A Comparison of Motor Recovery After Spinal Anesthesia with and Without Fentanyl-Morphine Adjuvants

Ardi Nugraha; Magenda Bisma Yudha; Septian Mixrova Sebayang

doi:10.58545/jkmi.v5i2.728

Authors

Ardi Nugraha Universitas Harapan Bangsa, Indonesia
Magenda Bisma Yudha Universitas Harapan Bangsa, Indonesia https://orcid.org/0009-0009-8362-5295
Septian Mixrova Sebayang Universitas Harapan Bangsa, Indonesia https://orcid.org/0000-0002-2486-3842

DOI:

https://doi.org/10.58545/jkmi.v5i2.728

Abstract

Spinal anesthesia is a commonly used regional anesthesia technique in various surgical procedures. One important parameter following spinal anesthesia is motor block recovery. Shorter motor recovery duration may benefit patients by reducing side effects and enabling earlier mobilization. This study aimed to compare motor recovery time between spinal anesthesia without adjuvant and spinal anesthesia combined with fentanyl 25 μg and morphine 100 μg. This comparative analytic study used an observational approach with purposive sampling. A total of 84 respondents were divided into two groups: 42 patients received 0.5% bupivacaine 12.5 mg without adjuvant, and 42 patients received 0.5% bupivacaine 10 mg combined with fentanyl 25 μg and morphine 100 μg. Motor recovery time was measured from intrathecal injection to the achievement of a Bromage Score of 0. The mean motor recovery time in the non-adjuvant group was 164.95 ± 24.685 minutes, while the adjuvant group showed a shorter recovery time of 116.90 ± 17.177 minutes. Mann–Whitney analysis demonstrated a statistically significant difference between the two groups (p < 0.001). Spinal anesthesia combined with fentanyl and morphine was associated with faster motor recovery compared with spinal anesthesia without adjuvant.

Keywords:

Adjuvant, Bromage Score, Duration of Motor Recovery, Spinal Anesthesia

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Author Biographies

Ardi Nugraha, Universitas Harapan Bangsa, Indonesia

Department of Anesthesiology Nursing, Faculty of Health Sciences

Magenda Bisma Yudha, Universitas Harapan Bangsa, Indonesia

Department of Anesthesiology Nursing, Faculty of Health Sciences

Septian Mixrova Sebayang, Universitas Harapan Bangsa, Indonesia

Department of Anesthesiology Nursing, Faculty of Health Sciences

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