Description Of Hemodynamic Status Of Conscious Extubation Of Patients With Tonsillectomy Procedures Using General Anesthesia

Main Article Content

Cili Rohyaji
Tati Hardiyani

Abstract

Post-tonsillectomy awake extubation under general anesthesia has the potential to trigger hemodynamic fluctuations due to sympathetic stimulation, but prospective data in the Indonesian context is still limited. This study aims to describe the hemodynamic status in the post awake extubation period in tonsillectomy patients. Using a descriptive quantitative design, the population included 29 patients aged 12–35 years at Wijayakusuma Hospital III Purwokerto (December 2025–January 2026) with total sampling. Primary data were measured via bedside monitors and observation sheets, and univariate analysis was performed using SPSS. The results showed that the majority of respondents were 17–25 years old (51.7%) and female (65.5%). In the post-awake extubation period, hemodynamic findings demonstrated pre-hypertensive systolic and diastolic blood pressure (44.8% and 55.2%, ), while mean arterial pressure (79.3%), pulse rate (62.1%), respiratory rate (75.9%), and oxygen saturation (100%) remained within normal limits.

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How to Cite
Rohyaji, C., & Tati Hardiyani. (2026). Description Of Hemodynamic Status Of Conscious Extubation Of Patients With Tonsillectomy Procedures Using General Anesthesia. International Journal of Health Engineering and Technology, 5(1). https://doi.org/10.55227/ijhet.v5i1.841
Section
Health

References

Adiputra, IMS, Trisnadewi, NW, Oktaviani, NPW, & Munthe, SA (2021). Health research methodology. Kita Menulis Foundation.

Alfarisi, W. (2021). The relationship between family support and anxiety levels of pre-elective major surgery patients in the Nyi Ageng Serang Ward, Sekarwangi Regional Hospital. Journal of Health Society, 10(1), 56–66.

Amin, M. (2021). Hemodynamic features of awake extubation and deep extubation under general anesthesia in IBS, Andi Djamma Masamba Regional Hospital [Thesis]. Bali Institute of Technology and Health. http://repository.itekes-bali.ac.id/medias/journal/MUKTIALI_AMIN.pdf

Anam, A., Jakir, M., Mollick, H., Ahmed, F., & Rahman, A. (2022). Hemodynamic changes during traditional awake extubation and extubation using LMA Supreme in controlled hypertensive patients. Earth & Environmental Sciences Magazine, 4(5), 143–147. https://doi.org/10.36349/easms.2022.v05i05.001

Andwidatu, F., Riyanto, E., & Purnamasari, F. (2025). Characteristics of tonsillectomy patients at Waled Regional Hospital, Cirebon, 2022–2023. Health Journal, 24(1), 213–221.

Brahmi, NH (2019). Awake extubation and deep extubation [Presentation]. https://www.slideshare.net/nurhajarh/ekstubasi-dalam-ekstubasi-sadar

Butterworth, J.F., Mackey, D.C., & Wasnick, J.D. (2022). Morgan & Mikhail's clinical anesthesiology (7th ed.). McGraw-Hill Education.

Emzir. (2023). Qualitative research methodology: Data analysis techniques. Student Library.

Faridi, A., Susilawaty, A., Rahmiati, BF, Sianturi, E., Adiputra, IMS, Budiastutik, I., Oktaviani, NPW, Trisnadewi, NW, Tania, POA, & Ramdany, R. (2021). Health research methodology. Kita Menulis Foundation.

Fogelson, B., Baljepally, R., Tran, P., Heidel, E., Nowell, T. C., Morvant, B., & Nadkarni, S. (2025). Sex-based differences in hemodynamic response to anesthesia type during TAVI and early transvalvular gradient changes. Journal of Clinical Medicine, 14(19), Article 6693. https://doi.org/10.3390/jcm14196693

Grace Kelly, RRN, & Mengko, SK (2024). Characteristics of tonsillectomy patients at Prof. Dr. RD Kandou General Hospital. E-Clinic, 12(3), 299–305.

Gudapuris, J. (2020). Frequency and predictors of tonsil surgery: A systematic review of evidence. Archives of Health Science, 4(1), 147–153.

Handayani, R. (2020). Social research methodology. https://www.researchgate.net/publication/340663611_Metodologi_Penelitian_Sosial

Hayward, A., Littlejohns, P., & Thompson, M. (2019). Incidence of indications for tonsillectomy and frequency of evidence-based surgery: A 12-year retrospective cohort study of primary care electronic records. BMJ Open, 9(1), Article e023667.

Kallesen, M., Psirides, A., & Huckabee, M. L. (2015). Recovery of cough after extubation after coronary artery bypass grafting: A prospective study. Journal of Critical Care, 30(4), 758–761.

Koraag, MP, Siwi, AS, & Dewi, P. (2022). Description of factors associated with delayed extubation time after general anesthesia at Dr. RD Kandou General Hospital, Manado. Health Journal, 2(2), 655–670.

Lee, M.A., Schenke, P.W., Faller, M.R., Deyoung, H.R., & Adams, A.R. (2025). A comparison of deep versus awake tracheal extubation in adults: A randomized controlled trial. BMC Anesthesiology, 25, Article 387.

Millizia, A., Maghfirah, P., & Rizaldy, MB (2023). General anesthesia in esophagogastroduodenoscopy. Galenical: Journal of Medicine and Health of Malikussaleh Students, 2(4), 44. https://doi.org/10.29103/jkkmm.v2i4.10871

Ningrum, SWD, Ayubbana, S., & Inayati, A. (2022). Application of deep breathing relaxation techniques to preoperative patient anxiety in the operating room of General Ahmad Yani Regional General Hospital, Metro City in 2021. Jurnal Cendikia Muda, 2(4), 529–534.

Notoatmodjo, S. (2018). Health research methodology. PT Rineka Cipta.

Ramadhan, F., Surjotomo, H., Saiful, R. (2017). Analysis of risk factors for chronic tonsillitis in children aged 5-11 years in the Puuwatu Community Health Center working area, Kendari City, 2017. Journal of Public Health, 2(6), 1–8.

Ramadhani, R., Surjotomo, H., Saiful, R., & Malang, A. (2025). Comparison of coblation tonsillectomy with cold and hot dissection: Systematic review of cohort studies. *Health Journal.

Schwartz, R., Gagnon, C., Caron, C., Sauthier, M., & Bergeron, M. (2025). Intensive care unit monitoring post-tonsillectomy in children with obstructive sleep apnea. https://doi.org/10.1177/19160216251379321

Sucianti, P. (2022). Description of oxygen saturation after suctioning in intraoperative patients with general anesthesia at Sanjiwani Regional Hospital, Gianyar [Thesis]. Bali Institute of Technology and Health.

Suo, L., Lu, L., Li, J., Qiu, L., Liu, J., Shi, J., Sun, Z., Lao, W., & Zhou, X. (2024). The effect of deep and awake extubation on the emergence of agitation after nasal surgery: A randomized controlled trial. BMC Anesthesiology. Advance online publication. https://doi.org/10.1186/s12871-024-02565-y

Sudaryono. (2022). Quantitative descriptive research method. Student Library.

Sugiyono. (2015). Quantitative, qualitative, and R&D research methods. Alfabeta.

Sugiyono. (2016). Quantitative, qualitative and R&D research methods. Alfabeta.

Sugiyono. (2023). Quantitative, qualitative and R&D research methods. Alfabeta.

Syapitri, H., Amalia, & Aritonang, J. (2021). Health research methodology. Ahlimedia Book.

Tiwari, R., Gupta, S., & Youvaraj, M. (2024). Comparative evaluation of Bailey maneuver of deep extubation with conventional awake extubation technique—A randomized clinical study. Annals of Journal of Medical Sciences, 15(12), 58–63. https://doi.org/10.3126/ajms.v15i12.68813