Perbandingan Ketepatan Pengukuran Tekanan Balon Pipa Endotrakeal setelah Intubasi antara Metode Palpasi pada Pilot Balon dan Teknik Melepas Spuit secara Pasif

Metode palpasi pada pilot balon merupakan teknik yang tidak akurat untuk menentukan tekanan balon pipa endotrakeal (endotracheal tube/ETT). Tujuan penelitian ini membandingkan ketepatan pengukuran tekanan balon ETT antara metode palpasi pada pilot balon (MP) dan teknik melepas spuit secara pasif (MSP). Penelitian dilakukan pada bulan Juni 2014 di Rumah Sakit Dr. Hasan Sadikin Bandung, menggunakan metode kuantitatif eksperimen dengan rancangan uji acak silang tersamar tunggal. Subjek penelitian adalah 94 orang pasien berusia 18−65 tahun dengan status fisik American Society of Anesthesiologists (ASA) I–III, yang menjalani pembedahan dengan anestesi umum secara intubasi endotrakeal. Saat akan dilakukan intubasi, balon ETT dikembangkan dengan dua teknik yang berbeda kelompok metode palpasi (n=48) dan kelompok teknik melepas spuit secara pasif (n=46). Data hasil penelitian dianalisis menggunakan uji-t tidak berpasangan dan uji chi-kuadrat. Hasil penelitian didapatkan tekanan rata-rata pada kelompok MP 57,7±26,0 cmH2O dan MSP 28,7±4,5 cmH2O, sedangkan untuk ketepatan pengukuran pada kelompok MSP 56,5% dan kelompok MP 6,2% (p<0,001). Simpulan penelitian ini menunjukkan bahwa metode palpasi merupakan teknik pengukuran tekanan balon ETT yang tidak adekuat.Kata kunci: Metode palpasi pada pilot balon, teknik melepas spuit secara pasif, endotracheal tubeComparison between Pilot Balloon Palpation Method and Passive Release Technique on the Accuracy of Measurements of  Endotracheal Tube Cuff Pressure Estimation of cuff pressure by palpating the pilot balloon is not accurate to determine the cuff pressure of endotracheal tube (ETT). Hence, this study we conducted to compare the accuracy of indirect measurements between pilot balloon palpation method (MP) and passive release technique (MSP). This was a single blind randomized crossover study performed in june 2014 at Dr. Hasan Sadikin General Hospital Bandung, in which patients received each technique and as a control group. Subjects were 94 patients aged 18−65 years old with American Society of Anesthesiologists (ASA) physical status I−III who underwent surgery requiring tracheal intubation. These subjects were randomized into two groups. After induction of anesthesia, the cuff was inflated with two different techniques: pilot balloon palpation technique (n=48) and passive release technique (n=46). Data were statistically analyzed using independent t-test and chi-square test. The mean cuff pressures of group MP was 57.7±26.0 cmH2O and for group MSP was 28.7±4.5 cmH2O,  whereas the precision of measurements in the MSP group was 56.5% and 6.2% in the MP group (p<0.001). It is conclude that the palpation method for cuff inflation are inadequate. Therefore, it is suggested that the endotracheal tube cuff pressure must be kept within the optimal range using a standard manometer. Key words: Endotracheal cuff pressure, passive release technique, pilot balloon palpation method  DOI: 10.15851/jap.v3n3.60

Hubungan antara Durasi Puasa Preoperatif dan Kadar Gula Darah Sebelum Induksi pada Pasien Operasi Elektif di Rumah Sakit Dr. Hasan Sadikin Bandung

Puasa preoperatif merupakan keharusan sebelum dilakukan tindakan anestesi. Alasan utamanya adalah untuk mengurangi volume lambung, tingkat keasaman lambung, dan mengurangi risiko aspirasi paru. Namun, puasa preoperatif sering kali lebih lama daripada yang direkomendasikan karena berbagai sebab. Tujuan penelitian ini mengetahui durasi puasa preoperatif pada pasien operasi elektif dan hubungan antara durasi puasa preoperatif dan kadar gula darah sebelum induksi pasien operasi elektif di Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian observasional dilakukan selama 1–31 Juni 2014 dengan melakukan wawancara pasien sebelum induksi anestesi dan pengukuran kadar gula darah menggunakan glukometer. Analisis korelasi menggunakan Uji Mann-Whitney. Hasil penelitian pada 371 pasien didapatkan lama puasa dari makanan padat, durasi minimum adalah 4 jam, maksimum 20,5 jam, dan rata-rata 10,42 jam. Pada puasa dari minuman, durasi puasa minimum adalah 2 jam, maksimum 18 jam dengan rata-rata 8,06 jam. Terdapat 8 pasien dengan kadar gula darah kurang dari 70 mg/dL dengan rentang kadar gula darah 59–70 mg/dL dan rentang durasi puasa 6–18 jam. Tiga di antaranya orang lanjut usia di atas 60 tahun. Sebanyak 253 pasien berpuasa makanan padat >8 jam dan 357 pasien berpuasa minuman >2 jam. Simpulan, tidak terdapat hubungan antara durasi puasa dan kadar gula darah sebelum induksi.Kata kunci: Durasi puasa preoperatif, kadar gula darah, operasi elektifCorrelation between Preoperative Fasting Duration and Blood Glucose Level before Induction in Elective Surgery Patients in Dr. Hasan Sadikin General Hospital BandungPreoperative fasting is a requisite before anesthesia. The main reason for preoperative fasting is to reduce gastric volume and acidity and, thus, decrease the risk of pulmonary aspiration. However, preoperative fasting is usually prolonged beyond the recommended time for various reasons. Despite the many adverse effects of prolonged fasting, patients sometimes fast for a prolonged time when the surgery is delayed for different reasons. The aim of this study was to assess the duration of preoperative fasting for elective surgery and its correlation with blood glucose after preoperative fasting in Dr. Hasan Sadikin General Hospital Bandung. An observational study was conducted from 1- 31 June 2014. Patients were interviewed before induction, and blood glucose level was measured using a glucometer. A correlation analysis was performed using Mann-whitney test. All 371 elective surgery patients admitted during the study period were included. The minimum, maximum, and mean fasting hours for food were 4, 20.5, and 10.42, respectively. The minimum, maximum, and mean fasting hours for fluid were 2, 18, and 8.06, respectively. Only 8 patients had blood a glucose level below 70 mg/dL with blood glucose levels range from 59 to 70 mg/dL and duration of fasting range from 6 to 18 hours. Three of elderly patients, who was above 60 years old, participated in this study. There were 253 patients (68.2%) fasted from solid food more than 8 hours and there were 357 (96.2%) fasted from clear fluid more than 2 hours. It is concluded that there is no correlation between duration of fasting and blood sugar level before induction.Key words: Duration of preoperative fasting, elective surgery, blood glucose level DOI: 10.15851/jap.v4n2.82

Perbandingan Klonidin 0,5 mg/kgBB Intravena dengan Tramadol 0,5 mg/kgBB Intravena Sebagai Profilaksis Kejadian Menggigil Pascaanestesia Spinal pada Seksio Sesarea

Menggigil merupakan  komplikasi  yang sering terjadi pascaanestesi spinal, akibat gangguan kontrol termoregulasi. Klonidin merupakan agonis adrenergik α2 yang memiliki efek antihipertensi, analgetik, sedasi, dan antimenggigil. Tujuan penelitian ini untuk menilai perbandingan klonidin 0,5 μg/kgBB dengan tramadol 0,5 mg/kgBB dalam menurunkan kejadian menggigil pada pasien yang menjalani seksio sesarea dengan anestesi spinal. Metode  penelitian adalah uji klinis acak  terkontrol tersamar ganda pada 58 pasien yang menjalani operasi seksio sesarea di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Januari−April 2014, usia 18−45 tahun, status fisik menurut American Society of Anesthesiologist (ASA) II dan dibagi secara acak menjadi 2 kelompok, yaitu kelompok yang menerima klonidin 0,5 μg/kgBB intravena dan  kelompok  tramadol 0,5 mg/kgBB intravena sebelum dilakukan anestesi spinal dengan bupivakain 12,5 mg. Analisis statistik menggunakan uji-t, uji chi-kuadrat, dan Uji Eksak Fisher. Hasil penelitian menunjukkan kejadian menggigil pada kelompok klonidin lebih sedikit bila dibandingkan dengan kelompok tramadol, baik di kamar operasi (3,44% vs 10,34%) maupun di ruang pemulihan (3,44% vs 17,24%). Simpulan dari penelitian ini  menunjukkan  bahwa  pemberian klonidin 0,5 μg/kgBB intravena sebelum anestesi spinal pada seksio sesarea mengurangi kejadian menggigil dan efek samping.Kata kunci: Klonidin, menggigil, pascaanestesi spinal, tramadol Comparison of Intravenous 0.5 mg/kgBW Clonidine Intravenous and 0.5 mg/kgBW Tramadol as Post Spinal Anesthesia Shivering Prophylactic Agent in Caesarean SectionAbstract Shivering, as a result of impaired thermoregulatory control, is known as a frequent complication of post-spinal anesthesia. Clonidine is an α2-adrenergic agonist that has anti-hypertensive, analgesic, sedation and anti-shivering effects. The purpose of this study is to compare the use of  0.5 μg/kgBW clonidine with 0.5 mg/kgBW tramadol in reducing the incidence of shivering in patients undergoing cesarean section with spinal anesthesia. The method applied was the double-blind randomized controlled clinical trial in 58 patients undergoing caesarean surgery at the Dr. Hasan Sadikin General Hospital Bandung in the period of January−April 2014, age 18−45 years, American Society of Anesthesiologist (ASA) physical status II, and divided into two groups; a group receiving 5 μg/kgBW intravenous clonidine and a group receiving 0.5 mg/kgBW intravenously tramadol prior to spinal anesthesia with bupivacaine 12.5 mg. The statistical analyses used were the t test, chi-square test and Fisher’s Exact test. The incidence of shivering were less in the clonidine group compared to the tramadol group in operating theatre (3.44% vs 10.34) and recovery room (3.44% vs 17.24%). The conclusion of this study showed that the administration of 0.5 μg/kgBW clonidine intravenously before spinal anesthesia for cesarean section reduces the incidence of shivering and side effects.Keywords: Clonidine, post spinal anesthesia, shivering, tramadol DOI: 10.15851/jap.v3n1.378 

Perbandingan Klonidin 0,5 mg/kgBB Intravena dengan Tramadol 0,5 mg/kgBB Intravena Sebagai Profilaksis Kejadian Menggigil Pascaanestesia Spinal pada Seksio Sesarea

Menggigil merupakan  komplikasi  yang sering terjadi pascaanestesi spinal, akibat gangguan kontrol termoregulasi. Klonidin merupakan agonis adrenergik α2 yang memiliki efek antihipertensi, analgetik, sedasi, dan antimenggigil. Tujuan penelitian ini untuk menilai perbandingan klonidin 0,5 μg/kgBB dengan tramadol 0,5 mg/kgBB dalam menurunkan kejadian menggigil pada pasien yang menjalani seksio sesarea dengan anestesi spinal. Metode  penelitian adalah uji klinis acak  terkontrol tersamar ganda pada 58 pasien yang menjalani operasi seksio sesarea di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Januari−April 2014, usia 18−45 tahun, status fisik menurut American Society of Anesthesiologist (ASA) II dan dibagi secara acak menjadi 2 kelompok, yaitu kelompok yang menerima klonidin 0,5 μg/kgBB intravena dan  kelompok  tramadol 0,5 mg/kgBB intravena sebelum dilakukan anestesi spinal dengan bupivakain 12,5 mg. Analisis statistik menggunakan uji-t, uji chi-kuadrat, dan Uji Eksak Fisher. Hasil penelitian menunjukkan kejadian menggigil pada kelompok klonidin lebih sedikit bila dibandingkan dengan kelompok tramadol, baik di kamar operasi (3,44% vs 10,34%) maupun di ruang pemulihan (3,44% vs 17,24%). Simpulan dari penelitian ini  menunjukkan  bahwa  pemberian klonidin 0,5 μg/kgBB intravena sebelum anestesi spinal pada seksio sesarea mengurangi kejadian menggigil dan efek samping.Kata kunci: Klonidin, menggigil, pascaanestesi spinal, tramadol Comparison of Intravenous 0.5 mg/kgBW Clonidine Intravenous and 0.5 mg/kgBW Tramadol as Post Spinal Anesthesia Shivering Prophylactic Agent in Caesarean SectionAbstract Shivering, as a result of impaired thermoregulatory control, is known as a frequent complication of post-spinal anesthesia. Clonidine is an α2-adrenergic agonist that has anti-hypertensive, analgesic, sedation and anti-shivering effects. The purpose of this study is to compare the use of  0.5 μg/kgBW clonidine with 0.5 mg/kgBW tramadol in reducing the incidence of shivering in patients undergoing cesarean section with spinal anesthesia. The method applied was the double-blind randomized controlled clinical trial in 58 patients undergoing caesarean surgery at the Dr. Hasan Sadikin General Hospital Bandung in the period of January−April 2014, age 18−45 years, American Society of Anesthesiologist (ASA) physical status II, and divided into two groups; a group receiving 5 μg/kgBW intravenous clonidine and a group receiving 0.5 mg/kgBW intravenously tramadol prior to spinal anesthesia with bupivacaine 12.5 mg. The statistical analyses used were the t test, chi-square test and Fisher’s Exact test. The incidence of shivering were less in the clonidine group compared to the tramadol group in operating theatre (3.44% vs 10.34) and recovery room (3.44% vs 17.24%). The conclusion of this study showed that the administration of 0.5 μg/kgBW clonidine intravenously before spinal anesthesia for cesarean section reduces the incidence of shivering and side effects.Keywords: Clonidine, post spinal anesthesia, shivering, tramadol DOI: 10.15851/jap.v3n1.378 

Perbandingan Numeric Rating Scale antara Infiltrasi Analgesia Tramadol 1 mg/kgBB dan Bupivakain 0,25% Pascaoperasi Hernia Inguinalis Reponibel

Pencegahan dan penatalaksanaan nyeri akut pascaoperasi merupakan faktor yang menentukan untuk mengurangi kemungkinan terjadinya nyeri kronik. Penelitian ini bertujuan untuk membandingkan tramadol 1 mg/kgBB dengan bupivakain 0,25% yang diberikan secara infiltrasi subkutan sebelum penutupan kulit terhadap nyeri pascaoperasi hernia inguinalis reponibel. Penelitian dilakukan terhadap 32 orang yang terbagi secara acak ke dalam 2 kelompok dengan usia 18–65 tahun, status fisik American Society of Anesthesiologist (ASA) I–II yang menjalani operasi hernia inguinalis reponibel secara uji acak terkontrol buta ganda dalam anestesi umum di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Juni 2012. Penilaian skala nyeri dilakukan pada jam ke-0, 1, 2, 3, 4, 5, 6, 8, 10, dan selanjutnya sampai tercapainya nilai NRS>4. Analisis statistik menggunakan independent t-test dan chi-kuadrat. Hasil penelitian ini mendapatkan nilai NRS kelompok tramadol yang lebih rendah pada jam ke-3 dan jam ke-4 dibandingkan dengan kelompok bupivakain. Pada kelompok tramadol ditemukan durasi analgesi yang lebih panjang daripada kelompok bupivakain dengan perbedaan bermakna (p4. NRS on the tramadol group was significantly lower during the 3rd and 4th hour compared to the bupivacaine group. Duration of analgesia was longer in the tramadol compared to bupivacaine group. In conclusions, the subcutaneous infiltration of tramadol 1 mg/ kgBW is better compared to bupivacaine 0.25% in reducing postoperative NRS value in reducible inguinalhernia surgery and provides a longer duration of analgesia, with no significant differences in side effects.Key words: Bupivacain, post operative pain, subcutaneous infiltration, tramadol, visual analogue scale DOI: 10.15851/jap.v2n1.23

Perbandingan Efek Lidokain dengan Magnesium Sulfat Intravena terhadap Nilai Numeric Rating Scale dan Kebutuhan Analgesik Pascabedah Kolesistektomi Perlaparoskopi

Lidokain dan magnesium sulfat mempunyai efek antihiperalgesia yang dapat digunakan sebagai obat tambahan untuk mengurangi nyeri pascaoperasi dan mengurangi kebutuhan analgesik opioid. Tujuan penelitian ini membandingkan efek lidokain dan magnesium sulfat intravena nilai numeric rating scale (NRS) dan kebutuhan analgesik pertolongan. Penelitian eksperimental dengan double blind randomized controlled trial dilakukan di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Januari–Maret 2015 terhadap 30 pasien yang menjalani kolesistektomi per laparoskopi. Pasien dikelompokkan menjadi 2. Kelompok lidokain mendapatkan 1 mg/kgBB intravena dilanjutkan dengan 1 mg/kgBB/jam dan kelompok magnesium sulfat mendapatkan 30 mg/kgBB intravena dilanjutkan dengan 10 mg/kgBB/jam. Data hasil penelitian dianalisis menggunakan Uji Mann-Whitney, uji-t, dan dianggap bermakna bila p<0,05. Hasil analisis statistik menunjukan bahwa lidokain mengurangi nilai NRS secara bermakna dibanding dengan magnesium sulfat pada jam ke-4 pascaoperasi (p<0,05), dengan kebutuhan analgesik pertolongan fentanil pada kelompok lidokain rata-rata 66,4±15,2 µg dan pada kelompok magnesium sulfat rata-rata 86,0±7,8 µg. Simpulan, lidokain intravena mengurangi NRS pascaoperasi lebih baik dan mengurangi kebutuhan opioid lebih banyak dibanding dengan magnesium sulfat pada pasien operasi kolesistektomi per laparoskopi.Kata kunci: Kebutuhan analgesik opioid, lidokain, magnesium sulfat, nyeri pascaoperasi, numeric rating scale Comparison between the Effect of Intravenous Lidocaine and Magnesium Sulphate on Numeric Rating Scale and Postoperative Analgetic Requirement for Laparoscopic CholecystectomiAbstractPostoperative pain management after laparoscopic cholecystectomy is one measure of successful anesthesia and surgery. Lidocaine and magnesium sulphate have anti-hyperalgesia effects applicable as an additional medication to attenuate postoperative pain and reduce the need for opioid analgesics. A total of 30 of patients aged 18–65 years with ASA physical status I–II who underwent laparoscopic cholecystectomy in Dr. Hasan Sadikin General Hospital Bandung were included in a double-blind, randomized, controlled clinical trial. Patients were randomly assigned into 2 groups. The L group, treated with 1 mg/kgBW intravenous followed by 1 mg/kgBW/h intravenous, and M group, treated with 30 mg/kgBW intravenous followed by 10 mg/kgBW/h. Data were analyzed using Mann-Whitney Test and t-test, p<0.05 was considered significant. Statistical analysis showed that lidocaine significantly reduced NRS value compared to magnesium sulphate at 4 hours postoperatively (p<0.05), with the average rescue analgesic fentanyl requirement in the lidocaine group and the magnesium sulphate group of 66.4±15.2 mg and 86.0±7.8 g, respectively. In conclusions, intravenous lidocaine administration may reduce the postoperative NRS value and opioid analgetic requirement more than the intravenous magnesium sulphate administration in patients undergoing laparoscopic cholecystectomy.Key words: An opioid analgetic rescue, lidocaine, magnesium sulphate postoperative pain, numeric rating scale DOI: 10.15851/jap.v4n1.74

Gambaran Kontaminasi Bakteri pada Sirkuit Pernapasan Anestesi di Ruang Operasi Rumah Sakit Dr. Hasan Sadikin Bandung pada Bulan Agustus 2015

Rumah Sakit Dr. Hasan Sadikin Bandung memakai sirkuit pernapasan dalam melakukan tindakan anestesi di ruang operasi. Sirkuit tersebut digunakan berulang dan diganti setiap 24 jam. Penelitian ini dilakukan untuk mengetahui gambaran kontaminasi bakteri pada sirkuit pernapasan anestesi. Penelitian dilakukan dengan metode deskriptif observasional secara cross–sectional. Sebanyak 102 sampel dari 51 sirkuit pernapasan anestesi diperiksa kultur bakteri sebelum dan sesudah digunakan pada ruang operasi Rumah Sakit Dr. Hasan Sadikin Bandung selama 3 hari pada bulan Agustus 2015. Pengambilan sampel dilakukan dengan metode apus pada konektor Y sirkuit pernapasan anestesi sebelum dan sesudah digunakan dalam 24 jam. Hasil penelitian ini menunjukkan tidak ada kontaminasi bakteri pada sirkuit pernapasan anestesi sebelum digunakan pada ruang operasi Rumah Sakit Dr. Hasan Sadikin Bandung. Kontaminasi bakteri pada sirkuit pernapasan anestesi sesudah digunakan pada ruang operasi Rumah Sakit Dr. Hasan Sadikin Bandung adalah 25,49%. Gambaran pola bakteri yang teridentifikasi adalah bakteri Micrococcus spp., Bacillus spp., Streptococcus viridans, Serratia marcescens, Staphylococcus aureus, Staphylococcus epidermidis, Staphylococcus hominis, dan Staphylococcus saprophyticus. Simpulan penelitian ini adalah tidak ditemukan kontaminasi bakteri pada sirkuit pernapasan anestesi sebelum digunakan dan ditemukan kontaminasi bakteri pada sirkuit pernapasan anestesi sesudah digunakan pada ruang operasi Rumah Sakit Dr. Hasan Sadikin Bandung.Kata kunci: Gambaran pola bakteri, kontaminasi bakteri, sirkuit pernapasan anestesi Description of Bacteria Contamination in Anesthesia Breathing Circuit in Operating Room Dr. Hasan Sadikin Bandung General Hospital in August 2015Breathing circuits have been used repeatedly to perform anesthesia in the operating theater of Dr. Hasan Sadikin General Hospital with a replacement interval of every 24 hours. This study was conducted to determine the contamination of bacteria in the anesthesia breathing circuits. This was an observational descriptive cross–sectional study on 102 samples from 51 anesthesia breathing circuits. These samples were cultured before and after the use of breathing circuit in the operating room of Dr. Hasan Sadikin General Hospital for 3 days in August 2015. Sampling was performed using swab method at the Y connector of anesthesia breathing circuit before and after use within a period of 24 hours. The results showed that no bacterial contamination was found in the anesthesia breathing circuit before use in the operating theatre of Dr. Hasan Sadikin Hospital Bandung. Bacterial contamination of anesthesia breathing circuit after use was 25.49%. The bacteria identified were Micrococcus spp., Bacillus spp., Streptococcus viridans, Serratia marcescens, Staphylococcus aureus, Staphylococcus epidermidis, Staphylococcus hominis and Staphylococcus saprophyticus. It is concluded that no bacterial contamination of anesthesia breathing circuit before use; however, bacterial contamination was found after the use of anesthesia breathing circuits in the operating theatre of Dr. Hasan Sadikin General Hospital Bandung.Key words: Anesthesia breathing circuits, bacterial contamination, description of the bacteria

Perbandingan Pemberian Lidokain 2% 1,5 mg/kgBB Intravena dengan Propofol 0,3 mg/kgBB Intravena Setelah Anestesi Umum Dihentikan terhadap Kejadian Batuk Saat Ekstubasi Bangun

Pipa endotrakeal (endotracheal tube; ETT) sering digunakan pada prosedur anestesi umum. Batuk saat ekstubasi merupakan komplikasi yang sering terjadi karena iritasi jalan napas akibat pelepasan ETT. Penggunaan lidokain intravena dan propofol intravena telah terbukti mampu menurunkan angka kejadian batuk saat ekstubasi. Tujuan penelitian ini membandingkan angka kejadian batuk saat ekstubasi bangun pemberian lidokain 2% 1,5 mg/kgBB intravena dengan propofol 0,3 mg/kgBB intravena dalam anestesi umum yang diberikan 3 menit setelah sevofluran dan N2O dihentikan pada akhir operasi. Penelitian ini dilaksanakan dari bulan Desember 2016 sampai dengan Februari  2017 di Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian ini dilakukan dengan metode eksperimental dengan teknik acak terkontrol buta tunggal terhadap 72 subjek yang terdiri atas kelompok lidokain (n=36) dan kelompok propofol (n=36). Analisis statisika menggunakan uji chi-square dengan bantuan aplikasi statistical product and service solution (SPSS) versi 20.0 for windows taraf signifikasi 5% dan dianggap bermakna bila p<0,05. Pada hasil penelitian ini didapatkan angka kejadian batuk pada pemberian lidokain 2% 1,5 mg/kgBB lebih rendah dibanding dengan  pemberian propofol 0,3 mg/kgBB (p<0,05) dengan persentase 19,4% dan 44,4%. Simpulan penelitian ini adalah pemberian lidokain 2% 1,5 mg/kgBB intravena lebih baik dibanding dengan propofol 0,3 mg/kgBB intravena untuk menurunkan kejadian batuk pada saat ekstabasi.Kata kunci: Batuk, ekstubasi, lidokain, propofol Comparison between Intravenous Administration of 2% Lidocaine 1,5 mg/kgBW and Propofol 0,3 mg/kgBW after Discontinuation of General Anesthesia against Cough Incidence During Awake ExtubationEndotracheal tube (ETT) is often used in general anesthesia procedures. Coughing at the time of  extubation is a complication that often occurs due to respiratory irritation due to the release of ETT. The use of intravenous lidocaine and intravenous propofol has been shown to decrease the incidence of coughing at the time of extubation. This study aimed to compare the incidence of coughing during awake extubation between 2% of lidocaine 1.5 mg/kgBW intravenously with propofol administered 0.3 mg/kgBW intravenously in general anesthesia 3 minutes after sevoflurane and N2O was stopped at the end of the surgery. This study was conducted from December 2016 until February 2017 in Dr. Hasan Sadikin General Hospital Bandung. The research was done with experimental method with a single blind  randomized controlled trial and was carried out on 72 subjects consisting of lidocaine group (n=36) and propofol group (n=36). Statistic analysis using chi-square test with statistical product and service solution (SPSS) version 20.0 for windows with significance level 5% and considered significant if p<0,05. In the results of this study, the incidence of coughing in group of 2% of lidocaine 1.5 mg/kgBW was lower than group of propofol 0.3 mg/kgBW (p<0.05) with the respective percentages of 19.4% and 44.4%. The conclusion of this study was 2% of lidocaine 1.5 mg/kgBW intravenously is better compared to propofol 0.3 mg/kgBW intravenously to decrease the incidence of coughing at the time of extubation.Key words: Coughing, extubation, lidocaine, propofo