Article Sidebar

Published
May 31, 2018
Download
Statistic
Read Counter : 2467

Main Article Content

Abstract

Regional anesthesia (Sub ArachnoidBlock) produces sympathetic blocks of muscle relaxation and sensory block against peripheral temperature receptors thereby inhibiting the compensatory response to temperature. Factors that may cause adecrease in core temperature and disruption of the information path derived from the first receptor are sympathetic blockades that may couse peripheral vasodilatation. To know the relationship between the height of the anesthetic spinal block with the intra operative shivering incidence at Central Surgery RSUD Dr. Soedirman Kebumen The research design was cross sectional. The research sampel were 72 respondents spinal anesthesia patients. The technique of sampling were consecutive sampling. The statistical test was chi square. Of 16 people with high spinal block, (75%) had shivering and 4 people (25%) had no shivering. of 36 people with moderate spinal block 21 people (58,3%) had shivering and 15 people (41,7%) had no shivering. of 20 people with low spinal block 14 people (70%) had shivering and 6 people (30%) had no shivering. Statistical test result using chi square obtained a significant relationship with p value of 0,021 smaller than 0,05 (0,021<0,05). There is a relationship between the height of the anethetic spinal block intra operative shivering incidence at Central Surgery RSUD Dr. Soedirman Kebumen

Keywords

Shivering, the height of the spinal block, spinal anesthesia

Article Details

JKEP (Jurnal Keperawatan)

How to Cite
Olfah, Y., Restuti, S., Majid, A., & Firdaus, S. (2018). Hubungan Ketinggian Blok Spinal Anestesi dengan Kejadian Menggigil (shivering) Intra Operatif di Instalasi Bedah Sentral RSUD dr. Soedirman. JKEP, 3(1), 38-45. https://doi.org/10.32668/jkep.v3i1.199

References

    Andryansa. 2012. Faktor-faktor yang Berhubungan dengan Kejadian Shivering Intra Operasi pada Pasien yang Dilakukan Tindakan Spinal Analgesi di RSUD Dr. M. Yunus Bengkulu (skripsi) Poltekkes Kemenkes Yogyakarta.

    Alfonsi, P. 2009. Post Anaesthethics Shivering Epidemiology Pathofisiologi And Approaches Management In Drugs. Minerva Anestesiologica; 69: 438-41.

    Crowley, Larry , Buggy, Donal . 2008. Shivering and neuraxial anesthesia’ Journal of Regional Anesthesia and Pain Medicine, 33: 241–252.

    Covino, B.G. et al. 2004. Handbook of Spinal Anesthesia and Anelgesia.

    Dhorigol, Dhulkhed, Biyani, Desal. 2010. Randomized controlled , double-blind study to evaluate oral clonidine to prevent post-subarachnoid block shivering in patients undergoing elective urological surgery. J Anaesth Clin Pharmacol, 26(1):18–25.

    Doengoes, Moorhbuse, Geissler,. 2000. Rencana Asuhan Kepeawatan Pedoman untuk Perencanaan dan Pendokumentasian Perawatan Pasien, Edisi 3, Jakarta: EGC

    Frank, S.M. 2008. Predictor of Hypothermiaduring spinal Anesthesia. Anesthesiologi. 92(5):1330-1334.

    Gangopadhyay., et al. 2010. Ketamine, tramadol and pethidine in prophylaxis of shivering during spinal anesthesia. Journal Anaesthesiology Clinical Pharmacology, 26, (1): .59–63.

    Habeahan. 2014. Hubungan Indeks Masa Tubuh dengan kejadian Shivering pasca spinal anestesi (skripsi) Poltekkes Kemenkes Yogyakarta.

    Kranke, P. 2003. Post operative Shivering in Children: A Review on Phaemecologic Prevention and Treathment Pediatric drug, 5(6): 1-11

    Marwanto & Primatika. 2013. Anestesi Lokal/Regional Anestesiologi 2 Bagian Anestesiologi dan Terapi Intensif FK UNDIP/RSUP Dr. Kariadi. PERDATIN Semarang.

    Mangku, Gde. 2010. Buku Ajar Ilmu Anestesia dan Reanimasi. Jakarta: EGC

    Michael F., et. al. 2008. Clinical Anesthesiology international edition: McGraw Hill Profesional

    Morgan, P. 2010. Clinical Anesthesiology, Fourth Edition. USA.

    Ngabalin. 2017. Hubungan Ketinggian Blok dengan Komplikasi dini spinal anestesi di RSUD Prof. Dr.Margono Soekarjo (skripsi) Poltekkes Kemenkes Yogyakarta.

    Notoatmojo., S. 2010. Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.

    Nursalam. 2011. Konsep dan Penerapan Metodologi Penelitian Edisi 2. Jakarta: Salemba Medika

    Pramono, A. 2015. Buku Kuliah Anestesiologi, LP3M Universitas Muhammadiyah Yogyakarta, Jakarta: EGC

    Said, Suryadi, Ruswan. 2011. Petunjuk Praktis Anestesiologi, Bagian Anesthesiologi dan Terapi Intensif FKUI, Jakarta.

    Salinas, FV. 2009. Spinal Anesthesia In A Practical Approach to Regional Anesthesia. New York: Mc Graw Hill

    Susilowati. 2017. Hubungan Indeks Masa Tubuh dengan kejadian Shivering pada Pasien Spinal Anestesi (skripsi). Poltekkes Kemenkes Yogyakarta.

    Tarmey, Nick, White, Lucy. 2009. Risk associated with your anaesthetic. Information for patients: The Royal College of Anaesthetist. Section3:Shivering.pp 1-3.