UKRIDAUKRIDA

Jurnal Kedokteran MeditekJurnal Kedokteran Meditek

The choice of anesthesia regimen affects each patients recovery. Hyperbaric bupivacaine, a racemic mixture of S- and R-enantiomers, was more commonly used, while isobaric levobupivacaine, the S-enantiomer of bupivacaine, had fewer side effects. Several studies have shown that the use of isobaric levobupivacaine accelerated postoperative motor recovery. This study aims to compare the duration of motoric block from hyperbaric bupivacaine and isobaric levobupivacaine in pregnant women undergoing cesarean section with spinal anesthesia procedures. This quantitative analytical study was conducted on 52 cesarean section patients with spinal anesthesia procedures at Ukrida Hospital in 2024. The sample was randomly and equally divided into two groups. The duration of motoric block was assessed using the Bromage scale. The duration of motoric block was longer in the HB group than in the IL group (231.35 ± 16.944 versus 204.50 ± 38.472 minutes), with a significant difference (p < 0.001). Using the same technique and dosage, isobaric levobupivacaine with fentanyl offers faster relief of motoric block than hyperbaric bupivacaine with fentanyl.

This study demonstrated a significant difference in the duration of the motoric block post-surgery between the hyperbaric bupivacaine and isobaric levobupivacaine groups.The research identified variations in the onset time and duration of anesthetic medication among the samples, potentially influencing the motoric block duration.Future research should differentiate between slow- and rapid-onset blocks to provide a more comprehensive understanding of motoric block dynamics.

Berdasarkan temuan penelitian ini, beberapa saran penelitian lanjutan dapat dipertimbangkan. Pertama, penelitian lebih lanjut perlu dilakukan untuk mengeksplorasi pengaruh perbedaan onset motorik blok antara kedua jenis anestesi terhadap kepuasan pasien dan mobilitas pasca operasi. Kedua, studi komparatif yang melibatkan berbagai dosis dan kombinasi adjuvan dengan levobupivacaine dan bupivacaine dapat memberikan pemahaman yang lebih mendalam tentang optimasi regimen anestesi untuk pasien cesarean. Ketiga, penelitian prospektif yang melibatkan pemantauan jangka panjang terhadap fungsi motorik dan sensori pasien setelah operasi cesarean dapat membantu mengidentifikasi potensi efek samping atau komplikasi yang terkait dengan penggunaan levobupivacaine atau bupivacaine, serta memberikan informasi penting untuk meningkatkan kualitas perawatan pasca operasi. Penelitian-penelitian ini diharapkan dapat memberikan kontribusi signifikan dalam pengembangan praktik anestesi yang lebih aman dan efektif untuk pasien yang menjalani operasi cesarean.

  1. Practice of spinal anesthesia among anesthetists | LRA. practice spinal anesthesia anesthetists lra dovepress.com/the-current-practice-of-spinal-anesthesia-in-anesthetists-at-a-compreh-peer-reviewed-fulltext-article-LRAPractice of spinal anesthesia among anesthetists LRA practice spinal anesthesia anesthetists lra dovepress the current practice of spinal anesthesia in anesthetists at a compreh peer reviewed fulltext article LRA
  2. Low Dose Spinal Anesthesia Bupivakain 0,5% 5 mg dengan Adjuvan Fentanyl 50 mcg untuk Pasien dengan Uncorrected... jurnalanestesiobstetri-indonesia.id/ojs/index.php/Obstetri/article/view/v2i2.15Low Dose Spinal Anesthesia Bupivakain 0 5 5 mg dengan Adjuvan Fentanyl 50 mcg untuk Pasien dengan Uncorrected jurnalanestesiobstetri indonesia ojs index php Obstetri article view v2i2 15
  3. Comparison of Motoric Block Duration between 0.5% Hyperbaric Bupivacaine and 0.5% Levobupivacaine Cesarean... doi.org/10.36452/jkdoktmeditek.v31i6.4022Comparison of Motoric Block Duration between 0 5 Hyperbaric Bupivacaine and 0 5 Levobupivacaine Cesarean doi 10 36452 jkdoktmeditek v31i6 4022
  4. Anesthesia Essays and Researches. anesthesia essays researches doi.org/10.4103/0259-1162.150169Anesthesia Essays and Researches anesthesia essays researches doi 10 4103 0259 1162 150169
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