Pencegahan Kejadian Hipotensi Pasca Anestesi Spinal Pada Pembedahan Seksio Sesarea

Djari, Tesalonica Oryza Sativa; Artawan, I Made; Woda, Rahel Rara; Sihotang, Jojor; Riwu, Magdarita

doi:10.35508/cmj.v9i1.4938

Cited by 4 publications

(4 citation statements)

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“…Angka kelahiran dengan menggunakan metode sectio caesarea di Indonesia terus meningkat pada tahun 2018 yaitu 17,6% dari total kelahiran di Indonesia. Menurut Riset Kesehatan Dasar (RISKESDAS) tahun 2013, persentase kelahiran dengan metode sectio caesarea adalah 9,8% dari total 49.603 kelahiran, dengan persentase tertinggi terjadi di DKI Jakarta (Djari et al, 2021). Berdasarkan data tahun 2018, Bali memiliki angka kelahiran melalui operasi caesar tertinggi kedua di Indonesia sebesar 30,2%, dan dibandingkan data tahun 2013, angka tersebut meningkat hampir dua kali lipat menjadi 17,3% (Putra et al, 2021).…”

Section: Pendahuluanunclassified

Profil Hemodinamik Pasien Sectio Caesarea yang Mengalami Kejadian Hipotensi Intra Anestesi Spinal

Pontoh,

Setyawati,

Adriyani

2023

JPPP

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Anestesi spinal adalah teknik anestesi yang sering digunakan pada operasi sectio caesarea dibandingkan dengan anestesi lainnya. Meskipun demikian, penggunaan anestesi spinal mempunyai efek samping berupa hipotensi. Tujuan penelitian ini adalah untuk mengetahui gambaran profil hemodinamik pasien sectio caesarea yang mengalami kejadian hipotensi intra anestesi spinal di Rumah Sakit Umum Daerah Dr. Soedirman Kebumen. Penelitian ini merupakan jenis studi kuantitatif yang menerapkan metode deskriptif. Penelitian ini juga menggunakan pendekatan cross-sectional dalam desain penelitiannya. Penelitian ini melibatkan 46 responden yang dipilih sebagai sampel dengan menggunakan metode purposive sampling. Uji univariat dipakai untuk analisis data. Pengumpulan data menggunakan bedside monitor dan lembar observasi untuk mencatat hasil monitoring hemodinamiknya. Hasil Penelitian didapatkan bahwa usia terbanyak pada responden yaitu usia 31,15 tahun, Indeks Masa tubuh yang paling dominan yaitu obesitas IMT ≥ 27 sebanyak 17 responden (37.0%). Kejadian hipotensi terhadap pasien sectio caesarea intra anestesi spinal yang paling dominan mengalami hipotensi terdapat pada menit ke-10 sebanyak 37 responden dengan presentase (80.4%), terdapat 29 orang mengalami hipotensi ringan dengan presentase (63.0%). Hemodinamik pasien sectio caesarea yang mengalami kejadian hipotensi intra anestesi spinal terdapat perubahan hemodinamik antara pre anestesi dan intra anestesi pada menit ke-5, 10, dan 15 dimana perubahan TDS yaitu sebesar 7.54 mmHg. TDD sebesar 6.11 mmHg. MAP sebesar 6.54 mmHg. HR sebesar 5.27 x/menit. RR sebesar -0.07 x/menit. Dan SpO2 sebesar 0.09 %.

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Section: Pendahuluanunclassified

Profil Hemodinamik Pasien Sectio Caesarea yang Mengalami Kejadian Hipotensi Intra Anestesi Spinal

Pontoh,

Setyawati,

Adriyani

2023

JPPP

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“…Di Indonesia, diketahui bahwa angka operasi sectio caesarea berdasarkan data Kementerian Kesehatan mencapai 23% atau sekitar 927.000 dari 4.030 kelahiran hidup. Menurut penelitian yang dilakukan oleh (Sihombing et al, 2017) menyebutkan bahwa berdasarkan data nasional pada tahun tersebut, Indonesia mengalami peningkatan kelahiran melalui operasi caesar yaitu ± 5.690.000 kelahiran hidup atau sekitar 24.8% dari seluruh kelahiran hidup (Djari et al, 2021).…”

Section: Pendahuluanunclassified

Relationship Of Waiting Time With Axiety In Pre Operating Sectio Caesarea Patients With Spinal Anestesi In Dr. Soedirman Kebumen Hospital

Ardya Putri,

Susanto,

Haniyah

2023

Jurnal Keperawatan Malang

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Background:Most patients before sectio caesarea surgery using spinal anesthesia have different waiting times, which affects preoperative anxiety. Overreaction due to this anxiety is feared to affect the success of the surgery. The long waiting time of preoperative sectio caesarea patients (?30 minutes) has moderate anxiety. While inappropriate pre anesthesia waiting time (>30 minutes) has severe anxiety. Therefore, the longer the waiting time experienced by patients can affect the level ofanxiety in patients. Purpose:This study aims to determine the relationship between waiting time and anxiety of preoperative sectio caesarea with spinal anesthesia Methods:This study used quantitative correlation analytics with a cross sectional approach.Data collection was carried out before the respondent entered the operating room by giving the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. The sample in this study was 66 respondents who were taken using purposive sampling technique. Data analysis used isu nivariate and bivariate analysisusing the spearman rank test. Result:The results of the correlation statistical test using Spearman rank showed that the coefficient method was 0.5 and p value 0.000. From this study it is known that out of 51 people in the category of waiting time ?30 minutes, there are 26 people (39.4%) with moderate anxiety, in the >30 minute category, there are 8 people (12.1%) with severe anxiety. Conclusion:There is a relationship between waiting time and anxiety in preoperative sectio caesarea patients with spinal anesthesia at RSUD Dr.Soedirman Kebumen

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“…Techniques commonly used to overcome hypotension include the use of vasopressors, fluid co-loading, and the use of levobupivacaine during induction [17]. In addition, elevating the legs immediately after injecting spinal anesthesia drugs can reduce the incidence of hypotension [18].…”

Section: Overview Of the Incidence Of Hypotension After Spinal Anesth...mentioning

confidence: 99%

Overview of the Incidence of Hypotension After Spinal Anesthesia Induction in Sectio Caesarea Patients During Intra Anesthesia at Juanda Kuningan Hospital West Java

Hidayatullah,

Lintang Suryani,

Dewi

2023

JNJ

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Purpose: This study aimed to identify the incidence of hypotension after spinal anesthesia induction in SC patients during intra-anesthesia based on Body Mass Index (BMI), age, and baseline systolic blood pressure at Juanda Kuningan Hospital. Methods: This study used a quantitative descriptive method with a cross sectional approach. The sample in this study were all SC patients with spinal anesthesia techniques who met the criteria. The sampling technique used was purposive sampling with the slovin formula resulting in 90 respondents. And data analysis using univariate analysis. Findings: The results showed that the majority of respondents who experienced mild hypotension with excessive BMI status were 50 respondents (58.8%), the majority of respondents who experienced mild hypotension with early adulthood were 52 respondents (61.2%) and the majority of respondents who experienced mild hypotension with initial systolic blood pressure were at initial systolic blood pressure <120 mmHg and 120-130 mmHg as many as 31 respondents (36.5%). Conclusions: The results of this study illustrate that the majority of respondents will experience hypotension after spinal anesthesia induction. This is because spinal anesthesia can block sympathetic nerves, resulting in a decrease in circulating arterial tone, this condition causes peripheral arterial vasodilation. This vasodilating effect can result in a decrease in vascular resistance (hypotension). For further researchers to be able to develop this study to look for other variables that may be associated with the incidence of hypotension after induction of spinal anesthesia in SC patients so that the results of the study will show more variation.

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Pencegahan Kejadian Hipotensi Pasca Anestesi Spinal Pada Pembedahan Seksio Sesarea

Cited by 4 publications

References 1 publication

Profil Hemodinamik Pasien Sectio Caesarea yang Mengalami Kejadian Hipotensi Intra Anestesi Spinal

Profil Hemodinamik Pasien Sectio Caesarea yang Mengalami Kejadian Hipotensi Intra Anestesi Spinal

Relationship Of Waiting Time With Axiety In Pre Operating Sectio Caesarea Patients With Spinal Anestesi In Dr. Soedirman Kebumen Hospital

Overview of the Incidence of Hypotension After Spinal Anesthesia Induction in Sectio Caesarea Patients During Intra Anesthesia at Juanda Kuningan Hospital West Java

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