ANALISIS PERBANDINGAN DEFLASI TORNIQUET LANGSUNG DAN BERTAHAP TERHADAP PERUBAHAN TEKANAN DARAH PADA PASIEN OPERASI TOTAL KNEE ARTHROPLASTY
DOI:
https://doi.org/10.30651/jkm.v10i4.30566Kata Kunci:
Artroplasti Lutut Total, Tekanan Darah, TourniquetAbstrak
Background: Tourniquet arteri digunakan dalam prosedur bedah ekstremitas untuk menciptakan area bedah tanpa darah (bloodless surgical field). Pada Artroplasti Lutut Total (TKA) terjadi redistribusi volume intravaskular ke ekstremitas bawah yang iskemik, perdarahan, dan vasodilatasi sehingga berpotensi mengurangi tekanan darah arteri. Objective: untuk menganalisis perbedaan penurunan tekanan darah pasien TKA setelah deflasi torniquet secara langsung dan bertahap. Methods: Menggunakan Quasy experiment, populasi adalah pasien operasi TKA di ruang Bedah Sentral RSUD Dr. Soedono Provinsi Jawa Timur pada Januari – Maret 2024. Menggunakan tehnik Simple Random Sampling didapatkan n=24 responden terbagi menjadi kelompok intervensi n=12 dan kelompok kontrol n=12. Analisa data menggunakan uji T-test independent. Results: Tidak ada perbedaan signifikan tekanan darah systole dan dyastole pre intervensi antara kelompok bertahap dan langsung, (p=0,055, p=0,451), tidak terdapat perbedaan signifikan tekanan darah systole post intervensi antara kelompok bertahap dan langsung (p=0,578) dan terdapat perbedaan signifikan tekanan darah diastole pada post intervensi antara kelompok bertahap dan langsung (p=0,032). Nilai selisih mean tekanan darah systole pre dan post kelompok deflasi bertahap sebesar 4,08 mmHg dan Dyastole sebesar 6,17 mmHg. Sedangkan selisih nilai mean tekanan darah Systole pre dan post pada kelompok deflasi langsung sebesar 19,31 mmHg dan Dyastole sebesar 10,55. Penurunan tekanan darah baik systole maupun dyastole kelompok deflasi bertahap lebih kecil dibandingkan dengan kelompok deflasi langsung. Conclusion: Deflasi torniquet secara bertahap memungkinkan terjadinya resiko penurunan tekanan darah lebih kecil dibandingkan secara langsung sehingga dapat dipertimbangkan untuk dilaksanakan sebagai alternatif metode deflasi torniquet post operasi TKA.
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