Perbandingan Efek Anestesi Spinal dengan Anestesi Umum terhadap Kejadian Hipotensi dan Nilai APGAR Bayi pada Seksio Sesarea

• Main Authors: Lasmaria Flora, Ike Sri Redjeki, A. Himendra Wargahadibrata
• Format: Article
• Language: Indonesian
• Published: Universitas Padjadjaran 2014-08-01
• Series: Jurnal Anestesi Perioperatif
• Subjects: APGAR score; caesarean section; general anesthesia; hypotension; spinal anesthesia
• Online Access: http://journal.fk.unpad.ac.id/index.php/jap/article/view/304
• ISSN: 2337-7909; 2338-8463

Technique of spinal anesthesia or general anesthesia on cesarean section causes decreasing in different blood pressure and APGAR score. The purpose of this study was to identify the difference of hypotension, APGAR score 1 minute and 5 minutes on the action of spinal anesthesia and general anesthesia. A randomized cross sectional was conducted on 70 patients at Dr. Hasan Sadikin Hospital Bandung during February–March 2011. Patients were divided into two groups: group I (spinal anesthesia) and group II (general anesthesia). The data of hypotension was analyzed with chi square test, for the APGAR score with Mann Whitney test. Result of the study showed that the case of hypotension was got 57.1% for the group of spinal anesthesia whereas the group of general anesthesia only 5.7% (p<0.001). The mean of APGAR score 1 minute for the group spinal anesthesia was 8 whereas the group of general anesthesia was 7.06. According to Mann Whitney test got p<0.001. The mean of APGAR score 5 minutes for the group spinal anesthesia was 9.71, whereas the mean for the group of general anesthesia was 9.31. According to Mann Whitney test got p=0.015. The conclusion of the this study is the case of hypotension value is higher for the spinal anesthesia compared to general anesthesia. APGAR score 1 minute and 5 minutes are higher for spinal anesthesia compared to general anesthesia.