Efek Penggunaan Leg Wrapping terhadap Kejadian Hipotensi Selama Anestesi Spinal pada Pasien Seksio Sesarea

Yunita Susanto Putri, Iwan Fuadi, Tatang Bisri

Abstract


Hipotensi merupakan komplikasi tersering selama anestesi spinal dengan insidensi >80% meskipun telah diberikan cairan preloading, posisi ibu left lateral tilt, dan penggunaan vasopresor. Terdapat teknik lain untuk mencegah terjadi hipotensi, yaitu penggunaan leg wrapping yang dapat memperbaiki aliran balik vena dengan meningkatkan volume darah sentral. Penelitian ini bertujuan menilai efek penggunaan leg wrapping terhadap kejadian hipotensi selama anestesi spinal pada pasien seksio sesarea. Penelitian bersifat eksperimental acak terkontrol buta tunggal dengan randomisasi secara acak sederhana yang melibatkan 40 ibu hamil American Society of Anesthesiologists (ASA) II yang menjalani seksio sesarea dengan anestesi spinal di Central Operating Theatre (COT) lantai 3, Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Juni–Juli 2015. Subjek penelitian dikelompokkan menjadi dua, yaitu 20 subjek dengan leg wrapping dan 20 subjek tanpa leg wrapping. Tekanan darah dan laju nadi diperiksa setiap dua menit sampai bayi lahir. Data dianalisis dengan uji-t tidak berpasangan dan chi-kuadrat, nilai p<0,05 dianggap bermakna. Analisis statistik menunjukkan kejadian hipotensi pada kelompok tanpa leg wrapping 95% (19 orang) dan 0% pada kelompok dengan leg wrapping dengan perbedaan bermakna (p<0,05). Secara keseluruhan, hemodinamik kelompok dengan leg wrapping lebih stabil dibanding dengan kelompok tanpa leg wrapping. Simpulan, penggunaan leg wrapping sebelum dilakukan anestesi spinal pada pasien yang menjalani seksio sesarea menurunkan angka kejadian hipotensi.

Kata kunci: Anestesi spinal, hipotensi, leg wrapping, seksio sesarea


Effect of Leg Wrapping on Hypotension Incidence in Cesarean Section with Spinal Anesthesia

Abstract

Hypotension is the most common complication of spinal anesthesia. The incidence remains high despite adequate fluid preloading, left lateral tilt positioning, and vasopressors use. There is a technique that can be used to prevent hypotension, which is referred as leg wrapping. Leg wrapping can improve venous return by increasing central blood volume. This study aimed to compare the hypotension incidence between with and without leg wrapping during spinal anesthesia for caesarean section. The method used was single blind randomized controlled trial with simple randomization, involving 40 pregnant women ASA II, who underwent cesarean section with spinal anesthesia in COT 3rd floor Dr. Hasan Sadikin General Hospital Bandung during the period of June–July 2015. Subjects were grouped into with leg wrapping and without leg wrapping groups with 20 subjects in each group. Blood pressure and heart rate were recorded every two minutes until the baby was born. Data were then analyzed using t-test and chi-square test with p values <0.05 considered significant. The statistical analysis showed that there were significant differences in the incidence of hypotension (p<0.05) in the group without leg wrapping , i.e. 95% (19 people), and the group with leg wrapping, i.e. 0%. Overall, hemodynamics of the leg wrapping group was more stable than the group without leg wrapping. In conclusion, leg wrapping prior to spinal anesthesia in patients undergoing cesarean section will reduce incidence of hypotension.

Key words: Cesarean section, hypotension, leg wrapping, spinal anesthesia

 

DOI: 10.15851/jap.v4n3.903


Keywords


Anestesi spinal, hipotensi, leg wrapping, seksio sesarea

Full Text:

PDF

Refbacks

  • There are currently no refbacks.



 

This Journal indexed by:

               

 
Creative Commons License
JAP is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 


View My Stats