HUBUNGAN VOLUME PERDARAHAN INTRA OPERASI DENGAN WAKTU PULIH SADAR PADA PASIEN LAPARATOMI DENGAN GENERAL ANESTESI DI RSUD SANJIWANI GIANYAR Benjamin Zeth Tuhurima Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Perdarahan dapat menyebabkan penurunan volume intravaskuler, sehingga preload berkurang yang menyebabkan penurunan cardiac output. Penurunan hebat curah jantung menyebabkan hantaran oksigen dan perfusi jaringan tidak optimal. pasien akan kembali sadar penuh dalam waktu 15 menit dan tidak sadar yang berlangsung diatas 15 menit dianggap prolonged, bahkan pasien yang sangat rentan harus merespon stimulus dalam waktu 30 sampai 45 menit setelah anestesi. Tujuan: Untuk mengetahui hubungan volume perdarahan intra operasi dengan waktu pulih sadar pada pasien laparatomi dengan general anestesi Metode: Penelitian ini menggunakan desain dekriptif kuantitatif dengan pendekatan cross sectional. Sampel dalam penelitian ini sebanyak 67 responden dengan menggunakan teknik consecutive sampling. Data diperoleh melalui observasi dan dianalisis secara deskriptif Hasil Penelitian: Hasil dari penelitian ini adalah sebagian besar responden mengalami volume perdarahan intra operasi paling banyak yaitu kelas II sebanyak 29 responden (43,3%), serta responden yang mengalami waktu pulih sadar ≤15 Menit sebanyak 46 responden (68,7%). Dari hasi uji Spearman-rho Ada hubungan yang signifikan antara volume perdarahan intra operasi dengan waktu pulih sadar pasien laparatomi general anestesi dengan arah korelasi positif sangat kuat (r- 0,670), dan level signifikan p-value

THE CORRELATION BETWEEN INTRA OPERATIVE BLEEDING VOLUME AND RECOVERY TIME OF LAPAROTOMY PATIENTS WITH GENERAL ANESTHESIA AT SANJIWANI GIANYAR HOSPITAL Benjamin Zeth Tuhurima Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Bleeding causes a decrease in intravascular volume, so that preload is reduced which causes a decrease in cardiac output. Severe reduction in cardiac output causes oxygen delivery and tissue perfusion is not optimal. The patient will return to full consciousness within 15 minutes and unconsciousness that lasts more than 15 minutes is considered prolonged. Susceptible patients must respond to stimulus within 30 to 45 minutes of anesthesia. Purpose: To determine the correlation between intra operative bleeding volume and recovery time of laparotomy patients with general anesthesia at Sanjiwani Gianyar Hospital Method: This study employed descriptive quantitative design with cross sectional approach. There were 67 respondents recruited as sample of the study which were selected using consecutive sampling technique. The data were collected using observation and analysed descriptively. Result: The finding showed that the majority of respondents experienced intraoperative bleeding volume, namely class II as many as 29 respondents (43.3%), and respondents who experienced conscious recovery time of ≤15 minutes were 46 respondents (68.7%). The Spearman-rho test showed that there was a significant correlation between intra operative bleeding volume and recovery time of laparotomy patients with general anesthesia with a very strong positive correlation (r- 0.670), and a significant level of pvalue