Download - Jurding Intranasal Ketamine
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8/15/2019 Jurding Intranasal Ketamine
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Oleh :
Shinta Amalia K (G99142013)
JURNAL READING
Pembimbing :Septian Adi Permana, dr., Sp. An, . Ke!
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8/15/2019 Jurding Intranasal Ketamine
2/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
3/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
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Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
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Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
#atar &elakang
Tu'uan
Pasien danMetode
!asil
iskusi
A(strak
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
6/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
#atar &elakang
Tu'uan
Pasien danMetode
!asil
iskusi
A(strak
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
7/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
#atar &elakang
Tu'uan
Pasien danMetode
!asil
iskusi
A(strak
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
8/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
#atar &elakang
Tu'uan
Pasien danMetode
!asil
iskusi
A(strak
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
9/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
CrossSectional
ED RS Patan Nepal, 35
tempat tidur selama 5ulan
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8/15/2019 Jurding Intranasal Ketamine
10/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
#atar &elakang
Tu'uan
Pasien danMetode
!asil
iskusi
A(strak
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
11/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
Analisis Datauji signed-rank Wilcoxon dan u!i Chi-
square
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8/15/2019 Jurding Intranasal Ketamine
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Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"AN
PENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
13/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"ANPENE#ITIAN
A&"TRA$
Dosis tambahan ketamin diberikan kepada enam pasien (17,6%) pada menit ke 15.
Pen"uran"an n#eri si"ni$%an secara statisti%&P'(,(()*
Rata rata +AS pada menit %e )5, 3( dan (masin"-masin" adala. /( , 5( dan 50 1
2 4 &n 62* pasien mencapai7pen"uran"an 6( mm di +AS pada menit %e
)5 #an" menin"%at men!adi )((4 pada
menit %e 3( dan (1
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8/15/2019 Jurding Intranasal Ketamine
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Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"ANPENE#ITIAN
A&"TRA$
osis tam(ahan ketamindi(erikan kepada enam pasien
)*+,-./ pada menit ke *01
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8/15/2019 Jurding Intranasal Ketamine
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Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"ANPENE#ITIAN
A&"TRA$
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8/15/2019 Jurding Intranasal Ketamine
16/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"ANPENE#ITIAN
A&"TRA$
Tingkat Iritasi !idung 20 )+3,0./pasien tidak melaporkan adanyairitasi hidung, - )*+,-./ dan 3
)4,4./melaporkan iritasi 526 dan536
Rata rata $epuasan adalah 546
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8/15/2019 Jurding Intranasal Ketamine
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Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"ANPENE#ITIAN
A&"TRA$
Pemerian IN %etamine den"an dosis(,2 m" 8 %" pada pasien den"an cederaa%ut menun!u%%an pen"uran"an n#eri
#an" si"ni$%an &9 6( mm di+AS* pada62 &24* dari pasien di )5 menit, #an"menin"%at men!adi )((4 pada 3( dan( menit1Dan tida% ter"antun" pada usia, !enis%elamin, !enis cedera, dan +AS a:al1E;e% sampin" rin"an dan sementaradan tida% ada perua.an tanda
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8/15/2019 Jurding Intranasal Ketamine
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Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"ANPENE#ITIAN
A&"TRA$ Pemerian intranasal oat n#eri adala.
entu% #an" menari%, n#aman, e$sien,mura. dan cepat n#eri %ontrol didepartemen "a:at darurat dimana:a%tu, tena"a, ruan" dan monitorin"
tepat untu% semua pasien den"ann#eri, terutama dalam pemerian I+a:al terdapat administrasi untu%"olon"an opioid1=u%ti saat ini menun!u%%an a.:a IN
%etamine merupa%an metode #an"aman dan e;e%ti; untu% anal"esia padalu%a a%ar dan perai%an laserasi ana%,n#eri pasca operasi dan n#erineuropati%1
l k i f h f i
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8/15/2019 Jurding Intranasal Ketamine
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Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"ANPENE#ITIAN
A&"TRA$
I l k i f h f i
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8/15/2019 Jurding Intranasal Ketamine
20/21
Intranasal ketamine for the treatment of patientswith acute pain in the emergency department
PENGANTAR
METOE
!A"I#
I"$%"I
$ETER&ATA"ANPENE#ITIAN
A&"TRA$ $esimpulannya, IN ketamin
7,+mg 8 kg dapat mengurangi skornyeri 9A" secara klinis signi:kandalam 47. dari pasien danditoleransi dengan (aik tanpa
peru(ahan tanda ;ital yang (urukdan efek samping yang merugikan1IN %etamine dapat men"uran"i n#eria%ut erat pada cedera a%ut #an"mura., cepat, eas !arum, aman dan
relati; e;e%ti; den"an e;e% sampin"minimal, Diandin"%an d"n NSAID I>atau opioid I+ #an" tida% n#aman,in
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E?cac# o; Intra