The Relation of Body Mass Index and Duration of Anesthesia with Conscious Recovery Time in Children with General Anesthesia in Regional General Hospital Central Java Kebumen

Abstract

The calculation of body mass index and duration of anesthesia is the first step of a series of actions performed anesthesia on pediatric patients who planned to undergo anesthesia . The calculation of body mass index and duration of anesthesia determine the smoothness of anesthesia , and the patient's recovery period after general anesthesia. The study is to determine the relationship of body mass index and duration of anesthesia with conscious recovery time after general anesthesia in children using observational analytic cross sectional survey approach. The site of research is in recovery room of The Central Surgery Installation RSUD Kebumen Central Java with as many as 44 research sample consists of body mass index and duration of anesthesia, with postoperative assessment instruments Steward score. The result is patients with conscious recovery time after general anesthesia slowly, over 30 minutes is a patient with a body mass index is not ideal that 13 people ( 68.42 % ) of the total sample whereas patients who recovered quickly in less than or equal to 30 minutes as many as 17 people ( 72 % ) with an ideal tubu mass index of the total sample . From the statistical test Chi-square computer program values obtained value , the probability asymp . Sig . ( 2 - sided ) : 0,008 which means there is a relationship of body mass index of anesthesia with the patient recovery time , and patients recover with time after general anesthesia consciously slowly , over 30 minutes is a patient with a long lebi anesthesia time of 1 hour 12 people ( 75 % ) of the total sample whereas patients who recovered quickly in less than or equal to 30 minutes of 20 people ( 71.43 % ) with a time of anesthesia faster than the total sample . From the statistical test Chi-square computer program values obtained value , the probability asymp. Sig. ( 2 - sided): 0,003 which means there is a long-standing relationship with the anesthesia recovery time of patients, so there is a relationship of body mass index and duration of anesthesia with conscious recovery time

Hubungan Indeks Massa Tubuh dengan Waktu Pulih Sadar pada Pasien Post Operasi dengan General Anesthesia

“…Pembedahan merupakan tindakan pengobatan yang memerlukan upaya untuk menghilangkan kesadaran pasien dan menghilangkan nyeri, keadaan itu disebut tindakan anestesi (Azmi et al, 2019). Anestesi secara garis besar dibagi menjadi tiga jenis yaitu lokal anestesi, regional anesthesia dan general anesthesia (Olfah et al, 2019). Pada beberapa tindakan operasi, general anesthesia merupakan teknik yang paling sering dipilih dalam melakukan tindakan operasi sebagai salah satu cara penghilang rasa sakit saat akan menjalani operasi yang diikuti dengan hilangnya kesadaran (reversible) (Saputri et al, 2020).…”

“…Hasil analisis uji bivariat menunjukkan bahwa ada hubungan indeks massa tubuh dengan waktu pulih sadar pada pasien post operasi general anesthesia di Instalasi Bedah Sentral RSUP Sanglah dengan nilai p-value = 0,013 (p<0,05). Temuan pada penelitian ini sejalan dengan penelitian sebelumnya yang menyatakan ada hubungan IMT dengan waktu pulih sadar (p=0,0003) karena kondisi IMT yang tinggi dapat meningkatkan risiko sindrom hipoventilasi yang membuat pasien mengalami hipersomnolen, apnea tidur sehingga waktu pulih sadar akan melambat (Olfah et al, 2019). Hasil ini juga sesuai dengan penelitian sebelumnya yang menyatakan ada hubungan antara IMT dengan waktu pulih sadar pasien laparatomi anestesi umum, dimana semakin tinggi IMT pasien semakin lama waktu pulih sadarnya (Risdayati et al, 2021).…”