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All Journal Community Service Journal of Indonesia Jurnal Kesehatan dr. Soebandi
Ileatan Lewar, Emanuel
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Health Professions Medicine & Pharmacology Nursing Public Health

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MANAGEMENT OF “SIGAP-ANESTHESI”: SYNERGY OF AMPLE EDUCATION AND BASIC LIFE SUPPORT TO ENHANCE PRE-ANESTHESIA PREPAREDNESS OF HYPERTENSIVE PATIENTS’ FAMILIES IN THE CENTRAL SURGICAL INSTALLATION WAITING AREA OF BANGLI REGIONAL GENERAL HOSPITAL Ni Putu Yusniawati, Yustina; Shuarsedana Putra, I Gde Agus; Ileatan Lewar, Emanuel; Sri Rahayuni, Ni Wayan; Angelina Djami, Rani Valentina; Juniawan, Putu Denny; Carisa Meikayani, Ida Ayu; Feri Irawan, I Kadek
Community Service Journal of Indonesia Vol. 7 No. 2 (2025): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v7i2.868

Abstract

Hypertension is a chronic condition that often remains asymptomatic but is associated with a high risk of perioperative complications. In adults, hypertension is classified as essential or secondary, while in pregnancy it presents as gestational hypertension or preeclampsia, which may progress to HELLP syndrome. Patients with hypertension undergoing surgical procedures are at increased risk of complications, including stroke, arrhythmias, and mortality, particularly when blood pressure is poorly controlled. Certain anesthetic agents, such as sevoflurane and propofol, may induce significant hypotension, highlighting the importance of comprehensive pre-anesthetic assessment. The AMPLE approach (Allergy, Medication, Past Medical History, Last Meal, Environment/Event) serves as a systematic method to identify perioperative risks and support safe anesthesia planning.Preliminary observations at Bangli Regional Hospital reported 20–30 surgical cases with comorbid hypertension per month, including 10–20 cases of gestational hypertension. To address this issue, a community service program was conducted to provide education on pre-anesthetic assessment using AMPLE and Basic Life Support (BLS) training for patients’ families. The program was positively received, with participants demonstrating appropriate BLS techniques and actively engaging during counseling sessions. These findings suggest that routine implementation of AMPLE education and BLS training may enhance family preparedness and patient safety in perioperative and emergency situations.
Association Between the Use of Sevoflurane Inhalation Anesthesia and The Incidence of Postoperative Nausea and Vomiting Patients with General Anesthesia Ileatan Lewar, Emanuel; Yustina Ni Putu, Yusniawati; Sudiana, I ketut; I Gusti Ayu Nandita Arta Putri; Shuarsedana Putra, I Gde Agus; Juniawan, Putu Denny
Jurnal Kesehatan dr. Soebandi Vol 13 No 2 (2025): Vol. 13 No. 2 (2025): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v13i2.851

Abstract

Postoperative nausea and vomiting (PONV) or post-operative nausea and vomiting is a side effect that often occurs after anesthesia, occurring in the first 24 hours after surgery and occurs in 30% and reaches 80% in the high-risk group. Many factors cause PONV, including patient age, gender, smoking history, and history of motion sickness; from anesthesia, namely the use of opioids, volatile anesthetic agents such as sevoflurane and from surgery, namely the duration of surgery and type of surgery. The aim of this study was to determine the relationship between the use of sevoflurane inhalation anesthesia and the incidence of post-operative nausea and vomiting in post-general anesthesia patients at Karangasem District Hospital. This research methodology uses quantitative research with this type of research being correlative analytical research with a cross-sectional research design. The output of this research is that anesthetists can think critically about the risk of complications from using sevoflurane inhalation anesthesia in patients with general anesthesia, including post-operative nausea and vomiting, which is a problem in anesthesia nursing care so that it can be overcome. The results of this study showed that the majority of respondents with sevoflurane inhalation anesthesia duration > 30 minutes were 46 (59.7%), and the majority of respondents experienced PONV incidents, namely 41 (53.2%). Chi-Square Test Results (p) 0.000 where the value (p) is smaller than 0.05 so it can be interpreted that there is a relationship between the use of sevoflurane inhalation anesthesia and the incidence of Post Operative Nausea and Vomiting (PONV) in patients after general anesthesia at Karangasem District Hospital. This study shows that there is a relationship between the use of sevoflurane inhalation anesthesia and the incidence of Post Operative Nausea and Vomiting (PONV) in patients after general anesthesia at Karangasem District Hospital.
Co-Authors Angelina Djami, Rani Valentina Carisa Meikayani, Ida Ayu Feri Irawan, I Kadek I Gusti Ayu Nandita Arta Putri Juniawan, Putu Denny Ni Putu Yusniawati, Yustina S.Pd. M Kes I Ketut Sudiana . Shuarsedana Putra, I Gde Agus Sri Rahayuni, Ni Wayan Yustina Ni Putu, Yusniawati