PROPORSI KEJADIAN AWARENESS SELAMA ANESTESI UMUM PADA PASIEN PEDIATRIK DENGAN MONITORED ANESTHESIA CARE (MAC)

FADHILAH ZULFA, dr. Djayanti Sari, M.Kes, SpAn, KAP ; dr. Yunita Widyastuti, M.Kes, SpAn, KAP, PhD

2015 | Skripsi | S1 PENDIDIKAN DOKTER

LATAR BELAKANG : Selama anestesi berlangsung, awareness intraoperatif dapat terjadi. Kejadian awareness intraoperatif pada pasien dewasa dengan anestesi umum dilaporkan sebesar 0,1%, sedangkan pada pasien pediatrik sebesar 2,7% dan 5%. Penelitian mengenai awareness intraoperatif pada pasien pediatrik dengan Monitored Anesthesia Care (MAC) belum pernah dilakukan. TUJUAN : Mengetahui kejadian awareness selama anestesi umum pada pasien pediatrik dengan Monitored Anesthesia Care (MAC) METODE : Penelitian ini dilakukan dengan desain studi observasional. Tiga puluh pasien pediatrik usia 1-18 tahun yang menjalani prosedur MAC diukur kedalaman anestesinya dengan menggunakan Index of Consciousness (IoC) monitor dan PRST Score/Evan�s Score. Hasil kejadian awareness yang didapatkan kemudian akan dianalisis dan dikelompokkan dalam kriteria-kriteria seperti usia, jenis kelamin, status fisik, tindakan yang dilakukan, serta medikasi yang digunakan untuk anestesi. HASIL : Pasien dengan nilai IoC positif awareness sebesar 63,3%. Pasien dengan skor PRST positif awareness sebanyak 3,33%. Pasien positif awareness dengan nilai IoC dan skor PRST sebanyak 3,33%. KESIMPULAN : Kejadian awareness intraoperatif pada pasien pediatrik dengan prosedur MAC di RSUP dr. Sardjito sebanyak 3,33%. Diperlukan pencegahan awareness di RSUP dr. Sardjito sehingga awareness tidak terjadi. Kata kunci : Anesthesia, pediatrik, awareness intraoperatif, Monitored Anesthesia Care (MAC)

ABSTRACT BACKGROUND : Awareness intraoperative can be occured during anesthesia. The reported incidence of awareness in adult patient with general anesthesia was 0,1%. In pediatric patients were 2,7% and 5%. Study of awareness intraoperative in pediatric patient with monitored anesthesia care (MAC) has never been conducted in RSUP dr. Sardjito. OBJECTIVE : To find out the incidence of awareness of pediatric patients with Monitored Anesthesia Care (MAC). METHODS : Observational study was conducted towards 30 pediatric patients (1-18 y.o.) with Monitored Anesthesia Care (MAC). Depth of anesthesia was monitored with Index of Consciousness (IoC) and PRST Score/Evan�s Score. The result was analyzed and categorized based on age, sex, physical status, medical procedures, and anesthesia�s medication of patients. RESULTS : Positive awareness in pediatric patients based on IoC score was 63,3%, based on PRST score was 3,33%, and based on both positive IoC score and PRST score was 3,33%. CONCLUSIONS : The incidence of awareness of pediatric patient with Monitored Anesthesia Care (MAC) in Sardjito General Hospital is 3,33%. Prevention of awareness is needed so that awareness will not occur anymore in the future. KEYWORD : Anesthesia, pediatric, awareness intraoperative, Monitored Anesthesia Care (MAC)

Kata Kunci : Anesthesia, pediatric, awareness intraoperative, Monitored Anesthesia Care (MAC)