GAMBARAN HIPOTENSI PADA PASIEN SEKSIO SESAREA INTRA ANESTESI SPINAL METODE KONVENSIONAL DAN ENHANCED RECOVERY AFTER SURGERY (ERAS)

Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative management
with the aim of faster recovery from major surgery, reduced risk of complications, and
reduced hospital days compared to conventional perioperatives care. Hypotension is a
side effect of caesarean section surgery with spinal anesthesia. This study aims to
determine the description of hypotension in patients with caesarean section intra spinal
anesthesia using the conventional method and the Enhanced Recovery After Surgery
(ERAS) method. This research uses a quantitative research method with a descriptive
design with a cross sectional approach . The sampling technique was purposive sampling
of 40 cesarean section patients, consisting of 20 respondents in the conventional method
spinal anesthesia group and 20 respondents in the ERAS method spinal anesthesia
group. Blood pressure measurements were taken before and after spinal anaesthesia
using a bedside monitor. Data obtained including age and blood pressure were analysed
using statistical analysis. The results of the research of the conventional spinal
anesthesia group showed that 15 respondents experienced hypotension (75%) and 5
respondents did not experience hypotension (25%). In the spinal anesthesia group using
the Enhanced Recovery After Surgery (ERAS) method, 7 respondents experienced
hypotension (35%) and 13 respondents did not experience hypotension (65%). It is
recommended that anesthetists nurse continue to update the latest science regarding
spinal anesthesia in caesarean sections to prevent hypotension and to be better prepared
to handle hypotension incidents.