Comparison of Changes in Rso2 in Midazolam and Propofol Sedation Post Craniotomy in the Icu of H. Adam Malik Hospital
Introduction: Cerebral oxygen saturation reflects tissue perfusion in the cerebrum. Decreases in cerebral oxygen saturation are linked to longer hospital stays and cognitive impairment. Midazolam and propofol can decrease cerebral blood flow through decreasing the cerebral oxygen metabolic rate. The...
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Indonesian Society of Neuroanesthesia & Critical Care (INA-SNACC)
2024-06-01
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| Series: | Jurnal Neuroanestesi Indonesia |
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| Online Access: | https://inasnacc.org/ojs2/index.php/jni/article/view/579 |
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| author | Dicko Kanugrahan Pratama Rr Sinta Irina Ade Winata |
| author_facet | Dicko Kanugrahan Pratama Rr Sinta Irina Ade Winata |
| author_sort | Dicko Kanugrahan Pratama |
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| description | Introduction: Cerebral oxygen saturation reflects tissue perfusion in the cerebrum. Decreases in cerebral oxygen saturation are linked to longer hospital stays and cognitive impairment. Midazolam and propofol can decrease cerebral blood flow through decreasing the cerebral oxygen metabolic rate. The purpose of this research is to analyze the comparison of changes in cerebral oxygen saturation after midazolam and propofol administration in post-craniotomy patients in the ICU of Haji Adam Malik General Hospital Medan.Subject and Method: This is a randomized control trial study. Patients were divided into, Midazolam group, that given an initial dose of 0.05 mg/kg followed by a maintenance dose of 0.02-0.10 mg/kg/hour and Propofol group that given sedation with a dose of 0.3-3mg/kg/hour, with the target of the 2 groups being a Richmond Agitation-Sedation Scale (RASS) value of 0 to -2. Data analysis using unpaired T test.Results: The results for cerebral regional oxygen saturation and RASS between groups showed significant differences in right and left value (p < 0.001), but there was no significant difference in RASS (p>0.05) between each group at each measurement time. The results of the analysis of cerebral regional oxygen saturation and RASS between times, there was no significant difference in right and left value (p>0.05), but there was a significant difference in RASS (p<0.001) at each measurement time. Based on the results of the analysis carried out, it is known that there is no statistically significant difference in changes in cerebral regional oxygen saturation both right and left in changes in RASS because it is found that all data have p>0.05.Conclusion: There is no change in right and left for cerebral regional oxygen saturation after administration of propofol and midazolam groups with RASS value 0 to -2 in post-craniotomy patients in the ICU of Haji Adam Malik General Hospital Medan. |
| format | Article |
| id | doaj-art-af1704ba9d01498eb9b0c06ef1e1ab4a |
| institution | Kabale University |
| issn | 2088-9674 2460-2302 |
| language | Indonesian |
| publishDate | 2024-06-01 |
| publisher | Indonesian Society of Neuroanesthesia & Critical Care (INA-SNACC) |
| record_format | Article |
| series | Jurnal Neuroanestesi Indonesia |
| spelling | doaj-art-af1704ba9d01498eb9b0c06ef1e1ab4a2025-08-20T03:52:16ZindIndonesian Society of Neuroanesthesia & Critical Care (INA-SNACC)Jurnal Neuroanestesi Indonesia2088-96742460-23022024-06-011325361https://doi.org/10.24244/jni.v13i2.579Comparison of Changes in Rso2 in Midazolam and Propofol Sedation Post Craniotomy in the Icu of H. Adam Malik HospitalDicko Kanugrahan Pratama0Rr Sinta Irina1Ade Winata2Master of Clinical Medicine Study Program, Department of Anesthesiology and Intensive Therapy of Universitas Sumatera Utara, Medan,Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Sumatra Utara, MedanDepartment of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Sumatra Utara, MedanIntroduction: Cerebral oxygen saturation reflects tissue perfusion in the cerebrum. Decreases in cerebral oxygen saturation are linked to longer hospital stays and cognitive impairment. Midazolam and propofol can decrease cerebral blood flow through decreasing the cerebral oxygen metabolic rate. The purpose of this research is to analyze the comparison of changes in cerebral oxygen saturation after midazolam and propofol administration in post-craniotomy patients in the ICU of Haji Adam Malik General Hospital Medan.Subject and Method: This is a randomized control trial study. Patients were divided into, Midazolam group, that given an initial dose of 0.05 mg/kg followed by a maintenance dose of 0.02-0.10 mg/kg/hour and Propofol group that given sedation with a dose of 0.3-3mg/kg/hour, with the target of the 2 groups being a Richmond Agitation-Sedation Scale (RASS) value of 0 to -2. Data analysis using unpaired T test.Results: The results for cerebral regional oxygen saturation and RASS between groups showed significant differences in right and left value (p < 0.001), but there was no significant difference in RASS (p>0.05) between each group at each measurement time. The results of the analysis of cerebral regional oxygen saturation and RASS between times, there was no significant difference in right and left value (p>0.05), but there was a significant difference in RASS (p<0.001) at each measurement time. Based on the results of the analysis carried out, it is known that there is no statistically significant difference in changes in cerebral regional oxygen saturation both right and left in changes in RASS because it is found that all data have p>0.05.Conclusion: There is no change in right and left for cerebral regional oxygen saturation after administration of propofol and midazolam groups with RASS value 0 to -2 in post-craniotomy patients in the ICU of Haji Adam Malik General Hospital Medan.https://inasnacc.org/ojs2/index.php/jni/article/view/579icucraniotomymidazolampropofolcerebral regional oxygen saturation |
| spellingShingle | Dicko Kanugrahan Pratama Rr Sinta Irina Ade Winata Comparison of Changes in Rso2 in Midazolam and Propofol Sedation Post Craniotomy in the Icu of H. Adam Malik Hospital Jurnal Neuroanestesi Indonesia icu craniotomy midazolam propofol cerebral regional oxygen saturation |
| title | Comparison of Changes in Rso2 in Midazolam and Propofol Sedation Post Craniotomy in the Icu of H. Adam Malik Hospital |
| title_full | Comparison of Changes in Rso2 in Midazolam and Propofol Sedation Post Craniotomy in the Icu of H. Adam Malik Hospital |
| title_fullStr | Comparison of Changes in Rso2 in Midazolam and Propofol Sedation Post Craniotomy in the Icu of H. Adam Malik Hospital |
| title_full_unstemmed | Comparison of Changes in Rso2 in Midazolam and Propofol Sedation Post Craniotomy in the Icu of H. Adam Malik Hospital |
| title_short | Comparison of Changes in Rso2 in Midazolam and Propofol Sedation Post Craniotomy in the Icu of H. Adam Malik Hospital |
| title_sort | comparison of changes in rso2 in midazolam and propofol sedation post craniotomy in the icu of h adam malik hospital |
| topic | icu craniotomy midazolam propofol cerebral regional oxygen saturation |
| url | https://inasnacc.org/ojs2/index.php/jni/article/view/579 |
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