Background: As the number and type of surgery that is done everyday at this time, the acute pain management is an
important aspect of perioperative anesthesia care. In the United States who undergo surgery, there are approximately 80% of
patients experiencing acute postoperative pain, and nearly 25% of patients receiving pain treatment experience disturbing
side effects. Opioids are the most popular drug used in the first 24 hours postoperative during fasting, but some patients
reject the method of opioid administration. Fentanyl with the analogues of sufentanil and alfentanil are the most widely used
opioids today. Fentanyl has a potency ratio 100 times stronger than morphine. Oxycodone is a receptor agonist of mu- and
kappa-opioid, structurally similar to codeine, but pharmacodynamically similar to morphine.
objective: To find out the comparison of time achievement of VAS 3 on oxycodone dose 1 mg / hourand fentanyl dose
0.5 mcg / kgbw / hour intravenous continuous in overcoming post-operative pain of long bone with general anesthesia
Methods: This study was conducted using a double-blind randomized clinical trials after approval from the Ethics
Committee of the Faculty of Medicine, Faculty of Medicine, University of North Sumatra, collected 48 samples of the study,
ages 21-60 years, PS ASA I-II, which will be long elective orthopedic surgery with using general anesthesia
techniques. Once calculated statistically, all samples were randomly divided into 2 groups. Group A
received Oxycodone with 5 mg initial bolus followed by a continuous infusion dose of 1 mg / hour and Fentanyl with the
initial bolus 5 cc of NaCl 0.9% followed by a continuous infusion dose of 0.5 mcg / hour. The drug is given when the patient
has completed extubation. The result data were tested by Mann Whitney, Chi-Square, with significance level 95% (p <0,05).
Results: Average time to reach VAS 3 group given the drug Fentanyl is 2.58 0.50 hours longer than the average time to
reach the 3 groups were given VAS Oxycodone drug was 1.46 0.51 hours. Based on the statistical test by Mann-Whitney
test showed no difference in time to reach the third VAS between the two groups of research subjects (p <0.05).The results
showed that the average length of surgery kelompo k given medication Fentanyl is 218.96 53.38 minutes a little bit longer
than the average length of surgery group given the drug Oxycodone is 191.87 80.10 download it (p> 0.05).
Conclusion: Oxycodone is faster in achieving VAS3 compared with Fentanyl intravenous intravenous infusion after long
bone surgery at RSUP Haji Adam Malik Medan.
1. Usia (tahun)
table, asked to the patient by showing the scale 19 29
11
(45,8%)
7 (29,2%)
18
(37,5%)
5
3 (12,5%) 2 (8,3%)
corresponding to the perception of pain felt by 30 39
(10,4%)
10
0,604
40 49 4 (16,7%) 6 (25,0%)
(20,8%)
the patient. This assessment is done directly by 50 - 59 6 (25%) 9 (37,5%)
15
(31,3%)
24 48
researchers who are not involved in the Total
(100%)
24 (100%)
(100%)
2. Jenis Kelamin
13 28
administration of drugs in these patients. The Laki - laki
(54,2%)
15 (62,5%)
(58,3%)
0,558
11 20
Perempuan 9 (37,5%)
(45,8%) (41,7%)
start time of the study in which group A Total
24
24 (100%)
48
(100%) (100%)
2
Fentanyl 2,58 0,50 3 2 3
4
0,00
Obat 1
2
VAS Pre Op Total Nilai p* Oxycodone 1,46 0,509 1 1 2
4
Fentanyl Oxycodone
*Mann-Whitney test
4 15 (62,5%) 11 (45,8%) 26 (54,2%)
2 218,
Fentanyl 53,38 217,5 50 310
4 96
0,1
85 From the graph above can be seen that
2 191,
Oxycodone 80,997 200 65 365
4 87
the oxycodone group has a lower average VAS
*Mann-Whitney test
value than the fentanyl group in T1 - T7. In T0
Based on the above table it can be seen both groups have the same VAS. This is because
that the average duration of group operation
there are still effects of analgesic drugs used
given Fentanyl drugs was 218.96 53.38
minutes and the mean duration of group during surgery.
operation given Oxycodone drug was 191.87
80.10 minutes. Based on statistical tests with
Mann-Whitney test showed no difference in the
duration of surgery between the two study Discussion
subjects (p> 0.05).
This study assessed the effectiveness of
The average time difference to achieve VAS Oxycodone analgesics and continuous infusion
3 based on the given drug
fentanyl in monitoring post-operative pain in
n Waktu untuk mencapai VAS 3 (Jam)
long bones. From the sample characteristic data
it can be seen that the age between the two hysterectomy surgery in terms of oxycodone
sample groups did not have statistically consumption accumulation, pain control and
significant difference, thus the samples taken favorable effects related to price. This is in line
were relatively homogeneous (p> 0.05). with this study, where the use of Oxycodone by
Similarly, sex, ASA physical stattus, VAS Pre op continuous infusion is more effective in
and duration of operation between the two reducing VAS 3 compared with fentanyl use.
groups of samples were not statistically
This study did not assess the incidence
significant (p> 0.05).
of adverse events occurring from both drugs. In
Based on statistical test of the average further studies, an assessment of possible side
dose used to achieve VAS 3 it was found that effects may be possible due to the use of this
the mean dose of fentanyl group drug group was drug.
0.4058 0.054 mcg more than the group given
Oxycodone as much as 1.46 0.51 mg.
Statistical tests with MANN Whitney test
showed significant differences between the two
groups (p <0.05).