STUDI KASUS DESKRIPTIF: PERUBAHAN TEKANAN DARAH SEBELUM DAN SESUDAH AN ESTESI SPINAL PADA PASIEN SECTIO CAESAREA ( SC) DI RSU KERTHA USADA SINGARAJA TAHUN 2021 Ni Kadek Pingky Natalia Dewi Fakultas Kesehatan Program Studi D - IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : pingkynataliadewi@gmail. com ABSTRAK Latar belakang: S e ctio caesar e a (SC) m er u pa k an o p era s i y a n g u m um dilakukan wanita h a m i l khusunya di Indonesia. Sehingga Obstetric Anesthesia Guidelines merekomendasikan teknik anestesi spinal/epidural dibandingkan dengan anestesi umum untuk sebagian besar operasi sectio caesarea. Namun ti nd a k an a n estesi i n i dap at m e ni m b u l k an p er ub a h an nilai he m od i n amik b er up a p e nu r un an tekanan darah. Tujuan: Untuk mengetahui perubahan tekanan darah sebelum dan sesudah anestesi spinal pada pasien SC di RSU Ke rtha Usada Singaraja tahun 2021. Metode: Penelitian ini merupakan penelitian study kasus deskriptif kualitatif dengan metode case analysis dan cross case analysis. Alat pengumpulan data yang digunakan dalam penelitian ini berupa lembar observasi. Jumlah pa rtisipan yang digunakan adalah 2 partisipan pasien sectio caesarea. Hasil: Hasil penelitian menunjukan bahwa sebelum diberikan obat anestesi spinal, nilai tekanan darah sistol, diastol dan MAP masih dalam rentang normal. Sedangkan sesudah diberikan obat an estesi spinal, nilai tekanan darah sistol, diastol dan MAP mengalami penurunan pada menit kelima sampai sepuluh menit. Ini berkaitan dengan onset kerja obat anestesi spinal golongan bupivakain, bahwa onset kerja obat adalah lima sampai sepuluh menit, dan e fek dari pemberian obat tersebut dapat menurunkan nilai hemodinamik terutama nilai tekanan darah pada pasien sectio caesarea di RSU Kertha Usada Singaraja. Kesimpulan: Perubahan nilai tekanan darah saat sesudah diberikan obat anestesi spinal golongan buvip akain, yaitu bunascan 0,5% 20 mg mengalami penurunan. Kata kunci: Sectio Caesarea , Anestesi Spinal, Tekanan Darah Sistol e , Tekanan Darah Diastole , M e a n Arteri a l Pre s s u re (MAP)

A DESCRIPTIVE CASE STUDY : THE CHANGES OF BLOOD PRESSURE BEFORE AND AFTER SPI NAL ANESTHESIA IN SECTIO CAESAREA ( SC) AT RSU KERTHA USADA SINGARAJA IN 2021 Ni Kadek Pingky Natalia Dewi Faculty of Health Diploma IV Nursing Anesthesiology Program Institute of Technology and Health Bali Email : [email protected] ABSTRACT Ba ckground: Sectio caesarea (SC) is a common operation performed by pregnant women in Indonesia. Obstetric Anesthesia Guidelines recommend spinal/epidural anesthesia techniques than general anesthesia. However, this anesthesia could cause changes in hemodyna mic value which causes the decrease of blood pressure. Aim: To determine the changes of blood pressure before and after spinal anesthesia in sectio caesarea (SC) at RSU Kertha Usada Singaraja in 2021. Method: This study employed descriptive qualitative ca se study with case analysis and cross case analysis method. The data were collected by using observation sheet. There were 2 participant selected in this study which were the sectio caesarea patients. Result: The finding showed that the range of systolic blood pressure, diastolic blood pressure and MAP were normal before spinal anesthesia injected. The systolic blood pressure, diastolic blood pressure and MAP decreased in the fifth to ten minutes after spinal anesthesia injected. This was related to the o nset of the work of spinal anesthetic drugs bupivakain group, that the onset of drug work was in fifth to tenth minutes, and the effect could decrease hemodynamic values especially blood pressure values in sectio caesarean patients at Kertha Usada Singaraj a Hospital. Conclusion: Blood pressure decrease after injected spinal anesthesia drugs buvipakain group, namely bunascan 0.5% 20mg. Keywords: Sectio Caesarea, Spinal Anesthesia, Systolic Blood Pressure, Diastolic Blood Pressure, M e a n Arteri a l Pre s s u re (MAP)