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Wilis Sukmaningtyas
Universitas Harapan Bangsa
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THE OVERVIEW OF HYPOTENSION OCCURENCE ON PATIENTS WITH SPINAL ANAESTHESIA IN JATIWINANGUN SURGICAL HOSPITAL: KEJADIAN HIPOTENSI PADA PASIEN DENGAN ANESTESI SPINAL DI RUMAH SAKIT KHUSUS BEDAH JATIWINANGUN Fifi Sephia Nika; Wilis Sukmaningtyas; Asmat Burhan; Awal Tunis Yantoro
Jurnal Keperawatan Terapan Vol 9 No 2 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i2.4031

Abstract

Anestesi spinal dapat melebarkan pembuluh darah dan menurunkan curah jantung. Hal ini disebabkan oleh blok simpatis yang menurunkan tekanan darah. Situasi ini terjadi dalam beberapa menit awal setelah pemberian. Oleh karena itu, tekanan darah harus dipantau untuk mencegah masalah yang lebih parah. Penelitian ini meneliti hipotensi pada pasien anestesi spinal. Penelitian kuantitatif cross-sectional ini melibatkan 65 partisipan. Hasil analisis uji deskriptif menunjukkan bahwa responden didominasi oleh lansia akhir (41,5%), laki-laki (78,5%), dengan indeks massa tubuh rata-rata (63,1%), dan dalam kondisi ASA II (43,1%). Tergantung pada kondisi pasien selama intra anestesi, anestesi spinal dapat menyebabkan hipotensi pada menit ke-5. Temuan penelitian ini dapat membantu mencegah hipotensi dengan mengungkapkan penyebabnya. Penelitian di masa depan harus meneliti dosis obat, tinggi blok tulang belakang, dan faktor lingkungan yang dapat menyebabkan hipotensi.
Gambaran Kejadian Hipotensi Pasca Spinal Anestesi Pasien Sectio Caesarea di Rumah Sakit Emanuel Banjarnegara Jaylening Wintri Dao; Amin Susanto; Wilis Sukmaningtyas
Journal of Educational Innovation and Public Health Vol. 4 No. 3 (2026): Juli: Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i3.9611

Abstract

Hypotension is a common complication following spinal anesthesia in cesarean section patients due to sympathetic blockade, which causes vasodilation and a decrease in blood pressure. This study aimed to describe the incidence of post-spinal anesthesia hypotension among cesarean section patients at Emanuel Hospital Banjarnegara.This study employed a quantitative method with a descriptive observational design and a cross-sectional approach. The sample consisted of 63 respondents selected using an accidental sampling technique. Data were collected through blood pressure monitoring every 3 minutes for 30 minutes following spinal anesthesia.The results showed that most respondents were aged 20–35 years (85.7%), had a fasting duration of ≤8 hours (79.4%), were classified as ASA II (100%), received fluid preloading of ≤500 mL (77.8%), were not administered vasopressors (68.3%), and had the highest level of spinal block at the L3–L4 intervertebral space (81%). Based on these characteristics, hypotension occurred most frequently among patients aged 20–35 years, with a fasting duration of ≤8 hours, ASA II status, fluid preloading of ≤500 mL, no vasopressor administration, and spinal block at the L3–L4 level.The mean systolic blood pressure before anesthesia was 130.35 mmHg and decreased to its lowest value of 111.68 mmHg at the third minute, then remained relatively stable until the 30th minute within the range of 115–120 mmHg. The mean diastolic blood pressure decreased from 81.73 mmHg to 67.14 mmHg at the third minute and remained stable within the range of 66–70 mmHg until the 30th minute.Of the 63 respondents, 37 patients (58.7%) experienced hypotension, while 26 patients (41.3%) did not. These findings indicate that post-spinal anesthesia hypotension remains a common occurrence among cesarean section patients. Therefore, strict hemodynamic monitoring is required, particularly during the early minutes after spinal anesthesia, along with appropriate consideration of fluid administration and vasopressor use.
Co-Authors Abdurrohman Rasyid Achmad Fadilah, Rizal Adiratna Sekar Siwi Adriani, Prasanti Adriyani, Fauziyah Hanum Nur Afrilya, Tiara Octa Agustriliani, Ricke Pramesti Alfarizi, M Rizqy Diaz Alifa, Fhadilah Putri Syiva Alifiani, Azizah Putri Amin Susanto Amin Susanto Apriyanti, Meli Ardan, Achmad Area Dhiatamaa, Sketsa Areksah, Recy Asmat Burhan Assyifa, Ibnu Awal Tunis Yantoro Ayunda Frisqi Herlianingsih Azizah, Wafa Nur Bisma Yudha, Magenda Burhan, Asmat Danang Tri Yudhono Dea Oktria Nur Dedi, Dedi Irawan Depi Anggara Devi Ratna Puspitasari Dewi, Hefty Kusuma Didik Dhani Irawan Dwi Atika Safitri Dwi Novitasari Dwi Septi Wulandari Dwi Wahyuni Dzuhuri, Muh Adnan Elfi Aprilia Farhan Fawwaz Febriyanti, Vivin Dwi Feti Kumala Dewi Fifi Sephia Nika Firdaus, Eza Kemal Fitrianingsih Fitrianingsih Gita Afriyani R Gulo, Sinansari Hanum NA, Fauziah Hapsari, Amelya Prabawati Hikmal Akbar Hikmal Akbar Hikmanti, Arlyana Hilda Nesa Dwiningrum Hilda Nesa Dwiningrum ibadillah yusmana Ibrahim, Nawal Iis Setiawan Ikhwan Yuda Kusuma Irawan, Didik Dhani Jaylening Wintri Dao Juarsa, Salsabila Saila Karmana, Dede Linda Yanti M Rizqy Diaz Alfarizi Made Suandika Madyo Maryoto Madyo Maryoto Magenda Bisma Yudha Marfuatus Solikhah Maria Paulina Irma Susanti Mariah Ulfah Maya Safitri Maya Safitri Meliana Hardian Rahmawati Mixrova Sebayang, Septian Muhammad Def Muhammad Pandu Wira Sena Isnantopo, Noor Narendra, Gangsar Haryo Nika, Fifi Sephia Nofyanto, Deden Noor Rochmah Ida Ayu TP Novita Sari Nur Ardiyani, Fauziah Hanum Nur Wahyuni Nuraeni Nuraeni Nurinnisa Shiddiqiyah Nurjanah, Dilla Ainun Ocha Rajabia Rahmah Pramudya Gurensky, Ganea Rada, Muh Husein Rahmanto, Edwin Teguh Rahmat Danus Rahmat Danus Ramlan Ramlan Refa Teja Muti Reni Dwi Setyaningsih Restu Pujianto Retno Kristanti Retno Monicha Sari Ria Anggrina Ria Anggrina Ricky Irawan Riski Ardi Saputro Riski Saputra Risky Hidayat Riyan Makhfudin Rizki Fauzi Rizkiaturrahma, Farah Rizqi Nur Azkiyah Roro Lintang Suryani S.Pd. M Kes I Ketut Sudiana . Sahrani, Atifah Syifa Sari, Finda Antika Savitri, Nurmalita Ayu Sekar Pertiwi Sekar Siwi, Adiratna Septian Mixrova Sebayang Septian Mixrova Sebayang Setyawati, Martyarini Budi Setyawati, Martyarini Budi Shiddiqiyah, Nurinnisa sinta desiyanti Sintya Dwi Utami Siti Haniyah Siti Robi'ah Yuniatun Sri Rahayu Sri Wahyuni Suci Khasanah suci khasanah Sugiharti, Rosi Kurnia Sulistianingrum, Andini Suryo Ediyono Susanto, Amin Susilo Rini Talakua, Yoan Tika Thopan Heri Wibowo Tin Utami Tin Utami Tophan Heri Wibowo Tophan Heri Wibowo Tri Sumarni Tri Sumarni Triyudono, Danang Ulfah , Mariah Wahyu Dwi Rahmawati Wahyu Hidayat Wahyuni, Tika Wasis Eko Kurniawan Wibowo, Tophan Heri Wijaya, Aditya Windiarti, Prahesti Anita Wirakhmi, Ikit Netra Wulandari, Dwi Septi Yanrin, Adzana Salsabila Nezga Pratama Yantoro, Awal Tunis Yudha, Magenda Bisma Yudono, Danang Tri Yunita Bonis Zidan, Fahmi