GAMBARAN STATUS HEMODINAMIK SAAT INTUBASI ENDOTRAKEA DENGAN GENERAL ANESTESI DI RUANG INSTALASI BEDAH SENTRAL RSU KERTHA USADA BULELENG Md Fitri Srimulyani Falkutas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan B ali Email: [email protected] ABSTRAK Latar Belakang: Intubasi endo trakea merupakan tindakan yang sering digunakan dalam pengelolaan jalan napas pada tindakan anestesi umum. Tindakan ini dapat me nimbulkan respons kardiovaskular berupa perubahan hemodinamik Tujuan: Untuk mengetahui gambaran status hemodinamik saat intubasi endotrakea dengan general anestesi di ruang instalasi bedah sentral RSU Kertha Usada B uleleng Metode: Penelitian ini menggunaka n desain penelitian deskriptif kuantitatif dengan rancangan cross sectional. Sampel dalam penelitian ini adalah pasien yang dilakukan intubasi endotrakea sebanyak 5 2 responden dengan menggunakan teknik convinience sampling . Data diperoleh dari hasil observ asi secara langsung di ruang operasi RSU Ketha Usada Buleleng . Hasil Penelitian: H asil penelitian menunjukkan bahwa sebagian besar tekanan darah >140/90 mmHg sebanyak 33 responden (63,5%) , dan denyut jantung >100 x/ menit 32 responden (61,5%), serta pada me an atrial pressure ( MAP) >105 mmHg sebanyak 27 responden (51,9%). Serta yang mengalami perubahan status hemodinamik pada jenis kelamin laki - laki dan pada ASA II . Dari hasil penelitian 52 rep onden rata - rata mengalami perubahan hemodinamik saat intubasi endo trakea. Kesimpulan: I ntubasi endotrakhea sering menimbulkan refleks simpatis dan simpatoadrenal yang berlebihan serta mengakib atkan perubahan kardiovaskular, seperti takikardi, hipertensi, dan aritmia . Hal ini mungkin tidak berbahaya pada orang sehat namu n pada pasien yang memiliki faktor – faktor seperti penyakit jantung coroner, hipertensi, miokard infark, kelainan serebrovaskular, dan tirotoksikosis, hal tersebut dapat merugikan dan membahayakan Kata Kunci: H emodinamik, General anestesi , I ntubasi endot rakea

THE HEMODYNAMIC STATUS DURING ENDOTRACHEAL INTUBATION WITH GENERAL ANESTHESIA IN THE CENTRAL SURGICAL INSTALLATION WARD AT KERTHA USADA HOSPITAL BULELENG Md Fitri Srimulyani Faculty of Health Diploma IV Nursing Anesthesiology Program Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Endotracheal intubation is a procedure that is often used in airway management in general anesthesia. This action can cause a cardiovascular response in the form of hemodynamic changes . Aim: To describe the hemodynamic status during endotrachea l intubation with general anesthesia in the central surgical installation ward at Kertha Usada Hospital, Buleleng. Method: This study employed a quantitative descriptive research design with a cross sectional approach. There were 52 respondents who underwe nt endotracheal intubation recruited as the sample using convenience sampling technique. The data were obtained from direct observation in the surgical ward of Ketha Usada Hospital, Buleleng. Finding : The finding indicated that the majority of the responde nts, 33 respondents (63.5%) had blood pressure > 140/90 mmHg; 32 respondents (61.5%) experienced heart rate > 100 x/minute , and the mean atrial pressure (MAP) >105 mmHg, 27 respondents (51.9%). Further, male respondents experienced the changes in hemodynam ic status and in ASA II. The finding showed that the 52 respondents experienced hemodynamic changes during endotracheal intubation. Conclusion: Endotracheal intubation often causes exaggerated sympathetic and sympathoadrenal reflexes and results in cardiov ascular changes, such as tachycardia, hypertension, and arrhythmias. This may not be harmful in healthy people but in patients who have factors such as coronary heart disease, hypertension, myocardial infarction, cerebrovascular disorders, and thyrotoxicos is, it can be detrimental and dangerous. Keywords: hemodynamics, general anesthesia, endotracheal intubation