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All Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT
Martyarini Budi Setyawati
Universitas Harapan Bangsa
Computer Science & IT Economics, Econometrics & Finance Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health

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Journal : Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan

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Comparison of Mean Arterial Pressure (MAP) Values in Elderly Patients Undergoing Transurethral Resection of the Prostate (TURP) with Regional Anesthesia at Banjarnegara Islamic Hospital in 2023. Fhadilah Putri Syiva Alifa; Martyarini Budi Setyawati; Wilis Sukmaningtyas; Awal Tunis Yantoro
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1175

Abstract

Basic Health Research (2017) stated that around 50% of men aged 50 years in Indonesia suffered from BPH (Benign Prostate Hyperplasia). One of the treatments for BPH is TURP (Transurethral Resection of the Prostate) using spinal anesthesia. A high degree of blockade (≥ T5) and elderly are the two main factors of complication causing changes in MAP (Mean Arterial Pressure) values ​​after spinal anesthesia, which is about 15.3 to 33%. MAP monitoring is very important because MAP describes the status of cerebral perfusion. The research purpose was to determine the comparison of MAP in each age group of the elderly undergoing TURP at Bajarnegara Islamic Hospital. The researcher applied a comparative analytic method with cross sectional approach. The research was conducted in March 2023 with 31 respondents. The samples were taken by using convenience sampling technique. The independent sample t test results showed (p = 0,870). Therefore, there were no significant differences of MAP in each age group of the elderly undergoing TURP at Bajarnegara Islamic Hospital.
Description of The Incident of Hypotension in Elderly Receiving Spinal Anesthesia at Cilacap Regional Hospital Dilla Ainun Nurjanah; Martyarini Budi Setyawati; Wilis Sukmaningtyas
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1211

Abstract

Spinal anesthesia is a type of regional anesthesia performed by injecting local anesthetic drugs into the subarachnoid space which can cause hypotension with an incidence of 16% - 33%. Hypotension is a drop in systolic blood pressure below 90mmHg. Risk factors that can increase the incidence of hypotension in spinal anesthesia include age. In young adults, hypotension is usually less severe than the elderly with the same high spinal anesthesia. The purpose of this study was to determine the picture of hypotension events in the elderly who received spinal anesthesia techniques at the Central Surgical Installation of Cilacap Hospital. The design of this study is quantitative descriptive with sampling using convenience sampling techniques. The study was conducted in June 2023. The sample of this study was elderly >60 years old totaling 52 respondents. The results of this study showed the incidence of hypotension as many as 38 respondents (67.3%) and not hypotension 17 respondents (32.7%). This study shows that the elderly are one of the factors in the incidence of post-spinal anesthesia hypotension.
Co-Authors Awal Tunis Yantoro Dilla Ainun Nurjanah Fhadilah Putri Syiva Alifa Fifi Aninditya Rachmawati Fitrianingsih Fitrianingsih Sekarsiwi, Adiratna Wilis Sukmaningtyas