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Journal : java nursing journal

The Correlation between Body Mass Index (BMI) and Recovery Time on General Anesthesia Patient Using Endotracheal Tube (ET) Maryadi, Adi; Rahmaya Nova Handayani; Eza Kemal Firdaus; Asmat Burhan
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.24

Abstract

Conscious recovery time is the time it takes for the patient to be removed from the conscious recovery room when the patient is fully conscious. Patients who are unconscious within more than 15 minutes are considered prolonged, even to respond to a stimulus in highly susceptible patients requires 30-45 minutes after general anesthesia drugs are stopped. One of the causes of lengthening the time to recover consciousness is the Body Mass Index (BMI) in patients which can increase the potential of anesthetic drugs given. The purpose of this study was to determine the relationship between Body Mass Index (BMI) and conscious recovery time in general anesthesia patients using Endotracheal Tube (ET) at RSUD Dr. Soedirman Kebumen. The method of ths study was correlation analitik with a cross-sectional approach. The sample of this study amounted to 48 respondents with consecutive sampling technique. Data analysis was carried out using the Kendall Tau test. The results of the study obtained 86.5% of respondents had a fast conscious recovery time (<15 minutes) and 13.5% of respondents had a prolonged conscious recovery time (>15 minutes). Of the results of the kendall tau correlation test obtained results with a significancy p value of 0.000 < 0.05 which means there is a relationship between the body's mass index to the recovery time of consciousness after general anesthesia with the endotracheal tube. The conclusion of this study is that majority of respondents who have a quick recovery time of less tha 15 minutes are respindents with a normal body mass index. Patient with a fat or obese BMI will receive a higher dose of anesthetic medication compared to patients in the thin category. When the anesthetic drug is given a higher concentration, the effect of the ansthetic drug will be longer.
The Correlation Between Pre-Operative Fasting Duration and Post-Operative Nausea and Vomiting Occurrence on Patients with General Anestehesia Karmana, Dede; Mixrova Sebayang, Septian; Kemal Firdaus, Eza; Sukmaningtyas, Wilis
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.33

Abstract

Background: Preoperative fasting is a procedural measure implemented before surgery or anesthesia to avert regurgitation or vomiting. PONV incidence is influenced by surgical, anesthetic, and patient-related factors. The purpose of the study is to ascertain the duration of preoperative fasting observed by participants and the prevalence of PONV according to personality traits. Purpose: Determine the correlation between the duration of preoperative fasting and the occurrence of PONV in patients undergoing general anesthesia at RSUD Dr. Soekardjo Tasikmalaya. Methods: Observatory, descriptive, and cross-sectional designs are utilized. The sampling method was with sixty respondents ranging in age from seventeen to forty-five years, ASA I to II. Data is collected via observation and evaluation. Findings: The study observed that among 37 individuals (61.7%), preoperative fasting for 6-8 hours was beneficial, while for 23 individuals (38.3%), fasting for >8 hours were detrimental. At the age of 17-25 years, 10 individuals (47.6%) develop PONV, while 11 individuals (52.4%) do so between the ages of 26-45. Among women, 17 individuals (81.0%) have PONV, while 20 individuals (95.2%) have ASA I physical status, and 1 individual (4.8%) has ASA II physical status. Conclusion: There is a significant link (p < 0.013) between preoperative fasting time and postoperative nausea and vomiting (PONV) in patients under general anesthesia. Fasting before surgery should be long enough to avoid PONV
Description Of Age And Bmi In The Hypothermia And Normothermia Group In Caesarea Sectio Patients With Spinal Anesthesia Jaya Zega, Firman; Mixrova Sebayang, Septian; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.46

Abstract

Background: Hypothermia results in increased risk of bleeding, myocardial ischemia, longer post-anesthesia recovery, impaired wound healing, and increased risk of infection. This is due to the influence of anesthetic use, age, nutritional status, and body mass index. The research aims to determine the description of age and BMI in the hypothermia and normothermia groups in caesarean section patients with spinal anesthesia at the Efarina Etaham Pematang Siantar Hospital. Methods: This type of research is descriptive with a cross sectional approach. The study population was all 40 caesarean section patients with spinal anesthesia in September 2023. The research sample used a total sampling method, namely the entire population was the research sample of 40 respondents. Data analysis using univariate analysis. Findings: The results of the research showed that the body temperature of the respondents experienced hypothermia after anesthesia, the majority aged >35 years, all of them experienced hypothermia as many as 11 respondents (100.00%) and the minority of respondents aged <20-35 years as many as 2 respondents (15.38%) and as many as 25-35 years old. 2 respondents (12.50%). Body temperature after spinal anesthesia showed that the body temperature of the respondents experienced hypothermia, the majority of BMI <18.5 or underweight category were 11 respondents (91.67%) and the minority were Normal BMI (BMI 18.5-22.9) as many as 4 respondents (14.29%). Conclusion: Body temperature changes when spinal induction anesthesia is given.
Relationship Between Length of Surgery and Shivering in Postoperative Abdominal Surgery Patients Yuswanto, Subur; Triyudono, Danang; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.47

Abstract

Background: Abdominal surgery is a type of major surgical operation performed in the abdominal area with incision in the wall layer. The surgery has a risk, one of which is the incidence of shivering and the long period of surgery causes a continuous process of losing body heat. Objective: to know the relationship between the length of surgery and the incidence of shivering in postoperative abdominal surgery patients in the central surgical installation of RSUD Hj. Anna Lasmanah Banjarnegara. Methods: This research design uses cross sectional. Sampling technique with total sampling obtained 50 with abdominal surgery... Instruments include age, gender, BMI, type of anesthesia, length of surgery and incidence of shevering. Findings: age with the majority of the early adult category 26-35 years at 14 (28.0%) for the majority of female gender at 35 (70%) and the highest BMI with normal at 31 (62%).The length of operation of postoperative abdominal surgery patients with the majority in the fast category less than 1 hour at 29 (58%). Conclusion: there is a relationship between the length of surgery and the incidence of shivering in abdominal surgery patients in the Central Surgical Installation of Hj. Anna Lasmanah Banjarnegara Hospital with a p_value of 0.004 (<0.05) with a relationship in the moderate category with rho 0.416 with a relationship in the moderate category with rho 0.416
Overview of Intra Anesthesia Hemodynamic Status in Patients with Spinal Anesthesia Action Rahman; Lintang Suryani, Roro; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.51

Abstract

Background: Hemodynamic observation during spinal anesthesia is necessary to assess the status of a patient's cardiovascular system. Hemodynamic decline is one of the most common acute complications that can occur in spinal anesthesia. Purpose: to determine the description of intra-anesthesia hemodynamic status in patients with spinal anesthesia at Morowali Hospital. Methods: This research design uses descriptive design. The sampling technique with total sampling obtained 85 patients who performed spinal anesthesia. The research instrument contains monitoring the patient's vital signs including systole blood pressure, diastole, pulse frequency, and MAP value. Results: The age of patients is most with early adulthood at 33 (38.8%) and the least with the elderly category at 2 (2.4%). The gender of the respondents was mostly female with 51 (60%). The type of surgery with the majority with major surgery amounted to 51 (60%) and the most ASA status with ASA 2 amounted to 74 (87.1%). Conclusion: hemodynamic status based on systole and diastole blood pressure in the normal category was 63 (74.1%), based on pulse frequency the majority with normal status was 58 (68.2%), based on MAP values the majority with normal was 53 (62.4%).