Anesthesia Technique Selection Pattern in Patients Undergoing Lower Extremities Surgery at Dr. Hasan Sadikin General Hospital from January–June 2013
Abstract: Musculoskeletal
problems of the lower extremities are becoming more frequent lately. This
problem usually requires surgery to be dealt quickly . The role of the
anesthesiologist is needed to determine which anesthesia technique that has to
be performed. Selection of proper anesthesia technique can reduce the incidence
of complications . Objective of this study was to determine anesthesia
technique selection pattern in patients undergoing orthopedic surgery at Dr.
Hasan Sadikin General Hospital from January–June 2013.
Methods: A quantitative study with retrospective descriptive method was
conducted. This study was carried out from September–October 2013 at Dr. Hasan
Sadikin General Hospital Bandung. Medical records were used as a research
instrument. Data collection was conducted using total sampling method. There
were 228 data of all cases, but only 151 patients who met the inclusion and
exclusion criteria.
Results: One hundred fifty one patients were identified. Sixty five
subjects (43%) were performed under general anesthesia, 83 subjects (55%) under
regional anesthesia and 3 subjects (2%) under combination of general-regional
anesthesia. Regional anesthesia techniques consisted of spinal anesthesia
(29%), epidural anesthesia (64%), combination of spinal-epidural anesthesia
(5%), and peripheral nerve block (2%).
Conclusions: Regional anesthesia is the most frequently technique used in
lower extremities orthopedic surgery, with epidural anesthesia as the most
common regional technique used because of all the benefits.
Author: Keshina Amalia Mivina
Mudia, Ezra Oktaliansah, Ihrul Prianza Prajitno
Journal Code: jpkedokterangg160101
