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Journal : Madani: Multidisciplinary Scientific Journal

Gambaran Status Hemodinamik Sebelum dan Sesudah Injeksi Spinal Anestesi Pada Pasien Transurethal Resection of The Prostate di RSI Purwokerto Rumadan, Elsafika; Susanto, Amin; Sebayang, Septian Mixrova
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 8 (2024): Vol. 2, No. 8, 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13624081

Abstract

Transurethral Resection of the Prostate (TURP) is a common surgical intervention for patients with benign prostatic hyperplasia. Spinal anesthesia is the preferred technique for TURP but carries a primary risk of hypotension. This study aims to describe the hemodynamic status before and after spinal anesthesia injection in TURP patients and to present general patient characteristics such as age and physical status according to the American Society of Anesthesiologists (ASA). This descriptive quantitative study uses a cross-sectional approach. Data were collected from 30 patients undergoing TURP with spinal anesthesia, observing hemodynamic changes before and after spinal anesthesia injection. The results showed that the majority of respondents were aged 55-64 years (56.7%) and had an ASA physical status of 1 (53.0%). Before spinal anesthesia, 36.7% of patients were hypertensive, and 63.3% were normal. All patients had normal pulse, oxygen saturation, respiration, and body temperature before spinal anesthesia. At the 5th minute after spinal anesthesia, 96.7% of patients experienced hypotension, all patients maintained normal pulse, oxygen saturation, and respiration, but 23.3% of patients experienced hypothermia. In conclusion, spinal anesthesia in TURP patients causes significant hemodynamic changes in blood pressure, with the majority of patients experiencing hypotension. Pulse, oxygen saturation, and respiration remained stable, while body temperature decreased in some patients. These findings highlight the importance of proper monitoring and management to anticipate hemodynamic complications during TURP procedures.
Gambaran Hemodinamik Intra Anestesi dan Retensi Urin Pasca Operasi Pada Pasien Sectio Caesarea Dengan Metode Enhanced Recovery After Caesarean Section (ERACS) di RSIA Permata Hati Mataram Faristanty, Audria Noviand; Susanto, Amin; Suandika, Made
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The birth of a fetus through an incision in the uterine wall through the front wall of the abdomen is known as sectio cesarean delivery. The SC process requires anaesthetic management consisting of general and regional anaesthesia. Female celebrities and general citizens are currently having SC deliveries using the Enhanced Recovery After Cesarean Surgery (ERACS) method. Spinal anaesthesia provides several advantages, including keeping the mother awake, reducing aspiration likelihood, and avoiding neonatal depression. It also provides unexpected complications, including haemodynamic changes and the incidence of urinary retention. This study aims to determine the features of intra-anesthetic haemodynamics and postoperative urinary retention in sectio caesarea patients with the Enhanced Recovery After Cesarean Surgery (ERACS) method. This study used a quantitative descriptive approach with a cross-sectional approach. The sampling technique was a purposive sampling of as many as 67 respondents. Data were collected by observing the first 15 minutes after spinal anaesthesia and interviewing the incidence of postoperative urinary retention. The results showed that there were haemodynamic changes and the incidence of postoperative urinary retention.
Pengaruh Kompres Es Sebelum Injeksi Spinal di Area Tusukan Terhadap Kejadian Nyeri Tusukan Jarum Spinal Anestesi Pada Pasien Sectio Caesarea di RSUD Labuha Provinsi Maluku Utara Hidu, Asfan La; Wibowo, Tophan Heri; Handayani, Rahmaya Nova; Susanto, Amin
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13743878

Abstract

Sectio Caesarea  merupakan operasi yang dapat menurunkan angka kematian ibu saat persalinan pervaginam. Teknik anestesi spinal mempunyai kelebihan karena kesederhanaan tekniknya dan efektivitasnya dalam memberikan blok sensorik dan motorik, terutama pada operasi ekstremitas bawah . Nyeri akibat spinal anestesi di pengaruhi oleh ukuran jarum spinal yang digunkanan. Kompres dingin dengan es dapat memperlambat konduksi saraf perifer, mengurangi pelepasan mediator inflamasi, dan menimbulkan efek anestesi kulit cepat. Penelitian ini bertujuan untuk mengetahui pengaruh kompres es sebelum injeksi spinal terhadap nyeri tusukan jarum pada pasien SC. Metode yang digunakan adalah eksperimen kuantitatif dengan desain post-test only with control group, melibatkan data primer melalui wawancara dengan pasien SC pasca spinal. Pengukuran nyeri dilakukan pada dua kelompok: kelompok perlakuan (kompres es) dan kelompok kontrol. Analisis menggunakan uji Mann Whitney-U. Hasil Uji statistik menunjukkan nilai p value 0,0001 (<0,05), yang berarti kompres es sebelum injeksi spinal signifikan mengurangi nyeri tusukan jarum spinal pada pasien SC.
Co-Authors Adiratna Sekar Siwi Aditrisna, Dita Arum Adriani, Prasanti Afifah, Ishma Rayhana Akbar, Fazri Alan Marbase, Festus Amanda Sri Utari Amba, Pither Batu Amiarti, Winda Anisa Anisa Apriliyani, Ita Apriliyanti, Risni Ardan, Achmad Azzahra, Salsabila Agung Budi, Martyarini Burhan, Asmat Darmawan, Wisnu Dwi Dedi, Dedi Irawan Desy Rahayu Dewandana, Rizal Rizky Diputera, Vi Paradise Dwi Novitasari Faristanty, Audria Noviand Firdaus, Eza Kemal Ghofur, Amin Ghoni Gisbella, Choirunisa Hadi Kurniawan, Hadi Harfiyanto, Naufal Putra Haryanti, Dianita Hasan, Adhariannur Heliyana HR, Okto Hidu, Asfan La Hikmanti, Arlyana Husnul Khotimah Muliono, Siti Indah Susanti Jerau, Emiliani Elsi Kabnani, Melinda Winarti Koban, Leonardo Ekarynansya Ola Belatan Lana One, Vinsensius Lintang Suryani, Roro Made Suandika Mawarti, Mustika Ari Mixrova Sebayang, Septian Nabillah, Destiara Putri Nabitha, Kanaya Nuraeni, Novi Yulianti Nurdiamsyah, Pratomo Nurjanah, Dzawi Pangestika, Widia Pramesti Dewi Prapto Sasongko, Didik Pratama, Ilham Pratiwi, Syavira Salsabilah Putri Nola Primadiyadi, Syaikh Azib Esa Priyatama, Rajendra Putri, Ferra Ayu Apriliya Putri, Vilda Ardya Putriwardian, Kensa Dwimelita Rahmaya Nova Handayani Rena Fitri, Rena Rudiati, Rudiati Rumadan, Elsafika Sari, Dias Permata Sebayang, Septian Sebayang, Septian Mixrova Setyawati, Martyarini Budi shelina , shelina Siti Haniyah Solikhati, Nuki Soniawati, Diah Suandik, Made Suci Khasanah Sukmaningtyas, Willis Suryani, Roro Lintang Sutanto Sutanto Tarsono Tarsono Tri Sumarni Tri Yudono, Danang Wahyuningsih, Ratih Waldi Rahman Wibowo, Tophan Heri Wijayanti, Indri Wilis Sukmaningtyas Wirakhmi, Ikit Netra Yudono, Danang Tri Zaky Ariyanto, Hafizh Zamron, Muhammad