GAMBARAN PERUBAHAN HEMODINAMIK PADA PASIEN OPERASI DENGAN TEKNIK SPINAL ANESTESI DI ISNTALASI BEDAH SENTRAL RSUD OKU TIMUR SUMATERA SELATAN DAVID CANDRA Falkutas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : A nestesi spinal merupakan salah satu teknik pilihan prosedur tindakan anestesi yang memiliki komplikasi pasca tindakan salah satunya adalah perubahan hemodinamik yang dapat diketahui sejak dini dengan monitoring tekanan darah, Mean Aterial Pressure ( MAP ) , dan laju nadi agar dapat dilakukan penanganan dini untuk menghindari komplikasi lanjutan seperti henti jantung. Tujuan: Untuk mengetahui gambaran perubahan hemodinamik pada pasien operasi dengan teknik anestesi spinal di instalasi bedah sentral RSUD OKU Ti mur. Metode: Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah pasien yang dilakukan prosedur spinal anestesi sebanyak 90 responden direkrut menggunakan teknik convinience sampli ng . Data diperoleh dari hasil observasi secara langsung di dan dianalisis secara deskriptif. Hasil Penelitian: Hasil penelitian menunjukkan bahwa sebagian besar responden mengalami perubahan hemodinamik yaitu sebanyak 82 responden dari 90 sampel penelitian atau 91,1% . Dari 82 responden yang mengalami perubahan hamaemodinamik, perubahan tekanan darah paling banyak terjadi di menit ke 10 setelah tindakan spinal, peruhan MAP juga paling banyak terjadi di menit ke 10 sedang k an untuk la ju nadi perubahan terjadi paling banyak di menit ke 15. Kesimpulan: perubahan hemodinamik terjadi pada hampir seluruh pasien yang dilakukan prosedur anestesi spinal yaitu 82 r esponden , hal ini di buktikan adanya perubahan tekanan darah, Mean At e r i al Pressur e (MAP), dan denyut nadi sejak menit pertama setelah dikakukan tindakan spinal anestesi dan rata - rata perubahan ketiga parameter tersebut terjadi pada waktu 15 menit awal . Peneliti menyarankan agar RS lebih memperhatikan bentuk lembar monitoring aga r penata dapat melkukan monitoring ketat terutama 15 menit awal setlah dilakukan tindakan. Kata Kunci: S pinal anestesi, H emodinamik , T ekanan darah, MAP, D enyut na di

HEMODYNAMIC CHANGES IN PATIENTS UNDERGOING SURGERY WITH SPINAL ANESTHESIA TECHNIQUE IN CENTRAL SURGICAL UNIT IN OKU TIMUR DISTRICT GENERAL HOSPITAL, SOUTH SUMATERA David Candra Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali E - mail: d8candra.dc@ gmail.com ABSTRACT Background: Spinal anesthesia is one of the techniques of choice for anesthetic procedures which have some postoperative complications, one of which is the hemodynamic changes which can be detected early by monitoring blood pressure, Mean Arterial Pressure (MAP) and pulse rate so that early treatment can be carried out to avoid further complications such as cardiac arrest. Aim: To describe the hemodynamic changes in patients undergoing surgery with spinal anesthesia technique in the c entral surgical unit in OKU Timur District General Hospital. Methods: This study used quantitative descriptive design with cross sectional approach. The sample in this study were patients undergoing spinal anesthesia procedures; a total of 90 respondents which were selected through convenience sampling technique. Data were collected through direct observation and analyzed descriptively. Results: The results showed that the majority of respondents (82 respondents; 91.1%) experienced hemodynamic changes. Am ong the 82 respondents who experienced hemodynamic changes, the changes in blood pressure mostly occurred in the 10 th minute after spinal anesthesia, the changes in MAP also occurred mostly in the 10 th minute; and the pulse rate changes mostly occurred in the 15 th minute. Conclusion: Hemodynamic changes occurred in nearly all patients (82 respondents) undergoing spinal anesthesia procedures, which was evident by changes in blood pressure, MAP and pulse, since the first minute after spinal anesthesia was adm inistered and the average changes of these three parameters occurred in the initial 15 minutes. It is suggested that the hospital pay more attention to the form of monitoring sheets so that the nurse anesthetists can carry out strict monitoring, particular ly in the first 15 minutes after the administration of anesthesia procedure. Keywords: Spinal Anesthesia, Hemodynamics, Blood Pressure, MAP, Pulse