GAMBARAN KEJADIAN HIPOTENSI PADA PEMBER IAN CAIRAN PRELOADING DAN CAIRAN MAINTENENCE PADA PASIEN SPINAL ANESTESI DI RSPAL DR. RAMELAN SURABAYA Heri Susanto 2014301182 Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang : Spinal anestesi atau Sub Arachnoid Blok (SAB) adalah tehnik anestesi yang dilakukan dengan memasukkan obat anestesi lokal kedalam ruang subarachnoid sehingga bercampur dengan liquor ser ebrospinalis (LCS) untuk mendapatkan analgesia setinggi dermatom tertentu. Penelitian ini bertujuan mengetahui gambaran kejadian hipotensi pada pemberian cairan preloading dan cairan ma n itene n ce pada pasien spinal anestesi Metode : P enelitian ini merupakan penelitian deskriptif. Populasi pada penelitian ini adalah semua pasien yang menjalani pembedahan dengan spinal anestesi di Instalasi Bedah Sentral RSPAL dr. Ramelan Surabaya berjumlah 56 orang sampel yang terbagi dalam dua kelompok ( preloading dan Maint enence ), untuk mas ing - masing kelompok berjumlah 28 orang diambil secara Consecutive sampling. Variabel yang diteliti dalam penelitian ini adalah pemberian cairan pada pasien pembedahan dengan spinal anestesi serta kejadian hipotensi. Alat yang dipakai dal am pengumpulan data yaitu lembar ceklist pasien disesuaikan dengan data rekam medik pasien Hasil : Hasil penelitian didapatkan k ejadian hipotensi pada pasien spinal anestesi dengan pemberian cairan preloading pada menit ke 5 sebagian besar tidak mengalami hipotensi sebanyak 26 pasien (92,9%), pada menit ke 10 sebagian besar tidak mengalami hipotensi sebanyak 27 pasien serta di menit ke 15 sebagian besar tidak mengalami hipotensi sebanyak 27 pasien (96,4%) sedangkan pada pemberian cairan maitene n ce pada me nit ke 5 sebagian besar tidak mengalami hipotensi sebanyak 19 pasien (92,9%), pada menit ke 10 sebagian besar tidak mengalami hipotensi sebanyak 18 pasien (64,3%) serta di menit ke 15 sebagian besar tidak mengalami hipotensi sebanyak 24 pasien (85,7%). Kes impulan : Diharapkan bagi institusi, penelitian ini dapat di jadikan sebagai dasar dalam pembuatan prosedur tetap untuk meminimalisir hipotensi yang merupakan efek samping dari tindakan spinal anestesi pada pasien pembedahan Kata Kunci : Pembe rian Cairan, Kejadian Hipotensi

THE INCIDENCE OF HYPOTENSION IN PRELOADING FLUID DISTRIBUTION AND MAINTENANCE FLUID IN PATIENT UNDER SPINAL ANESTHESIA AT RSPAL DR. RAMELAN SURABAYA Heri Susanto Faculty of Health Diploma IV Nursing Anesthesiology Program Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background : Spinal Anesthesia or Sub Arachnoid Block (SAB) is an anesthetic technique by injecting local anesthesia into subarachnoid chamber so th at it could mix with cerebrospinal liquor to obtain analgesia as high as a specific dermatom. Aim : To determine the incidence of hypotension in preloading fluid distribution and maintenance fluid in patient under spinal anesthesia. Method : This study emp loyed descriptive design. The population of this study were patients who undergoing surgery with spinal anesthesua. There were 56 respondents recruited as sample of this study which were selected through consecutive sampling. The respondents were divided i nto 2 groups (preloading and maintenance) and there were 28 respondents included on each group. The variables of this study were administration of fluid in surgical patients under spinal anesthesia as well as the incidence of hypotension. The data were col lected by using checklist sheet that was adapted to medical record data of the patients. Result : The finding showed that there were 26 respondents (92.9%) did not experience hypotension on the 5 th minutes of preloading fluid administration, there were 27 respondents did not experience hypotension on the 10 th minutes of preloading fluid administration, there were 27 respondents (96.4%) did not experience hypotension on the 15 th minutes of preloading fluid administration. While, in administration of mainten ance fluid, there were 19 respondents (92.9%) did not experience hypotension of the 5 th minutes of administration, there were 18 respondents (64.3%) did not experience hypotension on the 10 th minutes of administration, and 24 respondents (85.7%) did not ex perience hypotension of maintenance fluid administration. Conclusion : This research is expected to become a basis in constructing a procedure to minimize hypotension as the effect of spinal anesthesia on the patients. Keywords : Fluid Administration , I ncidence of Hypotension