GAMBARAN TEKANAN DARAH INTRA OPERASI PADA PEMBEDAHAN ORTHOPEDI DENGAN GENERAL ANESTESI NI KETUT AYU PUTRI SURYA DEWI Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang : Induksi anestesi intravena merupakan tindakan membuat pasien dari sadar menjadi tida k sadar sehingga memungkinkan dimulainya anestesi dan pembedahan. Induksi anestesi intravena terdiri dari pemberian obat anestesi hipnosis secara cepat melalui intravena. Selama induksi anestesia, tekanan darah, dan denyut nadi pasien harus selalu dipantau . Pemantuan bertujuan untuk mengenali dan mengevaluasi perubahan - perubahan fisiologis hemodinamik seperti tekanan darah pada saat yang tepat agar segera ditangani. Tujuan Penelitian: Mengetahui gambaran tekanan darah intra operasi pada pembedahan orthope di dengan general anestesi di Badan Rumah Sakit Umum Tabanan. Metode : Desain penelitian deskriptif cross sectional. Sampel pada penelitian ini adalah pasien seluruh pasien yang menjalani operasi pembedahan orthopedi dengan general anestesi dipilih menggu nakan consecutive sampling. Pengumpulan data menggunakan lembar observasi. Analisis data yang digunakan adalah analisis univariat. Hasil Penelitian : Saat setelah induksi pada sistolik menit ke - 0 130 mmHg 21 responden (40,4%), diastolik ke - 0 80 mmHg 33 re sponden (63,5%) dan sistolik menit ke - 5 120 mmHg 30 responden (57,7%), diastolik menit ke - 5 70 mmHg 25 responden (48,1%) dan sistolik menit ke - 10 120 mmHg 22 responden (42,2%), diastolik menit ke - 10 70 mmHg 30 responden (57,7%) dan sistolik menit ke - 15 100 mmHg 31 responden (59,6%), diastolik menit ke - 15 70 mmHg 33 responden (63,5%). Simpulan: Pembedahan orthopedic dengan general anestesi intravena mempengaruhi perubahan tekanan darah, terdapat sebanyak 20 (57,7%) responden mengalami tekanan darah diastolik rendah pada induksi anestesi intravena. Kata Kunci: Induksi anestesi, Pembedahan orthopedi, Tekanan darah

THE INTRAOPERATIVE BLOOD PRESSURE IN ORTHOPEDIC SURGERY WITH GENERAL ANESTHESIA NI KETUT AYU PUTRI SURYA DEWI Faculty of Health Diploma IV Nursing Anesthesiology Program Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Intravenous anesthetic induction is an act of making the patient from conscious to unconscious to start the anesthesia and surgery. Intravenous induction of anesthesia consists of the rapid administration of a hypnotic anesthetic drug intravenously. Durin g induction of anesthesia, the patient's blood pressure and pulse should always be monitored. Monitoring aims to recognize and evaluate hemodynamic physiological changes such as blood pressure at the right time, so that, the patients can be treated immedi ately. Aim : To describe the intraoperative blood pressure in orthopedic surgery with general anesthesia at the Tabanan Hospital. Method : The study employed descriptive cross - sectional research design. The sample in this study were all patients who underwen t orthopedic surgery with general anesthesia recruited through consecutive sampling. The data were collected using observation sheets and analyzed by univariate analysis. Finding : The findings indicated that at the 0 minute after the induction, there were 21 respondents (40.4%) had systolic 130 mmHg, and diastolic 80 mmHg with 33 respondents (63.5%). At the 5th minutes after the induction, there were 30 respondents (57, 7%) had t he systolic 120 mmHg, and diastolic 70 mmHg with 25 respondents (48.1%). Next, at the 10th minute, there were 22 respondents (42.2%) had systolic 120 mmHg, and diastolic 70 mmHg with 30 respondents (57.7% ). The last, at the 15th minutes, there were 31 res pondents (59.6%) had systolic 100 mmHg, and diastolic 70 mmHg with 33 respondents (63.5%). Conclusion: Orthopedic surgery with intravenous general anesthesia affects changes in blood pressure with 20 (57.7%) respondents experienced low diastolic blood pre ssure on induction of intravenous anesthesia Keywords: Induction of anesthesia, orthopedic surgery, blood pressure