subjects are needed. Bivariate analysis for numeric variables using the Independent T-test if the data is normally distributed, or the Mann Whitney U test if the data is not normally distributed. The results of the analysis are said to be significant if p <0.05, with a confidence level of 95%.

Results: The results of the study showed that the total QoR-40 score for fentanyl use had an average of 172.4762 + 3.81601, while in the group using ketamine, the average score was 174.7619 + 3.37498, which had a significant difference between the fentanyl group and the ketamine group with p <0.05.

Conclusion: Ketamine has better effectiveness than fentanyl in terms of comfort on the QoR-40 questionnaire, as evidenced by the comfort value for ketamine being statistically higher than fentanyl.

 

Keywords: Ketamine, Fentanyl, QoR-40

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Section: Original Articles
Language : EN
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