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All Journal Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran JPS (Jurnal Pharma Saintika)
Andang Andang
Fakultas Ilmu Kesehatan ITS PKU Muhammadiyah Surakarta
Dentistry Health Professions Public Health

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Gambaran Perubahan Hemodinamik Pada Anestesi Regional Dengan Teknik Epidural Block Di Rumah Sakit Umum Daerah Cut Meutia Aceh Utara Nabhani Nabhani; Andang Soedarmono; Arifindi Arifindi
Journal Pharma Saintika Vol. 4 No. 2 (2021): April : Jurnal Pharma Saintika
Publisher : Program Studi DIII Farmasi Akademi Farmasi Dwi Farma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51225/jps.v4i2.35

Abstract

Background : Epidural anesthesia is a type of neuraxial blockade that can be used during surgery, postoperatively and in pain management with the advantage of decreasing hemodynamic status gradually so as to reduce the risk of cardiovascular effects. Objective: To describe the hemodynamic changes in regional anesthesia with the epidural block technique. Research method: quantitative descriptive with cross-sectional design. Respondents in the study were 20 people who underwent surgery with epidural anesthesia from February 2022 to April 2022. The analysis used univariate analysis. Results: the mean systolic blood pressure 20 minutes before epidural anesthesia was 134.75 mmHg and the average systolic blood pressure 20 minutes after epidural anesthesia was 110.85 mmHg The average diastolic blood pressure 20 minutes before epidural anesthesia was 81.80 mmHg and the mean Diastolic blood pressure 20 minutes after epidural anesthesia was 64.90 mmHg. The average heart rate 20 minutes before epidural anesthesia was 77.25 times per minute and the average heart rate 20 minutes after epidural anesthesia was 67.70 times per minute. The average oxygen saturation 20 minutes prior to epidural anesthesia was 97.20% and the average oxygen saturation 20 minutes after epidural anesthesia was 94.55%.
Perbedaan Penurunan Tekanan Darah Antara Pemberian Propofol Dan Propofol Kombinasi Fentanyl Pada Induksi Anestesi Andang Andang; Nabhani Nabhani; Fadhilla Nur Rahmansyah
Journal Pharma Saintika Vol. 4 No. 1 (2020): Oktober : Jurnal Pharma Saintika
Publisher : Program Studi DIII Farmasi Akademi Farmasi Dwi Farma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51225/jps.v4i1.38

Abstract

Background of the Research: General anesthesia have a risk to cause side effects of hemodynamic response disorder. Hemodynamic stability in the use of propofol as an induction drug can be considered by administering fentanyl prior to induction of propofol anesthesia. Aim of the Research: to know the difference of decreasing blood pressure with recofol induction and combination of fentanyl recofol. Research Method: The design of this research is observational eksperimental with 30 samples of patients undergoing surgery who meet the inclusion and exclusion criteria at IBS Rs Bhayangkara Brimob for April 2022. It is divided into two groups: First group uses Propofol 2 mg/kg intravenous BB, second group uses fentanyl 1 mcg/kg intravenous BB and 2 mg/kg intravenous BB. Systolic blood pressure and diastolic blood pressure, mean arterial pressure were recorded at minute 1.3 and 5 after induction. The data analysis uses SPSS 22 For Window program. The results showed that there was a difference in the decrease in TDS with a p value of 0.000 <0.05. In TDD there was a significant difference with a sig value of 0.005 <0.05 which was significant in the administration of Propofol and the combination of Fentanyl-Propofol, but there was no significant difference in TAR in the two groups with a sig value of 0.371> 0.05. Conclusion: there is a difference in the incidence of lowering blood pressure between recofol induction and the combination of Fentanyl-Propofol.
Perbedaan Penggunaan Jarum Tipe Quincke No. 26 G Dengan No. 27G Terhadap Postdural Puncture Headache (PDPH) Pada Pasien Pasca Sectio Caesarea Dengan Spinal Anestesi Andang Andang; Muhammad Hafiduddin; Mochammad Setiyono
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 2 (2023): April : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v1i2.2636

Abstract

Background : According to Basic Health Research (Riskesdas) data in 2018, the process of giving birth by caesarean section in Indonesia reached 17.6% of all births. Delivery through sectio caesarea in Indonesia has increased and will result in an increase in the use of spinal anesthesia which has complications in the form of Post Dural Puncture Headache (PDPH). Postdural Puncture Headache (PDPH) is an iatrogenic complication of spinal anesthesia caused by puncture or laceration of the dura mater that causes cerebrospinal fluid (CSF) leakage. Many factors influence the incidence of PDPH, one of which is the size of the spinal needle. The purpose of this study was to determine the difference between the use of 26G and 27G quincke needles on the incidence of PDPH in post sectio caesarea patients with spinal anesthesia at dr Murjani Sampit Hospital. Research methodology: This study uses a quantitative research type with an experimental design. And the sample in this study amounted to 66 patients who were divided into 2 sample groups according to inclusive and exclusive criteria. The incidence of PDPH on the 26G quincke needle was 3 respondents (9.1%) and the 27G quincke was 4 respondents (12.1%). The most common sites of pain were in the frontal section, and the severity was assessed using the Numeric Rating Scale (NRS). Results: on the 26G quincke needle, 3 people (9.09%) experienced PDPH and 4 people (12.1%) with the 27G quincke needle. In the analysis, it was found that p-value 0.801 > 0.05, which means that there is no significant difference between the 26G and 27G Quincke needle sizes on the incidence of PDPH in post-sectio caesarea patients with spinal anesthesia at Dr Murjani Sampit Hospital. Conclusion: there is no difference in the use of needles of the quincke no 26G type with the quincke no 27G on the incidence of PDPH in post sectio caesarea patients with spinal anesthesia.
Co-Authors Arifindi Arifindi Fadhilla Nur Rahmansyah Mochammad Setiyono Muhammad Hafiduddin Nabhani Nabhani