EVALUASI UPAYA PENCEGAHAN HIPOTENSI SAAT INTRA OPERASI PADA SPINAL ANESTESI Anneke Putri Cahyani Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Hipotensi merupakan salah satu komplikasi akut spinal anestesi yang paling sering terjadi. Hipotensi pada anestesi spinal terjadi akibat dari blockade saraf simpatis yang befungsi mengatur tonus otot polos pembuluh darah. Sehingga penting untuk mengetahui bagaimana upaya pencegahan hipotensi saat intra operasi pada spinal anestesi. Tujuan : Untuk mengetahui evaluasi upaya pencegahan hipotensi saat intra operasi pada spinal anestesi di Rumah Sakit Umum Negara. Metode : Penelitian ini menggunakan desain penelitian deskriptif, teknik sampling yang digunakan adalah non probability sampling dengan metode convenience sampling dengan jumlah 36 responden pasien yang dilakukan tindakan anestesi spinal. Instrumen yang digunakan yaitu lembar observasi. Penelitian dilakukan pada Februari-April 2022. Hasil : Hasil dari penelitian ini menunjukan bahwa upaya pencegahan hipotensi saat intra operasi pada spinal anestesi dengan kategori sering dilakukan adalah loading cairan yaitu sebanyak 27 responden (75%), kemudian pencegahan hipotensi dengan kategori jarang dilakukan yaitu pemberian vasopressor yaitu sebanyak 9 responden (25%). Kesimpulan : Pencegahan hipotensi dengan kategori sering dilakukan adalah pemberian loading cairan yaitu sebanyak 27 responden (75%). Maka diharapkan bisa menjadi pertimbangan bagi penata anestesi untuk dilakukan. Kata Kunci : Pencegahan Hipotensi, Hipotensi, Spinal Anestesi.

THE EVALUATION OF HYPOTENSION PREVENTION DURING INTRA OPERATIVE WITH SPINAL ANESTHESIA Anneke Putri Cahyani Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email :[email protected] ABSTRACT Background: Hypotension is one of the most common acute complications of spinal anesthesia. Hypotension occurs as a result of blockade of sympathetic nerves that function to regulate vascular smooth muscle tone in spinal anesthesia. It is important to know how to prevent hypotension during intraoperative with spinal anesthesia. Purpose: To determine the evaluation of hypotension prevention during intra operative with spinal anesthesia at Negara Hospital Method: This study employed descriptive design. There were 36 respondents recruited as sample of the study which were selected by using non probability sampling technique with convenience sampling method. The data were collected by using observation sheet that was conducted during February-April 2022. Result: The finding showed that the hypotension prevention during intraoperative with spinal anesthesia with the frequent category of fluid loading was 27 respondents (75%), and the hypotension prevention in the infrequent category was the administration of vasopressors as many as 9 respondents (25%). Conclusion: The hypotension prevention with fluid loading is the often done with 27 respondents (75%). It is expected that it can be a consideration for the nurse anesthetist to do that prevention. Keywords: Hypotension Prevention, Hypotension, Spinal Anesthesia.