Profile Hemodynamics (Blood Pressure And Heart Rate) Changes in The Use of Adrenaline in Cesarean Section With Spinal Anesthesia at Dr Soetomo Surabaya Hospital

Indonesian Journal of Anesthesiology and Reanimation

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Title Profile Hemodynamics (Blood Pressure And Heart Rate) Changes in The Use of Adrenaline in Cesarean Section With Spinal Anesthesia at Dr Soetomo Surabaya Hospital
 
Creator Rahmah, Ainur
Utariani, Arie
Basori, Achmad
 
Subject academia
Adrenaline; Spinal Anesthesia; Heart Rate; Caesarean Section; Blood Pressure
 
Description Introduction: spinal anesthesia block is one of anesthesia technique that  aims to block motor nerves resulting in paresis or anesthesia and paralysis or loss of muscle function in myotomes that are the same level as blocked dermatomes. Caesarean section is one of the surgical actions that are often performed mainly in birth cases. Besides that, the mechanism of the effects of giving birth to the operation of type B autonomic caesarean section autonomic nerve pronglion nerve which results in a decrease in the resistance of peripheral veins and peripheral vasodilatation which results in an imbalance in hemodynamics especially in blood pressure and heart rate and cause of hypotension. Vasopressor, fluid therapy, vasoconstrictor are given to reduce the toxicity of local anesthesia and to overcome hypotension. Objective: To determine hemodynamic changes (blood pressure and pulse) in spinal anesthesia block surgery patients with caesarean section at Dr Soetomo Hospital. Material and Method: This research is descriptive with a retrospective from January - March 2018, the sample taken with total sampling from secondary data from the central medical record at RSUD Dr. Soetomo. Results and Discussion: 68 samples were obtained from inclusion and exclusion criteria there was a change in blood pressure and pulse in patients with caesarean section with spinal anesthesia block with the addition of vasoconstrictors. There was a decrease in average systolic pressure 13.25, diastole 18.25 and pulse 4.5 and in no increase. There was a decrease in average systolic pressure 11.9286, diastole 13.8929 and pulse 5.6429 and no addition of p> 0.05 the two are not significantly different. Conclusion: addition of adrenaline to spinal anesthesia in caesarean section patients was not cause significant hemodynamic (blood pressure and heart rate) changes.
 
Publisher Departement Anesthesiology and Reanimation - Faculty of Medicine Universitas Airlangga
 
Contributor
 
Date 2020-01-30
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier https://e-journal.unair.ac.id/IJAR/article/view/16174
10.20473/ijar.V2I12020.27-32
 
Source Indonesian Journal of Anesthesiology and Reanimation; Vol 2, No 1 (2020): INDONESIAN JOURNAL OF ANESTHESIOLOGY AND REANIMATION; 27-32
2686-021X
2722-4554
 
Language eng
 
Relation https://e-journal.unair.ac.id/IJAR/article/view/16174/9645
https://e-journal.unair.ac.id/IJAR/article/downloadSuppFile/16174/3878
https://e-journal.unair.ac.id/IJAR/article/downloadSuppFile/16174/3879
https://e-journal.unair.ac.id/IJAR/article/downloadSuppFile/16174/3880
https://e-journal.unair.ac.id/IJAR/article/downloadSuppFile/16174/3881
https://e-journal.unair.ac.id/IJAR/article/downloadSuppFile/16174/3882
 
Rights Copyright (c) 2020 Indonesian Journal of Anesthesiology and Reanimation
http://creativecommons.org/licenses/by-nc-sa/4.0
 

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