GAMBARAN PEMBERIAN PRELOAD CAIRAN PADA PENCEGAHAN HIPOTENSI PASCA ANESTESI SPINAL PADA PASIEN SEKSIO SESAREA DI INSTALASI BEDAH SENTRAL RSUD BAYU ASIH KABUPATEN PURWAKARTA Dadi Program Studi DIV Keperawatan Anestesiologi Fakultas Kesehatan Institut Teknologi Dan Kesehatan Bali Email: dadyvanayagha @gmail.com ABSTRAK Latar Belakang: Anestesi spinal sebagai pilihan utama pelayanan anesetesi untuk pasien seksio sesarea tak lepas dari kekurangan. Salah satunya adalah efek hipotensi yang timbul pasca anestesi spinal. Hipotensi pasca anestesi spinal ada lah hal serius yang perlu penanganan segera untuk mencegah terjadinya gangguan aliran darah Rahim dan peredaran darah janin. Pemberian preload cairan kristaloid sebagai salah satu upaya pencegahan hipotensi pasca anestesi spinal menurut beberapa penelitian tidak lebih efektif dibanduingkan dengan menggunakan cairan koloid,tetapi karena harganya yang murah maka prosedur ini masih banyak digunakan karena pemberian preload cairan yang tepat dalam waktu dan jumlah yang diberikan cukup membantu mencegah terjadin ya hipotensi pasca anestesi spinal Tujuan: Mengetahui gambaran pemberian preloading cairan dapat mencegah terjadinya hipotensi pasca anestesi spinal pada pasien seksio sesarea di RSUD Bayu Asih Kabupaten Purwakarta. Metode: Penelitian ini menggunakan desai n penelitian kuantitatif deskriptif observasional dengan menggunakan pendekatan cross sectional study. Alat pengumpulan data yang digunakan dalam penelitian adalah tensimeter dan lembar observasi. Responden dalam penelitian ini yaitu pasien yang menjalani operasi seksio sesarea dengan anestesi spinal sebanyak 100 responden. Hasil: Berdasarkan hasil penelitian didapatkan bahwa 82% pasen yang sebelum dilakukan anestesi spinal diberikan preload cairan kristaloid RL 1000 ml tidak mengalami hipotensi , dan sisa nya sebanyak 18 % mengalami hipotensi. Kesimpulan: Pemberian preload cairan kristaloid terbukti dapat mencegah terjadinya hipotensi pasca anestesi spinal. Tetapi perlu dilakukan penelitian lain yang terkait, seperti tentang penggunaan telnik coloading dan penguunaan cairan koloid atau perbandingan efektifitas diantara preloading dan coloading atau antara Kristalod dan koloid. Kata Kunci: Anestesi spinal, Hipotensi, preloading cairan, Seksio sesarea

PROVIDING FLUID PRELOAD ON PREVENTION OF HYPOTENSION POST SPINAL ANESTHESIA IN CAESARIAN SECTION PATIENTS AT CENTRAL SURGICAL INSTALLATION BAYU HOSPITAL, PURWAKARTA REGENCY Dadi Diploma IV Nursing An e sthesiology Faculty of Health The Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Spinal anesthesia as the main choice of anesthesia services for cesarean section patients cannot be separated from its shortcomings. One of them is the hypotens i on effect that occurs after spinal anesthesia. Hypotension after spinal anesthesia is a serious matter that needs immediate treatment to prevent disruption of uterine blood flow and fetal blood circulation. P roviding of preload crystalloid fluid as an eff ort to prevent hypotension after spinal anesthesia according to several studies is not more effective than using colloid fluid, but because of the low price, this procedure is still widely used because providing the right fluid preload in time and the amou nt provided is quite helpful t o prevent hypotension after spinal anesthesia Purpose: The purpose of this study was to determine providing fluid preload on prevention of hypotension post spinal anesthesia in caesarian section patients at central surgical in stallation B ayu H ospital, P urwakarta R egency Method: This study employed a descriptive observational quantitative research design by using a cross sectional study approach. The data collection tools used in this study were sphygmomanometer and observation sheet. Respondents in this study were 100 respondents who underwent cesarean section surgery with spinal anesthesia. Result: Based on the results of the study, it was found that 82% of patients who were provided preload of 1000 ml RL crystalloid fluid befo re spinal anesthesia did not experience hypotension, and the remaining 18% experienced hypotension. Conclusion: Providing p reload crystalloid fluid has been shown to prevent hypotension after spinal anesthesia. However, it is necessary to conduct other rel ated studies, such as the use of coloading techniques and the use of colloid fluids or the comparison of effectiveness between preloading and coloading or between Crystalloids and colloids. Keyword: Spinal Anesthesia Hypotension, Fluid Preloading, Caesarian Section