Perbedaan Kejadian Agitasi Pasien Pediatri PascaAnestesi Umum dengan Sevofluran atau Isofluran
DOI:
https://doi.org/10.55175/cdk.v47i1.5Keywords:
Agitasi, isofluran, PAED, sevofluran, AgitationAbstract
Pendahuluan: Agitasi adalah masalah utama yang paling sering ditemukan di bagian anestesi pediatri. Agitasi pasca-operasi sering terjadi pada anak yang menjalani anestesi dengan sevofluran. Tujuan: Menganalisis pengaruh pemberian sevofluran dan isofluran terhadap angka kejadian agitasi pasien pediatri yang menjalani anestesi umum. Metode: Penelitian double blind randomized control trial di kamar instalasi bedah sentral RSUD Dr. Moewardi Surakarta pada 36 sampel yang telah memenuhi kriteria. Sampel dibagi menjadi kelompok mendapat anestesi umum dengan sevofluran (18 sampel) dan isofluran (18 sampel). Kejadian agitasi pasca-operasi dinilai menggunakan skor Pediatric Anesthesia Emergence Delirium (PAED) pada menit ke-10, 20, dan 30. Analisis statistik menggunakan uji independent t. Hasil: Kedua kelompok memiliki karakteristik dasar homogen. Uji beda rerata skor PAED antara kedua kelompok menghasilkan nilai p = 0,505 (10 menit), p = 0,624 (20 menit), dan p = 0,240 (30 menit). Simpulan: Kejadian agitasi pasien pediatri pasca-anestesi isofluran dan sevofluran tidak berbeda signifikan (p >0,05).
Background: Agitation is a main problem in pediatric anesthesia. Post surgery agitation in pediatric patients occurred more frequently after sevoflurane anesthesia. Purpose: To analyze the incidence of emergency agitation after sevoflurane and isoflurane general anesthesia in pediatric patients. Method: A double blind randomized control trial on 36 pediatric patients in the Central Surgery Unit of RSUD Dr. Moewardi Surakarta. Samples were divided into sevoflurane general anesthesia (18 patients) and isoflurane general anesthesia (18 patients). Post surgery agitation was recorded with Pediatric Anesthesia Emergence Delirium (PAED) score in 10, 20, and 30 minutes. Statistical analysis was performed using independent t test. Result: Both groups had comparable basic characteristics. The difference in mean PAED score between the two groups had the p value of 0.505 (10 minutes), 0.624 (20 minutes), and 0.240 (30 minutes) (p >0,05). Conclusion: The incidence of post surgery emergence agitation in children after sevoflurane general anesthesia and isoflurane general anesthesia is not significantly different
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