KONTAMINASI SEL DARAH MERAH PADA SISA LARUTAN ANESTESI DALAM CARTRIDGE PASCA INJEKSI ANESTESI LOKAL MENGGUNAKAN

SYRINGE INTRALIGAMEN MEREK Y

ABSTRAK

Asmara Dharma Febi Sasongko1, Budiono2, Hayyu Failasufa2 1Mahasiswa Program Studi S1 Pendidikan Dokter Gigi, Fakultas Kedokteran Gigi,

Universitas Muhammadiyah Semarang, Hp. 085643588054, email: asmaradharmafebisasongko@gmail.com

2Dosen Program Studi S1 Pendidikan Dokter Gigi, Fakultas Kedokteran Gigi, Universitas Muhammadiyah Semarang

Abstrak Syringe intraligamen biasa digunakan dokter gigi untuk membantu menginjeksikan larutan anestesi dalam cartridge disposable. Data hasil penelitian pendahuluan didapatkan bahwa cartridge yang digunakan dengan menggunakan syringe intraligamen oleh dokter gigi memiliki sisa yang masih digunakan. Darah memiliki tekanan yang serupa dengan teori tekanan pada zat cair yang dapat memberikan tekanan balik. Tekanan balik darah dapat mengakibatkan kontaminasi pada sisa larutan anestesi dalam cartridge. Tujuan Penelitian mempelajari adanya kontaminasi sel darah merah pada sisa larutan anestesi dalam cartridge setelah injeksi anestesi lokal menggunakan syringe intraligamen merek Y. Penelitian menggunakan cartridge yang berisi Mepivacaine HCL 2% epinephrine 1:100.000. Cartridge diberikan kepada dokter gigi yang menggunakan syringe intraligamen merek Y dan digunakan untuk pasien dengan indikasi anestesi lokal. Sisa larutan anestesi diobservasi dengan Urynalysis Reagent Strips (Urine). Metode penelitian menggunakan observasional analitik rancangan cross sectional. Pengambilan sampel menggunakan metode accidental sampling. Sampel penelitian adalah sisa larutan anestesi dalam cartridge. Sampel penelitian berjumlah 32 cartridge. Uji analisis data menggunakan korelasi point-biserial. Hasil penelitian didapatkan bahwa terdapat hubungan erat kontaminasi sel darah merah dengan sisa larutan anestesi dalam cartridge (r=-0,758). Terdapat hubungan bermakna antara kontaminasi sel darah merah dalam cartridge dengan nilai P=0,000 (P<0,001). Simpulan penelitian adalah terdapat kontaminasi sel darah merah pada sisa larutan anestesi dalam cartridge menggunakan syringe intraligamen merek Y. Kata kunci : Syringe intraligamen, sisa larutan anestesi, Kontaminasi sel darah merah

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RED BLOOD CELLS CONTAMINATION ON THE RESIDUAL ANESTHETIC SOLUTION INSIDE THE CARTRIDGE AFTER LOCAL ANESTHETIC

INJECTION USING INTRALIGAMENTAL SYRINGE Y

ABSTRACT

Asmara Dharma Febi Sasongko1, Budiono2, Hayyu Failasufa2 1Student of Dental Education Program, Faculty of Dentistry, University Muhammadiyah

Semarang, Hp. 085643588054, email: asmaradharmafebisasongko@gmail.com 2Lecturer of Dental Education Program, Faculty of Dentistry, University Muhammadiyah

Semarang

Abstract Intraligamen syringe are commonly used by dentist to help injecting anesthetic solutions from disposable cartridge. The result from preliminary observation found, if the cartridge used with intraligamen syringe by the dentish has remaining residual. Blood has a pressure similar to theory on the liquid that can provides a reverse pressure. Reverse blood pressure can lead to contamination of the remaining anesthetic solution in the cartridge. Blood has a pressure in the blood vessel similar to the theory of liquid pressure that can give pressure back after injection of anesthetic solution. Reverse blood pressure can result in the contaminated anesthetic solution on cartridge of red blood cells. The study aimed to study the presence of red blood cell contamination in the remaining anesthetic solution in cartridge after local anesthetic injection usingintraligament syringe Y. The study used a cartridge containing Mepivacaine HCL 2% epinephrine 1: 100.000. The remaining anesthetic solution after use, was observed using Urynalysis Reagent Strips (Urine). The research method used analytic observational cross sectional design. Sampling using accidental sampling method. The sample is the remaining anesthetic solution on cartridge, there was 32 cartridge. Test data analysis using point-biserial correlation. There was a close relationship between red blood cell contamination and the remaining anesthetic solution in the cartridge (r = -0.758). There was a significant association between red blood cell contamination in cartridge with P = 0,000 (P <0.001). The research conclusion is that there is red blood cell contamination on the remaining anesthetic solution in cartridge using Y-type intraligament syringe. Keywords: Syringe intraligament, remaining anesthetic solution, contamination of red blood ce

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