THE EFFECTIVENESS OF POSTOPERATIVE PERICAPSULAR NERVE GROUP ANALGESIA BLOCK IN PATIENTS UNDERGOING TOTAL HIP REPLACEMENT WITH REGIONAL ANESTHESIA SUBARACHNOID BLOCK

Authors

  • I Gede Prima Julianto Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • I Made Gede Widnyana Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • Kadek Agus Heryana Putra Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • I Ketut Wibawa Nada Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • I Gusti Ngurah Mahaalit Aribawa Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • Ida Bagus Krisna Jaya Sutawan Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • Made Wiryana Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • Tjokorda Gde Agung Senapathi Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali

DOI:

https://doi.org/10.31004/prepotif.v8i1.27258

Keywords:

pericapsular nerve group block, total hip replacement, numerical rating scale, analgesia

Abstract

Penggunaan blok saraf kelompok perikapsular (PENG) dapat menjadi alternatif analgesia post-operatif yang efektif untuk Penggantian Sendi Panggul Total, dengan komplikasi rendah. Penelitian ini bertujuan untuk menentukan efektivitas analgesia blok PENG terhadap tingkat nyeri, jumlah konsumsi opioid dalam 24, 48, dan 72 jam serta analgesia post-operatif THR di Rumah Sakit Prof. Dr. I. G. N. G. Ngoerah Denpasar. Penelitian ini adalah studi eksperimental dengan desain uji acak terkontrol buta tunggal yang dilakukan di ruang operasi Instalasi Bedah Sentral Rumah Sakit Prof. Dr. I. G. N. G Ngoerah, Denpasar. Uji perbandingan rata-rata menggunakan uji Mann-Whitney jika distribusi data tidak normal. Seluruh proses analisis data di atas menggunakan perangkat lunak statistik SPSS 26. Ada 48 subjek yang menjalani THR dan dibagi menjadi 2 kelompok. Ada perbedaan yang signifikan secara statistik antara kelompok-kelompok tersebut. Berdasarkan hasil analisis non-parametrik, NRS saat istirahat dan bergerak di kelompok perlakuan lebih rendah daripada kontrol dengan nilai p <0,001. Jumlah opioid yang diperoleh memiliki nilai p <0,001 dalam 24 jam pertama, 48 jam, dan 72 jam. Durasi efek ditemukan lebih lama pada kelompok PENG dibandingkan dengan kontrol (p <0,001). Pemberian blok PENG selama prosedur THR menghasilkan NRS yang lebih rendah pada 24 jam, penggunaan opioid yang lebih rendah pada 24 jam, 48 jam, dan 72 jam pascaoperatif, dan durasi efek bebas nyeri yang lebih lama.

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Published

2024-04-30

How to Cite

I Gede Prima Julianto, I Made Gede Widnyana, Kadek Agus Heryana Putra, I Ketut Wibawa Nada, I Gusti Ngurah Mahaalit Aribawa, Ida Bagus Krisna Jaya Sutawan, Made Wiryana, & Tjokorda Gde Agung Senapathi. (2024). THE EFFECTIVENESS OF POSTOPERATIVE PERICAPSULAR NERVE GROUP ANALGESIA BLOCK IN PATIENTS UNDERGOING TOTAL HIP REPLACEMENT WITH REGIONAL ANESTHESIA SUBARACHNOID BLOCK. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 8(1), 2544–2558. https://doi.org/10.31004/prepotif.v8i1.27258

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Vol. 8 No. 1 (2024): APRIL 2024

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Copyright (c) 2024 I Gede Prima Julianto, I Made Gede Widnyana, Kadek Agus Heryana Putra, I Ketut Wibawa Nada, I Gusti Ngurah Mahaalit Aribawa, Ida Bagus Krisna Jaya Sutawan, Made Wiryana, Tjokorda Gde Agung Senapathi

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