PERBANDINGAN KEJADIAN HIPOTENSI PADA POSISI DUDUK DAN LATERAL SAAT INDUKSI SPINAL ANESTESI PASIEN SECTIO CAESAREA DI RSUD SANJIWANI GIANYAR Kadek Ayu Widiantari Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institusi Teknologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Spinal anestesi adalah tindakan pembiusan yang sering digunakan pada pembedahan bagian abdomen dan ekstremitas bawah dengan menggunaan tehnik spinal anestesi duduk maupun lateral untuk memasukan obat anestesi lokal kedalam ruang subarachnoid. Salah satu efek samping yang sering terjadi adalah hipotensi pada intra operasi sehingga perlu dilakukan observasi secara komprehensif oleh penata anestesi di kamar operasi. Tujuan : Untuk mengetahui perbandingan kejadian hipotensi pada posisi duduk dan lateral saat induksi spinal anestesi pasien sectio caesarea di RSUD Sanjiwani Gianyar. Metode : Penelitian ini menggunakan komparatif studi jenis observasional analitik dengan desain cross sectional. Populasi dalam penelitian ini adalah pasien sectio caesarea yang dilakukan tindakan pembedahan dengan spinal anestesi. Teknik pengambilan sampel yang digunakan adalah consecutive sampling dengan jumlah sampel penelitian 90 responden. Penelitian ini dilakukan di RSUD Sanjiwani Gianyar pada bulan Maret-April 2023. Analisa data menggunakan uji Chi- Square Test. Hasil : Berdasarkan hasil analisa dengan uji Chi-Square menunjukan ada perbedaan antara kejadian hipotensi dengan posisi duduk dan lateral saat induksi spinal anestesi pada pasien sectio caesarea dengan nilai p-vaule 0,003 (α

COMPARISON BETWEEN THE INCIDENCE OF HYPOTENSION IN LATERAL AND SITTING POSITIONS DURING INDUCTION OF SPINAL ANESTHESIA FOR PATIENTS WITH CESAREAN SECTION AT SANJIWANI GIANYAR HOSPITAL Kadek Ayu Widiantari Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background: Spinal anesthesia is an anesthetic measure that is often used in abdominal and lower extremity surgery by implementing sitting or lateral spinal anesthesia techniques to enter local anesthetic drugs into the subarachnoid space. One of the side effects that often occurs is hypotension intraoperatively, so it needs to be observed comprehensively by the nurse anesthetist in the operating room. Aim: To compare the incidence of hypotension of sitting and lateral position during the induction of spinal anesthesia for patients with cesarean section at Sanjiwani Gianyar Hospital. Methods: This study employed comparative analytic observational with cross sectional design. The population in this study were patients with cesarean section who undergone surgery with spinal anesthesia. The sampling technique implemented in this study was the consecutive sampling, resulting a total of 90 respondents. This study was conducted at Sanjiwani Gianyar Hospital from March-April 2023. The collected data were analyzed using Chi- Square Test. Results: Based on the results of the analysis with the Chi-Square test, there was a difference between the incidence of hypotension with a sitting and lateral position during induction of spinal anesthesia in cesarean section patients (p-value 0.003; α