MULTIPLE CASE STUDY MANAJEMEN ANESTESI PADA KEJADIAN SHIVERING PADA PASIEN PRE EKLAMPSI DILAKUKANTINDAKAN SECTIO CAESAREA DENGAN SPINAL ANESTESI DI RSUD SANJIWANI GIANYAR Deonizio Amaral Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Menggigil adalah suatu keadaan yang tidak nyaman dan dapat membahayakan bagi pasien. Menggigil di pengaruhi dari jenis tindakan operasi dimana pasien mengalami penurunan suhu inti (core temperatur) yang diakibatkan oleh obat anestesi dan tindakan pembedahan sehingga tubuh akan meningkatkan metabolisme sampai dengan 400% untuk memproduksi panas dan menaikan suhu tubuh. Tujuan: Mengetahui manajemen anestesi pada kejadian shivering pasien preeklampsi dilakukan tindakan sectio caesarea dengan spinal anestesi. Metode: Metode deskriptif kualitatif dengan desain multiple case study. Partisipan dalam penelitian ini berjumlah 4 partisipan pre eklampsi yang mengalami shivering di intra dan pasca operasi sectio caesarea. Alat pengumpulan data menggunakan lembar observasi. Analisis data menggunakan analisis kasus tunggal dan analisis lintas situs. Hasil: Sebelum pemberian infus hangat partisipan 4 mengalami shivering dengan suhu 36,0℃, pasien mengatakan tubuhnya sudah merasa hangat dan menggigilnya sudah hilang. Kesimpulan: Pemberian obat petidin 25 mg/iv dan selimut hangat dapat meningkatkan suhu keempat partisipan dari < 36,0℃ menjadi > 36,0℃. Kata Kunci: Spinal Anestesi, Pre Eklampsi, Shivering, Selimut hangat, Petidin

MULTIPLE CASE STUDY OF ANESTHESIA MANAGEMENT IN THE INCIDENCE OF SHIVERING IN PREECLAMPTIC PATIENTS UNDERGOING SECTIO CAESAREA WITH SPINAL ANESTHESIA AT SANJIWANI GIANYAR HOSPITAL Deonizio Amaral Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Shivering is an uncomfortable indication that patients ought to avoid. The type of operation has an impact on shivering which causes patients lose body heat due to anesthetic medicines and surgery, which causes the body to increase metabolism by up to 400% so as to generate heat and raise body temperature. Purpose: To describe anesthesia management in the incidence of shivering in preeclamptic patients undergoing sectio caesarea with spinal anesthesia at Sanjiwani Gianyar Hospital Method: This study employed qualitative with multiple case study design. There were 4 preeclamptic patients who experienced shivering intra and postoperative sectio caesarea. The data were collected using observation sheet and analyzed using single case analysis and cross-site analysis Result: The finding showed that before receiving the warm infusion, participant 4 shivered with a temperature of 36.0°C, shivering at grades 3 and 2, and generally had a pale complexion and cold hands. The temperature increased from 10 to 40 minutes, reaching >36.0°C after receiving a warm blanket and 25 mg/iv of pethidine. The patient noticed that his body felt warm and that his shivering had stopped. Conclusion: Administration of pethidine 25 mg/iv and warm blanket could increase the temperature of the four participants from 36.0℃. Keywords: Spinal Anesthesia, Pre-eclampsia, Shivering, Warm blanket, Pethidine