Gambaran Volume Urine pada Pasien Pasca Spinal Anestesi di RSI
DOI:
https://doi.org/10.55606/sscj-amik.v4i5.6407Keywords:
Post Spinal Anesthesia, Renal Function, Urinary Monitoring, Urine Output, Urine VolumeAbstract
Spinal anesthesia is widely used in various surgical procedures and may affect hemodynamic and urinary function through sympathetic nerve blockade. Urine output is an important parameter for monitoring fluid balance and renal function. This study aimed to describe urine volume in patients after spinal anesthesia at RSI Purwokerto during the first six hours. A quantitative descriptive study with a cross-sectional approach was conducted among 94 patients undergoing elective surgery under spinal anesthesia, selected using purposive sampling. Urine volume was measured hourly through a urinary drainage bag for six hours and analyzed descriptively. Most respondents were female, had normal body mass index, ASA physical status I, and underwent cesarean section. Mean urine volume increased gradually from 34.73 mL in the first hour to 47.71 mL in the sixth hour. Overall, urine volume showed a gradual increase during the observation period. Monitoring urine output after spinal anesthesia remains important to assess fluid balance, renal perfusion, and postoperative physiological changes.
References
Al-Kazwini, H., & Simhabdi, P. K. (2024). Normal and abnormal urine output and interpretation. In StatPearls.
Bianchi, N. A., Altarelli, M., Monard, C., Kelevina, T., Chaouch, A., & Schneider, A. G. (2023). Identification of an optimal threshold to define oliguria in critically ill patients: An observational study. Critical Care, 27(1). https://doi.org/10.1186/s13054-023-04505-7
Billings, F. T., Lopez, M. G., & Shaw, A. D. (2021). The incidence, risk, presentation, pathophysiology, treatment, and effects of perioperative acute kidney injury. Canadian Journal of Anesthesia, 68(3), 409–422. https://doi.org/10.1007/s12630-020-01894-z
Choi, S., Mahon, P., & Awad, I. T. (2012). Neuraxial anesthesia and bladder dysfunction in the perioperative period: A systematic review. Canadian Journal of Anesthesia, 59, 681–703. https://doi.org/10.1007/s12630-012-9717-5
Darwis, D., Sari, F. M., & Fauzi, Y. (2025). Hemodinamik dan indeks massa tubuh (IMT) terhadap jumlah urine selama 24 jam. Journal of Nursing and Public Health, 13, 334–340. https://doi.org/10.37676/jnph.v13i1.8604
De Souza Mendes, R., & Suassuna, J. (2021). Perioperative oliguria: Adequate physiological response or risk for acute kidney injury? Brazilian Journal of Nephrology. https://doi.org/10.1590/2175-8239-jbn-2020-e001
Fadiyah Haya, A., Heri Wibowo, T., & Lintang Suryani, R. (2025). Gambaran kejadian hipotensi intra anestesi spinal di Rumah Sakit Umum Daerah Dr. Soeselo Kabupaten Tegal. Jurnal Inovasi Global, 3(6). https://doi.org/10.58344/jig.v3i6.364
G., M. A., Lii, E., F., L. A., W. K., J. P., & K., L. (2020). Miller's anesthesia (9th ed.). Elsevier.
Gameiro, J., Fonseca, J. A., Marques, F., & Lopes, J. A. (2020). Management of acute kidney injury following major abdominal surgery: A contemporary review. Journal of Clinical Medicine, 9(8), 2679. https://doi.org/10.3390/jcm9082679
Giglio, M., Dalfino, L., Puntillo, F., & Brienza, N. (2019). Hemodynamic goal-directed therapy and postoperative kidney injury: An updated meta-analysis with trial sequential analysis. Critical Care, 23(1). https://doi.org/10.1186/s13054-019-2516-4
Girma, T., Mergia, G., Tadesse, M., & Assen, S. (2022). Incidence and associated factors of post dural puncture headache in cesarean section done under spinal anesthesia 2021 institutional based prospective single-armed cohort study. Annals of Medicine and Surgery, 78, 103729. https://doi.org/10.1016/j.amsu.2022.103729
Gustafsson, U. O., Scott, M. J., Hubner, M., Nygren, J., Demartines, N., Francis, N., … Ljungqvist, O. (2019). Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations: 2018. World Journal of Surgery, 43, 659–695. https://doi.org/10.1007/s00268-018-4844-y
Nyoman Sunarta, I., Suandika, M., & Haniya, S. (2022). Hubungan anestesi spinal dengan kejadian retensi urine pada pasien post operasi di RSU Santa Anna Kota Kendari. Seminar Nasional Penelitian dan Pengabdian kepada Masyarakat (SNPPKM) 2022.
Ostermann, M., Shaw, A. D., & Joannidis, M. (2023). Management of oliguria. Intensive Care Medicine, 49, 103–106. https://doi.org/10.1007/s00134-022-06909-5
Prowle, J. R., Forni, L. G., Bell, M., Chew, M. S., Edwards, M., Grams, M. E., … Kellum, J. A. (2021). Postoperative acute kidney injury in adult non-cardiac surgery: Joint consensus report of the Acute Disease Quality Initiative and PeriOperative Quality Initiative. Nature Reviews Nephrology, 17, 605–618. https://doi.org/10.1038/s41581-021-00418-2
Rehatta, N. M., Henindito, E., Tantri, A. R., Redjeki, I. S., Soenarto, R. F., Bisri, D. Y., … Lestari, M. I. (2019). Anestesiologi dan terapi intensif: Buku teks KATI-PERDATIN (1st ed.). PT. Gramedia Pustaka Utama.
Sanubari, A. A., Suandika, M., & Susanto, A. (2024). Gambaran komplikasi pasca spinal anestesi dengan subarachnoid block (SAB) di RS Khusus Bedah Jatiwinangun. Journal of Nursing & Health, 9, 51–56. https://doi.org/10.52488/jnh.v9i1.350
Tallarico, R. T., McCoy, I. E., Dépret, F., & Legrand, M. (2024). Meaning and management of perioperative oliguria. Anesthesiology, 140, 304–312. https://doi.org/10.1097/ALN.0000000000004746
Zarbock, A., Koyner, J. L., Hoste, E. A. J., & Kellum, J. A. (2018). Update on perioperative acute kidney injury. Anesthesia & Analgesia, 127, 1236–1245. https://doi.org/10.1213/ANE.0000000000003741
Zhao, B. C., Lei, S. H., Yang, X., Zhang, Y., Qiu, S. Da, Liu, W. F., … Liu, K. X. (2021). Assessment of prognostic value of intraoperative oliguria for postoperative acute kidney injury: A retrospective cohort study. British Journal of Anaesthesia, 126(4), 799–807. https://doi.org/10.1016/j.bja.2020.11.018
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