Perubahan Hemodinamik Pasien Seksio Sesarea yang Menggunakan Anestesi Spinal di RS Prof Chairuddin P. Lubis pada Bulan Juni 2022 - Bulan Juni 2023

Abstract

Background. Cesarean section surgery is the most common hospital-based surgery. Hypotension that occurs in patients after cesarean section is a frequent problem associated with spinal anesthesia administration techniques with an incidence of up to 80%, without prophylactic management. Hemodynamic changes during the administration of spinal anesthesia for cesarean section surgery are usually done by evaluating blood pressure, pulse, and MAP. Objective. This study aims to compare hemodynamic changes in cesarean section surgery patients who use spinal anesthesia techniques before being given spinal anesthesia and at some time after being given spinal anesthesia before surgical incision for cesarean section surgery in Prof. Chairuddin P. Lubis Hospital Medan. Methods. This research is an experimental analytic study with experimental quasai sub design. The sample used was taken using purposive sampling technique and estimation of sample size using the Lemeshow formula (97 samples). Data were analyzed using SPSS version 27 with the Wilcoxon Signed Rank test preceded by the Kolmogorov- Smirnov normality test. Results were considered significant if the p value was <0.05. Results. The largest frequency of patient age was in the range of 26-30 years as many as 41 patients (42.3%). A total of 61 patients had normal Hb (62.9%). The most common type of cesarean section surgery was elective as many as 55 patients (56.7%). The ASA physical status of patients with the greatest frequency was II in 92 patients (94.8%). Patients had normal hemodynamic conditions both before and after spinal anesthesia. There was a significant difference in hemodynamic conditions before spinal anesthesia and after anesthesia before the surgical incision of cesarean section surgery as evidenced by statistical tests that included systolic blood pressure, diastolic blood pressure, pulse rate, and MAP with a significance level of p<0.05. Conclusion. There are changes in blood pressure, pulse rate, and MAP (Mean Arterial Pressure) after administration of spinal anesthesia in cesarean section before incision from the previous state.