Physical Status Relationship American Society of Anesthesia (ASA) with Time to Achieve Bromage Score 2 in Spinal Anesthesia Patients in the IBS Recovery Room of Dr Iskak Tulungagung Hospital

Novita Ana Anggraini; Annisa Ary Saifutri; Nurma Afiani; Rahmania Ambarika

doi:10.30994/jnp.v8i4.871

Authors

Novita Ana Anggraini Universitas STRADA Indonesia, Kediri, Indonesia https://orcid.org/0000-0001-5443-3870
Annisa Ary Saifutri Universitas STRADA Indonesia, Kediri, Indonesia
Nurma Afiani Universitas Negeri Malang, Indonesia
Rahmania Ambarika Universitas STRADA Indonesia, Kediri, Indonesia https://orcid.org/0000-0002-2209-4971

DOI:

https://doi.org/10.30994/jnp.v8i4.871

Keywords:

ASA physical status, bromage score, spinal anesthesia

Abstract

Background: The American Society of Anesthesiologists (ASA) Physical Status classification is used to assess a patient’s overall health and predict potential complications related to spinal anesthesia. The Bromage score is commonly used to evaluate motor block recovery following spinal anesthesia, with the achievement of Bromage score 2 indicating partial motor function return.

Purpose: This study aimed to analyze the relationship between ASA physical status and the time required to achieve Bromage score 2 in patients undergoing spinal anesthesia in the recovery room of Dr. Iskak Tulungagung Hospital.

Methods: This research employed a cross-sectional design. The study population included all spinal anesthesia patients in the hospital’s recovery room, totaling 250 individuals. A sample of 38 respondents was selected using simple random sampling. Data were collected using observation sheets and analyzed with the Spearman Rho test at a 95% confidence level (α = 0.05).

Results: The results showed that the majority of respondents (57.9%) had an ASA status of 2, and most (60.5%) achieved Bromage score 2 within 120–149 minutes. Statistical analysis revealed a p-value of 0.017 (<0.05), indicating a significant relationship between ASA physical status and time to achieve Bromage score 2.

Conclusion: Higher ASA classifications are associated with more severe systemic conditions, which may slow the body's response to anesthetic drugs, resulting in a longer time to reach motor recovery.

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