PERBEDAAN PERUBAHAN HEMODINAMIK TEKNIK ANESTESI SPINAL POSISI DUDUK DAN MIRING KIRI PADA PASIEN SEKSIO SESAREA

Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

2013-05

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Background: Determination of Anesthesia in caesarean section technique can be performed with general anesthesia or spinal anesthesia and is very dependent state of the mother and fetus as well as the ability of anesthesiology. Spinal anesthesia technique is still an option for a cesarean section, this technique can be performed in a sitting position and left lateral position, usually done on the operating table. Change in position within 30 minutes after spinal anesthesia really affects the occurrence of hemodynamic changes very quickly, it’s needs strict supervision and observation. Objectives: To identifi, the differences of hemodynamic changes in spinal anesthesia techniques sitting position and left lateral position in caesarean section patients at RSUD Merauke. Methods: Using observational analitic of nursing research in which researchers tried to find differences between variables with secsional approch. Research Findings: Differences hemodynamic changes in patients caesarean section performed spinal anesthesia techniques sitting position and the left lateral position, there was no significant difference. These hemodynamic changes can be caused by changes in the position to a reclining position or sitting position to the left lateral recumbent position is very influential on hemodynamic changes, which causes the movement of drugs in cerebra vascular spinal fluid moves faster, which moves according to the law of gravity. Conclusion: Spinal anesthesia techniques sitting position and the left lateral position in patients caesarean section did not occur significant differences in hemodynamic changes, and both these techniques can be performed at caesarean section Key words: spinal anesthesia, sitting position, left lateral position and hemodynamic changes.