Survei Penggunaan, Jenis, Teknik, serta Obat Blok Saraf Perifer di Jawa Barat Tahun 2016

Abstract

Blok saraf perifer merupakan salah satu teknik regional anestesi yang memiliki banyak manfaat. Penggunaan blok saraf perifer di Asia, Eropa, Amerika, dan Australia sudah mulai meningkat. Data yang ada saat ini menunjukan bahwa penggunaan, jenis, teknik, dan obat untuk blok saraf perifer di negara lain sangat bervariasi. Di Indonesia khususnya wilayah Jawa Barat belum terdapat data mengenai penggunaan, jenis, teknik, dan obat blok saraf perifer. Tujuan penelitian ini adalah mengetahui penggunaan, jenis, teknik, dan obat yang digunakan untuk blok saraf perifer di Jawa Barat. Penelitian dilakukan selama bulan Maret 2018. Penelitian bersifat deskriptif dengan menggunakan kuesioner yang dikirimkan kepada 120 dokter spesialis anestesi di Jawa Barat, 66 melalui jasa pos dan 54 kuesioner diberikan langsung kepada dokter spesialis anestesi yang bekerja di Bandung. Angka respons yang didapatkan sebesar 51,3%. Dari penelitian ini didapatkan dokter spesialis anestesi yang melakukan blok saraf perifer pada tahun 2016 sebesar 44%, blok ankle sebanyak 56%, blok wrist sebanyak 53%, 71% menggunakan blind technique, serta obat paling banyak digunakan adalah bupivakain sebesar 91%. Permasalahan dokter spesialis anestesi di Jawa Barat yang berkaitan dalam pelaksanaan tindakan blok saraf perifer pada tahun 2016 paling banyak disebabkan dokter anestesi yang tidak familiar dengan tindakan blok saraf perifer sebesar 45%.

The Prevalence of Complications After Spinal Anesthesia in Post-Surgical Patients

“…Quincke needle is said to cause more injury and more traction on the meninges and meningeal blood vessels rather than whitacre needle [1,2]. Anaesthesiologist at Hasan Sadikin Hospital did not use a whitacre needle due to economical reason and the hospital also got abundance supplies of Quincke needle from the government [3].…”

“…It is a straightforward procedure compared to general anaesthesia, relatively cheaper, causing minimum systemic effects, and quicker recovery of digestive system function [1,2]. Lestari et al (2016) reported that 44.15% anaesthesiologists in West Java preferred spinal anaesthesia procedure [3].…”

“…Aside from its benefits, it also has its complications. There are some risk factors that play role in causing complications [3]. Patient's factors such as age and sex, anaesthesia factors such as needle size and anaesthetic drug being used, and surgical factors such as type of surgery and duration of the surgery [3].…”

“…There are some risk factors that play role in causing complications [3]. Patient's factors such as age and sex, anaesthesia factors such as needle size and anaesthetic drug being used, and surgical factors such as type of surgery and duration of the surgery [3]. Complications after spinal anaesthesia is categorized into intraoperative and postoperative complications [1,4].…”

Overview of Mean Arterial Pressure (MAP) Changes in Patients After General Anesthesia at Juanda Kuningan Hospital West Java

“…The state of a person's hemodynamics greatly affects the function of oxygen delivery in the body and involves the work of the heart. To determine the condition of hemodynamic disorders, appropriate monitoring and treatment is needed according to the patient's condition [11].…”