RELATIONSHIP OF LONG OPERATION WITH SHIVERING EVENTS IN POST SPINAL ANESTHETIC PATIENT AT RSUD LEUWILIANG BOGOR REGENCY

Taufik Romansyah; Adiratna Sekar Siwi; Suci Khasanah

doi:10.53625/jcijurnalcakrawalailmiah.v2i2.3761

Authors

Taufik Romansyah Universitas Harapan Bangsa
Adiratna Sekar Siwi Universitas Harapan Bangsa
Suci Khasanah Universitas Harapan Bangsa

DOI:

https://doi.org/10.53625/jcijurnalcakrawalailmiah.v2i2.3761

Keywords:

Spinal Anesthesia, Shivering, Length of Operation

Abstract

Shivering is a complication of spinal anesthesia with an incidence of up to 33-57%. The long duration of surgery causes the anesthetic procedure to be longer. This will increase the time of exposure of the body to cold temperatures and cause the effect of accumulating drugs and anesthetic agents. Data on surgical patients at Leuwiliang Regional Hospital from December 2021 to February 2021, namely 60% of patients underwent surgery <1 hour, 20% underwent 1-2 hours of surgery, and 20% underwent >2 hours of surgery. The incidence of shivering at Leuwiliang Regional Hospital is 5 out of 10 patients (50%). The study aimed to determine the relationship between the duration of surgery and the incidence of shivering in patients after spinal anesthesia at Leuwiliang Hospital, Bogor Regency. The research method uses a type of analytics that is cross-sectional. The population in this study was 1212 respondents. The sampling technique in this study used purposive sampling techniques for 92 respondents.The data was taken by making observations to respondents. The results showed that the duration of the operation was 1-2 hours as many as 51 respondents (55.4%). The incidence of shivering in patients after spinal anesthesia found that there was a degree 3 shivering of 54 respondents (58.7%). There is a long association of surgery with the incidence of shivering in post-spinal anesthesia patients with a p-value of 0.001 (P<0.05). To Leuwiliang Hospital, especially for anesthesiologists, to increase vigilance against post-anesthesia shivering events to prevent complications after spinal anesthesia

References

Adhikary, M. et al. (2014) ‘Study of self medication practices and its determinant among college students of Delhi University North Campus, New Delhi, India’, International Journal of Medical Science and Public Health, 3(4), p. 406. doi: 10.5455/ijmsph.2014.260120146.

Arisman (2007) Gizi dalam Daur Kehidupan. Jakarta: EGC.

Buggy, D. J. and Crossley, A. W. A. (2000) ‘Thermoregulation, mild perioperative hypothermia and post-anaesthetic shivering’, British Journal of Anaesthesia, 84(5), pp. 615–628. doi: 10.1093/bja/84.5.615.

Cahyawati, F. E. (2019) ‘Pengaruh Cairan Intravena Hangat Terhadap Derajat Menggigil Pasien Post Sectio Caesarea Di RS PKU Muhammadiyah Gamping’, Jurnal Kebidanan, 8(2), p. 86. doi: 10.26714/jk.8.2.2019.86-93.

Depkes RI (2009) UU Kesehatan No 36, Depkes.

Eka, A. (2018) ‘Hubungan lama operasi dengan spinal anestesi’.

Fauzi, N. A. (2015) ‘Gambaran Kejadian Menggigil (Shivering) pada Pasien Dengan Tindakan Operasi Yang Menggunakan Anastesi Spinal Di RSUD Karawang Periode Juni 2014’, fakultas kedokteran UNISBA.

Ferede, Y. A., Aytolign, H. A. and Mersha, A. T. (2021) ‘“The magnitude and associated factors of intraoperative shivering after cesarean section delivery under Spinal anesthesia’’: A cross sectional study’, Annals of Medicine and Surgery, 72(November), p. 103022. doi: 10.1016/j.amsu.2021.103022.

Harahap, A. M., Kadarsah, R. K. and Oktaliansah, E. (2014) ‘Angka Kejadian Hipotermia dan Lama Perawatan di Ruang Pemulihan pada Pasien Geriatri Pascaoperasi Elektif Bulan Oktober 2011–Maret 2012 di Rumah Sakit Dr. Hasan Sadikin Bandung’, Jurnal Anestesi Perioperatif, 2(1), pp. 36–44. doi: 10.15851/jap.v2n1.236.

Hidayat (2011) Metodelogi Penelitian Kesehatan. Jogjakarta: Fitramaya.

Indriati, E. (2010) Antropometri untuk kedokteran, keperawatan, gizi dan olahraga. Yogyakarta: PT. Citra Aji.

Kemenkes, D. G. M. D. J. K. M. (2017) Hasil Pemantauan Status Gizi (PSG) Tahun 2016. Jakarta.

Laksono RM, I. (2012) ‘Fentanyl Intratekal Mencegah Menggigil Pasca Anestesi Spinal pada Seksio Sesaria Intrathecal Fentanyl for Prevention of Post Anesthetic Shivering in Caesarean Section’, Jurnal Kedokteran Brawijaya, 27(1), pp. 51–55.

Latief, S. (2009) ‘Petunjuk Praktis Anestesiologi’, in Petunjuk Praktis Anestesiologi. Jakarta: Edisi 2 FK UI.

Longdong, J. F. (2011) Perbandingan Efektivitas Anestesi Spinal Menggunakan Bupivakain Isobarik dengan Bupivakain Hiperbarik pada Pasien yang Menjalani OperasiAbdomen Bagian Bawah. Jurnal Anestesi Perioperatif, 1 (2) ; Pp : 69-77.

Marwoto, P. (2013) Anestesi Lokal/Regional. Anestesiologi 2 Bagian Anestesiologi dan terapi intensif FK UNDIP/RSUP Dr. Kariadi. Semarang: PERDATIN.

Mashitoh, D., Mendri, N. K. and Majid, A. (2018) ‘Lama Operasi Dan Kejadian Shivering Pada Pasien Pasca Spinal Anestesi’, Journal of Applied Nursing (Jurnal Keperawatan Terapan), 4(1), p. 14. doi: 10.31290/jkt.v(4)i(1)y(2018).page:14-20.

Morgan, G Edward, S. M. (2013) Clinical Anesthesiology. New York: MC Graw Hill;

Morgan GE, Mikhail MS, M. M. (2013) ‘No Title’, in Chronic pain managament In clinical anesthesiology. McGraw-Hill: Lange Medical Books.

Mulroy, M. F. et al. (2014) ‘No Title’, in A Practical Approach to Regional Anesthesia 4th ed. Philadelphia: Wolters Kluwer Health.

Notoadmojo (2016) Metodelogi Penelitian Kesehatan. Jakarta: Rhineka Cipta.

O’Connel, J. and Al., E. (2011) ‘Accidental Hypothermia & Frostbite: Cold – Related Conditions’, . The Health Care of Homeless Persons, 2, pp. 189–197.

Pramono, A. (2017) Buku kuliah anestesi. Jakarta: EGC.

Putri Resti Y (2018) ‘HUBUNGAN LAMA OPERASI DAN JENIS OPERASI DENGAN KEJADIAN POST ANAESTHETIC SHIVERING (PAS) PADA PASIEN PASCA ANESTESI SPINAL DI RUANG PEMULIHAN BEDAH SENTRAL RSUP M. DJAMIL PADANG Skripsi’, jurnal Fakultas Kedokteran Universitas Andalas 1, pp. 1–3. Available at: http://scholar.unand.ac.id/61716/2/2. BAB 1 (Pendahuluan).pdf.

Putzu, M. (2007) ‘Clinical Complications, Monitoring And Management Of Perioperative Mild Hypothermia: Anesthesiological Features’, Acta Biomed, Vol 78:163.

Raj, P. P. (2013) ‘No Title’, in Clinical Practice Of Regional Anesthesia. Churchili: Livingstone.

Rattanapittayaporn, L. (2022) ‘Risk Factors of Postoperative Shivering at Post Anesthesia Care’, 40(1), pp. 45–51. doi: 10.31584/jhsmr.2021816.

Risdianto, A. R. (2021) ‘Konsep Shivering’.

Sabiston, D. C. (2011) Buku ajar bedah. Jakarta: EGC.

Sarim, B. Y., Budiono, U. and Sutiyono, D. (2011) ‘Ketamin dan Meperidin Untuk Pencegahan Menggigil Pasca Anestesi Umum’, JAI (Jurnal Anestesiologi Indonesia), 3(2). doi: 10.14710/JAI.V3I2.6446.

Setiadi (2013) Konsep dan Praktik Penulisan Riset Keperawatan. Yogyakarta: Graha Ilmu.

Setiati, et al (2008) Hipotermia dalam Lima Puluh Masalah Kesehatan di Bidang Ilmu Penyakit Dalam. Jakarta: Pusat Penerbitan Ilmu Penyakit Buku kesatu Interna Pubishing.

Sjamsuhidajat dan de jong (2010) ‘No Title’, in Buku ajar ilmu bedah. Jakarta: EGC.

Sugiyono (2018) ‘Metode Penelitian Kuantitatif Kualitatif’, Metode Penelitian Kuantitatif Kualitatif, p. 6.

Tamsuri (2007) Konsep Penatalaksanaan Nyeri. Jakarta: EGC.