CD Skripsi
pengaruh pemberian maltodekstrin preoperatif pada pasien geriatri yang menjalani anestesi spinal di rsud arifin achmad provinsi riau
The growing elderly population worldwide has led to an increase in surgeries performed under spinal anesthesia, with postoperative nausea and vomiting (PONV), hemodynamic instability, and blood glucose fluctuations being common complications. This study aimed to evaluate the effects of preoperative maltodextrin administration on the incidence of PONV, hemodynamic parameters, and random blood glucose levels in geriatric patients.
Methods:
A randomized experimental study was conducted at Arifin Achmad Regional Hospital, Riau Province, involving geriatric patients undergoing spinal anesthesia. Patients were assigned to two groups: one received 50 grams of maltodextrin dissolved in 200 mL of mineral water, while the control group received 200 mL of mineral water. PONV incidence, systolic and diastolic blood pressure, mean arterial pressure, heart rate, and random blood glucose levels were measured.
Results:
Preoperative maltodextrin administration significantly reduced PONV incidence (p = 0.030), maintained hemodynamic stability (systolic blood pressure at 3 minutes, p = 0.046; mean arterial pressure at 3 minutes, p = 0.026), and stabilized random blood glucose levels (p = 0.03).
Conclusion:
The administration of maltodextrin before surgery effectively reduces PONV, stabilizes hemodynamic responses, and maintains random blood glucose levels in geriatric patients undergoing spinal anesthesia.
Keywords:
Maltodextrin, spinal anesthesia, geriatrics, postoperative nausea and vomiting, hemodynamic response, blood glucose
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