Perbandingan Efek Kecepatan Injeksi 0,4 ml/dtk Dan 0,2 ml/dtk Prosedur Anestesi Spinal Terhadap Kejadian Hipotensi Pada Seksio Sesaria
ABSTRACT

Background: Spinal anesthesia is a regional anesthetic technique most commonly used in cesarean section procedures. This technique is a simple technique, also has a strong block quality even with volume and small doses and side effects are minimal when compared with general anesthesia. The effect usually appears after spinal anesthesia, among others hypotension. Incidence of hypotension after spinal anesthesia reach 30-80% in cesarean section deliveries

Objective: To determine whether spinal anesthesia injection slower can reduce the incidence of hypotension in cesarean section without affecting the onset of anesthesia blocks.

Methods: The research used single blind randomized method with 48 samples who fulfilled the inclusion criteria. The samples were divided into two groups, fast and slow group. Spinal anesthesia was given using hyperbaric bupivacaine 0,5% of 10 mg and fentanyl 25 mcg. The fast group received spinal anesthesia injection with a rate 0,4 mL/sec, while the slow group received spinal anesthesia injection with a rate of 0,2 mL/sec. Hypotension incidence, onset block and the incidence of post spinal anesthesia side effects were recorded and analyzed statistically.

Results: Aanesthesia injection with a rate of 0,2 mL/sec can reduce the incidence of hypotension after spinal anesthesia without reducing the onset and block height.

Conclusion: Spinal anesthesia with a speed of 0.2 mL / can reduce the incidence of hypotension after spinal anesthesia without affecting the onset and the block height.

 

Keywords : Spinal anesthesia, hypotension, pregnant mothers, injection rate.
ABSTRAK

Latar belakang: Anestesi spinal merupakan teknik anestesi regional yang paling sering digunakan pada prosedur seksio sesaria, selain karena teknik yang sederhana, juga memiliki kualitas blok yang kuat walaupun dengan volume dan dosis yang kecil, efek samping yang minimal bila dibandingkan dengan anestesi umum. Efek yang biasanya muncul pasca anestesi spinal antara lain hipotensi. Insiden hipotensi pasca anestesi spinal mencapai 30-80% pada persalinan seksio sesaria.

Tujuan: Untuk mengetahui apakah injeksi anestesi spinal yang lebih lambat dapat mengurangi insiden hipotensi pada seksio sesaria tanpa memengaruhi onset blok anestesi.

Metode: Penelitian ini menggunakan metode acak tersamar tunggal, sampel penelitian sebanyak 48 orang yang memenuhi criteria inklusi. Sampel dipilih secara acak dan dibagi ke dalam dua kelompok. Anestesi spinal menggunakan bupivakain 0,5% 10mg dan fentanyl 25mcg, kelompok IC dilakukan injeksi anestesi spinal dengan kecepatan 0,4 mL/dtk, sedangkan kelompok IL dilakukan injeksi anestesi spinal dengan kecepatan 0,2 mL/dtk. Insiden hipotensi, onset blok dan insiden efek samping pasca anestesi spinal dicatat dan dilakukan analisis statistik.

Hasil: Penelitian ini mendapatkan Injeksi anestesi dengan kecepatan 0,2 mL/dtk dapat mengurangi insiden hipotensi pasca anestesi spinal tanpa memengaruhi onset dan tinggi blok.

Kesimpulan: Anestesi spinal dengan kecepatan 0,2 mL/dtk dapat mengurangi insiden hipotensi pasca anestesi spinal tanpa memengaruhi onset dan tinggi blok.

 

Kata kunci : Anestesi spinal, hipotensi, ibuhamil, kecepatan injeksi.
Artikel Sekarang
Dipublikasi pada 01 July 2015
Penulis :
» Syafri Kamsul Arif
» Iwan Setiawan
Kategori : Penelitian
Berkas Artikel (PDF)
Dari Jurnal
Volume VII Nomor 2, Juli 2015 Cover JAI
Daftar Isi | Berkas Full (PDF)

 

Beri komentar

A PHP Error was encountered

Severity: Warning

Message: Unknown: write failed: Disk quota exceeded (122)

Filename: Unknown

Line Number: 0

A PHP Error was encountered

Severity: Warning

Message: Unknown: Failed to write session data (files). Please verify that the current setting of session.save_path is correct (/var/cpanel/php/sessions/ea-php56)

Filename: Unknown

Line Number: 0