Profil Nyeri pada Pasien Pascaoperasi Total Knee Arthroplasty di RSUP Prof. Dr. R. D. Kandou Manado
DOI:
https://doi.org/10.35790/ecl.v13i3.62662Abstract
Abstract: Total knee arthroplasty (TKA) is a definitive therapy for severe knee osteoarthritis. Postoperative acute pain is a major concern, as inadequate pain management can prolong rehabilitation and hospitalization. This study aimed to evaluate the use of analgesics and local anesthetic, and postoperative pain intensity in TKA patients at Prof. Dr. R. D. Kandou Hospital Manado from January 2023 to August 2024. This was a descriptive study aiming to observe the most commonly used analgesics and the pain intensity experienced by patients. The results showed that out of 64 patients who underwent TKA, single analgesic ketorolac was used in 4.92% of patients, while therapy with paracetamol, tramadol, and ketorolac was administered to 52.46% of patients, with mild pain being the most commonly reported complaint. The most frequently used local anesthetic was epidural morphine combined with paracetamol and ketorolac, accounting for 66.67% of the three patients who received local anesthetic therapy and reported mild pain. All patients received intravenous analgesics, with 4.92% also receiving oral administration. Postoperative pain management for TKA at Prof. Dr. R. D. Kandou Hospital Manado primarily utilized analgesics such as paracetamol, tramadol, and ketorolac, demonstrating mild pain intensity over the 72-hour recovery period. Similarly, local anesthetics like epidural morphine, combined with additional analgesics, yielded comparable effectiveness in TKA’s postoperative pain control.
Keywords: total knee arthoplasty; postoperative pain; analgesics; pain intesity
Abstrak: Total knee arthroplasty (TKA) merupakan terapi definitif untuk osteoartritis lutut berat. Nyeri akut pascaoperasi menjadi perhatian utama karena manajemen nyeri yang buruk dapat memperpanjang rehabilitasi dan rawat inap pasien. Penelitian ini mengkaji penggunaan analgetik, anestetik lokal dan intensitas nyeri pascaoeprasi TKA di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2023-Agustus 2024. Jenis penelitian ialah deksriptif dengan mengamati profil analgetik dan anestetik lokal yang paling banyak penggunaannya, serta intesitas nyeri yang dialami pasien. Hasil penelitian mendapatkan dari 64 pasien pascaoperasi TKA, penggunaan analgetik tunggal ketorolak tercatat pada 4,92% pasien, sementara terapi analgetik parasetamol, tramadol, dan ketorolak digunakan oleh 52,46% pasien dengan keluhan nyeri ringan yang paling sering dikeluhkan. Anestetik lokal yang paling sering digunakan ialah epidural morfin dengan tambahan analgetik parasetamol dan ketorolac, yaitu 66,67% dari tiga pasien yang mendapat terapi anestetik lokal dan keluhan nyeri ringan. Semua pasien menerima analgetik secara intravena; 4,92% di antaranya juga menerima melalui jalur peroral. Manajemen nyeri pascaoperasi TKA di RSUP Prof. Dr. R. D. Kandou Manado didominasi oleh penggunaan analgetik parasetamol, tramadol, dan ketorolak, yang menunjukkan intesitas nyeri ringan selama 72 jam perawatan. Anestetik lokal seperti epidural morfin dengan tambahan analgetik juga menunjukkan hasil serupa dalam kontrol nyeri pascaoperasi total knee arthroplasty.
Kata kunci: total knee arthroplasty; nyeri pascaoperasi; analgetik; intesitas nyeri
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