ANESTESI EPIDURAL TORAKAL (TEA) PADA OPERASI MODIFIED RADICAL MASTECTOMY (MRM)

Authors

  • Fendy Dwimartyono Universitas Muslim Indonesia
  • Faisal Sommeng Universitas Muslim Indonesia
  • Wirawan Harahap Universitas Muslim Indonesia
  • Andi Alya Nabila Universitas Muslim Indonesia

DOI:

https://doi.org/10.31004/prepotif.v7i3.22823

Abstract

Selama ini operasi Modified Radical Mastectomy (MRM) biasa dilakukan dengan anestesi umum. Di rumah sakit kami Thoracal Epidural Anesthesia (TEA) biasa digunakan pada gastrectomy atau thoracotomy,namun laporan penggunaan pada MRM sangat jarang.  Laporan kasus ini adalah 3 kasus pasien yang direncanakan MRM dengan teknik TEA. Insersi kateter di Th3-Th4 atau Th4-Th5 secara paramedian approach dengan teknik LOR. Tes dose Lidokain 1% dan adrenalin sebanyak 3 ml dilanjutkan dosis awal 5-10 ml Bupivacain isobaric 3.75% hingga target blok antara C5–Th7. Monitoring hemodinamik selama operasi. Hasil temuan Selama operasi ketiga pasien menunjukkan hemodinamik stabil dan selesai tanpa penyulit lalu pasien ditransfer ke ruang pemulihan. Tiga hari paska bedah diberikan Bupivakain 0.125% plus ajuvan fentanyl melalui epidural.. Evaluasi skala nyeri NRS sekitar 2-3. Kesimpulan dari kasus ini bahwa Teknik TEA pada operasi MRM ideal digunakan selain anestesi umum yang rutin dilakukan. TEA sangat baik dalam pengelolaan nyeri akut paska bedah

References

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Published

2023-12-29

How to Cite

Dwimartyono, F., Sommeng, F. ., Harahap, W. . ., & Alya Nabila, A. . (2023). ANESTESI EPIDURAL TORAKAL (TEA) PADA OPERASI MODIFIED RADICAL MASTECTOMY (MRM). PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 7(3), 17017–17025. https://doi.org/10.31004/prepotif.v7i3.22823

Issue

Vol. 7 No. 3 (2023): DESEMBER 2023

Section

Articles

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Copyright (c) 2023 Fendy Dwimartyono, Faisal Sommeng, Wirawan Harahap, Andi Alya Nabila

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