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All Journal JIAN (Journal of Indonesian Anesthesiology Nursing)
Joko Murdiyanto
Universitas Aisyiyah Yogyakarta
Health Professions Nursing

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FACTORS ASSOCIATED WITH THE INCIDENCE OF HYPOTENSION IN PATIENTS UNDER CAESAREAN SECTION WITH SPINAL ANESTHESIA AT MUHAMMADIYAH HOSPITAL, PALEMBANG Tiara Putri Dela; Joko Murdiyanto; Heri Puspito
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 2 (2026): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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ABSTRACT Background: Hypotension can possibly occur when systolic blood pressure drops below 90 mmHg and diastolic blood pressure falls below 60 mmHg. The sympathetic nervous system, which controls vascular muscle tone, is blocked during spinal anesthesia, resulting in hypotension Methods: This is a quantitative study using an analytical observational method. The study was conducted from February to March 2026 at the Central Operating Theater (COT) of Muhammadiyah Hospital, Palembang. The sample size was 40 respondents that met the inclusion and exclusion criteria. Chisquare analysis was performed in this study. Results: Two variables were significantly associated with the incidence of hypotension in cesarean section patients with spinal anesthesia: age (p-value = 0.046) and the level of sympathetic blockade (p-value = 0.033). The variables of anesthetic drug type and body position did not show a significant association with the incidence of hypotension (p-value = 0.364) and (p-value = 0.673). Conclusion: There is a significant association between age and the level of sympathetic blockade and the incidence of hypotension in cesarean section patients with spinal anesthesia at the Muhammadiyah Hospital, Palembang. Variables that did not show a significant association with the incidence of hypotension were anesthetic drug type and body position.
The THE EFFECT OF HEAD TILT-CHIN LIFT MANEUVER WITH RAMPED POSITION ON AIRWAY IN POST GENERAL ANESTHESIA PATIENTS WITH ENDOTRACHEAL TUBE AT RSUD WATES Puti Nadja Maharani Nadjaaa; Ratih Kusuma Dewi; Joko Murdiyanto
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 2 (2026): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jian.v2i2.4771

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ABSTRACT Background: Patients recovering from general anesthesia with an endotracheal tube are at risk of airway patency impairment due to decreased pharyngeal muscle tone, residual anesthetic effects, and incomplete recovery of airway protective reflexes. Simple interventions such as the head tilt-chin lift maneuver with a ramped position can help maintain airway patency Methods: This quantitative quasi-experimental study used a two-group pretest-posttest design with 48 respondents divided into intervention and control groups. Data were collected via observation sheets and analyzed using the Wilcoxon and Mann-Whitney U tests. Results: The result of Wilcoxon Signed Ranked Test in the intervention group showed p = 0.000 (p < 0.05), indicating a significant effect on airway patency. The control group showed p = 0.083 (p > 0.05), indicating no significant effect. The Mann-Whitney U Test showed p = 0.000 (p < 0.05), indicating a significant difference between the two groups. Conclusion: The head tilt-chin lift maneuver with a ramped position is effective in improving airway patency in post-general anesthesia patients with an endotracheal tube at RSUD Wates.
Co-Authors Heri Puspito Puti Nadja Maharani Nadjaaa Ratih Kusuma Dewi Tiara Putri Dela