Perbandingan Nilai Regional Oxygen Saturation (rSO2) Pre dan Pascabedah Kraniotomi Tumor Removal di RSUP Haji Adam Malik, Medan

Veronica Simamora, Rr. Sinta Irina, Andriamuri Primaputra Lubis

Abstract


Pengukuran regional oxygen saturation (rSO2) menggunakan near- infrared spectroscopy (NIRS) berkorelasi dengan saturasi vena sentral. Oksigen serebral sangat dipengaruhi oleh autoregulasi serebri yang dapat mengatur aliran darah ke otak sehingga menyebabkan oksigen dapat bertambah maupun berkurang. Penelitian ini bertujuan melihat perbandingan nilai rSO2 pre dengan pascabedah kraniotomi tumor removal di RSUP Haji Adam Malik Medan. Penelitian ini merupakan jenis penelitian cohort prospective. Penelitian ini dilakukan pada 12 pasien yang menjalani prosedur pembedahan kraniotomi tumor removal selama 14 April–19 Mei 2023 Sampel dipilih menggunakan metode consecutive sampling. Analisis data menggunakan uji t berpasangan. Sebanyak 12 pasien diteliti rSO2 sebelum operasi kraniotomi didapatkan rerata sebesar 64,50±2,98 pada kanan dan kiri didapatkan rerata sebesar 62,58±3,17. Pada rSO2 setelah operasi kraniotomi didapatkan rerata sebesar 71,58±2,31 pada kanan dan kiri didapatkan rerata sebesar 70,25±3,52. Pada rSO2 kanan rerata sebesar 64,50±1,90 dan rSO2 kanan sesudah penelitian ini didapatkan rerata sebesar 71,58±1,71 dengan nilai p<0,05 secara statistik terdapat perbedaan bermakna antara rSO2 kanan sebelum dan sesudah operasi. Simpulan, terdapat perbedaan antara rSO2 sebelum dan sesudah pembedahan kraniotomi tumor removal di RSUP Haji Adam Malik, Medan.

 

Keywords


Kraniotomi; nilai rSO2; tumor removal

Full Text:

PDF

References


  1. Tameem A, Krovvidi H. Cerebral physiology. Continuing Education in anaesthesia. Crit Care Pain. 2013;13(4):113–8.
  2. Lonjaret L, Guyonnet M, Berard E, Vironneau M, Peres F, Sacrista S, dkk. Postoperative complications after craniotomy for brain tumor surgery. Anaesthesia Crit Care Pain Med. 2017;36(4):213.
  3. Pellicer A, Bravo M del C. Near-infrared spectroscopy: a methodology-focused review. Semin Fetal Neonatal Med. 2018 Feb;16(1):42–9.
  4. Willie CK, Tzeng YC, Fisher JA, Ainslie PN. Integrative regulation of human brain blood flow. J Physiol 2014 Feb 28;592(5):841–59.
  5. Chen N, Lu J. Meta-analysis of the correlation between postoperative cognitive dysfunction and intraoperative cerebral oxygen saturation. 2022;2022:3731959.
  6. Maslehaty H, Krause-Titz U, Petridis AK, Barth H, Mehdorn HM. Continuous measurement of cerebral oxygenation with near-infrared spectroscopy after spontaneous subarachnoid hemorrhage. ISRN Neurolog. 2012 Nov 14;2012:907187.
  7. Mokhtari M, Amirdosara M, Goharani R, Zangi M, Tafrishinejad A, Nashibi M, dkk. The predictive power of near-infrared spectroscopy in improving cognitive problems in patients undergoing brain surgeries: a systematic review. Anesthesiology and Pain Medicine. 2022 Mar 6;12(1): e116637.
  8. Cottrell JE, Young WL. Cottrell and Young’s Neuroanesthesia.Philadelphia:Elsevier Health Sciences; 2017:43-46.
  9. Fernández-de Thomas RJ, De Jesus O. Craniotomy [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2022.[diunduh: 15 April 2023]. Tersedia dari:https://pubmed.ncbi.nlm.nih.gov/32809757/ .
  10. Pellicer A, Bravo M del C. Near-infrared spectroscopy: A methodology-focused review. Semin Fetal Neonatal Med. 2018;16(1):42–9.
  11. Purves. Neuroscience Edisi ke-6. Oxford: Oxford University Press, USA; 2017.
  12. Willie CK, Tzeng YC, Fisher JA, Ainslie PN. Integrative regulation of human brain blood flow. J Physiol. 2014;592(5):841–59.
  13. Tang OY, Perla, Lim RK, Weil RJ, Toms SA. The impact of hospital safety-net status on inpatient outcomes for brain tumor craniotomy: a 10-year nationwide analysis. Neuro-Oncol Advances. 2021;3(1): vdaa167.
  14. Posti JP, Luoto TM, Päivi Rautava, Ville Kytö. Mortality after trauma craniotomy is decreasing in older adults—a nationwide Population- Based Study. World Neurosurg. 20211;152:e313–20.
  15. Ayele TT, Gemechu AD, Asres AW, Zewdu D, Negash TT. Effect of intravenous versus intratracheal lidocaine on airway and hemodynamic responses during extubation after thyroid surgery. A prospective cohort study. Int Jof Surg Open. 2022;44:100502.
  16. Venkateswaran P, Sriganesh K, Chakrabarti D, Srinivas DB, Rao GSU. Regional cerebral oxygen saturation changes after decompressive craniectomy for malignant cerebral venous thrombosis: a prospective cohort study. J Neurosurg Anesthesiol. 2019;31(2):241–6.
  17. Booth E, Dukatz C, Ausman JI, Wider MD. Cerebral and somatic venous oximetry in adults and infants. Surg Neurol Int. 2010;1(1):75–5.
  18. Nour MS, Dabbagh A, Fani K. Comparative assessment of propofol and ketamine on hemodynamic indices and cerebral oximetry of pediatric patients undergoing cardiac catheterization. Anesthesia Pain Med. 2022;12(6):e128763.




DOI: https://doi.org/10.15851/jap.v12n1.3390

Article Metrics

Abstract view : 163 times
PDF - 56 times



 

This Journal indexed by

                   

           


 
Creative Commons License
JAP is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 



View My Stats