GAMBARAN KEJADIAN HIPOTENSI PADA INTRA OPERASI PASIEN SECTIO CAESAREA DENGAN BLOK SPINAL ANESTESI DI RUANG OPERASI R.S.U KERTHA USADA KABUPATEN BULELENG I N yoman Hendra Wijaya Fakultas Kesehatan Program Studi DIV Keperawatan Anestesiologi Institut Tekhnologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang . Sectio caesarea adalah s uatu tekhnik pembedahan untuk melahirkan janin melalui insisi pada dinding abdomen dan uterus.Tekhnik anestesi spinal ataupun epidural merupakan tekhnik anestesi yang lebih banyak digunakan pada operasi sectio caesarea . Anestesi spinal memiliki potensi men yebabkan hipotensi pada ibu yang menjalani operasi sectio caesarea akibat blokade saraf simpatis tonus otot polos pembuluh darah yang berdampak terjadinya hipoksia dan acidosis fetus serta depresi neonatus. Tujuan . Mengetahui gambaran kejadian hipotensi p ada intra operasi pasien sectio caesarea dengan blok spinal anestesi. Metode. Penelitian deskriptif retrospektif. Data penelitian diambil dari data periode bulan januari sampai dengan desember 2019 sebanyak 430 sampel yang diambil dengan tekhnik purposive sampling .Data yang diperoleh dianlisa secara statistik deskriptif. Hasil . Hasil penelitian mendapatkan sebanyak 404 responden (94,0%) mengalami hipotensi sedangkan sebanyak 26 responden (6,0%) dengan tekanan darah normal, perubahan tekanan darah yang dilih at adalah pada meni t – menit awal (± menit ke 10) karena pada – menit awal perubahan tekanan darah yang terjadi masih benar – benar asli tanpa disertai adanya tindakan lain seperti pemberian obat efedrine . Kesimpulan . Sebagian besar responden mengalami hip otensi intra operasi pada pasien yang dilakukan tindakan sectio caesarea dengan blok spinal anestesi . Kata kunci. Sectio caesarea , blok spinal anestesi, hipotensi.

THE INCIDEN CE OF HYPOTENSION IN INTRAOPERATIVE PATIENTS OF SECTIO CAESAREAN WITH SPINAL ANESTHESIA BLOCK AT R.S.U KERTHA USADA OPERATING ROOM BULELENG I Nyoman Hendra Wijaya Faculty of Health Diplima IV Nursing Anesthesiology Program Institut e Technology and Health Bali Email : hendraw [email protected] ABSTRACT Background : Sectio Caesarean in a surgical technique of giving birth through incisions in the abdominal wall and on the uterine. Spinal or Epidural anesthesia techniques are techniques of anesthesia that widely used in sect ion caesarean. Spinal anesthesia has potensial to cause hypotension in mother who undergoing sectio caesarean as the result of sypathetic nerve blokade of the smooth muscle tone of blood vessels that has an impact on hypoxia and acidosis of the fetus as we ll as neonatal depression. Aim : To determine the incidence of hypotension in intraoperative patients of sectio caesarean with spinal anesthesia block at R.S.U Kertha Usada operating room Buleleng. Method : This study employed retrospective descriptive d esign. There were 430 respondents involved in this study which were selected through purposive sampling technique from January to December in 2019. The data were analyzed through descriptive statistic. Result : The finding showed that there were 404 respo ndents (94.0%) experienced hypotension, there were 26 respondents (6.0%) experienced normal blood pressure. The change of blood pressure seen on the first minute (± on the tenth minutes) because on the first minute, the change of blood pressure were origin al without accompanied by other actions such as providing ephedrine drugs. Conclusion : The majority of the patients experience hypotension in intraoperative of sectio caesarean with spinal anesthesia block. Keywords : Sectio caesarea, spinal anesthe sia block , hypotension