Tekanan Darah Sebagai Indikator Klinis Kecepatan Pemulihan Kesadaran Setelah Anestesi Umum

Aric Frendi Andriyan; Ikshan Amran; Leo Agustigno; Dewi Frendi Siska; Donna Handayani

doi:10.36086/jkm.v6i1.3704

Aric Frendi Andriyan Universitas Baiturrahmah
Ikshan Amran Universitas Baiturrahmah
Leo Agustigno Universitas Baiturrahmah
Dewi Frendi Siska Universitas Baiturrahmah
Donna Handayani Universitas Baiturrahmah

DOI: https://doi.org/10.36086/jkm.v6i1.3704

Keywords: General anesthesia, Blood pressure, Emergence time

Abstract

Background: Delayed emergence from anesthesia is an undesirable event in anesthetic practice. One of the contributing factors is the patient’s blood pressure. Abnormal blood pressure can interfere with the elimination of anesthetic agents, potentially prolonging the time to regain consciousness. This study aims to determine the relationship between postoperative blood pressure and emergence time in patients undergoing general anesthesia at RSI Siti Rahmah Padang. Methods: This study was an analytical observational research with a cross-sectional design. Data were collected at RSI Siti Rahmah Padang from November 1, 2023 to January 11, 2024 using the Aldrete Score observation sheet. A total of 66 respondents were selected using purposive sampling, Results: The results showed that 27.3% of patients were aged 36–45 years, 59.1% were female, and 56.1% had ASA I status. Additionally, 47% of patients had normal blood pressure, and 59.1% did not experience prolonged emergence time. A significant relationship was found between postoperative blood pressure and emergence time in patients undergoing general anesthesia (p = 0.000). Conclusion: There is a significant relationship between postoperative blood pressure and emergence time among patients receiving general anesthesia at RSI Siti Rahmah Padang.

References

Ali, W., Esa, S., Ruetzler, K., Barsoum, S., Kuhel, A. G., Ritchey, M. R., Higuera-rueda, C., Kopyeva, T., Stocchi, L., Essber, H., Cohen, B., Kurz, A., & Sessler, D. I. (2020). Saline versus Lactated Ringer’s Solution The Saline or Lactated Ringer’s (SOLAR) Trial. 4, 614–624. https://doi.org/10.1097/ALN.0000000000003130

Anggraini, N., Saputri, S., Prayogi, A. S., Mardalena, I., Keperawatan, J., Kesehatan, P., & Yogyakarta, K. (2020). Waiting Time Pre Anestesi Berhubungan dengan Tingkat Kecemasan Pasien Pre Operasi. Journal of Health Technology, 16(1), 16–22.

Azizah, A. N., & Yomanovanka, K. A. (2022). Hubungan Status Fisik Asa Dengan Waktu Pulih Sadar Pada Pasien Pasca Anestesi Umum Di Rs Pku Muhammadiyah Yogyakarta. Coping: Community of Publishing in Nursing, 10(5), 524. https://doi.org/10.24843/coping.2022.v10.i05.p08

Bisri, T., & Latief, A. (2021). Manajemen Anestesi Umum. Badan Penerbit FKUI.

Christine, C., Zainumi, C. M., Hamdi, T., & Albar, H. F. (2022). Hubungan Kecemasan pada Visit Pre-Anestesi dengan Tekanan Darah sebelum Tindakan Anestesi di Rumah Sakit Universitas Sumatera Utara. Jurnal Kesehatan Andalas, 10(3), 159. https://doi.org/10.25077/jka.v10i3.1860

Fournier, S. B., D’Errico, J. N., & Stapleton, P. A. (2021). Uterine Vascular Control Preconception and During Pregnancy. Comprehensive Physiology, 11(3). https://doi.org/https://doi.org/10.1002/j.2040-4603.2021.tb00168.x

Garzón, J. C., Sastre, J. A., Gómez-Ríos, M. Á., López, T., Garzón-Sánchez, A., & Pandit, J. J. (2021). Comparing the dynamics of changes in regional cerebral oxygen saturation with arterial oxygen partial pressure with two techniques of preoxygenation in healthy adults. Journal of Clinical Anesthesia, 68, 110091. https://doi.org/https://doi.org/10.1016/j.jclinane.2020.110091

Krismanto, J., & Jenie, I. M. (2021). Evaluasi Penggunaan Surgical Safety Checklist Terhadap Kematian Pasien Setelah Laparotomi Darurat Di Kamar Operasi. Journal of Telenursing (JOTING), 3(Vol 3 No 2 (2021): Journal of Telenursing (JOTING)), 390–400.

Kusnan, A. (2022). Pengaruh Teh Hijau Dalam Menurunkan Tekanan Darah: Systematic Review. NURSING UPDATE: Jurnal Ilmiah Ilmu Keperawatan P-ISSN: 2085-5931 e-ISSN: 2623-2871, 13(1), 69–79.

Latief, A., Suryono, & Bisri, T. (2022). Manajemen Pasien Pasca Anestesi. Badan Penerbit FKUI.

Mangku, G. & S. G. A. (2018). Buku Ajar Ilmu Anestesi dan Reaminasi (pertama). PT Indeks.

Miller, R. D., Eriksson, L. I., Fleisher, L. A., Wiener-Kronish, J. P., Cohen, N. H., & Young, W. L. (2020). Miller’s Anesthesia (9th ed.). elsevier.inc.

Modesti, M. N., Arena, J. F., Palermo, N., & Casale, A. Del. (2023). A Systematic Review on Add-On Psychotherapy in Schizophrenia Spectrum Disorders. Journal of Clinical Medicine, 12(3), 1021. https://doi.org/10.3390/jcm12031021

Morgan, M. &. (2022). Clinical Anesthesiology (7th ed.). McGrow-Hill Education.

Potter, P. A., & Perry, A. G. (2020). Fundamental Keperawatan. In Elsevier. EGC. https://doi.org/IOS3107-49534

Pramono, A. (2022). Buku Kuliah ANESTESI (D. S. Widjaja (ed.); 2nd ed.). Penerbit Buku Kedokteran EGC.

Priatma Mamuasa, P., Ketut Mendri, N., & Ermawan, B. (2018). Hubungan Derajat Hipertensi Dengan Pemanjangan Waktu Pulih Sadar Pasien Pasca Anestesi Umum Di Rs Pku Muhammadiyah Yogyakarta. Caring : Jurnal Keperawatan, 7(2), 73–78. https://doi.org/10.29238/caring.v7i2.358

Putriani, N. W. (2022). Hubungan tekanan darah pasca operasi dengan waktu pulih sadar pada pasien dengan anestesi umum di rumah sakit tk. ii udayana denpasar.

Rehatta, N, M. (2019). Anestesiologi dan Terapi Intensif. PT. Gramedia Pustaka Utama.

Sherwood, L. (2020). Fisiologi Manusia Dari sel ke sistem (9th ed.). EGC.

Wardana, R. N. P., Sommeng, F., Ikram, D., Dwimartyono, F., & Purnamasari, R. (2020). Waktu Pulih Sadar Pada Pasien Operasi Dengan Menggunakan Anastesi Umum Propofol Di Rumah Sakit Ibnu Sina Makassar. Jurnal Fakultas Kedokteran Universitas Muslim Indonesia.

Yokose, M., Takaki, R., Mihara, T., Saigusa, Y., Yamamoto, N., Masui, K., & Goto, T. (2022). Hypotension after general anesthesia induction using remimazolam in geriatric patients: Protocol for a double-blind randomized controlled trial. PloS One, 17(9), e0275451. https://doi.org/10.1371/journal.pone.0275451