PROFIL ANALGETIK PASCA OPERASI PADA PASIEN PEDIATRI YANG MENJALANI OPERASI ELEKTIF DI RSUD DR. SOETOMO

Background: Postoperative pain is an important issue after surgery. By giving proper analgetic(s), pain will be managed effectively and will accelerate patient recovery dan discharge from hospital. Pain management in children is often poorly managed due to presumption that children do not suffer from pain. However, pain is affected by several factors include anxiety. Objective: To analyse analgetic profile used postoperatively in pediatric patients Methods: After obtaining approval from ethics committee, 122 patients were the subjects, aged 0-18 years, undergoing elective surgery in Dr. Soetomo Hospital Surabaya. Observation started at premedication room which preoperative anxiety and pain scale measured. Patients were given analgetic postoperatively and observed at 30 minutes, 1 hour, 2 hours, 1 day and 2 days postoperative. Observations included pain scale, sedation scale and hemodynamic (respiration rate, pulse, blood pressure and saturation). The results were analysed statistically using t Test, Mann-Whitney and Chi square test. Results: NSAID was the most used analgetic in general (54 patients) and the most used analgetic in group with 0 pain scale (no pain) in all times of pain scale evaluation. Combined analgetics had bigger pain scale compare to single analgetic in almost all times of pain scale evaluation except 2 days postoperative. However, statistically there was no difference between giving single and combined analgetics in almost all times of pain scale evaluation except 2 days postoperative. While preoperative anxiety statistically correlates with postoperative pain at 2 hours postoperative. Conclusion: There was difference between giving single and combined analgetics at 2 days postoperative evaluation (p 0.035). Preoperative anxiety correlate with postoperative pain at 2 hours postoperative evaluation (p 0.046)