Gambaran Hemodinamik Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Menggunakan Enhanced Recovery After Caesarean Section (ERACS) Di RSAD TK.II Udayana Indra Fahru Rozi Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email. [email protected] ABSTRAK Latar Belakang: Perubahan hemodinamik adalah komplikasi spinal anestesi yang masih sering terjadi pada pasien pasca spinal anestesi dan dampaknya sangat buruk bagi pasien, sehingga perlu dilakukan identifikasi terhadap karakteristik kejadian Perubahan hemodinamik pada pasien pasca spinal anestesi. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran hemodinamik pada pasien sectio caesarea dengan spinal anestesi menggunakan Enhanced Recovery After Caesarean Section (ERACS) di RSAD TK.II Udayana. Metode: Penelitian ini adalah desain deskriptif dengan pendekatan Cross-sectional, tempat penelitian di RSAD TK.II Udayana dari bulan maret sampai april 2022. Sampel berjumlah 100 responden. Pengambilan sampel menggunakan total sampling. Alat pengumpulan data menggunakan lembar observasi dan monitor anestesi. Teknik analisa data menggunakan univariat. Hasil: Ditemukan hasil bahwa sebagian besar responden mengalami perubahan hemodinamik yaitu perubahan tekanan, perubahan Mean Arteri Pressure (MAP) paling banyak rendah terjadi di menit ke 5 setelah SAB sebanyak 57 responden 57%. Dan Perubahan nadi paling banyak yang megalami takikardi terjadi di menit ke 10 setelah SAB sebanyak 54 responden 54%. Kesimpulan: Perubahan hemodinamik terjadi pada hampir seluruh pasien sectio caesarea dengan spinal anestesi menggunakan Enhanced Recovery After Caesarean Section (ERACS) hal ini di buktikan adanya perubahan tekanan darah, Mean Aterial Pressure (MAP) dan nadi setelah spinal anestesi, sehingga diperlukan observasi yang lebih ketat lagi pada pasien sectio caesarea setelah spinal anestesi untuk mencegah terjadiya hipotensi. Kata Kunci: Enhanced Recovery After Caesarean Section (ERACS), Hemodinamik, Spinal Anestesi.

HEMODYNAMICS IN PATIENTS OF CESAREAN SECTION WITH SPINAL ANESTHESIA USING ENHANCED RECOVERY AFTER CAESAREAN SECTION (ERACS) AT RSAD TK. II UDAYANA HOSPITAL Indra Fahru Rozi Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Hemodynamic changes are complications of spinal anesthesia that often occur in patients with post-spinal anesthesia and the impact is harmful to patients. Therefore, it is necessary to identify the characteristics of the occurrence of hemodynamic changes in post-spinal anesthesia patients. Aim: This study aimed to find out the hemodynamics in patients of cesarean section with spinal anesthesia using Enhanced Recovery After Caesarean Section (ERACS) at RSAD TK. II Udayana Hospital. Methods: This research employed a descriptive design with a cross-sectional approach. The research was conducted in RSAD TK.II Udayana Hospital from March to April 2022. The sample was 100 respondents, which were selected through total sampling. The data were collected using observation sheets and anesthesia monitors. The data were then analyzed using univariate analysis. Results: It was found that the majority of the respondents experienced hemodynamic changes, such as changes in pressure. The lowest change in mean arterial pressure (MAP) occurred in the 5th minute after SAB (57%). It was also found that the majority (54%) experienced pulse changes, in which the tachycardia occurred in the 10th minute after SAB. Conclusion: Hemodynamic changes occur in almost all patients of cesarean section with spinal anesthesia using Enhanced Recovery After Caesarean Section (ERACS) is evidenced by the changes in their blood pressure - the mean arterial pressure (MAP) and pulse after spinal anesthesia. Closer observation is required for patients of cesarean section with spinal anesthesia to prevent hypotension. Keywords: Enhanced Recovery After Caesarean Section (ERACS), Hemodynamics, Spinal Anesthesia.