GAMBARAN PERUBAHAN HEMODINAMIK PADA PASIEN ANASTESI UMUM DENGAN INTUBASI ENDOTRAKEAL TUBE (ETT) DI RSAD UDAYANA Andri Syahrezi Fakultas Kesehatan Program Studi D IV Keperawatan Anastesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Intubasi merupakan tindakan yang sering di gunakan dalam anastesi umum, yang ini dapat menyebabkan trauma dan menimbulkan stimulasi simpatis, akibat terjadinya perubahan hemodinamik berupa peningkatan tekanan darah, frekuensi nadi dan Mean Arterial Pressure (MAP). Hal yang perlu di perhatikan adalah kestabilan hemodinamik selama tindakan intubasi berlangsung. Parameter hemodinamik meliputi: tekanan darah sistol (TDS), tekanan darah diastol (TDD), MAP dan nadi. Tujuan : Untuk mengetahui gambaran perubahan hemodinamik pada pasien anastesi umum dengan menggunakan intubasi ETT Metode : Desain penelitian dalam penelitian ini yaitu deskriptif kuantitatif dengan menggunakan pendekatan cross-sectional. Alat pengumpulan data berupa lembar observasi. Sampel pada penelitian ini sebanyak 48 orang yang diambil menggunakan teknik consecutive sampling dengan analisa data univariat Hasil : Pada pasien anastesi umum dengan ETT di temukan Perubahan Hemodinamik sebelum intubasi TDS normal sebanyak 35 responden (72,9%) TDD normal sebanyak 43 responden (89,6%) MAP normal sebanyak 41 responden (85,4%) dan Nadi normal sebanyak 48 responden (100%) saat intubasi TDS normal sebanyak 28 responden (58,3%) TDD normal sebanyak 20 responden (41,7%) MAP normal sebanyak 25 responden (52,1%) dan Nadi normal sebanyak 46 responden (95,8%) pada menit ke 1 sesudah intubasi TDS normal sebanyak 40 responden (83,3%) TDD normal 42 responden (87,5%) MAP normal 38 responden (79,2%) nadi normal 48 responden (100%) pada menit ke 3 TDS normal 45 responden (95,8%) TDD normal 46 responden (95,8%) MAP normal 46 responden (95,8%) dan Nadi normal sebanyak 48 responden (100,%) pada menit ke 5 TDS normal 46 responden (95,8%) TDD normal sebanyak 46 responden (95,8%) MAP normal sebanyak 46 responden (95,8%) dan Nadi normal sebanyak 48 responden (100%) Kesimpulan : Penelitian ini di dapatkan bahwa pada intubasi endotrakeal tube tidak terjadi perubahan hemodinamik terhadap tekanan darah, MAP dan nadi. Kata Kunci : HEMODINAMIK , ANESTESI UMUM , ETT

THE HEMODYNAMIC CHANGES IN GENERAL ANESTHESIA PATIENTS WITH ENDOTRACHEAL TUBE (ETT) INTUBATION AT UDAYANA HOSPITAL Andri Syahrezi Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background: Intubation is a procedure that is often used in general anesthesia. This action causes trauma and sympathetic stimulation due to hemodynamic changes in the form of increased blood pressure, pulse rate and Mean Arterial Pressure (MAP). The thing that needs to be considered is hemodynamic stability during the intubation action. Hemodynamic parameters include: systolic blood pressure, diastolic blood pressure, MAP and pulse. Purpose: To determine the hemodynamic changes in general anesthesia patients with endotracheal tube (ETT) intubation at Udayana Hospital Method: This study employed descriptive quantitative design with crosssectional approach. There were 48 respondents recruited as sample of the study which were selected by using consecutive sampling technique. The data were collected by using observation sheet and analyze by using univariate analysis. Result: In general anesthesia patients with ETT found the hemodynamic changes before intubation, normal systolic blood pressure was 35 respondents (72.9%) normal diastolic blood pressure were 43 respondents (89.6%) normal MAP were 41 respondents (85.4%) and normal pulse were 48 respondents (100%). Intubation normal systolic blood pressure were 28 respondents (58.3%) normal diastolic blood pressure were 20 respondents (41.7%) normal MAP were 25 respondents (52.1%) and normal pulse were 46 respondents (95.8%). The first minute after intubation normal systolic blood pressure were 40 respondents (83.3%) diastolic blood pressure normal were 42 respondents (87.5%) MAP normal were 38 respondents (79.2%) pulse normal were 48 respondents (100%). The third normal blood pressure were 45 respondents (95.8%) normal blood pressure were 46 respondents (95.8%) normal MAP were 46 respondents (95.8%) and normal pulse were 48 respondents (100.00%). The fifth minute normal blood pressure were 46 respondents (95.8%) normal blood pressure were 46 respondents (95.8%) normal MAP were 46 respondents (95.8%) and normal pulse were 48 respondents (100%). Conclusion: In endotracheal tube intubation there is no hemodynamic change to blood pressure, MAP and pulse. Keywords: Hemodynamic, General Anesthesia, Endotracheal Tube