Efektivitas Penggunaan Anestesi Regional terhadap Pengurangan Nyeri Pasca Operasi
DOI:
https://doi.org/10.59585/bajik.v4i1.807Keywords:
Regional Anesthesia, Postoperative Pain, Pain ManagementAbstract
Background: Postoperative pain is a major problem for patients undergoing surgery. Suboptimal pain management can lead to physiological and psychological complications, delay recovery, and reduce the patient's quality of life. One method of pain management is the use of regional anesthesia, which has the advantage of reducing pain intensity and reducing the need for additional analgesics.
Objective: This study aimed to determine the effectiveness of regional anesthesia in reducing postoperative pain compared to general anesthesia.
Methods: This study used a quasi-experimental design with a post-test only control group design. A sample of 60 elective surgery patients was divided into two groups: regional anesthesia (n=30) and general anesthesia (n=30). Pain intensity was measured using a Visual Analog Scale (VAS) at 6 and 12 hours postoperatively. Data were analyzed using an independent t-test.
Results: The study showed that the average VAS score in the regional anesthesia group was lower than that in the general anesthesia group, both at 6 hours (2.8 ±1.1 vs. 5.4 ±1.5) and 12 hours (3.1 ±1.2 vs. 5.9 ±1.7) postoperatively. A t-test showed a significant difference (p < 0.05) between the two groups.
Conclusion: Regional anesthesia has been shown to be effective in reducing postoperative pain intensity. This method can be considered as a primary strategy for perioperative pain management to accelerate patient recovery.
References
Apfelbaum, J. L., Chen, C., Mehta, S. S., & Gan, T. J. (2020). Postoperative pain experience: Results from a national survey suggest postoperative pain continues to be undermanaged. Anesthesia & Analgesia, 130(5), 1364–1373. https://doi.org/10.1213/ANE.0000000000004643
Chou, R., Gordon, D. B., de Leon-Casasola, O. A., Rosenberg, J. M., Bickler, S., Brennan, T., ... & Wu, C. L. (2016). Management of postoperative pain: A clinical practice guideline from the American Pain Society. The Journal of Pain, 17(2), 131–157. https://doi.org/10.1016/j.jpain.2015.12.008
El-Boghdadly, K., Pawa, A., & Chin, K. J. (2018). Local anesthetic systemic toxicity: Current perspectives. Local and Regional Anesthesia, 11, 35–44. https://doi.org/10.2147/LRA.S154512
Joshi, G. P., & Kehlet, H. (2019). Postoperative pain management in the era of ERAS: An overview. Best Practice & Research Clinical Anaesthesiology, 33(3), 259–267. https://doi.org/10.1016/j.bpa.2019.07.016
Karanikolas, M., Aretha, D., & Tsolakis, I. (2020). Regional anesthesia and perioperative outcomes. Current Opinion in Anaesthesiology, 33(5), 643–651. https://doi.org/10.1097/ACO.0000000000000902
Kehlet, H., & Dahl, J. B. (2019). Anaesthesia, surgery, and challenges in postoperative recovery. The Lancet, 393(10184), 101–111. https://doi.org/10.1016/S0140-6736(19)30313-X
Levy, N., Mills, P., & Mythen, M. (2018). Is regional anesthesia the new standard of care in enhanced recovery after surgery pathways? British Journal of Anaesthesia, 120(4), 645–647. https://doi.org/10.1016/j.bja.2018.02.014
Liu, S. S., & Wu, C. L. (2017). The effect of analgesic technique on postoperative patient-reported outcomes including analgesia: A systematic review. Anesth Analg, 125(5), 1749–1762. https://doi.org/10.1213/ANE.0000000000002451
Mariano, E. R., & Ilfeld, B. M. (2018). Perineural local anesthetic infusion: A review of techniques for prolonged postoperative analgesia. Anesthesia & Analgesia, 126(6), 1865–1879. https://doi.org/10.1213/ANE.0000000000002746
Memtsoudis, S. G., Poeran, J., & Cozowicz, C. (2018). Regional anesthesia and outcomes: Evidence-based benefits. Best Practice & Research Clinical Anaesthesiology, 32(2), 179–191. https://doi.org/10.1016/j.bpa.2018.06.004
Rawal, N. (2016). Current issues in postoperative pain management. European Journal of Anaesthesiology, 33(3), 160–171. https://doi.org/10.1097/EJA.0000000000000366
Schug, S. A., & Chandrasena, C. (2019). Postoperative pain management following ambulatory surgery: Challenges and solutions. Ambulatory Surgery, 25(1), 1–6.
Sun, Y., Li, T., Wang, N., Yun, Y., Gan, T. J. (2017). Perioperative systemic lidocaine for postoperative analgesia and recovery after abdominal surgery: A meta-analysis of randomized controlled trials. Diseases of the Colon & Rectum, 60(2), 118–125. https://doi.org/10.1097/DCR.0000000000000734
Wu, C. L., & Raja, S. N. (2019). Treatment of acute postoperative pain. The Lancet, 393(10180), 2215–2225. https://doi.org/10.1016/S0140-6736(19)30384-0
Zhang, Z., Xu, H., Zhang, Y., & Jin, J. (2020). Effectiveness of regional anesthesia for pain control after orthopedic surgery: A systematic review and meta-analysis. Pain Physician, 23(4), 345–356.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 M. Akbar AliPolanunu Polanunu

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



