Perbandingan Efektivitas Premedikasi MgSO4 40 mg/Kgbb dengan Klonidin 1 mcg/Kgbb Intravena sebagai Ajuvan untuk Teknik Hipotensi Kendali pada Bedah Sinus Endoskopik Fungsional
ABSTRACT

Background: Controlled hypotensive anaesthesia technique in functional endoscopic sinus surgery may reduce bleeding during surgery. It makes the field of view clearer and complication can be avoided.

Objective: Compare effectiveness premedication MgSO4 40 mg/kgBW with clonidine 1 mcg/kgBW intravenously as an adjuvant to controlled hypotensive anaesthesia technique in functional endoscopic sinus surgery with general anaesthesia.

Methods: This is an experimental research using single blind random sampling technique. Total sample 48 people underwent functional endoscopic sinus surgery. Samples were divided into two groups, first group given premedication MgSO4 40 mg/kgBW (n=24) and second group given clonidine 1 mcg/kgBW (n=24). During controlled hypotensive anaesthesia period, otolaryngologist gave a numeric assessment to the  field of operation using Fromme and Boezzart scale every 15 minutes. Data non parametric tested by Mann-Whitney test.

Result: The view of operating field in functional endoscopic sinus surgery on both groups showed no significant difference (p>0,05).

Conclusion: Premedication MgSO4 40 mg/kgBW intravenously equally effective compared to clonidine 1 mcg/kgBW as an adjuvant for controlled hypotensive anaesthesia technique and gave the operating field clearer view in functional endoscopic sinus surgery.

Keywords : effectiveness, MgSO4, Clonidine, adjuvant, controlled hypotensive anaesthesia technique, functional endoscopic sinus surgery
ABSTRAK

Latar belakang: Teknik hipotensi kendali akan mengurangi perdarahan sehingga lapang pandang operasi lebih jelas dan kemungkinan komplikasi dapat dihindari.

Tujuan: Membandingkan efektivitas premedikasi MgSO4 40 mg/kgBB dengan Klonidin 1 mcg/kgBB intravena sebagai ajuvan teknik hipotensi kendali pada bedah sinus endoskopik fungsional pada anestesi umum.

Metode: Penelitian eksperimental secara acak tersamar tunggal. Total sampel 48 orang yang menjalani bedah sinus endoskopik fungsional. Sampel dibagi dalam dua kelompok perlakuan, kelompok pertama diberikan premedikasi MgSO4 40 mg/kgBB (n=24) dan kelompok kedua diberikan Klonidin 1 mcg/kgBB (n=24).  Selama periode hipotensi kendali, setiap 15 menit ahli THT memberikan penilaian numerik dari kondisi lapangan operasi menggunakan skala Fromme dan Boezzart. Data non parametrik diuji dengan uji Mann-Whitney.

Hasil: Tampilan lapangan pandang operasi pada bedah sinus endoskopik fungsional pada kedua kelompok tidak berbeda bermakna (p>0,05)

Simpulan: Premedikasi MgSO4 40 mg/kgBB intravena sama efektif dengan Klonidin 1 mcg/kgBB sebagai ajuvan dalam teknik hipotensi kendali dan memberikan tampilan lapangan operasi yang bersih pada bedah sinus endoskopik fungsional.

 

Kata kunci : Efektivitas, MgSO4, klonidin, ajuvan, hipotensi kendali, bedah sinus endoskopik fungsional
Artikel Sekarang
Dipublikasi pada 01 March 2014
Penulis :
» Kausarina Purwaningrum
» Abdul Wahab
» Arifin Seweng
Kategori : Penelitian
Berkas Artikel (PDF)
Dari Jurnal
Volume VI Nomor 1, Maret 2014 Cover JAI
Daftar Isi | Berkas Full (PDF)

 

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