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Profil Hemodinamik Perianestesi Pasien Bedah Oftamology dengan Anestesi Umum Ni Luh Putu Lusiana Devi; I Ketut Setiabudi; I Gusti Agung Tresna Wicaksana
PROMOTOR Vol. 6 No. 2 (2023): APRIL
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v6i2.136

Abstract

Perubahan hemodinamik yang signifikan dapat terjadi pada awal pasca induksi hingga periode pemeliharaan anestesi sehingga adanya pemantauan hemodinamik perianestesi sangat diperlukan, termasuk pada pembedahan oftamology. Penelitian deskriptif longitudinal dilakukan dengan melibatkan 30 pasien yang menjalani tindakan pembedahan oftamology dengan anestesi umum. Pasien dengan penyakit jantung dikeluarkan dari penelitian ini. Penelitian ini menggunakan lembar monitoring perianestesi sebagai instrument penelitian. Hasil penelitian ini menemukan bahwa ketidakstabilan hemodinamik paling banyak terjadi di intra anestesi akibat adanya agen anestesi. Adanya monitoring secara detil di intra anestesi khususnya 5 menit pasca induksi agen anestesi sangat diperlukan.
Pre- and Post-Local Anesthesia Hemodynamics in Patients with Ophthalmology Surgery Ni Luh Putu Lusiana Devi; I Ketut Setiabudi; I Gusti Agung Tresna Wicaksana; Luh Gde Nita Sri Wahyuningsih
PROMOTOR Vol. 7 No. 1 (2024): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i1.524

Abstract

Effective and safe anesthesia in eye surgery is essential to ensure optimal perioperative care for both children and adults, so hemodynamic monitoring is essential. The use of local anesthesia can increase systolic blood pressure and diastolic blood pressure without changing heart rate. A quantitative descriptive study with a cross-sectional approach involved 138 patients with purposive sampling techniques. Univariate analysis with frequency distribution was used in this study. The results showed that pre-anesthetic systolic TD ≥ 147 mmHg as much as 56%, pre-anesthesia diastolic TD < 78 mmHg as much as 51%, MAP ≥ 101 mmHg as much as 54%, and heart rate < 79 x / minute. While systolic TD after anesthesia ≥ 147 mmHg as much as 59%, diastolic TD ≥ 78 mmHg as much as 62%, MAP ≥ 101 mmHg as much as 64%, and heart rate < 79 x / minute as much as 58%. Changes in systolic and diastolic blood pressure were found in pre and post-anesthesia, so more detailed monitoring is needed.
Factors Related to Pain Intensity Post-SC with Spinal Anesthesia Ni Luh Putu Lusiana Devi; I Ketut Setiabudi; Kadek Buja Harditya; Ni Nyoman Ari Kundari Dewi; Luh Gde Nita Sri Wahyuningsih
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4816

Abstract

Pain is the most common complaint found in perioperative patients, so optimal pain management is needed. Proper pain management can be done if the officer is able to know the intensity of pain felt by the patient and what factors are related. The aim of this study was to determine the pain intensity of post-CS patients with spinal anesthesia.This quantitative correlation study with a cross-sectional approach will be conducted involving 87 respondents based on the Slovin Formula. Sampling was carried out using purposive sampling to determine the selected sample. This study will use univariate data analysis techniques (frequency distribution and percentage), and bivariate data analysis (chi-square test). The results of the data analysis showed that the majority of patients had postoperative pain intensity on a scale of <2 as many as 52 people (60%). Age factors, gravida status, BMI, preoperative analgesics, and preoperative pain intensity have p-values> 0.05, namely 0.623, 0.137, 0.341, 0.570, 0.620. It can be concluded that there is no relationship between age, BMI, pre-operative pain intensity, and pre-operative analgesic administration with post-operative pain intensity in CS patients with spinal anesthesia.