Perbandingan Anestesi Epidural dengan Subarachnoid Block terhadap Kualitas Pemulihan Pasien Bedah Ortopedi
Systematic Literature Review
DOI:
https://doi.org/10.55606/jig.v4i3.9272Keywords:
Epidural Anesthesia, Orthopedic Surgery, Recovery Quality, Subarachnoid Block, Systematic Literature ReviewAbstract
Fractures and orthopedic surgeries are common procedures that require optimal regional anesthesia techniques to support patient recovery. This study aims to compare the effectiveness of epidural anesthesia and subarachnoid block (SAB) on the quality of recovery in orthopedic surgery patients through a systematic literature review. The literature search was conducted in the PubMed, ScienceDirect, and Google Scholar databases for the period 2015–2025, using the PRISMA guidelines. A total of 6 studies that met the inclusion criteria were analyzed narratively. The results indicate that epidural techniques and spinal-epidural combinations such as CSEA, CSA, and SCSE tend to yield better recovery outcomes compared to SAB, particularly regarding hemodynamic stability, duration of analgesia, postoperative pain control, and early mobilization. Additionally, the incidence of hypotension, urinary retention, and back pain is lower with epidural or combination techniques. However, SAB remains superior in terms of rapid onset of action and ease of technique. In conclusion, epidural techniques better support multidimensional recovery quality in orthopedic patients compared to SAB.
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References
Abdiana, M. T., & Dewi, R. K. (2025). Pengaruh elevasi kepala terhadap kepatenan jalan napas pada pasien pasca spinal anestesi di IBS RSUD Salatiga. TSCD3Kep – Jurnal, 10(1), 1–13. https://doi.org/10.35720/tscd3kep.v10i01.549
Arum Sari, A., Sebayang, S. M., & Wibowo, T. H. (2024). Gambaran kualitas pemulihan pada pasien post general anestesi di RSUD Hj. Anna Lasmanah Banjarnegara. Jurnal Cakrawala Ilmiah, 3(8), 2337–2354.
Boangmanalu, E. S., Masfuri, M., & Arista, L. (2023). Early weight bearing pada pasien post operasi fraktur ekstremitas bawah. Jurnal Keperawatan Silampari, 6(2), 1312–1321. https://doi.org/10.31539/jks.v6i2.5623
Chen, Y., et al. (2024). The addition of peripheral nerve blocks... Heliyon, 10(12), e32441. https://doi.org/10.1016/j.heliyon.2024.e32441
Dwiputra, A. G. (2023). Komplikasi pasca anestesia spinal. Majalah Anestesia & Critical Care, 41(1), 1–3. https://doi.org/10.55497/majanestcricar.v41i1.316
Elfeky, M. A., et al. (2019). Continuous spinal vs epidural anesthesia. Research and Opinion in Anesthesia & Intensive Care, 6(1), 72–79.
Harijanto, E., Wijaya, A. A., & Handayani, D. (2016). Uji QoR-40 versi Indonesia. Anesthesia & Critical Care, 34(2), 101–108.
Ibnu, M., et al. (2017). Penggunaan teknik anestesi epidural di Jawa Barat. Jurnal Anestesi Perioperatif, 5(3), 171–179.
Millizia, A., et al. (2022). Regional anestesi pada pasien. GALENICAL, 1(4), 14.
Myles, P. S., et al. (2022). QoR-15 systematic review. British Journal of Anaesthesia, 128(6), 1029–1039.
Sari, D. (2023). Komplikasi regional anestesi pada pediatrik. Jurnal Komplikasi Anestesi, 5(1), 53–58.
Sinaga, M. K. (2022). Blok epidural anestesia. PRIMER Medical Journal, 7(2), 31–37.
Supraptomo, R. (2020). Subarachnoid block pada eklampsia. Jurnal Anestesi Obstetri Indonesia, 3(1), 20–25.
Suryono, B., et al. (2019). Komplikasi anestesi obstetri. Jurnal Komplikasi Anestesi, 7(1), 31–38.
Sutiyono, D. (2019). Epidural analgesia pada bedah saraf. JAI, 11(3), 153–163.
Telang, S., et al. (2024). Spinal anesthesia in THA. Arthroplasty Today, 30, 101566. https://doi.org/10.1016/j.artd.2024.101566
Tummala, V., et al. (2015). CSEA vs spinal anesthesia. Anesthesia Essays and Researches, 9(2), 185–188.
WHO. (2024). Fragility fractures fact sheet. https://www.who.int/news-room/fact-sheets/detail/fragility-fractures
Yoo, S. W., et al. (2024). QoR and spinal vs nerve block. Medicine, 103(14), e37573.
Youssef, K., & Hakim, K. (2020). Sequential CSEA vs EVE.
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