The use of ERACS method for accelerating conscious recovery time in cesarean section patients

Authors

  • Andrifan Andrifan Universitas Muhammadiyah Magelang, Indonesia
  • Eka Sakti Wahyuningtyas Universitas Muhammadiyah Magelang, Indonesia
  • Robiul Fitri Masithoh Universitas Muhammadiyah Magelang, Indonesia
  • Priyo Priyo Universitas Muhammadiyah Magelang, Indonesia

DOI:

https://doi.org/10.31101/jkk.3750

Keywords:

ERACS, conventional, regaining consciousness, sectio caesarea

Abstract

Enhanced Recovery After Caesarean Section (ERACS) is a method that is currently being widely developed, one of which is for mothers undergoing cesarean sections. The use of ERACS enables postpartum recovery time to be faster, thus improving mobility, accelerating labor recovery, and providing other benefits such as enhancing the quality of care and reducing the use of consumables. However, not all mothers and hospitals use ERACS. The purpose of this study is to determine the difference in conscious recovery time in the recovery room between patients post-surgery using the ERACS method and the conventional method at RSUD Soerojo. This comparative study uses a quantitative approach, quasi-experimental, with a control group design. The population includes all post-cesarean section patients using spinal anesthesia, with the sample being post-cesarean section patients using ERACS and the conventional method. There is a significant difference between spinal anesthesia techniques with ERACS and the conventional method in terms of accelerating the recovery time of post-cesarean section patients in the recovery room, with a significance value of 0.000. The use of ERACS should be considered for all mothers undergoing cesarean sections in all hospitals if there are no contraindications

References

Adikusumah, F. A., Sidharti, L., & Soleha, T. U. (2023). Hubungan Usia, Pendidikan, dan Status Paritas Ibu Hamil dengan Pengetahuan Anestesi Spinal Sectio Caesarea di RSD Dr. A. Dadi Tjokrodipo Tahun 2023. Jurnal Kedokteran Universitas Lampung. https://doi.org/10.23960/jkunila7289-95

Adiningrum, N. D. M. (2022). Gambaran Waktu Pencapaian Mobilisasi Dini Pada Pasien Post Sectio Caesarea Dengan Spinal Anestesi Metode ERACS Di Rumah Sakit TK. II Udayana Denpasar. 7–8.

Alhogbi, B. G., Arbogast, M., Labrecque, M. F., Pulcini, E., Santos, M., Gurgel, H., Laques, A., Silveira, B. D., De Siqueira, R. V., Simenel, R., Michon, G., Auclair, L., Thomas, Y. Y., Romagny, B., Guyon, M., Sante, E. T., Merle, I., Duault-Atlani, L., Anthropologie, U. N. E., … Du, Q. (2020). Konsep Sectio Cesarea. Gender and Development, 120(1), 0–22.

Ali, N. (2023). Ruang pulih sadar (Recovery room) atau Unit Perawatan Pascaanestesi (PACU). 26(4), 1–37.

Apriliana, H. D., Nurcahyo, W. I., & Ismail, A. (2013). Rerata Waktu Pasien Pasca Operasi Tinggal Di Ruang Pemulihan RSUP Dr Kariadi Semarang Pada Bulan Maret–Mei 2013 (Doctoral dissertation, Faculty of Medicine Diponegoro University).

Arif, K., & Etlidawati, E. (2021). Jenis Anastesi Dengan Kejadian Hipotermi Di Ruang Pemulihan RSUD Banyumas. Adi Husada Nursing Journal, 7(1), 41-45.

Aryanto, S., Khasanah, S., & Dewi, P. (2022). Perbedaan Tingkat Kepuasan Pasien Sectio Caesaria dengan Anestesi Metode ERACS dan Metode Spinal. In Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM) ISSN (Vol. 2809, p. 2767).

Bollag, L., Lim, G., Sultan, P., Habib, A. S., Landau, R., Zakowski, M., Tiouririne, M., Bhambhani, S., & Carvalho, B. (2020b). Society for Obstetric Anesthesia and Perinatology: Consensus Statement and Recommendations for Enhanced Recovery After Cesarean. Anesthesia & Analgesia, 132(5), 1362–1377. https://doi.org/10.1213/ane.0000000000005257

Chiao, S. S., Razzaq, K. K., Sheeran, J. S., Forkin, K. T., Spangler, S. N., Knio, Z. O., Kellams, A. L., & Tiouririne, M. (2022b). Effect of enhanced recovery after surgery for elective cesarean deliveries on neonatal outcomes. Journal of Perinatology, 42(10), 1283–1287. https://doi.org/10.1038/s41372-021-01309-x

Elly. (2022). Perbedaan hemodinamik pasien yang dilakukan eracs dan non eracs pada tindakan seksio sesarea di rsud prof. dr. margono soekarjo. 4–5.

Fajarnia, P. A. H., Hartono, D., & Rahmad, N. N. (2023). Perbedaan Skala Nyeri Dan Kualitas Penyembuhan Pasien Post Sectio Caesarea Dengan Metode Eracs Dan Non Eracs Di Ruang Bersalin RS Sahabat Pasuruan. Jurnal Ilmu Kesehatan Mandira Cendikia, 2(10), 505-513.

Fay, E. E., Hitti, J. E., Delgado, C. M., Savitsky, L. M., Mills, E. B., Slater, J. L., & Bollag, L. A. (2019b). An enhanced recovery after surgery pathway for cesarean delivery decreases hospital stay and cost. American Journal of Obstetrics and Gynecology, 221(4), 349.e1-349.e9. https://doi.org/10.1016/j.ajog.2019.06.041

Gupta, S., Gupta, A., Baghel, A. S., Sharma, K., Choudhary, S., & Choudhary, V. (2022b). Enhanced recovery after cesarean protocol versus traditional protocol in elective cesarean section: A prospective observational study. Journal of Obstetric Anaesthesia and Critical Care, 12(1), 28–33. https://doi.org/10.4103/joacc.joacc_16_22

Gwinnutt. (2023). Catatan Kuliah Anestesi Klinis (edisi 3). EGC.

Ioannidis, R., Stachtari, C., Koraki, E., Chatzopoulos, S., Trikoupi, A., & Ketikidou, E. (2018). Impact of height on spinal anesthesia for elective caesarean section: A retrospective study. Greek EJ of Periop Med, 17, 15-25.

Iverson, B. L., & Dervan, P. B. (2023). intraoperatif pasien yang dilakukan ERACS dan Non ERACS pada tindakan seksio sesarea. 7823–7830.

Jaya, M. (2022). Gambaran waktu pulih sadar pada pasien pascaoperasi dengan general anestesi di ruang recovery room rsud kabupaten kayuagung oki.

Kleiman, A., Chisholm, C., Dixon, A., Sariosek, B., Thiele, R., Hedrick, T., Carvalho, B., & Tiouririne, M. (2019b). Evaluation of the impact of enhanced recovery after surgery protocol implementation on maternal outcomes following elective cesarean delivery. International Journal of Obstetric Anesthesia, 43, 39–46. https://doi.org/10.1016/j.ijoa.2019.08.004

Kutlu, T. (2023). Perbandingan Efek Samping Dan Kenyamanan Pasien Pasca Operasi Sectio Caesarea Metode ERACS Dan Non Eracs Di RSIA Puti Bungsu Lampung Tengah Periode November 2022. 4(1), 88–100.

Lara. (2022). ERACS (Enhanced Recovery After Caesarean Surgery). 8.5.2017, 2003–2005.

Latief. (2023). Petunjuk Praktis Anestesiologi (edisi 4). Bagian Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Indonesia.

Lavand’homme, P. (2019). Postpartum chronic pain. Minerva Anestesiologica, 85(3). https://doi.org/10.23736/S0375-9393.18.13060-4

Ljungqvist, O., & Hubner, M. (2018). Enhanced recovery after surgery-ERAS-principles, practice and feasibility in the elderly. Aging clinical and experimental research, 30(3), 249–252. https://doi.org/10.1007/s40520-018-0905-1

Mangku, & Senapathi. (2020). Ilmu Anestesia dan Reanimasi. PT. Indeks.

Mansjoer, A., Suprohaita, Ika, W., & Setiowulan, W. (2020). Kapita Selekta Kedokteran (5th ed.). Media Aesculapius.

Millizia, A., Iqbal, T. Y., & Fadhilati, N. I. (2023). Comparison Between Eracs and Non Eracs Methods on The Level of Pain and Mobilization in Post-Caesarean Section Patients. AVERROUS: Jurnal Kedokteran Dan Kesehatan Malikussaleh, 9(2), 1.

Mirzanie, H., Waluyo, A., & Leksana. (2020). Tosca Enterprise, Surgery (4th ed., Vol. 2). EGC.

Nayarani, H. (2023). Perbedaan Lama Rawat Inap Dan Mobilisasi Dini Antara Pasien Operasi Sectio Caesarea Metode Eracs Dan Pasien Operasi Sectio Caesarea Metode Non Eracs Di Rsia Puti Bungsu Lampung Tengah Tahun 2022.

Nisak, A. Z., Kusumastuti, D. A., & Munawati. (2023). Perbedaan Metode Konvensional dan Eracs dengan Tingkat Nyeri pada Pasien Post Sectio Cesarea. Jurnal Ilmu Keperawatan Dan Kebidanan, 14(1), 261–268.

Pan, Sum, Daren, & Dony. (2021). Spinal Anestesia ERACS.

Permatasari, E., Lalenoh, D. C., & Rahardjo, S. (2017). Pulih Sadar Pascaanestesi yang Tertunda. Jurnal Neuroanestesi Indonesia, 6(3), 187–194. https://doi.org/10.24244/jni.vol6i3.48

Plutzer, M. B. B. and E. (2021). Hubungan Status Fisik American Society Of Anesthesia (ASA) I – III Dengan Waktu Pencapaian Bromage Score 2 Pada Pasien Pasca Spinal Anestesi. 6.

Prastio, I. (2023). Hubungan Antara Suhu Ruangan Recovery Room Dengan Nadi Dan Tekanan Darah Pasien Post Op Di Rumah Sakit Islam Sultan Agung Semarang (Doctoral dissertation, Universitas Islam Sultan Agung Semarang).

Purnaningrum, T. S., Surayawati, C., & Suhartono, S. (2023). Faktor Yang Mempengaruhi Banyak Rumah Sakit Mengadopsi Eracs Sebagai Alternatif Persalinan Caesar: A Literature Review. Jurnal Ners, 7(1), 452-464.

Raharja, S., & Aini, Q. (2023). Comparison of Satisfaction Levels Between Post-Operative Sectio Caesaria Patients Followed by the Eracs Protocol TAP Block Analgesia Method and IV Patient Controlled Analgesia: A Literature Review. International Journal of Professional Business Review, 8(10), e03384-e03384.

Ratnasari, F. (2023). post sectio caesarea dengan pembiusan ERACS. 56–57.

Ratnasari, F., & Yatsi. (2022). Pengaruh Sectio Caesarea Metode Eracs Terhadap Percepatan Mobilisasi pada Ibu Bersalin di RS Hermina Daan Mogot Tahun 2022. Jurnal Ilmiah Indonesia, 2(9), 821–829.

Riskesdas. (2018). Ministry of Health of Republic of Indonesia. Depkes.Go.Id.

Rusmawati, N. A., Wijiastutik, N. T., Wijaya, N. W. A., & Fawzi, N. A. (2024). Time Difference Test for achieving bromage score 0 Post-Caesarea Sectio using Method ERACs and Non ERACs to women abandoned at Simpang Lima Gumul (SLG) Kediri Hospital. Journal of Nursing Practice, 8(1), 84–93. https://doi.org/10.30994/jnp.v8i1.655

She, Y. J., Liu, W. X., Wang, L. Y., Ou, X. X., Liang, H. H., & Lei, D. X. (2021). The impact of height on the spread of spinal anesthesia and stress response in parturients undergoing caesarean section: a prospective observational study. BMC anesthesiology, 21(1), 298. https://doi.org/10.1186/s12871-021-01523-2

Sidharti, L., Zuleikha, A. T., Kurniawaty, E., & Wahyuni, A. (2023). Perbandingan Efek Samping dan Kenyamanan Pasien Pasca Operasi Sectio Caesarea Metode Eracs dan Non Eracs. Malahayati Nursing Journal, 5(7), 2201–2211.

Sjamsuhidajat, & Jong, W. de. (2020). Buku Ajar Ilmu Bedah (Buku Kedokteran EGC (ed.); 4 revisi b).

Soeparman, Waspaji, S., Isbagio, H., & Daldiono. (2020). Ilmu Penyakit Bedah (4th ed.). Balai Penerbit FKUI.

Sultan P, Sharawi N, Blake L, Carvalho B (2020).Enhanced recovery after caesarean delivery versus standard care studies: a systematic review of interventions and outcomes. Int J Obstet Anesth. Volume 43, 72-86. https://doi.org/10.1016/j.ijoa.2020.03.003

Teigen, N. C., Sahasrabudhe, N., Doulaveris, G., Xie, X., Negassa, A., Bernstein, J., & Bernstein, P. S. (2019). Enhanced recovery after surgery at cesarean delivery to reduce postoperative length of stay: a randomized controlled trial. American Journal of Obstetrics and Gynecology, 222(4), 372.e1-372.e10. https://doi.org/10.1016/j.ajog.2019.10.009

Tika, T. T., Sidharti, L., Himayani, R., & Rahmayani, F. (2022). Metode ERACS Sebagai Program Perioperatif Pasien Operasi Caesaragus. Jurnal Medika Hutama, 03(02), 2386–2391.

Utami, E. dwi, & Sartika, M. (2021). Pengaruh Anestesi Eracs Dan Anestesi Spinal Terhadap Rasa Nyaman Pada Pasien Sc Di Rs Lira Medika Karawang Tahun 2021. Correspondencias & Análisis, 15018, 1–23.

Wrench, I., Allison, A., Galimberti, A., Radley, S., & Wilson, M. (2015). Introduction of enhanced recovery for elective caesarean section enabling next day discharge: a tertiary centre experience. International Journal of Obstetric Anesthesia, 24(2), 124–130. https://doi.org/10.1016/j.ijoa.2015.01.003

Zuleikha, A. T., Sidharti, L., & Kurniawaty, E. (2022). Efek Samping Sectio Caesarea Metode ERACS. Medula, 11(1), 34.

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Published

2024-12-22

How to Cite

Andrifan, A., Wahyuningtyas, E. S., Masithoh, R. F., & Priyo, P. (2024). The use of ERACS method for accelerating conscious recovery time in cesarean section patients. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 20(2), 109–118. https://doi.org/10.31101/jkk.3750

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