PERBANDINGAN PEMBERIAN FENTANIL 2 μg/ KGBB IV DENGAN PERLAKUAN HUFFING MANOEUVRE DAN TANPA PERLAKUAN DALAM MENCEGAH BATUK

Background. Intravenous administration of fentanyl as preempetive analgesia is a common practice to reduce the hemodynamic response to tracheal intubation. However this may be accompanied by cough. This unexpected coughing be may unpleasant. One of the preventive have done is by a huffing manoeuvre performed. The study was designed to evaluate the effect of fentanyl 2 μg/kgbw with huffing manoeuvre performed compare with fentanyl 2 μg/kgbw without huffing manoeuvre performed. Methods. This study will done with clinical design controlled study and double blind randomized into 94 patients ASA physical status I-II, undergoing elective surgical prosedures under general anaesthesia. Patients will be randomized into two groups. Each group take fentanyl 2 μg/kgbw. Group I served as huffing moeuvre performance and group II without huffing moeuvre performance. Any episode of cough within 120 second after fentanyl administration was classified as fentanyl induced cough. The severity was graded based on the number of coughs as mild (1- 2), moderate (3-5), severe (>5). These will be record after fentanyl injection. The data will be analysis with t-test and chi square at the significance level of p< 0,05. Results. Intravenous administration of fentanyl 2 μg/kgbw with huffing manoeuvre performed could prevent cough compare with fentanyl 2 μg/kgbw without huffing manoeuvre performed. There was significantly difference (p< 0,05) the incidence of cough in both groups. The group with huffing manoeuvre performed could prevent cough 4,3 % in first minute and 8,5% in second minute, while in group without huffing manoeuvre performed, the incidence of cough 19,2% in first minute and 12,8% in second minute. Conclusions. The incidence of cough after intravenous administration of fentanyl 2 μg/kgbw with huffing manoeuvre performed could prevent cough compare without huffing manoeuvre performed