PERBANDINGAN ONSET DAN DURASI BLOK SYARAF SPINAL ANTARA PENAMBAHAN FENTANYL 12,5g DENGAN NEOSTIGMIN 50g PADA SUBARACHNOID BLOK DENGAN BUPIVAKAIN 0,5% 12,5mg HIPERBARIK UNTUK OPERASI DAERAH PANGGUL DAN EKSTREMITAS BAWAH

• Main Authors: , ALFRED YOS WIRAWAN, , dr. I.G. Ngurah Rai Artika, Sp.An-KAKAV, KAR
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2011
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/89695/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=51374
• Institution: Universitas Gadjah Mada

S Introduction : pinal anesthesia is increasingly popular in use, however, there are any problems include onset and duration that can vary in accordance with local anesthesi used. In addition to using local anesthesi, sometimes adjuvant to increase the duration and quality of intraoperative analgesia. In addition to using opioid as adjuvants, can also be used non-opioid drug among others with acethylcoline esterase inhibotors Method : Study design with Randomized Controlled Trial. Population were patients who were scheduled for elective surgery under regional anesthesia with Subarachnoid Block (SAB) in the Center of Surgery Building of Dr. Sardjito Hospital Yogyakarta. This research consisted of sixty patient divided into two groups each consisting of 30 patients. Group F received hyperbaric Bupivacaine 0,5% 12,5 mg with adjuvant Fentanyl 12,5 g and Group B received hyperbaric Bupivacaine 0,5% 12,5 mg with adjuvant Neostigmin 50 The results g. were assessed about comparison between onset and duration of both groups was no statistically different Result : There between two group in the onset of sensoric and motoric (p>0,05). The mean of sensoric onset from Fentanyl group was 9,50±2,813minutes compared with Neostigmin group 9,80±1,699minutes. In addition, motoric onset of group F was 6,50±2,502 compared to group N which was 5,93±1,780minutes. The duration of sensoric block was defined as the regression to S2 (F=153,67±12,313 vs N=216,67±16,844minutes), showed statistically significant differece. While the duration of motoric block also statistically significant (F=145,33±14,499 vs N=203±15,570minutes) similar with onset Conclusion : SAB with Bupivacaine 0,5% 12,5mg hyperbaric and adjuvant Neostigmin 50µg provide longer duration compared to Bupivacaine 0,5% 12,5mg hyperbaric with Fentanyl 12,5µg, between two group