The Relationship Between Fasting Duration and The Incidence of Post Operative Nausea and Vomiting in Spinal Anesthesia Patients

Siti Husnul Khotimah Muliono; Amin Susanto; Septian Sebayang

doi:10.61716/jnj.v2i3.83

Authors

Siti Husnul Khotimah Muliono Universitas Harapan Bangsa
Amin Susanto Universitas Harapan Bangsa
Septian Mixrova Sebayang Universitas Harapan Bangsa

DOI:

https://doi.org/10.61716/jnj.v2i3.83

Keywords:

Spinal anesthesia, duration of fasting, post operative nausea and vomiting

Abstract

Background: Anesthesia, a critical pain management tool during surgeries and procedures, necessitates pre-operative fasting to mitigate the risk of post-operative nausea and vomiting (PONV). The fasting period restricts both solid and liquid intake. Purpose: This study aims to explore the correlation between fasting duration and the incidence of PONV in patients undergoing spinal anesthesia at Dr. Soedirman Regional Hospital, Kebumen. Method: Employing an analytical observational design with quantitative methods, this research included 70 participants selected through cross-sectional sampling. Data collection utilized the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) scale for observation. Findings: The study revealed that the majority of respondents (54.3%) adhered to an adequate fasting duration of 6-8 hours. Among these, 89.5% (34 respondents) did not experience PONV. Conversely, an inadequate fasting period (>8 hours) was associated with a higher incidence of PONV, observed in 38.6% (27 respondents), while only 3.7% (1 respondent) did not experience PONV. The correlation analysis yielded a significant relationship with a coefficient of 0.502. Conclusion: There is a significant correlation between fasting duration and the incidence of PONV in patients receiving spinal anesthesia at Dr. Soedirman Regional Hospital, Kebumen. Adequate pre-operative fasting (6-8 hours) is associated with a lower incidence of PONV, emphasizing the importance of adherence to recommended fasting guidelines to minimize post-operative complications

References

1. Krismanto J, Jenie Im. Evaluasi Penggunaan Surgical Safety Checklist Terhadap Kematian Pasien Setelah Laparotomi Darurat Di Kamar Operasi. J Telenursing Joting. 2021 Aug 6;3(2):390–400.

2. Baroki Saragih Mn, Lintang Suryani R, Burhan A. Overview Of Spinal Anesthesia Injection Techniques At Rsi Fatimah Cikacap: English. Java Nurs J. 2023 Oct 16;1(2):97–102.

3. Anditiawan Oa, Susanto A, Utami T, Studi P, Program K, Fakultas S, Et Al. Gambaran Kejadian Post Operative Nausea And Vomiting Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Di Rumah Sakit Umum Daerah Leuwiliang. Vol. 3, Jci Jurnal Cakrawala Ilmiah. 2023.

4. Cing Mtgc, Hardiyani T, Hardini Ds. Faktor Yang Mempengaruhi Kejadian Mual Muntah Post Operasi. Poltekita J Ilmu Kesehat. 2022 May 29;16(1):16–21.

5. Kristanti R, Sukmaningtyas W, Ulfah M, Studi Pd, Anestesiologi K, Kesehatan F, Et Al. 2022 Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat (Snppkm).

6. Sebayang Sm, Burhan A, Susanti I. Impact Of Anesthesia Type On Blood Glucose In Intraoperative Diabetic Patients: A Systematic Review And Meta-Analysis Randomized Control Trial. Java Nurs J. 2023;1(1):7–15.

7. Ariegara W, Susanti A. Gambaran Lama Puasa Preanestesi Pada Pasien Bedah Terencana Di Rsud Raden Mattaher Jambi Periode Oktober-Desember 2016. 2021.

8. Afrilya To, Sukmaningtyas W, Burhan A. Overview Of Post-Operative Nausea And Vomiting (Ponv) In Patients Undergoing Caesarean Section With Spinal Anesthesia At Fatimah Islamic Hospital Cilacap. 2023;16.

9. Kampo S, Afful Ap, Mohammed S, Ntim M, Buunaaim Adb, Anabah Tw. Sub-Hypnotic Dose Of Propofol As Antiemetic Prophylaxis Attenuates Intrathecal Morphine-Induced Postoperative Nausea And Vomiting, And Pruritus In Parturient Undergoing Cesarean Section - A Randomized Control Trial. Bmc Anesthesiol. 2019 Sep 14;19(1).

10. Gabriel Mt, Cing C, Hardiyani T. Pengaruh Indeks Massa Tubuh Terhadap Kejadian Mual Muntah Post Operasi. Faletehan Health J. 2022;9(1):8–12.

11. Yeniay O, Tekgul Zt, Okur O, Koroglu N. Unexpectedly Prolonged Fasting And Its Consequences On Elderly Patients Undergoing Spinal Anesthetics. A Prospective Observational Study. Acta Cir Bras. 2019;34(3).

12. Nurdiamsyah P, Susanto A, Burhan A, Suandika M, Wijayanti I. Overview Of The Incidence Of Post Operative Nausea And Vomiting In Spinal Anesthesia For Sectio Caesarea Patients In The Recovery Room Of Fatimah Cilacap Islamic Hospital. Java Nurs J. 2024 Feb 1;2(1):50–6.

13. Susanti I, Mixrova Sebayang S, Burhan A. Impact Of Ondancentron In Intra-Anesthesia During Caesarean Section: A Meta-Analysis Of Randomized Trials. Java Nurs J. 2024 Feb 1;2(1):26–42.

14. Tarsono T, Susanto A, Burhan A. An Examination Of Patient Satisfaction With Spinal Anesthesia Interventions At Dik Pusdikkes Hospital In East Jakarta. Java Nurs J. 2024 Feb 1;2(1):84–92.

15. Vika Andriyani, Roro Lintang Suryani, Asmat Burhan. The Relationship Of Family Support With The Level Of Pre-Anesthesian Sectio Patients In The Hospital Pekalongan Regional General. Java Nurs J. 2024 Feb 1;2(1):43–9.

16. Alverina F, Suryani Rl, Burhan A. An Overview Caring Behavior Of Anesthesiologist In Spinal Anesthesia Patients At Rsud Cilacap. Java Nurs J. 2024 Jun 21;2(2):124–30.

17. Triyadi F, Mixrova Sebayang S, Burhan A, Dwi Agus Yulianto, Refa Teja Muti. The Relationship Between Age And Duration Of Surgery With The Incidence Of Post Anesthesia Shivering In Section Caesarean Patients At Bendan Hospital Pekalongan City. Java Nurs J. 2024 Feb 1;2(1):7–14.

18. Fauzan Dh, Sebayang Sm, Burhan A, Suhendro. Gambaran Kejadian Shivering Post Spinal Anestesi Pada Pasien Benign Prostatic Hyperplasia Di Rumah Sakit Umum Daerah Cilacap. 2024 May 10 [Cited 2024 Aug 22]; Available From: Https://Zenodo.Org/Doi/10.5281/Zenodo.11173343

19. Ayu Kartika Sari V, Suandika M, Burhan A, Tri Yudono D. Overview Of Induction Drug Dosage Types With The Eracs (Enhanced Recovery After Caesarean Surgery) Sectio Caesarean Method In Post Sectio Caesarean Patients At Hermina General. Java Nurs J. 2024 Jun 21;2(2):110–5.

20. Yanrin Asnp, Burhan A, Sukmaningtyas W, Adriani P. Gambaran Kejadian Hipotermi Pada Pasien Sectio Caesarea Di Rumah Sakit Umum Daerah Brebes. 2024 May 26 [Cited 2024 Aug 22]; Available From: Https://Zenodo.Org/Doi/10.5281/Zenodo.11313844

21. Angin Sep, Novitasari D, Burhan A. Volume 6 Number 1, Februari 2024 E-Issn 2715-1972; P-Issn 2714-9749 Http://Jurnal.Globalhealthsciencegroup.Com/Index.Php/Ijghr. 2024;6(1).

22. Nurprayogi. R. Hubungan Tingkat Kecemasan Pasien Dengan Kejadian Mual Muntah Pasca Operasi. 2023.

23. Fransi Arsani, Cucu Raifatma Cipta, Heni Purwaningsih. Hubungan Hipotensi Dengan Kejadian Post Operative Nausea And Vomiting (Ponv) Pada Pasien Pasca Spinal Anestesi. J Ilm Kedokt Dan Kesehat. 2023 Oct 6;1(3):179–88.

24. Karlina N. Hubungan Mean Arterial Pressure Dengan Kejadian Mual Muntah Pasca Operasi Pada Pasien Post Anestesi Spinal Di Rumah Sakit Bhayangkara. J Kesehat Mahardika. 2020;7(1):1–3.