THE EFFECTIVENESS CRYSTALLOID FUILD USES TOWARD BLOOD PRESSURE ON PATIENTS WITH SECTIO CAESARIA WHO PERFORM SPINAL ANESTHESIA TECHNIQUE
I Gde Agus Shuarsedana Putra, Putu Atika Parwati, I Wayan Agus Maharyawan

ITEKES Bali

Abstract

Abstract. Sectio caesarea is surgical procedure through incision of the abdominal wall and uterus to remove the fetus, placenta and amniotic fluid. The best anesthetic technique in the sectio caesarea is a spinal anesthesia. It has lots of advantages such as fast medicine work, deeper sensory and motor blockade, has minimum risk for the baby, and has minimum risk for the toxicity. Besides, spinal anesthesia also has disadvantages such as maternal hypotension. The purpose of the study was to identify and evaluate the effectiveness of crystalloid fluids to prevent maternal hypotension on sectio caesarea by using spinal anesthesia according to the patients- criteria. This study employed analytical observational with cross-sectional research design. All sectio caesarea patients with spinal anesthesia were recruited as the sample which were chosen by using consecutive sampling. The data were collected by using observation sheet of MAP, TDS, and TDD which were taken before being given spinal anesthesia at 5th, 10th minutes and 15th minutes after spinal anesthesia. The data were analyzed by using SPSS 20 for Windows. Based on the generalized linier model test, it showed that P<0.05 in each hemodynamic marker (TDS, TDD and MAP) was obtained at the 5th and 10th minute, while in the 15th minute P> 0.05 was found. In conclusion, there is significant effect of blood pressure of sectio caesarea patients with spinal anesthesia at 5th and 10th minutes but at 15th minutes there is no significant effect. It can occur because of the effects of anesthesia and drugs given during the operation.

Keywords: sectio caesarea, spinal anesthesia, crystalloid, maternal hypotension.

Topic: Healthcare Practice and Services

Link: https://ifory.id/abstract-plain/6ChuRaAZ9vg3

Web Format | Corresponding Author (I Gde Agus Shuarsedana Putra)