Waktu Pulih Anestesia Spinal pada Brakhiterapi Intrakaviter: Perbandingan Levobupivakain 5 mg Hiperbarik + Fentanil 25 mcg dengan Bupivakain 5 mg Hiperbarik + Fentanil 25 mcg

Spinal Anesthesia Recovery Time of Brachytherapy Outpatient Clinic: Comparison of 5 mg hyperbaric Levobupivacaine + 25 mcg Fentanyl and 5 mg Hyperbaric Bupivacaine+ 25 mcg FentanylIntracavitary brachytherapy is one modality treatment for advanced stage cervical cancer. These patients were treated in the outpatient clinic and thus the chosen anesthesia was spinal anesthesia. The regimen of spinal anesthesia influences the recovery time. The aim of the study was to compare the recovery time between two spinal anesthesia regimens, Levobupivacaine + 25 mcg fentanyl and 5 mgs Hyperbaric Bupivacaine+ 25 mcg fentanyl for brachytherapy outpatient clinic patient. Method: This was a double blind randomized control trial study. In the radiotherapy unit of RSCM. After approval from The Ethics Committee Faculty of Medicine Universitas Indonesia, Ciptomangunkusumo Hospital and consent from patients, 60 patients weredivided into two groups,Levobupivacaine + 25 mcg fentanyl group and 5 mgs Hyperbaric Bupivacaine+ 25 mcg Fentanyl group. The recovery time of both groups were recorded. Result: The spinal anesthesia recovery time was measured by discharge time, ambulation time, and spontaneous micturition time. all of these three variables were significantly different between the two groups (p<0,05). Conclusion: spinal anesthesia recovery time, ambulation time, spontaneous micturition time of Levobupivacaine + 25 mcg fentanyl group were faster than 5 mgs Hyperbaric Bupivacaine+ 25 mcg fentanyl group in intracavitary brachytherapy patients.