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Ganik Sakitri
Jurusan Keperawatan Anestesiologi Politeknik Insan Husada Surakarta
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GAMBARAN HEMODINAMIK PASIEN SAAT PEMASANGAN BONE CEMENT AMP DENGAN ANESTESI REGIONAL : STUDI KASUS HEMODYNAMIC PICTURE OF PATIENTS DURING BONE CEMENT AMP INSTALLATION WITH REGIONAL ANESTHESIA: A CASE STUDY Annisa Luthfiyyah Utami; Bulan Salsabila Putri; Maria Natalia Putri Hapsari; Shinta Rambu Atanyungga Taralandu; Taqiyah Kamila Az Zahra; Ganik Sakitri
Didaktik : Jurnal Ilmiah PGSD STKIP Subang Vol. 12 No. 02 (2026): Volume 12 No. 2, Juni 2026 Public
Publisher : STKIP Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36989/didaktik.v12i02.12697

Abstract

Bone cement placement in Austin Moore Prosthesis (AMP) procedures has the potential to cause significant hemodynamic changes, especially due to the risk of Bone Cement Implantation Syndrome (BCIS). On the other hand, the use of regional anesthesia is known to affect the stability of the cardiovascular system through the mechanism of sympathetic blockade. This study aims to analyze the hemodynamic conditions of patients during bone cement placement in AMP procedures with regional anesthesia. This study used a descriptive observational design with a prospective approach. The study sample consisted of 5 respondents taken using a total sampling technique at Dr. Harjono S. Ponorogo Regional General Hospital in the period February-March 2026. The data collected included systolic, diastolic blood pressure, and pulse rate in the pre-, intra-, and post-bone cement placement phases. Data analysis was carried out descriptively using the average, minimum, maximum, and standard deviation values. The results showed that the patient's hemodynamic parameters were relatively stable throughout the observation phase. The average systolic blood pressure decreased slightly in the intraoperative phase but increased again in the postoperative phase. A similar pattern was also found in diastolic blood pressure and pulse rate, with minimal changes. All respondents (100%) were hemodynamically stable and did not require vasopressor intervention. This study demonstrates that the use of regional anesthesia for AMP bone cement placement can maintain patient hemodynamic stability. However, close hemodynamic monitoring is still necessary to anticipate potential intraoperative complications.
HUBUNGAN LAMA PUASA DAN KADAR GLUKOSA DARAH DENGAN KEJADIAN POST ANESTHETIC SHIVERING (PAS) PADA PASIEN PASCASPINAL ANESTESI DI RSUD PANDAN ARANG BOYOLALI Lira Despiana Gracia; Ganik Sakitri; Halima Aulia Ita Maghfiroh
Didaktik : Jurnal Ilmiah PGSD STKIP Subang Vol. 12 No. 03 (2026): Volume 12 No. 03, September 2026 Published
Publisher : STKIP Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36989/didaktik.v12i03.18147

Abstract

Introduction : Post-anesthetic shivering (PAS) is a common complication after spinal anesthesia and can cause discomfort and increased metabolic demands. One factor suspected of contributing to PAS is excessive preoperative fasting and changes in blood glucose levels due to fasting. Preoperative fasting practices that do not comply with recommendations are still common, therefore, this study was conducted to analyze the relationship between fasting duration and blood glucose levels with the incidence of post-anesthetic shivering in post-spinal anesthesia patients at Pandan Arang Boyolali Hospital. Methods : This was a quantitative study with an observational analytical design using a cross-sectional approach. The study population was all patients undergoing surgery with spinal anesthesia, with a sample of 30 respondents selected using consecutive sampling technique. Independent variables included fasting duration and fasting blood glucose levels, while the dependent variable was the incidence of Post Anesthetic Shivering. Data were collected through interviews and medical records for fasting duration, blood glucose measurements using a glucometer, and shivering observations using the Bedside Shivering Assessment Scale (BSAS). Data analysis was performed using the Spearman Rank correlation test. Results : The results showed that most respondents fasted for 9–11 hours (70.0%) with fasting blood glucose levels of 83–99 mg/dL (80.0%). The incidence of PAS was most commonly found in grade 2 (36.7%) and grade 3 (30.0%). There was a significant and strong relationship between fasting duration and the incidence of PAS (p = 0.000; r = 0.861), as well as a significant relationship between blood glucose levels and the incidence of PAS (p < 0.05). Recommendation : This study recommends optimizing preoperative fasting management and blood glucose monitoring to prevent post-anesthetic shivering in patients undergoing spinal anesthesia.
Co-Authors Annisa Luthfiyyah Utami Bulan Salsabila Putri Halima Aulia Ita Maghfiroh Lira Despiana Gracia Maria Natalia Putri Hapsari Shinta Rambu Atanyungga Taralandu Taqiyah Kamila Az Zahra