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Emanuel Ileatan Lewar
Institut Teknologi Dan Kesehatan Bali
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Journal : babali nursing research

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The Effect of Intravenous Induction of Anesthesia on the Hemodynamic Changes among Patient in Central Surgical Unit of Level-II Udayana Denpasar Hospital Emanuel Ileatan Lewar; I Wayan Agus Maharyawan; Yustina Ni Putu Yusniawati; Carles Takandjandji
Babali Nursing Research Vol 3 No 3 (2022): November
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.586 KB) | DOI: 10.37363/bnr.2022.33111

Abstract

Introduction: Intravenous anesthetic induction is a medically-induced technique that can cause hemodynamic disorder. The impact that occurs if hemodynamic disorders are not immediately resolved in patients with intravenous anaesthesia induction can cause an increase or decrease in blood pressure, decreased tissue perfusion, increased heart rate and arrhythmias so that it disrupts the surgical action plan. Blood pressure, Mean Arterial Pressure (MAP), and pulse should be monitored carefully during induction. We ought to examine the effect of intravenous induction of anesthesia on the hemodynamic changes among patients in the Level-II Udayana Denpasar Hospital. Methods: This was a descriptive cross-sectional study with a consecutive sampling technique. All patients under intravenous induction of anesthesia were considered eligible study respondents. Data were collected using an observation sheet, The number of samples in this study were 60 respondents, and the statistical test used a univariate technique by looking at the frequency distribution of the hemodynamic features of the patient's blood pressure and pulse. Results: Findings reported that the majority of patients were documented with normal systolic blood pressure (51: 85.0%), normal MAP (56; 93.3%), and normal pulse rate (44; 73.3%) during the intravenous induction. Low diastolic blood pressure was reported among 33 respondents (55.5%). Conclusion: The intravenous anesthetic induction altered the hemodynamic status among the respondents.
PONV (Postoperative Nausea and Vomiting) Incidence among Patients with Caesarean Section, Enhanced Recovery After Surgery (ERAS), and Subarachnoid Block (SAB) Anesthesia Yustina Ni Putu Yusniawati; Emanuel Ileatan Lewar; I Gde Agus Shuarsedana; Valentine Claradicha
Babali Nursing Research Vol 4 No 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43112

Abstract

Background, ERAS has been widely demonstrated as an effective method for controlling postoperative pain, nausea, and vomiting. Pain management that cuts the dose of opioids by 50%, involves administering intravenous fluids, and using a combination of antiemetic drugs may have a better outcome. objective. This study aims to determine the incidence of PONV after the ERAS procedure in cesarean section patients with Subarachnoid Block (SAB) anesthesia. Method, This research is quantitative research with a descriptive design. This study was conducted from March to April 2022, involving 60 post-cesarean section patients with SAB and ERAS. Univariate analysis that presents the frequency distribution of PONV events was applied to answer the research objectives. Results, Most of the participants were between 30 and 35 years old (29; 48.3%), classified into the healthy weight group (33; 55%), and identified with a Bromage score of 1 (60; 100%). The majority of participants amounting to Fifty participants (83.3%) did not experience episodes of nausea and vomiting after the procedure. Only seven (11.7%) and three (5%) participants reported mild and moderate nausea and vomiting after the process, respectively. Conclusion, the ERAS method is an adequate technique presented in cesarean section procedures. The findings confirm its effectiveness in reducing the incidence of postoperative nausea and vomiting. Thus, proposing ERAS as an effective and promising protocol for cesarean section procedures.
Co-Authors Agus Baratha Suyasa Agus Baratha Suyasa Carles Takandjandji Dwi Arymbhi Sanjaya I Gde Agus Shuarsedana I Gde Agus Shuarsedana Putra I Gde Agus Shuarsedana Putra I Gede Agus Shuarsedana Putra I Komang Ardidhana Nugraha Putra I Nyoman Tripayana I Wayan Agus Maharyawan Ida Rahmawati Ni Luh Putu Inca Buntari Agustini Valentine Claradicha Yustina Ni Putu Yusniawati Yustina Ni Putu yusniawati Yustina, yusniawati