Efektivitas Deksametason sebagai Adjuvan untuk Wound Infiltration Local Anesthetic terhadap Nyeri dan Waktu Tambahan Analgetik Pascaoperasi pada Pasien Seksio Sesarea
DOI:
https://doi.org/10.59680/anestesi.v4i3.2494Keywords:
Cesarean Section, Dexamethasone, Local Analgesia, Postoperative Pain, Wound InfiltrationAbstract
Postoperative pain after cesarean section can impair early mobilization, breastfeeding, and maternal recovery. This study aimed to evaluate the effectiveness of adding dexamethasone to local anesthetic wound infiltration on postoperative pain intensity and time to first rescue analgesic requirement. A prospective comparative analytic experimental study was conducted with 36 patients undergoing cesarean section under spinal anesthesia at Prof. Dr. R.D. Kandou General Hospital, Manado. Patients were allocated into two groups: levobupivacaine with 5 mg dexamethasone and levobupivacaine alone. Pain intensity was measured using the Numeric Rating Scale at 2, 6, and 12 hours postoperatively, and time to first rescue analgesic was recorded. There was no significant difference in pain at 2 hours (p = 0.061), but the dexamethasone group showed significantly lower pain at 6 hours (p = 0.034) and 12 hours (p < 0.001). The median time to first rescue analgesic was longer in the dexamethasone group (10 hours vs. 7 hours, p < 0.001). In conclusion, dexamethasone as an adjuvant to local anesthetic wound infiltration effectively reduces postoperative pain and prolongs the time to first rescue analgesic after cesarean section.
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