HUBUNGAN KETINGGIAN BLOK SPINAL ANESTESI DENGAN KEJADIAN SHIVERING INTRA OPERATIF DI RSD MANGUSADA Daffania Megananda Ayu Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Blok epidural adalah tindakan blok regional yang dilakukan dengan cara menyuntikan obat analgetik lokal ke ruang epidural. Beberapa hal yang ditimbulkan dari efek spinal anestesi yaitu hipotensi, bradikardi, blok spinal tinggi, hipoventilasi, mual muntah, dan shivering. Setelah pemberian regional anestesi, shivering dapat terjadi pada periode intra operasi. Tujuan penelitian: Untuk mengetahui hubungan ketinggian blok spinal anestesi dengan kejadian shivering intra operatif. Metode penelitian: Design penelitian menggunakan deskriptif korelasional dengan pendekatan cross sectional. Pemilihan teknik consecutive sampling. Populasi dalam penelitian ini yaitu seluruh pasien yang menggunakan spinal anestesi. Jumlah sampel pada penelitian ini sebanyak 100 responden. Analisa data menggunakan uji analisis univariat dan bivariat menggunakan chi square dengan alternatif continuity correction. Hasil penelitian: Hasil penelitian sebagian besar mengalami ketinggian blok pembedahan dan kulit sebanyak 76 responden (76,0%). Sedangkan responden yang mengalami ketinggian blok high spinal yaitu 24 responden (24,0%). Responden yang mengalami shivering yaitu 66 responden (66,0%) dan yang tidak mengalami shivering 34 responden (34,0%). Tidak terdapat hubungan antara ketinggian blok dengan kejadian shivering pada pasien spinal anestesi dilihat dari nilai p-value = 0,09 > 0,05. Kesimpulan: Pada penelitian ini kejadian shivering tidak ditentukan oleh ketinggian blok, melainkan ada faktor lain yang mempengaruhi. Kata kunci: Ketinggian Blok, Shivering, Regional Anestesi

THE CORRELATION BETWEEN ANESTHESIA SPINAL BLOCK HEIGHT AND INTRA-OPERATIVE SHIVERING IN MANGUSADA HOSPITAL Daffania Megananda Ayu Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Epidural block is a regional block performed by injecting local analgesic drugs into the epidural space. Some of the problems that may arise from the effects of spinal anesthesia are hypotension, bradycardia, high spinal block, hypoventilation, nausea and vomiting, and shivering. After administration of regional anesthesia, shivering may occur in the intraoperative period. Aim: To find out the correlation between spinal anesthesia block height and the incidence of intra-operative shivering. Method: This research employed the correlational descriptive design with a cross-sectional approach. The population of this study was all patients with spinal anesthesia. The number of samples in this study was 100 respondents, who were selected through consecutive sampling. The data were analyzed using univariate and bivariate analysis - the chi-square test with alternative continuity correction. Results: The results of the study showed that the majority of respondents (76%) had surgical block height and skin and 24% of respondents had a high spinal block height. The study also found that 66% of respondents experienced shivering and 34% of respondents did not experience shivering. There was no correlation between block height and shivering in patients with spinal anesthesia (p-value = 0.09 > 0.05) Conclusion: In this study, the incidence of shivering is not influenced by the block height, but possibly by other influencing factors. Keywords: Block Height, Shivering, Regional Anesthesia