Description of Time and Volume of Hydroxyethyl Starch 130/0.4 (6%) Fluid Administration to Restore Hemodynamics to Normal after Spinal Anesthesia in Cesarean Section
Abstract
Hemodynamic variables such as blood pressure, mean arterial pressure (MAP), and pulse can change during cesarean section surgery performed under regional anesthesia. To stabilize the patient's hemodynamic status, colloid fluid treatment is administered because it has a longer half-life in the intravascular fluid. The research aims to understand the timing and volume of administering hydroxyethyl starch/HES 130/0.4 (6%) to restore hemodynamics to normal after spinal anesthesia in cesarean section surgery. The research method employs a quantitative study with an analytical observational design (cross-sectional). Data collection instruments include a hemodynamic observation sheet and a bedside monitor data measurement tool. This research was conducted over two months, from May to June. The sample for this research consists of 40 respondents using total sampling. The research location was conducted at Pusri Hospital in Palembang Indonesia. The study collected data by directly observing the respondents and recording the time and volume of hydroxyethyl starch 130/0.4 (6%) required for the hemodynamic status to return to normal. Data analysis was conducted using univariate analysis techniques. The results of the research analysis indicate that the time required for hemodynamic changes after spinal anesthesia has a standard deviation of 3.363, a mean value of 12.15, a maximum value of 20, and a minimum value of 5. HES 130/0.4 (6%), the amount of fluid given, and changes in blood flow after spinal anesthesia have a standard deviation of 30.783, a mean value of 99.65, a maximum value of 167, and a minimum value of 22.
References
Abduh, M., Alawiyah, T., Apriansyah, G., Sirodj, R. A., & Afgani, M. W. (2023). Survey Design: Cross Sectional dalam Penelitian Kualitatif. Jurnal Pendidikan Sains Dan Komputer, 3(01), 31–39.
Alimian, M., Mohseni, M., Safaeian, R., Faiz, S. H. R., & Majedi, M. A. (2014). Comparison of hydroxyethyl starch 6% and crystalloids for preloading in elective caesarean section under spinal anesthesia. Medical Archives, 68(4), 279.
Aura Nur Illenia, & Dwihestie, L. K. (2022). Kristaloid Terhadap Penurunan Tekanan Darah Pada Pasien Sectio Caesarea : Literatur Review Kristaloid Terhadap Penurunan Tekanan Darah Pada Pasien Sectio Caesarea : Literatur Review. Student of Anesthesiology, 1–13.
Butterworth, J., Mackey, D., & Wasnick, J. (2013). Clinical Anesthesiology. In Morgan.
Dewhirst, M. W., & Secomb, T. W. (2017). Transport of drugs from blood vessels to tumour tissue. Nature Reviews Cancer, 17(12), 738–750.
Djari, T. O. S., Artawan, I. M., Woda, R. R., Sihotang, J., & Riwu, M. (2021). Pencegahan Kejadian Hipotensi Pasca Anestesi Spinal Pada Pembedahan Seksio Sesarea. Cendana Medical Journal (CMJ), 9(1), 72–76. https://doi.org/10.35508/cmj.v9i1.4938
Haisch, K. E., Barsony, M., & Tinney, C. (2010). A Methane Imaging Survey for T Dwarf Candidates in ρ Ophiuchi. The Astrophysical Journal Letters, 719(1), L90.
Heriwardito, A. (2010). Perbandingan hemodinamik saat anestesi spinal antara coloading ringer laktat dan HES 130/0, 4 untuk operasi bedah sesar. Anestesia Dan Critical Care, 28(2), 1–8.
Hidayati, A. N. (2020). Gawat Darurat Medis dan Bedah. Airlangga University Press.
Hofhuizen, C., Lemson, J., Snoeck, M., & Scheffer, G.-J. (2019). Spinal anesthesia-induced hypotension is caused by a decrease in stroke volume in elderly patients. Local and Regional Anesthesia, 12, 19–26. https://doi.org/10.2147/LRA.S193925
Irmawati, Y., Prakoso, B., Balqis, F., Indriyati, Yudianti, R., Iskandar, F., & Sumboja, A. (2023). Advances and perspective of noble-metal-free nitrogen-doped carbon for pH-universal oxygen reduction reaction catalysts. Energy & Fuels, 37(7), 4858–4877.
Kemenkes RI. (2019). Laporan Nasional Riskesdas 2018. Lembaga Penerbit Balitbangkes.
Muliawa, & I Wayan. (2022). Gambaran Hemodinamik Pre dan Pasca Anestesi Spinal pada Pasien Sectio Caesarea di Ruang Operasi RSU Kertha Usada Kabupaten Buleleng. Itekes Bali.
Ningsih, E. S., Wibowo, T. H., & Siwi, A. S. (2024). Gambaran Kestabilan MAP (Mean Arterial Pressure) dan Heart Rate Pasien Spinal Anestesi Di RSUD dr. R. Goeteng Taroenadibrata Purbalingga. 5(2), 423–431.
Oktapia, M., Iskandar, S., Nafratilova, M., & Lasmadasari, N. (2022). Asuhan Keperawatan Pemenuhan Kebutuhan Rasa Nyaman: Nyeri pada Pasien Post Sectio Caesarea dengan Pemberian Terapi Sujok di Ruang Rawat Inap Kebidanan RSUD HD Kota Bengkulu. Jurnal Ilmu Kesehatan Mandira Cendikia, 1(3), 12–20. https://journal-mandiracendikia.com/index.php/JIK-MC/article/view/126
Permatasari, H. C. A., & Jatmiko, H. D. (2013). Pengaruh Pemberian Loading 500 CC Hidroxylethyl Starch 130/0, 4 (6%) Terhadap Tekanan Darah dan Denyut Nadi pada Pasien Anestesi Spinal Sectio Caesaria. Faculty of Medicine Diponegoro University.
Rehatta, N. M., Hanindito, E., Tantri, A. R., Redjeki, I. S., Soenarto, R. F., Bisri, D. Y., Musba, A. M. T., & Lestari, M. I. (2019a). Anestesiologi dan Terapi Intensif (1st ed.). PT Gramedia Pustaka Utama.
Rehatta, N. M., Hanindito, E., Tantri, A. R., Redjeki, I. S., Soenarto, R. F., Bisri, D. Y., Musba, A. M. T., & Lestari, M. I. (2019b). Anestesiologi dan Terapi Intensif Buku Teks KATI-PERDATIN (1st ed.). Gramedia pustaka utama.
Robert Hotman Sirait. (2020). buku ajar pemantauan hemodinamik pasien (F. RW.suling (ed.)). departemen anestesiologi dan terapi intensif fk uki jakarta.
Rustiawati, E., & Sulastri, T. (2021). Tanpa Preload Cairan Ringer Laktat Pada Pasien Pasca Anestesi. Ilmiah Keperawatan, 2(1), 1–8.
Tania, M., Ching, G., Setiyabudi, R., Hartanti, D., & Purwokerto, U. M. (2024). Perubahan Hemodinamik Operasi dengan Spinal Anestesi. 19(2), 111–120.
Triani, L., Kurniawan, S. T., & Hapsari, H. I. (2024). Gambaran Hemodinamika Pasien Perioperatif Sectio Caesarea Dengan SpinalAnastesi Di Kamar Operasi Rsud Ibu Fatmawati Soekarno Kota Surakarta. 18.
World health, O. (2021). Caesarean section rates continue to rise, amid growing inequalities in access. https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access
Zulkifli, M. (2020). Efektivitas Anestesi Spinal Menggunakan Bupivacaine 0,5% Hiperbarik Dosis 7,5 Mg + Fentanyl 25 Mcg Dengan Bupivacaine 0,5% Hiperbarik Dosis 5 Mg + Fentanyl 25 Mcg Pada Pasien Operasi Sectio Cesaria (Vol. 21, Issue 1).
Copyright (c) 2024 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
