Pengelolaan Anestesi Tanpa Opioid pada Operasi Celah Bibir dan Langit-Langit Laporan Kasus

Ahmad Nur Islam; Kohar Hari  Santoso; Muhammad Ramli  Ahmad

doi:10.22146/jka.v12i2.14656

Ahmad Nur Islam Departemen Anestesi dan Reanimasi, Fakultas Kedokteran Universitas Kedokteran Airlangga, Surabaya, Indonesia
Kohar Hari Santoso Departemen Anestesi dan Reanimasi, Fakultas Kedokteran Universitas Kedokteran Airlangga, Surabaya, Indonesia
Muhammad Ramli Ahmad Departemen Anestesi, Terapi Intensif, dan Manajemen Nyeri, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia.

DOI: https://doi.org/10.22146/jka.v12i2.14656

Keywords: Opioid-free anaesthesia, Cleft lip and palate, Paediatric, Anesthesia

Abstract

The use of opioids has long been used in general anaesthesia and pain management in children. Side effects of opioids have become an issue in safe anaesthesia care especially in paediatric patients. Cleft lip and palate is a congenital anomaly of the craniofacial region that is most commonly found in the world and in Indonesia. Cleft lip and palate surgery is one of the surgical procedures performed in early childhood. Children with cleft lip and palate have airway abnormalities that put them at risk for respiratory depression. This report aims to determine the effectiveness of opioid-free anaesthetic management in cleft lip and palate surgery. Two paediatric patients underwent cleft lip and palate surgery with general anaesthesia technique combined with

infraorbital nerve block in cleft lip surgery and palatal nerve block in cleft palate surgery. General anaesthesia was given sevoflurane, propofol, ketamine. Intra and postoperative data showed stable haemodynamics, mild pain intensity, low delirium score. Opioid-free anaesthesia offers an alternative in the management of anaesthesia in paediatric patients undergoing cleft lip and palate surgery to reduce the risk of opioid use.

Author Biographies

Ahmad Nur Islam, Departemen Anestesi dan Reanimasi, Fakultas Kedokteran Universitas Kedokteran Airlangga, Surabaya, Indonesia

Mahasiswa Program Pendidikan Subspesialis Anestesi Pediatri, Departemen Anestesi dan Reanimasi, Fakultas Kedokteran Universitas Kedokteran Airlangga, Surabaya, Indonesia
RS Vertikal Kementerian Kesehatan Makassar/RSUP Wahidin Sudirohusodo, Makassar, Indonesia

Kohar Hari Santoso, Departemen Anestesi dan Reanimasi, Fakultas Kedokteran Universitas Kedokteran Airlangga, Surabaya, Indonesia

Konsultan Anestesi Pediatri, Departemen Anestesi dan Reanimasi, Fakultas Kedokteran Universitas Kedokteran Airlangga, Surabaya, Indonesia

Muhammad Ramli Ahmad, Departemen Anestesi, Terapi Intensif, dan Manajemen Nyeri, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia.

Konsultan Anestesi Pediatri, Departemen Anestesi, Terapi Intensif, dan Manajemen Nyeri, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia.

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