Perbandingan Daya Guna Profilaksis Pethidine 0,5 Mg/KgBB, Tramadol 1 Mg/KgBB dan Ketamin 1 Mg/KgBB untuk Mencegah Shivering Pasca Operasi Laparaskopi dengan Anestesi Umum

  • Muhammad Iqbal Fakultas Kedokteran UGM
  • Pandit Sarosa RSUP Dr. Sardjito Yogyakarta
  • Djayanti Sari RSUP Dr. Sardjito Yogyakarta
Keywords: laparascopy, general anaesthesia, pethidin, tramadol, ketamin

Abstract

Background: Post anaesthesia shivering is a autonom mechanism compensation against fall body temperature to increased heat body production. Hypothermia during operation is primary cause post anaesthetic shivering. Shivering can increased cardiac activity, intraocular pressure, intracranial pressure and create postoperative discomfort condition.

Objective: The aim of this study is compare effectivity of pethidin 0,5 mg/kg, tramadol 1 mg/kg and ketamin 0,5 mg/kg as a prophylactic drug of shivering after laparascopy surgery with general anesthesia.

Methods: This study is double blind randomized controlled trial. The subject were 193 patient, male or female with age 18-60, physical status of ASA I and II, who undergo of laparascopy surgery with general anesthesia. Subject were divided into three group. Group P with pethidin 0,5 mg/kg, group T with tramadol 1 mg/kg, group K with ketamin 0,5 mg/kg, drug were diluted with 10 mL normal saline. Prophylactic drugs given when superficial skin closure.

Results: Is done measurement systolic blood pressure, diastolic blood pressure, heart rate and body temperature. Measurement done before procedure anaesthesia, during anesthesia and at the recovery room.

Conclusion : Shivering assessment began after terminating inhalation anaesthesia agen.

Author Biographies

Muhammad Iqbal, Fakultas Kedokteran UGM

Peserta program pendidikan dokter spesialis I Anestesiologi dan Terapi Intensif FK UGM / RSUP Dr. Sardjito Yogyakarta

Pandit Sarosa, RSUP Dr. Sardjito Yogyakarta

Dokter anestesi dan staff pengajar program pendidikan dokter spesialis I Anestesiologi dan
Terapi Intensif FK UGM / RSUP Dr. Sardjito Yogyakarta

Djayanti Sari, RSUP Dr. Sardjito Yogyakarta

Dokter anestesi dan staff pengajar program pendidikan dokter spesialis I Anestesiologi dan
Terapi Intensif FK UGM / RSUP Dr. Sardjito Yogyakarta

Published
2023-05-27
How to Cite
Iqbal, M., Sarosa, P., & Sari, D. (2023). Perbandingan Daya Guna Profilaksis Pethidine 0,5 Mg/KgBB, Tramadol 1 Mg/KgBB dan Ketamin 1 Mg/KgBB untuk Mencegah Shivering Pasca Operasi Laparaskopi dengan Anestesi Umum. Jurnal Komplikasi Anestesi, 5(1), 11-19. https://doi.org/10.22146/jka.v5i1.7316