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Pengaruh Elevasi Kepala 30 Derajat Terhadap Nilai Saturasi Oksigen Pasca Ekstubasi Dalam Pada Pasien Anestesi Umum Rahmah, Nabilah Fathiyah; Olfah, Yustiana; Prayogi, Agus Sarwo; Khasanah, Furaida
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 20 No. 2 (2024): 2
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jtk.v20i2.2372

Abstract

Background: Extubation is an essential procedure in the termination of general anesthesia. Deep extubation is a comfortable option for patient but carries a higher risk of collapse and airway obstruction. Airway obstruction if not treated immediately will cause hypoxia which is the most common cause of death in anesthesia which is characterized by a decrease in oxygen saturation. Oxygenation therapy is not considered insufficient to prevent hypoxia, so combination of alternatives such as position management is needed to maintain airway patency. Objective: To determine the effect of head elevation 30 degrees on oxygen saturation post deep extubation in general anesthesia patients. Method: This research is a quantitative research using quasi-experimental method with pretest-posttest control group design. The study population included all orotracheal and nasotracheal general anesthesia patients who were deeply extubated. This study used consecutive sampling technique with 70 respondents divided into intervention group (head elevation 30 degrees) and control group (supination). This research was conducted in the recovery room at PKU Muhammadiyah Hospital Yogyakarta from February to April 2024. Results: The results showed that post deep extubation oxygen saturation given in the head elevation 30 degrees group had a mean result of 99.29 and in supination group got 97.86 where there was a better increase oxygen saturation if the patient post general anesthesia deep extubation in a head elevation 30 degree for 15 minutes compared to supination. Conclusion: There is an effect of head elevation 30 degrees on oxygen saturation post deep extubation in patients under general anesthesia.
Efektivitas Kantong Ampul Suatu Inovasi untuk Pencegahan Kecelakaan Kerja Olfah, Yustiana; Ghofur, Abdul; Bintari, Nia Ayu
Prosiding University Research Colloquium Proceeding of The 11th University Research Colloquium 2020: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

Abstract

Berdasarkan studi terdahulu tingginya angka kecelakaan kerja di kamar operasi di sebabkan karena kelalaian petugas di kamar operasi. Bentuk kecelakaan tersebut berupa 18 orang (54,55%) tertusuk jarum, 10 orang (30,30%) mengalami teriris pisau bedah, 25 orang (75,76 %) mengalami tergores ampul dan 20 orang (60,61%) terkena cairan tubuh pasien. Penelitian ini bertujuan untuk mengetahui pendapat dan masukan tentang desain kantong ampul untuk mencegah terjadinya kecelakaan kerja yaitu cedera akibat membuka ampul oleh perawat bedah dan perawat/penata anastesi. Penelitian ini menggunakan metode observasional yang melibatkan 38 orang perawat bedah dan perawat/penata anastesi (total sampling) yang bertugas di kamar operasi di RSUD Kab Sleman dan RS Kota di Provinsi Daerah Istimewa Yogyakarta. Hasil penelitian ini menunjukkan bahwa kecelakaan akibat tergores ampul mencapai 78,6% sedangkan pemanfaatan kantong ampul efektif sebesar 92,1%. Bahan kantong ampul semua masukan perawat bedah dan anestesi adalah bahan katun (50%), desain sesuai contoh(60,5%), ukuran sesuai ampul (100%) dan warna terang (42,1%). Sementara itu hubungan antara pemanfaatan kantong ampul dengan kecelakaan kerja (tergores ampul) secara statistik bermakna (r=-0,532; sig ? = 0,001), tetapi perlu penelitian lanjutan terkait desain ampul dengan praktikan dan tenaga kesehatan yang sesuai sebagai responden.