scholarly journals The effect of local ketamine infiltration on post tonsillectomy pain scale

2020 ◽  
Vol 50 (1) ◽  
pp. 38
Author(s):  
Ade Asyari ◽  
Novialdi Novialdi ◽  
Elniza Morina ◽  
Rimelda Aquinas ◽  
Nasman Puar ◽  
...  

Background: Post tonsillectomy pain is one of the surgery side effects that most disturbing for patient’s comfort and will cause dysphagia, low intake, dehydration, secondary infection and bleeding. Ketamine is an anesthetic drug that has strong analgesic effect and easily available in any hospital at relatively cheap price. Objective: To find out the effect of local ketamine infiltration on the post tonsillectomy pain scale. Method: An experimental study during tonsillectomy with a Post Test Control Group on 12 samples without local infiltration of ketamine and 12 samples with local infiltration of ketamine in peritonsillar pillar. The pain was assessed 2 hours and 24 hours post extubation with pain Visual Analog Scale (VAS). Result: The VAS value from patients who were given local infiltration of ketamine in peritonsillar pillar were lower (5.83 ± 0.72 at 2 hours and 2.83 ± 0.58 at 24 hours post extubation) compared to patients without ketamine infiltration (7.83 ± 0.58 at 2 hours and 3.58 ± 0.51 at 24 hours post extubation). The result showed statistically significant difference (p <0.05) at 2 hours and 24 hours post extubation. Conclusion: The VAS score of the ketamine infiltration group is lower at 2 hours and 24 hours post extubation than the group without ketamine infiltration, showing there was a noticeable effect of local ketamine infiltration on the post tonsillectomy pain scale.Keywords : post tonsillectomy pain, ketamine, local infiltration, visual analog scale ABSTRAKLatar belakang: Nyeri pascatonsilektomi adalah salah satu efek samping operasi yang sangat mengganggu kenyamanan pasien, dan dapat menyebabkan gangguan menelan, kurangnya asupan nutrisi, dehidrasi, infeksi sekunder dan perdarahan. Ketamin merupakan obat anestesi yang memiliki efek analgetik yang kuat dan mudah didapatkan di semua tipe rumah sakit dengan harga yang relatif murah. Tujuan: Mengetahui efek pemberian infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi. Metode: Penelitian eksperimental dengan desain Post Test Control Group pada 12 sampel tanpa pemberian infiltrasi lokal ketamin dan 12 sampel dengan pemberian infiltrasi lokal ketamin di pilar peritonsil saat tonsilektomi. Dilakukan penilaian nyeri 2 jam dan 24 jam pascaekstubasi menggunakan skala nyeri Visual Analog Scale (VAS). Hasil: Nilai VAS pasien yang diberi infiltrasi lokal ketamin di pilar peritonsil lebih rendah (5,83±0,72 pada 2 jam dan 2,83 ± 0,58 pada 24 jam pascaekstubasi) dibanding tanpa diberi infiltrasi lokal ketamine (7,83 ± 0,58 pada 2 jam dan 3,58± 0,51 pada 24 jam pascaekstubasi), dan bermakna secara statistik (p<0,05) pada kedua penilaian. Kesimpulan: Terdapat efek nyata infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi, dimana nilai VAS kelompok yang diberi infiltrasi ketamin lebih rendah, baik pada 2 jam ataupun 24 jam pascaekstubasi dibanding kelompok yang tidak diberi infiltrasi ketamin.

2020 ◽  
Vol 3 (1) ◽  
pp. 16-20
Author(s):  
Jonathan Salguero Cárdenas ◽  
Norka Altamirano Vergara

Objective: Evaluate the effect of inmediate dentinary sealing, as treatment of hypersensitivity in patients attending the fixed prosthetic clinic at the Catholic University of Santiago de Guayaquil dental clinic. Materials and methods: This study was designed as clinic, prospective and correlational. 25 patients were selected, they were divided into 2 groups, one group included 14 patients in which teeth were prepared with SDI (29 teeth) and a second control group of 11 patients in which teeth were not prepared with SDI (19 teeth), giving a total of 48 teeth. Surveys were made 1, 2 and 3 weeks after preparations and the presence of hipersensitivity was registered with the visual analog scale. Results: A chi-square test was made and in the analysis of the pain scale (EVA), the study sample exhibited a significant difference in a range above 3 for the group in which SDI was not applied. Conclusion: This study demostrates that the application of SDI helps diminish significantly dental hipersensitivity.


2019 ◽  
Vol 1 (2) ◽  
pp. 119
Author(s):  
Arif Hendra Kusuma ◽  
Agus Setiawan ◽  
Rohman Azzam

AbstrakCedera kepala merupakan suatu trauma yang menimpa struktur kepala sehingga dapat menimbulkan kelainan struktural dan atau gangguan fungsional jaringan otak. Cedera kepala dapat menyisakan tanda ataupun gejala somatik yang nyeri kepala. Penatalaksanaan terhadap nyeri dapat berupa tindakan non farmakologis salah satunya dengan terapi murotal. Penelitian ini bertujuan untuk menganalisis pengaruh terapi murotal terhadap skala nyeri kepala pada klien dengan cedera kepala Di RSU Prof. Dr. Margono Soekarjo dan RSUD Banyumas. Desain penelitian menggunakan metode Quasi-eksperimental melalui pendekatan pretest-posttest control grup design. Jumlah sampel sebanyak 22 responden (11 responden kelompok kontrol dan 11 responden kelompok intervensi). Skala nyeri diukur menggunakan Visual Analog Scale (VAS). Uji statistik menggunakan uji independent t-test. Hasil penelitian ada pengaruh yang signifikan terapi murotal terhadap penurunan skala nyeri kepala pasien cedera kepala ringan (P value = <0,001; α<0,05). Saran: penelitian ini merekomendasikan terapi murotal dijadikan sebagai intervensi mandiri keperawatan untuk mengurangi skala nyeri pasien cedera kepala dan menjadi salah satu SOP dalam perawatan pasien cedera kepala khususnya yang beragama Islam.Kata kunci      : Terapi murotal, nyeri kepala, cedera kepala  AbstractHead injury is a trauma that befell the structure so that the head can cause abnormalities of the structural and functional disorders or brain tissue. Head injuries can leave scars or somatic symptoms such as headaches. This research aimed to analyze the effect of murotal therapy on head pain scale among the client with head injuries In Prof. Dr. Margono Soekarjo Hospital and District Banyumas Hospital. The design of the research was quasi-experimental through a pretest-posttest approach with control group. The number of samples was 22 respondents (11 respondents in control group and 11 respondents in intervention group). The pain scale was measured using the Visual Analog Scale (VAS). Statistical tests using independent t-test show a significant difference of head pain scale before and after murotal therapy among head injury patients (p= 0.001 ; α < 0.05). This research recommends murotal therapy as an independent nursing intervention to reduce head injury patients pain scale and become one of the SOP in the treatment of head injury among Muslim patients. Keywords: murotal therapy, head pain, head injury 


2019 ◽  
Vol 2 (2) ◽  
pp. 269
Author(s):  
Yoga Pratama

The objectives of this study were to find out whether or not there was significant improvement in writing and speaking achievements of the eighth grade students of SMPN1 Jarai after they were taught by using Sociogram, to find out whether or not there was significant improvement in each aspect of writing and speaking achievements of the eighth grade students of SMPN1 Jarai after they were taught by using Sociogram, to find out whether or not there was significant difference in writing and speaking achievements between the eighth grade students of SMP 1 Jarai who were taught by using Sociogram and those who were not, and to find out the perception of the eighth grade students of SMPN 1 Jarai after they were taught by using Socoiogram. In this paper, an experimental research method with pre and post test control group design was used with 70 students as the sample divided into two groups, experimental and control group. However, only the students of the experimental group were taught by using Sociogram. The obtained data were analyzed by using t-test. The students were given questionnaire to know their perceptions. The result showed that there was a significant difference in both students? writing and speaking achievements after they were tought by using Sociogram. Furthermore, it was found that there was a significant difference in students? writing and speaking achievement between the experimental and control groups. In conclusion, Sociogram improves the students? writing and speaking achievements.


2019 ◽  
Vol 5 (1) ◽  
pp. 24-32
Author(s):  
Istiqomah Nur Aziza ◽  
Nanang Wiyono ◽  
Afia Fitriani

It is important to optimize working memory because it transforms, synergizes and constantly updates new and old information. One way to optimize working memory is to listen to Murottal Al-Qur'an, because it has a harmonious tone which can stabilize the mind to properly process the information. This study aims to determine the effect of listening to the Al-Quran murottal on working memory. The research subjects were 24 students of Psikologi 2017, grouped equally in the control and experimental groups. An experimental intervention was administered for 15 consecutive days lasting 15 minutes and 52 seconds. Measurements in working memory use Operation Span Task, Reading Span Task and Symmetry Span Task. The design of the study used a pre-test post-test control group and the data were analyzed by t-test. The results showed a significant difference between the control group and the experimental group on the symmetry span task subtest (p = 0.044, p <0.05).


2015 ◽  
Vol 1 (1) ◽  
pp. 13-17
Author(s):  
Rupesh Kumar Gami ◽  
Kumar Jahan ◽  
Chandra Bhushan Jha

Background: Government of Nepal has been conducting Cesarean section under “Safe Motherhood” program all over country. The purpose of this study was to evaluate the efficacy and safety of intrathecal morphine for post cesarean analgesia under spinal anesthesia.  Methods: A total of 300 parturients posted for Cesarean section under spinal anesthesia were divided into two groups of 150 each in this prospective randomized case-control study. Morphine group received 0.15 mg of intrathecal morphine mixed in 12 mg of 0.5% bupivacaine heavy while control group received 12 mg of 0.5% bupivacaine heavy alone, after proper preparation of spinal anesthesia. The parturients were assessed for first request of analgesic as per Visual Analog Scale, frequency of analgesics required within 24 hr, nausea, vomiting, pruritus, sedation and respiratory depression.Results: Postoperative analgesia was significantly greater in morphine group as compare to control group (12.1 ± 7.6 vs 3.7 ± 2.9 hr). Frequency of analgesics requirements was also significantly lower in morphine group (1.7 ± 2.0 vs 3.4 ± 8.1). Visual Analog Scale was below 4 at most of time in morphine group. The incidence of nausea, vomiting and pruritus were more in morphine group as compare to control group but without any respiratory depression. There was no significant difference in APGAR score among fetus.  Conclusion: Mixing low dose of intrathecal morphine in standard dose of spinal anesthesia effectively prolongs the duration of post cesarean analgesia and decreases the frequency of analgesics requirement without any major complication in parturients or fetus.Journal of Society of Anesthesiologists 2014 1(1): 13-17


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Ka Young Kim ◽  
Hyo Jin Seo ◽  
Sun Seek Min ◽  
Mira Park ◽  
Geun Hee Seol

The aim of this study was to investigate the effect of inhalation of eucalyptus oil and its constituents on anxiety in patients before selective nerve root block (SNRB). This study was a randomized controlled trial carried out in 62 patients before SNRB. The patients were randomized to inhale limonene, 1,8-cineole, or eucalyptus oil, each at concentrations of 1% vol/vol in almond oil or almond oil (control). Anxiety-visual analog scale (A-VAS), state-trait anxiety inventory (STAI), profile of mood states (POMS), pain-visual analog scale (P-VAS), blood pressure, and pulse rate were measured before and after inhalation prior to SNRB. Measures of anxiety, including A-VAS (P<0.001), STAI (P=0.005), and POMS (P<0.001), were significantly lower in 1,8-cineole than in the control group and significantly greater in 1,8-cineole than in the eucalyptus group in A-VAS. P-VAS was significantly lower after than before inhalation of limonene, 1,8-cineole, and eucalyptus, despite having no significant difference in the four groups compared with control group. 1,8-Cineole, a major constituent of eucalyptus, was effective in decreasing anxiety before SNRB. The present findings suggest that inhalation of 1,8-cineole may be used to relieve anxiety before, during, and after various operations, in addition to SNRB.


2013 ◽  
Vol 03 (04) ◽  
pp. 104-107
Author(s):  
Reeja Mariam Joseph ◽  
Philomena Fernandes

AbstractThe study was conducted to assess the effectiveness of jasmine oil massage on labour pain during first stage of labour among 40 primigravida women. The study design adopted was true experimental approach with pre-test - post-test control group design. The demographic Proforma were collected from the women by interview and Visual analogue scale was used to measure the level of labour pain in both the groups. Data obtained in these areas were analysed by descriptive and inferential statistics. A significant difference was found in the experimental group(tcal 9.869, p<0.05). A significant difference was found between experimental group and control group. cal The pre-test ('tcal' 0.36, p>0.05) and the post-test (tcal 11.75, p<0.05). No significant association was found between the level of labour cal cal pain and demographic variables in the experimental group. In this study Jasmine oil massage proved to reduce first stage labour pain.


2019 ◽  
Vol 18 (4) ◽  
pp. 507-518
Author(s):  
Mert Büyükdede ◽  
Rabia Tanel

In this research, the effects of STEM (Science-Technology-Mathematics-Engineering) activities on academic achievement of prospective teachers were researched, their opinions on STEM activities were sought. The research was based on a semi-experimental model with pre-test and post-test control group. During the application phase, the topic of Work-Energy subject was taught through STEM based 5E model in the experimental group, while in the control group, the lessons were conducted using traditional teacher centred teaching. The research group is comprised of second-year students in Elementary Mathematics Education taking Physics I course at the Dokuz Eylul University in Turkey. A statistically significant difference was found in favour of the experimental group in terms of prospective teachers’ academic achievement. In addition, the positive opinions of the prospective teachers from the experimental group on STEM activities were that STEM activities included encouraging group work, assisting students to produce original work, enabling them to do research, and ensuring that the information learned is permanent. The negative opinions of them on STEM activities were insufficient time for the application, the dominance of some students during the group work, and difficulties with noise levels in class.


2020 ◽  
Vol 07 (02) ◽  
pp. 15-21
Author(s):  
Soumika Debnath ◽  

Aim: The present study is aimed to assess the effect of distraction therapy during venipuncture in reducing pain among 6-12 years children in the selected hospital at Bhubaneswar. Methods: The study was a double blind; Randomized control trial design was used and the formal consent was obtained from Pradyumna Bal Memorial Hospital and the investigator selected 182 samples using consecutive sampling technique and then randomized into experimental and control groups. The intervention group and the control were having 91 samples each. Measurement of pain experienced by the school going children was assessed with the help of Wong-Baker Faces Pain Scale. Descriptive and inferential statistics were used to analyze the data. Result: The mean pain score of children in experimental group was 2.571 and the standard deviation was 2.006. The p value in comparing the pain level of children in control and experimental group was <0.01, which was statistically significant at p<0.05 (confidence interval 95%) level indicating that there was significant difference in the post test level of pain between the experimental and control group. Conclusion: Hence the distraction therapy was responsive in reducing the vein-puncture pain among school going children.


2012 ◽  
Vol 9 (1) ◽  
Author(s):  
Archel A. Bedaure

This investigation ascertained the effect of modular instruction on the performance in Biology of freshmen fishery students at the Carlos Hilado Memorial State College (CHMSC) - College of Fisheries during the second semester of the school year 2009-2010. Experimental research using the pre - test, post - test control group design was employed to achieve the objectives of the study. Participants were grouped into the experimental and the control groups. The experimental group was exposed to modular instruction while the control group was exposed to lecture-discussion approach. The pre-test performances of both experimental and control groups were fair. The post-test performance of the experimental group taught by modular instruction was superior while that of the control group taught by lecture-discussion was very good. A significant difference was found between the pre - test of the modular and lecture-discussion groups in favor of the latter group. A significant difference was found between the post - test results of the control group in favor of the experimental group. Significant differences were found between the pre - tests and post -tests of the experimental and control groups hence, modular instruction was better than the lecture -discussion approach in effecting students’ performance in Biology.  Keywords - Modular Instruction, Students’ Performance, Pretest, Post-test, Control group, Experimental Group, Lecture-discussion


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