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All Journal JPS (Jurnal Pharma Saintika) Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Nabhani Nabhani
ITS PKU Muhammadiyah Surakarta
Health Professions Nursing 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 Tekanan Darah Pasca Anestesi Spinal Dengan Pemberian Preload Dan Tanpa Preload Ringer Laktat Nabhani Nabhani; Muhammad Hafiddudin; Aka Amri Febri Atmoko
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 1 No. 3 (2021): NOVEMBER : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v1i3.2222

Abstract

One way to prevent the decrease in blood pressure is by giving preload. To examine the difference in blood pressure after spinal anesthesia with Ringer's lactate preload and without preload. The design of this research is descriptive experimental with cross sectional. The sample consisted of 30 patients who will undergo spinal anesthesia at the Central Surgical Installation of RSUD dr. H. Jusuf SK Tarakan who has met the research criteria. Patients were divided into 2 groups, group 1 received Ringer's lactate preload and group 2 did not receive preload. Blood pressure checks include systolic blood pressure and diastolic blood pressure before spinal anesthesia and immediately after spinal anesthesia every 5 minutes to 30 minutes. The hypothesis test used is the paired t-test. The value of p = 0.05 was declared significant. There was a significant difference between blood pressure before being given preload and blood pressure after being given preload at 15-30 minutes hemodynamics (p=0.0001)
Gambaran Kejadian Shivering Intra Operasi di Instalasi Bedah Sentral RSUD Jombang Galih Pria Pambayun; Afrian Yohadi; Nabhani Nabhani
Jurnal Ventilator Vol. 1 No. 1 (2023): Maret : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i1.1650

Abstract

Sub Arachnoid Block (SAB) regional anesthesia produces a sympathetic block of muscle relaxation, and a sensory block against peripheral temperature receptors thereby inhibiting the compensatory response to temperature. A factor that can cause a decrease in core temperature and disruption of the information pathways coming from the first receptor is a sympathetic blockage that causes peripheral vasodilation. This research is a non-experimental quantitative research with correlational analytical research methods and cross sectional research design. The study sample amounted to 72 respondents of spinal anesthesia patients. Sampling with consequential sampling techniques, the statistical test used is distribution frekuency. Of the 16 people who experienced high blocks, (75%) experienced shivering and (25%) did not experience shivering. Of the 36 respondents who experienced moderate blocking, (58.3%) experienced shivering and (41.7%) did not shivering. Of the 20 respondents who experienced low spinal block, (70%) did not experience shivering and (30%) experienced shivering.. In conclusion, there is the height of the anesthetic spinal block and the incidence of intraoperative shivering at the Central Surgical Installation of RSUD Jombang.
Co-Authors Afrian Yohadi Aka Amri Febri Atmoko Andang Andang Arifindi Arifindi Fadhilla Nur Rahmansyah Galih Pria Pambayun Muhammad Hafiddudin