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Fentany/lntratekal Mencegah Menggigil Pasca Anestesi Spinal pada Seksio Sesaria (Intrathecal Fentanyl for Prevention of Post Anesthetic Shivering in Caesarean Section)

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Post anesthetic shivering may cause distress in body metabolism. There are several pharmacological and non pharmacological means to overcome it. One mean which is considered pharmacologically effective is by adding intratechal fentanyl when conducting spinal anesthesia. This study was is identifying effect of intratechal fentanyl on incident of shivering in cesarian section patients with spinal anesthesia. Double blind randomized clinical trial carried out in operating teathers of dr. Saiful Anwar Hospital Malang. Forty cesarian section patients were divided into the addition of 20 µg fentanyl to 10 mg bupivacaine 0,5%H group and 10 mg bupivacaine 0,5%H alone group. Following spinal anasthesia, patients were evaluated and recorded every 5 minutes until60 minutes for every shivering incident and degree of shivering with Crossley and Mahajan scale. The results of both groups were compared with unpaired t test regression test between recording time and shivering incident. Fisher exact test, ANOVA test and Post Hoc test were used to evaluate each degree of shivering. Based on t test, shivering incident in control group was higher than intervention group (p=0,002). Control group has a risk to experience shivering than intervention group (OR=10,99; 95% CI= 2,00-58,82). ANOVA test revealed a significant difference of shivering incident during surgery between control and intervention group based on degree of shivering (p=0,000). The side effect (nausea and vomitus) was found after operation in 25% subjects in fentanyl group. It can be concluded thatfentanyl intratechal administration has potential benefitfor reducing post anesthetic shivering with minimal side effect.
Keywords: Fentanyl, post anesthetic shivering, spinal anesthesia

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Judul Seri

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No. Panggil

Jurnal Kedokteran Brawijaya, 27 (1) 2012 : 51-56

Penerbit

Malang : FK Universitas Brawijaya., 2012

Deskripsi Fisik

5p

Bahasa

ISBN/ISSN

0216-9347

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