ANESTESI KETAMIN PADA TERAPI MANIPULASI ZERO POSITION PADA PASIEN FROZEN SHOULDER
DOI:
https://doi.org/10.31004/prepotif.v9i1.40577Keywords:
frozen shoulder, ketamin, zero positionAbstract
Ketamin telah memainkan peran serbaguna dalam pengobatan karena spektrum penggunaannya yang luas dalam sejarah termasuk penggunaan dalam sedasi, katalepsi, analgesia somatik, dan bronkodilatasi. Pendekatan multimodal analgesik non-opioid atau Opioid Free Anastesia(OFA) ditujukan untuk mengoptimalkan opsi tambahan intraoperatif, Beberapa meta-analisis juga telah melaporkan efek menguntungkan dari anestesi ketamin pada proses sedasi pasien yang menjalani operasi. Namun, Pemberian ketamin dosis subanestesi 0,1-0,5 mg/kg IV merupakan salah satu obat yang dapat menggantikan opioid sebagai analgetik dengan memberikan efek samping minimal. Kami menyajikan kasus seorang laki-laki berusia 49 tahun dengan diagnose medis frozen shoulder, datang dengan keluhan nyeri berat pada bahu kiri yang menyebabkan terganggunya aktifitas sehari-hari. Pasien mendapatkan tindakan manipulasi zero position untuk membantu dalam mengurangi perlengketan pada kapsul sendi bahu dengan anastesi umum menggunakan ketamin dosis rendah 0,3 mg/kgBB IV. Zero position dengan menggunakan induksi ketamin 0,3 mg/kgBB dilakukan dalam waktu 2 menit, tindakan berjalan dengan baik tanpa penyulit dan komplikasi. Kami menyajikan kasus ini untuk menunjukkan bagaimana efektivitas penggunaan ketamin pada pasien frozen shoulder yang diinduksi dengan anestesi umum dapat menyebabkan pengendalian nyeri, efek relaksasi dan fleksibilitas otot, serta peningkatan kualitas hidup pasien.References
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