Perbandingan efektifitas prabean Koloid 40 KD Gelatin 2 ml/kgbb/jam puasa dan kristaloid ringer laktat 3 ml/kgbb/jam puasa untuk mengurangi insiden mual muntah pasca operatif bedah elektif mayor

GUMAY, Taufik Wijaya Krisna, dr. Bambang Suryono, Sp.AN-KIC.,M.Kes

2006 | Tesis | S2 Ilmu Kedokteran Klinik (Anestesiologi dan Reanimasi)

Tujuan : Membandingkan dayaguna antara koloid gelatin 40KD 2 ml/kgbb/jam puasa dan ringer laktat 3 ml/kgbb/jam puasa dalam mencegah mual dan muntah pasca operasi ginekologi, operasi payudara elektif mayor. Desain : Prospective randomized open end-blinded evaluation. Subyek : 96 pasien, pria dan wanita, berusia 18 – 50 tahun, status fisik ASA I - II Ruang lingkup : Wanita yang menjalani operasi ginekologi, operasi payudara elektif mayor terencana di Instalasi Bedah Sentral RSUP Dr. Sardjito Yogyakarta dan RSUD Banyumas Intervensi : Subyek dibagi dalam 2 kelompok, kelompok I diberi koloid gelatin 40 KD 2 ml/kgbb/jam puasa, kelompok II diberi ringer laktat 3 ml/kgbb/jam puasa. Pengukuran : Semua subyek diukur mual dan muntah pasca operasi, mulai dan angka kejadiannya dinilai dengan skala verbal. Lama operasi, tekanan sistolik, tekanan diastolik, denyut nadi dan efek samping obat.

Objective : To compare the efficacy between gelatin colloid 40 KD 2 ml/kg/hour fasting and lactated ringer 3 ml/kg/hour fasting for decrease incidence post operative nausea and vomiting in major elective gynecological, abdominal and orthopaedic surgery. Random : Prospective randomized open end-blinded evaluation Setting : Female patients underwent elective operation of major elective gynecological, breast surgery under general anesthesia in central operationg theater of Dr. Sardjito Hospital Yogyakarta and RSUD Banyumas. Subject : 96 patients, female, aged 18-50 years, physical status ASA I-II, body weight 45-70 kgs. Intervention : the subject devided into two groups, each group is 48 patients, group I receive gelatin colloid 40 KD 2 ml/kg/hour fasting, group II receive lactated ringer 3 ml/kg/hour fasting. Measurement : All of the subject were measured the time and PONV incidence by verbal scale. Duration of operation, blood presure, pulse and side effect were also measured.

Kata Kunci : Anestesi,Operasi Bedah Elektif Mayor,Mual Muntah,Ringer Laktat, post operative nausea and vomiting, colloid, lactated ringer