Relathionship RELATIONSHIP BETWEEN FULFILLMENT OF PRE-OPERATIVE FLUID NEEDS AND THE INCIDENCE OF NAUSEA AND VOMITING IN PATIENTS POST GENERAL ANESTHESIA AT DR SAIFUL ANWAR HOSPITAL, EAST JAVA PROVINCE:

Shaumi Miftahul Rasyida; Achmad Dafir Firdaus; Sismala Harningtyas

doi:10.54832/phj.v6i2.866

Shaumi Miftahul Rasyida STIKes Maharani Malang
Achmad Dafir Firdaus STIKes Maharani Malang
Sismala Harningtyas STIKes Maharani Malang

DOI: https://doi.org/10.54832/phj.v6i2.866

Keywords: Preoperative Fluid, PONV, General Anesthesia

Abstract

Introduction: Postoperative nausea and vomiting, known as Postoperative Nausea Vomiting (PONV), is one of the problems often experienced by post-operative patients. Most anesthetic drugs have a vasodilation effect which causes hypotension and hypoperfusion, thereby stimulating the CTZ to produce nausea and vomiting reactions. Hypotension will be more dangerous if the body's fluid needs are not met at the time of surgery. Hypotension is one of the triggers that can cause nausea and vomiting. Giving fluids to preoperative patients is generally done to prevent intraoperative hypotension.

Methods: The design of this research is analytical observational with a cross sectional approach, using a proportional sampling technique with a sample of 80 respondents. This research instrument uses the RINVR observation sheet and fluid calculations based on the fresh holiday formula. Data analysis using the Fisher Test with SPSS IBM Version 23.

Results: The results showed that the majority of respondents, namely 72 (90%) channeled preoperative fluid requirements less than required, 44 respondents (55%) experienced mild nausea and vomiting, 61.1% Respondents experienced mild nausea and vomiting while meeting inadequate preoperative fluid requirements. The results of the Fisher Test statistical test obtained a value of p = 0.001, which can be concluded that there is a significant relationship between preoperative fluid requirements and the incidence of nausea and vomiting in patients after general anesthesia at RSUD dr. Saiful Anwar, East Java Province.

Conclusions: In preoperative patients, a lot of fluid is lost. Fluid lost during fasting is replaced by calculating fluid requirements per day (per hour), calculating the fasting deficit (length of fasting) or dehydration (degree of dehydration). Providing sufficient fluids can reduce the risk of postoperative nausea and vomiting under general anesthesia.

Downloads

Download data is not yet available.

References

Arif, T. (2022). Pengaruh Mobilisasi Dini Terhadap Post Operative Nausea and Vomitting Pada Pasien Post Operasi Dengan General Anestesi Di Rumah Sakit Ngudi Waluyo Wlingi. Jurnal Ilmiah Kesehatan Media Husada, 11(1), 26–33. https://doi.org/10.33475/jikmh.v11i1.288
Beck, C. E., Rudolph, D., Mahn, C., Etspüler, A., Korf, M., Lüthke, M., Schindler, E., Päukert, S., Trapp, A., Megens, J. H. A. M., Oppitz, F., Badelt, G., Julius, K. B., Dietmar, Z. W., & Christoph, B. (2020). Impact of clear fluid fasting on pulmonary aspiration in children undergoing general anesthesia : Results of the German prospective multicenter observational ( NiKs ) study. April, 892–899. https://doi.org/10.1111/pan.13948
Cing, M. T. G. C., Hardiyani, T., & Hardini, D. S. (2022). Faktor Yang Mempengaruhi Kejadian Mual Muntah Post Operasi. Poltekita : Jurnal Ilmu Kesehatan, 16(1), 16–21. https://doi.org/10.33860/jik.v16i1.537
Firdaus, R., & Setiani, D. B. H. (2022). Perbedaan Tatalaksana Mual Muntah Pasca Operasi pada Konsensus Terbaru: Tinjauan Literatur. Majalah Anestesia & Critical Care, 40(1), 58–64. https://doi.org/10.55497/majanestcricar.v40i1.243
Karnina, R., & Salmah, M. (2021). Hubungan Usia, Jenis Kelamin, Lama Operasi dan Status ASA dengan Kejadian PONV pada Pasien Pasca Operasi Laparatomi Bedah Digestif. Health and Medical Journal, 4(1), 16–22. https://doi.org/10.33854/heme.v4i1.867
Messina, A., Robba, C., Calabrò, L., Zambelli, D., Iannuzzi, F., Molinari, E., Scarano, S., Battaglini, D., Baggiani, M., Mattei, G. De, Saderi, L., Sotgiu, G., Pelosi, P., & Cecconi, M. (2021). Association between perioperative fluid administration and postoperative outcomes : a 20 ‑ year systematic review and a meta ‑ analysis of randomized goal ‑ directed trials in major visceral / noncardiac surgery. Critical Care, 1–14. https://doi.org/10.1186/s13054-021-03464-1
Nowak, H. (2022). Therapeutic Suggestions During General Anesthesia Reduce Postoperative Nausea and Vomiting in High-Risk Patients – A Post hoc Analysis of a Randomized Controlled. 13(July), 1–11. https://doi.org/10.3389/fpsyg.2022.898326
Riska. (2022). MUNTAH PASCA OPERASI PADA PASIEN GENERAL ANESTESI : LITERATURE REVIEW MUNTAH PASCA OPERASI PADA PASIEN GENERAL ANESTESI : LITERATURE REVIEW NASKAH PUBLIKASI Diajukan Guna Melengkapi Syarat Mencapai Gelar Sarjana Terapan Kesehatan Program Studi Sarjana Ter.
Shilpa Sunil Khanna, M. S. M. A., , Urooj Fatima , Harshitha Garlapati, M. A. Q., & Gulia, S. K. (2022). Role of general anesthetic agents in postoperative nausea and vomiting : A review of literature. National Journal of Maxillofacial Surgery |, 13(2), 190–194. https://doi.org/10.4103/njms.NJMS

Relathionship RELATIONSHIP BETWEEN FULFILLMENT OF PRE-OPERATIVE FLUID NEEDS AND THE INCIDENCE OF NAUSEA AND VOMITING IN PATIENTS POST GENERAL ANESTHESIA AT DR SAIFUL ANWAR HOSPITAL, EAST JAVA PROVINCE

RELATIONSHIP BETWEEN FULFILLMENT OF PRE-OPERATIVE FLUID NEEDS AND THE INCIDENCE OF NAUSEA AND VOMITING IN PATIENTS POST GENERAL ANESTHESIA AT DR SAIFUL ANWAR HOSPITAL, EAST JAVA PROVINCE

Abstract

Downloads

References

Most read articles by the same author(s)