Profil Hemodinamika Pasien Ibu Hamil Multipara yang Menjalani Seksio Sesarea dengan Anestesi Spinal di RSUD Tarakan Jakarta Periode Tahun 2020-2021

Leiwakabessy, Christian Kalvario (2023) Profil Hemodinamika Pasien Ibu Hamil Multipara yang Menjalani Seksio Sesarea dengan Anestesi Spinal di RSUD Tarakan Jakarta Periode Tahun 2020-2021. S1 thesis, Universitas Kristen Indonesia.

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Abstract

Anestesi spinal merupakan teknik anestesi regional yang paling sering digunakan pada prosedur seksio sesarea. Namun tenik anestesi spinal memiliki efek samping yaitu hipotensi. Penelitian ini bertujuan mengetahui profil hemodinamika pasien multipara yang menjalani seksio sesarea dengan anestesi spinal di RSUD Tarakan Jakarta periode tahun 2020-2021. Metode penelitian yang digunakan yaitu deskriptif yang dilakukan dengan pendekatan retrospektif. Pengambilan data menggunakan data sekunder berupa data rekam medik di RSUD Tarakan Jakarta. Peneliti akan menggolongkan data dan kemudian mendeskripsikannya. Hasil analisis menunjukkan data demografi pada pasien paling banyak terjadi pada rentang usia 32- 35 tahun sebanyak 21 (42%) pasien, berat badan paling banyak pada rentang 66-75 kg sebanyak 32 (64%) pasien, bsc paling banyak di dapatkan pada bsc 1x sebanyak 25 (50%) pasien, dan obat yang di gunakan pada semua sampel adalah fentanyl dan bupivacaine. Kemudian berdasarkan jenis operasi, operasi elektif paling banyak ditemukan yaitu sebanyak 29 pasien (58%). Pada pasien multipara didapatkan bahwa baik tekanan darah sistolik sebanyak 47 (94%) maupun diastolik 48(98%) menunjukkan terjadinya penurunan lebih banyak ditemukan dibanding terjadinya peningkatan. Selain itu, frekuensi nadi sesudah dan sebelum pemberian anestesi spinal menunjukkan bawah frekuensi nadi pasien seksio yang menurun 37 (74%) pasien lebih banyak dibandingkan terjadinya peningkatan. Terakhir Mean Arterial Pressure (MAP) pasien seksio sesarea menunjukkan bahwa seluruh pasien sebanyak 50 (100%) mengalami penurunan. Kata kunci: Seksio sesarea, Anestesi spinal, Hemodinamika. / Spinal anesthesia is a regional anesthesia technique most often used in cesarean section procedures. However, spinal anesthesia has side effects, namely hypotension. This study aims to determine the hemodynamic profile of multiparous patients undergoing cesarean section with spinal anesthesia at the Tarakan Regional Hospital, Jakarta for the 2020-2021 period. The research method used was descriptive using a retrospective approach. Data collection used secondary data in the form of medical record data at Tarakan Hospital, Jakarta. Researchers will classify the data and then describe it. The results of the analysis show that demographic data in patients is most often found in the age range 32-35 years, as many as 21 (42%) patients, the highest body weight is in the range 66-75 kg, as many as 32 (64%) patients, patients with a history of cesarean section is mostly found in patients who have previously had a cesarean section once in 25 (50%) patients, and the drugs used in all samples were fentanyl and bupivacaine. Then, based on the type of surgery, elective surgery was the most common, namely 29 patients (58%). In multiparous patients, it was found that both systolic blood pressure was 47 (94%) and diastolic 48 (98%) indicating that there was more of a decrease than an increase. In addition, the pulse frequency after and before the administration of spinal anesthesia showed that the pulse frequency of section patients decreased in 37 (74%) patients more than it increased. Finally, the Mean Arterial Pressure (MAP) of cesarean section patients showed that 50 (100%) of all patients experienced a decrease. Keyword: Seksio sesarea, Spinal anesthesia, Hemodynamic

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