PERBEDAAN TEKANAN DARAH PADA PEMBERIAN CAIRAN 500 ML HES 130 SECARAPRELOADING DAN COLOADING PASIEN SECTIO CAESAREA DENGAN ANESTESI SPINAL

Abstract

The incidence of complications of hypotension in spinal anesthesia is still high. If hypotension is not corrected quickly it can be life threatening. Maternal hypotension not only threatens the life of the mother, but also threatens the life of the fetus. The purpose of this study was to analyze the difference in blood pressure between administration of 500 ml HES 130 fluid by preloading and coloading in sectio caesarea patients with spinal anesthesia. The research design was non- experimental with a cohort approach. The study population was all patients with cesarean section surgery with spinal anesthesia at Bangil Hospital as many as 28 patients. The research sample was patients who underwent cesarean section surgery with spinal anesthesia according to the inclusion and exclusion criteria. The research sampling was accidental sampling technique, as many as 14 people in the preloading group and 14 people in the coloading group. Observational data collection. Systolic blood pressure was measured using a sphygmomanometer, performed 5 minutes after spinal anesthesia. Data analysis used independent t test. The results showed that for the preloading group, 57.14% systolic blood pressure >90 mmHg and 42.86% systolic blood pressure < 90 mmHg. For the coloading group, 50% systolic blood pressure > 90 mmHg and 50% systolic blood pressure < 90 mmHg. Statistical tests showed that there was no difference in blood pressure in the administration of 500 ml of fluid by preloading and coloading in sectio caesarea patients with spinal anesthesia (p value = 0.709). The mean change in blood pressure after spinal anesthesia (P=94.64±11.92; C=93.07±10.05). Based on the results of the study, HES 130 preloading and coloading fluids could be used to prevent hypotension in cesarean section patients with spinal anesthesia.