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Impact of Anesthesia Type on Blood Glucose in Intraoperative Diabetic Patients: A Systematic Review and Meta-Analysis Randomized Control Trial Mixrova Sebayang, Septian; Burhan, Asmat; Susanti, Indah
Java Nursing Journal Vol. 1 No. 1 (2023): March - June 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.3

Background: systematic literature review investigating the impact of different anesthetics on intraoperative blood glucose levels of diabetic patients. Method: Databases including ProQuest, PubMed, ScienceDirect, and Wiley were searched for RCTs (randomized controlled trials) that examined the effects of various anesthetics on intraoperative blood glucose levels in diabetic patients. In one study, two researchers independently used eligibility criteria to examine the literature, extracted the data, and used RevMan 5.3 software to perform the meta-analysis. Results: We used trials for meta-analysis with seven randomized controlled trial overall with a total sample of 519 intraoperative diabetic patients. Compared with general anesthesia, it was found that the general anesthesia-epidural combination had superior glycemic control in intraoperative blood glucose levels, based on the meta-analysis results (SMD -1.78, 95% confidence interval [CI] -4.57 to -3.41), however epidural anesthesia did not show comparable superiority. Conclusions: Combined general-epidural anesthesia offers better glycemic control for postoperative blood sugar levels compared to general anesthesia, based on existing data.

The The Overview of Shivering and Blood Preassure Occurance Before and After Liquid Co-Loading on Sectio Caesarea Patients: English Fatmawati, Anisa; Mixrova Sebayang, Septian; Yunida Triana, Noor; Suandika, Made
Java Nursing Journal Vol. 1 No. 2 (2023): July - October 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.20

Background: The incidence of shivering and hypotension in cesarean delivery is frequent. The incidence of shivering due to spinal anesthesia is reported to reach 50-65%. While hypotension after spinal anesthesia in sectio caesarea can occur up to 80%. Fluid coloading is done to reduce shivering and overcome hypotension in mothers who have cesarean delivery. Purpose: the study was to determine the description of the incidence of shivering and blood pressure before and after fluid coloading in sectio caesarea patients at RSI Banjarnegara. Method: The design of this study was descriptive with a cross-sectional approach. The study was conducted in June 2023. The sample of this study was 44 respondents with purposive sampling techniques. Results: The showed that the incidence of shivering was experienced by many respondents after being given coloading, which was 37 respondents (84.1%) compared to before coloading there were only 5 respondents (11.4%). While in blood pressure, before coloading the majority experienced hypotension events as many as 37 respondents (84.1%) and after coloading most of the blood pressure became normal as many as 41 respondents (93.2%). Conclusions: It can be concluded that fluid coloading is less effective for shivering treatment, but fluid coloading is effective in maintaining blood pressure in mothers undergoing sectio caesarea after spinal anesthesia.

THE RELATIONSHIP BETWEEN AGE AND DURATION OF SURGERY WITH THE INCIDENCE OF POST ANESTHESIA SHIVERING IN SECTION CAESAREAN PATIENTS AT BENDAN HOSPITAL PEKALONGAN CITY Triyadi, Ficky; Mixrova Sebayang, Septian; Burhan, Asmat; Dwi Agus Yulianto; Refa Teja Muti
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.25

Background: Shivering is a physiological response to exposure to cold and the body's next steps to maintain heat after peripheral vasoconstriction. The incidence of shivering is caused by several factors including age and length of surgery. Postanesthesia shivering is involuntary oscillatory muscle activity during early recovery after anesthesia. Objective: This study aims to determine the relationship between age and duration of surgery with the incidence of shivering after anesthesia in caesarean section patients at Bendan Hospital, Pekalongan City. Methods: This research includes quantitative research with the type of analytical correlational observational research with a cross sectional approach. The subjects or samples used were 50 caesarean section patients. Determination of subjects was carried out using consecutive sampling technique. Data collection was carried out using an observation sheet for the degree of shivering. Result: Based on the research, the results of the Spearman rank test were obtained with a value of (p) 0.0004 < 0.05 between age and the incidence of shivering and p 0.000 < 0.05 between the length of operation and the incidence of shivering. Conclusion: The conclusion of this study is that there is a relationship between age and length of operation and the incidence of post-anesthesia shivering in caesarean section patients.

Impact of Ondancentron In Intra-Anesthesia During Caesarean Section: A Meta-Analysis of Randomized Trials Susanti, Indah; Mixrova Sebayang, Septian; Burhan, Asmat
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.28

Background: The medulla distinguishes nausea and vomiting. Intra-operative nausea and vomiting (IONV) can occur up to 80% of the time following spinal anesthesia for caesarean delivery. Patients are uncomfortable and surgery is halted. Aims: This meta-analysis examines the effects of ondancentron on IONV, hypertension, and pruritus. Methods: The databases examined were CINAHL, PubMed, ScienceDirect, Wiley, and Scopus, with coverage from September 2014 to July 2024. Article text must be complete with Uji Coba Terkendali Acak design and published in English. They used R-Studio 4.3.1 m, Comperhesivif Meta-Analysis 3.3.070, and Review Manager Cochrane 5.4.1 for lunak and risk analysis. Results: The heterogeneity analysis of on- and centron residuals on IONV indicated I-squared (I2) of 99%, hypotension I2=98%, and pruritus I2=97% for 1103 people in thirteen studies. The Random Effect Model revealed a significant positive effect on Standard Mean Difference (SMD) analysis (IONV = 5.77, 95% CI: 0.58, 10.95; p=<0.01), decreased hypotension (SMD = -2.14, 95% CI: -4.80, 0.52= p=<0.01), and pruritus incidence (SMD = 0.67, 95%). CI = -1.48 to 2.83; p < 0.01. The meta regression subgroup revealed a significant decrease in IONV in the first 5 minutes with an Odds Ratio of 0.38 (95%-CI 0.04 to 3.62; p=<0.01) for the 4mg dose. Conclusions: While useful in controlling perioperative and hypotension, ondansentron may exacerbate pruritus. Ondansentron dose and pruritus effects need additional study.

The Correlation Between Pre-Operative Fasting Duration and Post-Operative Nausea and Vomiting Occurrence on Patients with General Anestehesia Karmana, Dede; Mixrova Sebayang, Septian; Kemal Firdaus, Eza; Sukmaningtyas, Wilis
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.33

Background: Preoperative fasting is a procedural measure implemented before surgery or anesthesia to avert regurgitation or vomiting. PONV incidence is influenced by surgical, anesthetic, and patient-related factors. The purpose of the study is to ascertain the duration of preoperative fasting observed by participants and the prevalence of PONV according to personality traits. Purpose: Determine the correlation between the duration of preoperative fasting and the occurrence of PONV in patients undergoing general anesthesia at RSUD Dr. Soekardjo Tasikmalaya. Methods: Observatory, descriptive, and cross-sectional designs are utilized. The sampling method was with sixty respondents ranging in age from seventeen to forty-five years, ASA I to II. Data is collected via observation and evaluation. Findings: The study observed that among 37 individuals (61.7%), preoperative fasting for 6-8 hours was beneficial, while for 23 individuals (38.3%), fasting for >8 hours were detrimental. At the age of 17-25 years, 10 individuals (47.6%) develop PONV, while 11 individuals (52.4%) do so between the ages of 26-45. Among women, 17 individuals (81.0%) have PONV, while 20 individuals (95.2%) have ASA I physical status, and 1 individual (4.8%) has ASA II physical status. Conclusion: There is a significant link (p < 0.013) between preoperative fasting time and postoperative nausea and vomiting (PONV) in patients under general anesthesia. Fasting before surgery should be long enough to avoid PONV

Description Of Age And Bmi In The Hypothermia And Normothermia Group In Caesarea Sectio Patients With Spinal Anesthesia Jaya Zega, Firman; Mixrova Sebayang, Septian; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.46

Background: Hypothermia results in increased risk of bleeding, myocardial ischemia, longer post-anesthesia recovery, impaired wound healing, and increased risk of infection. This is due to the influence of anesthetic use, age, nutritional status, and body mass index. The research aims to determine the description of age and BMI in the hypothermia and normothermia groups in caesarean section patients with spinal anesthesia at the Efarina Etaham Pematang Siantar Hospital. Methods: This type of research is descriptive with a cross sectional approach. The study population was all 40 caesarean section patients with spinal anesthesia in September 2023. The research sample used a total sampling method, namely the entire population was the research sample of 40 respondents. Data analysis using univariate analysis. Findings: The results of the research showed that the body temperature of the respondents experienced hypothermia after anesthesia, the majority aged >35 years, all of them experienced hypothermia as many as 11 respondents (100.00%) and the minority of respondents aged <20-35 years as many as 2 respondents (15.38%) and as many as 25-35 years old. 2 respondents (12.50%). Body temperature after spinal anesthesia showed that the body temperature of the respondents experienced hypothermia, the majority of BMI <18.5 or underweight category were 11 respondents (91.67%) and the minority were Normal BMI (BMI 18.5-22.9) as many as 4 respondents (14.29%). Conclusion: Body temperature changes when spinal induction anesthesia is given.

Hemodynamic Features of Cesarean Section Patients with Spinal Anesthesia Alan Marbase, Festus; Susanto, Amin; Mixrova Sebayang, Septian
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.49

Background: Sectio Caesarea (SC) surgery in labouring women can lead to haemodynamic risks. One of the haemodynamic events is a drop in blood pressure, this is the effect of spinal anaesthesia. Purpose: To determine the haemodynamic features of sectio sesarea patients with spinal in the operating room of RSUD Yowari Jayapura Regency. Methods: This research design uses descriptive design. Sampling technique with total sampling of 40 SC patients. The research instrument contains patient data which includes age, blood pressure, heart rate, breathing, and body temperature. Findings: The average age of patients obtained was 30.38, systolic before 129.32 and after 94.90, diastolic before 90.48 and after 59.38, heart rate before 84.70 after 118.90, breathing before 18 after 18.70, body temperature before 36.350C after 36.420C, MAP before 180.95 after 134.53 while oxygen saturation before 98.93 and after 99.15. Conclusion: There are haemodynamic events in SC patients after surgery at Yowari Hospital, Jayapura Regency.

Gambaran Mean Arterial Pressure (MAP) pada Pasien Sectio Caesarea dengan Spinal Anestesi di RSUD Dr. Soedirman Kebumen. Fissilmy, Mualief Ainun; Mixrova Sebayang, Septian; Hikmanti, Arlyana
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): Juli 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.336

Background: To deliver the fetus, placenta, and amniotic fluid, a cesarean section is a surgical operation that involves making an incision in the uterus and abdominal wall. Systolic and diastolic blood pressure measurements can be used to detect hypotension. The Mean Arterial Pressure (MAP) measurement, which measures the average arterial pressure that sustains constant blood flow to bodily tissues during the cardiac cycle, is typically used to evaluate hypotension in post-spinal anesthesia situations. Objective: This study aims to describe the MAP in patients undergoing cesarean section with spinal anesthesia technique. Method: Descriptive observational methodology using a cross-sectional approach is employed. Using the entire sampling technique, 80 patients made up the research sample. Result: The majority of respondents, according to the data, were between the ages of 20 and 35, had a normal body mass index, and had no medical history. The majority of individuals had normal MAP levels prior to spinal anesthesia. After spinal anesthesia, at minutes 1, 2, and 3, the majority of patients experienced MAP in the optimal category. The decrease in MAP was caused by the effects of spinal anesthesia affecting vascular tone. The results of this study are expected to serve as a basis for decision-making in intraoperative hemodynamic monitoring. Conclusion: There are changes in MAP values in patients undergoing Sectio Caesarea after receiving spinal anesthesia. Before anesthesia, most MAP values were within the normal range. However, after the application of spinal anesthesia, the majority of patients showed optimal MAP values.

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