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Perawat yang mengalami alarm fatigue membahayakan keselamatan pasien karena dapat menyebabkan kematian sebagai dampak mengabaikan alarm kegawatdaruratan. Pengelolaan alarm dilakukan dengan manajemen kebisingan namun belum semua rumah sakit menerapkannya. Penelitian ini bertujuan untuk mengidentifikasi hubungan manajemen kebisingan dengan alarm fatigue pada perawat di ruang perawatan intensif. Rancangan penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional pada dua kelompok sampel yang dipilih dengan teknik total sampling. Hasil penelitian menunjukkan bahwa nilai alarm fatigue lebih rendah di ruang intensif yang telah melaksanakan manajemen kebisingan dibandingkan yang belum menerapkan. Penerapan manajemen kebisingan hanya sebesar 38,3-62,75% dengan rerata tingkat alarm fatigue 29,387%. Faktor yang paling berpengaruh dengan alarm fatigue adalah jenis kelamin (perempuan lebih berisiko mengalami alarm fatigue). Semakin baik penerapan manajemen kebisingan area kamar pasien akan semakin menurunkan tingkat alarm fatigue perawat (p=0,001; r=-0,240). Pimpinan rumah sakit diharapkan dapat meningkatkan penerapan manajemen kebisingan area kamar pasien dan mengevaluasi penerapan manajemen keseluruhan dalam rangka mencegah alarm fatigue lebih dini pada perawat di ruang intensif.

 

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Nurses who undergo alarm fatigue put patient safety at risk as it can lead to death as an impact of ignoring emergency alarms. Alarm management is implemented with noise management, but not all hospitals have done the same. This research aimed to identify the relationship between noise management and alarm fatigue on nurses at intensive care unit. The research design was quantitative research with cross sectional approach done in the two-sampled group`s selected using total sampling technique. The results of the research indicated that the alarms fatigue was lower in intensive care unit, which did implement the noise management than those, which did not. The implementation of noise management was only 38.3-62.75% with the average of alarm fatigue level of 29.387%.  The most influential factor with alarm fatigue was gender (women are more at risk of undergoing alarm fatigue). The better the implementation of noise management in patient`s room area, the lower the level of alarm fatigue on nurse will be (p=0.001; r = -0.240). Hospital leaders are expected to be able to improve the implementation of noise management in the patient`s room area and evaluate the implementation of overall management for the early prevention of alarm fatigue on nurses at intensive care unit.

 

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"Ruangan perawatan intensif yang kompleks dan dilengkapi berbagai peralatan medis berbasis alarm berisiko menyebabkan perawat mengalami alarm fatigue akibat paparan alarm secara terus-menerus. Penelitian ini memberikan gambaran kejadian alarm fatigue berdasarkan karakteristik responden di ruang intensif RS X Jakarta. Penelitian ini merupakan penelitian kuantitatif dengan desain pendekatan cross- sectional. Sampel penelitian berjumlah 256 perawat dengan rentang usia ≤ 25 - ≥ 46 tahun di seluruh ruang perawatan intensif dewasa RSUPN Dr. Cipto Mangunkusumo. Sampel didapatkan dengan teknik total sampling jenis non random sampling. Penelitian ini menggunakan kuesioner yang telah diuji reliabilitas dengan nilai Cronbach Alpha 0,744. Hasil penelitian dianalisis menggunakan analisis statistik deskriptif dan dilakukan uji normalitas Kolmogorov-Smirnov dengan hasil p value 0,028 (P< 0,05). Pengkategorian dilakukan dengan cut-off poin, nilai median 44. Rekomendasi berkaitan dengan penelitian ini adalah dengan teridentifikasinya gambaran alarm fatigue berdasarkan karakteristik responden untuk selanjutnya dilakukan pelatihan manajemen alarm sebagai pembekalan kepada perawat.

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An intensive care unit that is complex and equipped with various alarm-based medical equipment is at risk of causing nurses to experience alarm fatigue due to continuous exposure to alarms. This study provides an overview of the incidence of alarm fatigue based on the characteristics of respondents in the intensive care unit of Hospital X Jakarta. This study is a quantitative study with a cross-sectional approach design. The study sample amounted to 256 nurses with an age range of ≤ 25 - ≥ 46 years in all adult intensive care units of Dr. Cipto Mangunkusumo Hospital. The sample was obtained using a total sampling technique of non-random sampling type. This study used a questionnaire that had been tested for reliability with a Cronbach Alpha value of 0.744. The results were analyzed using descriptive statistical analysis and the Kolmogorov-Smirnov normality test with a p-value of 0.028 (P < 0.05). Categorization was done with cut-off points, a median value of 44. Recommendations related to this study are the identification of a picture of alarm fatigue based on the characteristics of respondents for further alarm management training as a provision to nurses."

"Pencegahan cidera tekan merupakan hal yang penting pada pasien dalam periode kritis di ruang perawatan intensif, di mana mayoritas menderita penurunan kesadaran dan kelemahan otot yang dapat membuat pemenuhan kebutuhan dasar memerlukan penggunaan bantuan khusus dari perawat. Efikasi diri perawat sangat penting dalam mempengaruhi usaha yang dilakukan, kekuatan usaha, dan cara mengatasi tantangan untuk mencapai keberhasilan pencegahan cidera luka tekan. Penelitian ini bertujuan untuk mengukur dan mengetahui hubungan antara efikasi diri perawat dalam pencegahan cedera tekan di ruang intensive care unit RSUP Fatmawati. Penelitian ini bersifatcross-sectional dengan 124 responden yang berasal dari ruang rawat intensif di rumah sakit. Penelitian ini menggunakan General Self-Efficacy Scale dan Attitude against Pressure Ulcer Prevention (APuP). Hasil penelitian menunjukkan bahwa 66 responden atau (91.7%) memiliki efikasi diri yang tinggi dengan sikap pencegahan cidera tekan yang memuaskan, 6 responden atau (8.3%) memiliki efikasi diri yang tinggi dengan sikap pencegahan cidera tekan yang cukup memuaskan, dan terdapat hubungan yang signifikan antara efikasi diri perawat dengan pencegahan cidera tekan (p < 0,05). Pengkajian mengenai faktor yang mempengaruhi efikasi diri perawat dan hambatan dalam pelaksanaan intervensi keperawatan sangat penting dilakukan untuk mencegah terjadinya cidera tekan pada pasien di ruang intensif.

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Prevention of pressure injury is a noteworthy needs for critical patients in intensive care unit, who mostly decreased in consciousness and has muscle weakness which leads to require assistance from nurses. Self-efficacy is prominent in nurse’s effort, strength, and ability to overcome challenges in order to prevent pressure injury. This research aims to identify the correlation of  nurse’s self-efficacy and prevention of pressure injury in intensive care unit. With cross-sectional method, intensive care nurses (n=124) in RSUP Fatmawati hospital were recruited and successfully completed the General Self-Efficacy Scale and Attitude against Pressure Ulcer Prevention (APuP) questionnaire. The result showed that 91.7% (n=66) have high self efficacy with satisfying demeanor in pressure injury prevention, 8,3% of the respondents (n= 6) have high self efficacy with good enough demeanor in prevent pressure injury. There is significant correlation in self-efficacy prevention of pressure injury prevention (p < 0,05). Futher assessment and interventions about nurse’s self-efficacy and its hurdles is needed in order to enhance prevention of pressure injury of patients in intensive care unit. "

"Latar belakang: Syok septik merupakan kondisi klinis umum yang terkait dengan tingkat kematian yang tinggi diantara pasien sakit kritis. Pasien syok sangat memerlukan pemantauan ketat terhadap tanda-tanda klinis serta status hemodinamik dan status intravaskuler. Perawat intensif memiliki peran penting untuk pengenalan dini sepsis dan identifikasi perburukan, sehingga perawat intensif perlu memiliki pengetahuan dan sikap yang baik dalam penanganan syok septik. Tujuan penelitian: menganalisis hubungan antara tingkat pengetahuan dengan sikap perawat intensif dalam penanganan pasien syok septik di Intensive Care Unit RS Grup X Jakarta. Desain penelitian menggunakan deskriptif analitik korelasi dengan pendekatan cross sectional, analisis penelitian dengan uji Fisher Exact pada 110 responden perawat intensif dilakukan di 3 RS pada Grup X Jakarta. Pengumpulan data dengan menggunakan kuesioner. Kesimpulan: ada hubungan signifikan antara tingkat pengetahuan dengan sikap perawat intensif dalam penanganan pasien syok septik di RS Grup X Jakarta (p-value 0.044 < α= 0.05). Rekomendasi: Pengetahuan perawat dalam mengidentifikasi dan melakukan tatalaksana syok septik, serta skrining pencegahan syok septik (qSOFA dan SOFA) harus ditingkatkan dalam bentuk peningkatan pengetahuan terstruktur.

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Septic shock is common clinical condition associated with high mortality rate among critically ill patients. Septic shock patient should be closed monitoring of clinical signs and hemodynamic also intravascular status. Intensive nurses have an important role for early identify and prevent septic shock. So, critical nurses have to good knowledge and attitudes in management of septic shock. Aim: this study was to analyze the correlation knowledge level and nurse’s attitude of septic shock management in intensive care unit at Group X Hospital Jakarta. Study Design: descriptive analytic correlation with a cross-sectional using Fisher Exact test on 110 intensive nurse respondents at 3 Hospital of Group X Jakarta. Conclusion: there is a significant correlation between the level of knowledge and attitude intensive nurses in management of septic shock patients at Group X Hospital Jakarta (p < α = 0.05). Recommendation: Knowledge nurses to identify and management septic shock, screening to prevent septic shock (q-SOFA and SOFA) must be improved with knowledge structured improvement."

"Terbatasnya waktu respon, penurunan daya tahan tubuh, serta banyaknya prosedur invasif yang dilakukan perawat kepada pasien menjadi penyebab tingginya risiko infeksi terkait pelayanan kesehatan di instalasi gawat darurat dan ruang perawatan intensif. Insiden infeksi terkait pelayanan kesehatan dapat dicegah dan dihindari melalui penerapan kepatuhan kewaspadaan standar. Namun, tingkat kepatuhan kewaspadaan standar pada perawat masih tergolong rendah. Perilaku kepatuhan kewaspadaan standar pada perawat dapat dipengaruhi oleh beberapa faktor, seperti faktor demografi, predisposisi, pemungkin, dan penguat. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kepatuhan kewaspadaan standar pada perawat. Desain riset menggunakan deskriptif korelasi dengan pendekatan cross sectional. Penelitian ini melibatkan 100 perawat ruang perawatan intensif dan IGD yang dipilih dengan menggunakan metode convenience sampling. Data penelitian dikumpulkan dengan menggunakan kuesioner. Nilai kepatuhan kewaspadaan standar perawat relatif cukup rendah yaitu sebesar 54.66 (SD = 4.68) atau sekitar 67.89 persen dari total nilai kepatuhan tertinggi. Hasil penelitian lebih lanjut menunjukkan bahwa usia (p = 0.939), lama bekerja (p = 0.564), jenis kelamin (p = 0.064), tingkat pendidikan (p = 0.870), unit kerja (p = 0.078), jenjang karir (p = 0.919), pelatihan (p = 0.065), pengetahuan (p = 0.137), sikap (p = 0.738), ketersediaan fasilitas (p = 0.810), standar prosedur operasional (p = 0.229), dan dukungan atasan (p = 0.436) tidak memiliki hubungan yang bermakna. Hanya efikasi diri (p = 0.009) yang memiliki hubungan yang bermakna dengan kepatuhan kewaspadaan standar. Penelitian ini menyimpulkan bahwa efikasi diri merupakan faktor yang esensial untuk meningkatkan kepatuhan kewaspadaan standar. Hasil penelitian ini merekomendasikan rumah sakit untuk menyelenggarakan atau menggiatkan program atau aktivitas yang mampu meningkatkan efikasi diri perawat agar tingkat kepatuhan kewaspadaan standar perawat dapat meningkat.

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The limited response time, decreased immune system, and many invasive procedures performed by nurses to the patient are responsible for the high risk of healtcare-associated infections (HAIs) in the emergency and intensive care units. The incidence of HAIs can be prevented and avoided through compliance on standard precautions. However, the level of nurses compliance on standard precautions is still low. The compliance on standar precautions can be influenced by several factors, such as demographic, predisposing, enabling, and reinforcing factors. This study aimed to identify factors affecting nurses compliance on standard precautions.  This study used descriptive correlation with cross sectional approach. The study involved 100 intensive care and emergency care nurses who were selected using convenience sampling method. Data were collected using questionnaires. The study revealed that the mean score of nurses compliance on standard precaution was 54.66 (SD = 4.68) or 67.89 percent of the total correct score. The results of the study, furthermore, showed that there was no significant correlation between age (p = 0.939), working experience (p = 0.564), gender (p = 0.064), level of education (p = 0.870), working unit (p = 0.078), level of career (p = 0.919), training (p = 0.065), knowledge (p = 0.137), attitude (p = 0.738), facility (p = 0.810), standard operational procedure (p = 0.229), managerial support (p = 0.436) with standard precaution compliance. Only self-efficacy showed significant correlation with standard precaution compliance (p = 0.009). The study concluded that self- efficacy could increase nurses compliance on standard precautions. The results of the study recommended the hospitals conducting programs or activities that may enhance nurses efficacy, because it can improve nurses compliance on standar precautions."

"ABSTRAKKelelahan adalah suatu kondisi fisik dan / atau mental, yang mengakibatkan pekerja menjadi tidak fokus ketika bekerja dan berdampak negatif pada pekerjaannya. Kelelahan merupakan salah satu dari tiga penyebab kesalahan dalam pemberian obat. Konsekuensi dari kelelahan kerja perawat salah satunya adalah terjadinya penurunan dalam mengantisipasi pekerjaan dan keselamatan pasien. Penelitian ini dilakukan untuk melihat adanya hubungan antara faktor terkait pekerjaan maupun non-pekerjaan dengan kelelahan kerja pada perawat Unit Rawat Inap di RSUD Kota Depok. Data yang dikumpulkan secara keseluruhan diperoleh dari bidang terkait RSUD Kota Depok dengan subjek penelitian adalah perawat Unit Rawat. Desain penelitian yang digunakan adalah cross sectional dengan menggunakan pendekatan metode kuantitatif (Chi Square). Hasilnya, tidak terdapat hubungan antara faktor terkait pekerjaan maupun non-pekerjaan dengan kelelahan kerja pada perawat Unit Rawat Inap RSUD Kota Depok.

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ABSTRAKFatigue is a physical or mental condition which resulted in workers becoming unfocused when working and have a negative impact on his work. Fatigue is one of the top three causes of errors in drug prescription. The consequences of nurses work fatigue one of them is the decline in anticipation of work and patient safety. This study was done to see the correlation between work factor and non-work factor with work fatigue in nurse?s hospitality care unit at RSUD Depok City Year 2016. Data collected as a whole is obtained from a related field at RSUD Depok City with research subjects were nurses care unit. Research design is cross sectional using the approach quantitative methods (chi square). Result, there is no correlation between work factor and non - work factor with work fatigue in nurse?s hospitality care unit at RSUD Depok City Year 2016."

"Setiap pekerjaan memiliki risiko terjadinya kecelakaan kerja dan sakit akibat kerja, tidak terkecuali di unit perawatan intensif. Perawatan yang intensif dan komplek serta kondisi yang dinamis membuat unit perawatan intensif menjadi tempat dengan risiko tinggi bahaya kerja, apalagi di situasi pandemi COVID-19. Tujuan dari penelitian ini adalah untuk mengetahui potensi bahaya pada perawat unit perawatan intensif di masa pandemi COVID-19. Jenis penelitian ini adalah deskriptif kualitatif dengan pendekatan observasional. Hasil penelitian menunjukkan terdapat bahaya kerja pada perawat unit perawatan intensif dari segi bahaya fisik, bahaya biologi, bahaya kimia, bahaya psikososial, bahaya ergonomi, serta bahaya akibat kondisi kerja. Risiko bahaya ini meningkat dalam kondisi pandemi COVID-19, terutama pada bahaya biologi terkait transmisi virus COVID-19 dan bahaya psikososial karena menghadapi pandemi yang tidak kunjung selesai. Strategi untuk meminimalkan risiko bahaya kerja sudah dilakukan dengan adanya pelatihan dan orientasi terkait keselamatan dan kesehatan kerja serta modifikasi lingkungan. Kesimpulan penelitian ini adalah potensi bahaya kerja pada perawat unit intensif masih perlu dilakukan pengendalian secara optimal. Hasil penelitian ini diharapkan dapat membantu pengembangan pengendalian bahaya kerja bagi perawat.

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Every job has the risk of work accidents and work-related illnesses, including the intensive care unit. Intensive and complex care and dynamic conditions make the intensive care unit a place with a high risk of work hazards, especially in the COVID-19 pandemic situation. The purpose of this study is to determine the potential dangers to intensive care unit nurses during the COVID-19 pandemic. This type of research is descriptive qualitative with an observational approach. The results showed that there are occupational hazards in intensive care unit nurses in terms of physical hazards, biological hazards, chemical hazards, psychosocial hazards, ergonomic hazards, and hazards due to working conditions. The risk of this danger increases in the conditions of the COVID-19 pandemic, especially in the biological hazards associated with the transmission of the COVID-19 virus and the psychosocial hazards due to the ongoing pandemic. Strategies to minimize the risk of occupational hazards have been carried out with training and orientation related to occupational safety and health as well as environmental modification. This study concludes that the potential for occupational hazards in intensive unit nurses still needs to be controlled optimally. The results of this study are expected to assist the development of occupational hazard control for nurses."

"Pasien yang dirawat diruang perawatan intensif banyak terpasang alat-alat invasif yang dapat membuat pasien merasa tidak nyaman, nyeri dan kadang gelisah. Kolaborasi pemberian sedasi merupakan salah satu intervensi yang dapat memberikan rasa nyaman. Perawat berperan penting dalam pemantauan sedasi sehingga perlu paham terkait manajemen sedasi di ruang rawat intensif. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan perawat dengan praktik pemberian sedasi di ruang intensif di salah satu rumah sakit rumah sakit tipe A di Jakarta. Metode yang digunakan adalah cross sectional study dengan 80 responden, alat ukur yang digunakan adalah Nurses Knowledge of Sedatives, Sedation Assessment and Management Questionnaire dan Nurses Sedation Practice Scale Questionnaire. Hasil analisis one way anova menunjukkan bahwa terdapat perbedaan yang signifikan pada rata-rata praktik pemberian sedasi oleh perawat menurut tingkat pengetahuan perawat dengan p Value = 0,000. Penelitian ini merekomendasikan bahwa peningkatan pengetahuan perawat dapat dilakukan melalui program pendidikan dan pelatihan yang bertujuan untuk meningkatkan pengetahuan terkait pengkajian dan manajemen sedasi.

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Patients who are treated in intensive care unit are predominantly equipped by invasive devices which initiate discomfort, pain and restlessness to the patients. Collaboration in offering sedation is one of the intervention that can provide a feeling of comfort. Nurses play an important role in monitoring sedation hence they need to understand the sedation management in the intensive care unit. This study aimed to determine the correlation of nurses' knowledge with the practice of providing sedation in the intensive care unit in a type A hospital in Jakarta. The research methodology used a cross sectional study with 80 respondents and used the Nurses Knowledge of Sedatives, Sedation Assessment and Management Questionnaire and Nurses Sedation Practice Scale Questionnaire. The results of the one way anova analysis showed that there was a significant difference in the average sedation practice by nurses according to the level of knowledge of nurses with p Value = 0.000. This study recommends that increasing the knowledge of nurses can be done through education and training programs that aims to increase the knowledge related to sedation assessments and managements."

"Infeksi aliran darah banyak terjadi pada pasien yang terpasang kateter vena sentral. Infeksi sistemik mengakibatkan lama rawat karena memerlukan terapi pengobatan yang panjang dan berdampak pada mahalnya biaya perawatan. Perilaku perawat yang sesuai dengan standar prosedur operasional dapat mencegah terjadinya infeksi aliran darah mulai dari pemasangan, perawatan, dan pencabutan kateter vena sentral.Tujuan penelitian ini adalah mengetahui gambaran perilaku perawat dalam pencegahan infeksi aliran darah melalui kateter vena sentral di ruang perawatan intensif. Penelitian ini merupakan penelitian deskriptif dengan metode cross sectional terhadap 107 perawat di sebuah RS di Jakarta diambil dengan teknik simple random sampling.Hasil penelitian menunjukkan bahwa perawat yang berperilaku baik dalam pencegahan infeksi aliran darah melalui kateter vena sentral sebesar 54,2%. Hasil penelitian ini merekomendasikan penambahan informasi dan pelatihan mengenai CVC bundle pada perawat serta penyusunan dan sosialisasi standar prosedur operasional tentang perawatan dan pencabutan kateter vena sentral, termasuk desinfektan yang digunakan.

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The infections in bloodstream often occur in patient with Central Venous Catheter (CVC). Systemic infection can result in longer hospitalization due to requiring lengthy treatment therapy and has an impact on the higher cost of treatment expenses. Appropriate nurse behavior standards of operational procedures can prevent bloodstream infections starting from the CVC insertion preparation, CVC maintenance, and CVC removal.The purpose of this research was to describe the behavior of nurses in the prevention central line associated with bloodstream infections in intensive care. This research is a descriptive research using cross sectional method involving 107 nurses in the hospital in Jakarta. The respondents were taken by using simple random sampling.The result of this study, showed that the behavior of nurses in the prevention of bloodstream infections related to Central Venous Catheter is good behavior 54,2%. This research recommends the importance of the provision of information and training on CVC bundle in nurses, as well as the promotion of standards operational procedures about CVC maintenance and removal, including disinfectant used."

"[ABSTRAKLatar belakang: Hiponatremia pasca tindakan operasi mayor pada populasi anak merupakan gangguan elektrolit yang sering terjadi. Penggunaan cairan yang belum tepat sering menimbulkan peningkatan kejadian hiponatremia yang berhubungan erat dengan meningkatnya berbagai komplikasi seperti edema otak, kejang, bahkan kematian. Populasi anak merupakan risiko tinggi karena perbandingan jaringan otak dan tulang tengkorak yang lebih besar sehingga ruang yang tersedia saat terjadi edema otak lebih sempit.Tujuan: Mengetahui insidens hiponatremia pada anak pasca tindakan operasi mayor.Metode: Studi retrospektif potong lintang dilakukan terhadap anak usia 1 bulan hingga 18 tahun yang menjalani tindakan operasi mayor dan masuk ruang perawatan intensif. Penelusuran status medik sesuai kriteria inklusi dilakukan sampai jumlah sampel terpenuhi. Pencatatan terhadap subjek yang meliputi data praoperasi, intraoperasi, serta pemantauan pascaoperasi dilakukan. Subjek yang memenuhi definisi hiponatremia (<135 mEq/L) diklasifikasikan sesuai derajat hiponatremia dan dilakukan pencarian lebih lanjut terhadap komplikasi.Hasil : Studi dilakukan terhadap 90 subjek yang terdiri dari 56,7% lelaki, dengan 51,1% memiliki rentang usia 1 bulan hingga 4 tahun. Sebanyak 47,8% subjek menjalani tindakan laparatomi dengan berbagai indikasi. Hampir semua subjek (93,3%) mendapat cairan hipotonik pascaoperasi. Insidens hiponatremia pascaoperasi sebesar 28,9% dengan 11,1% diantaranya merupakan hiponatremia sedang-berat. Rerata kadar natrium pascaoperasi adalah 130,1 ± 4,1 mEq/L dengan rerata total cairan 79,8 ± 27,4 ml/kg. Sebesar 30,9% subjek yang mendapatkan cairan hipotonik pascaoperasi mengalami kejadian hiponatremia dengan rerata lama rawat 5,6 ± 4 hari. Terdapat 1/26 subjek yang mengalami komplikasi berupa kejang dan edema otak.Simpulan: Insidens hiponatremia pasca tindakan operasi mayor di ruang perawatan intensif hampir mencapai 30% dan sebagian besar mendapat cairan hipotonik pascaoperasi. Penelitian lebih lanjut perlu dilakukan untuk mengevaluasi pemberian cairan pascaoperasi yang tepat untuk mencegah hiponatremia.

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ABSTRACTBackground: Hyponatremia is commonly found post major surgery in pediatric population. The use of improper fluid often leads to increasing incidence of hyponatremia which causes complications such as cerebral edema, seizure, and death. Pediatric is a high risk population due to the large ratio between the brain tissue and skull, so that the availability space.Hyponatremia after major surgery in pediatric population is a common electrolyte disorder. The use of improper fluid often lead to increased incidence of hyponatremia which is closely linked to the increasing variety of complications such as cerebral edema, seizures, and even death. Pediatric is high risk population due to the larger comparison of brain tissue and the skull so that the space available in the event of brain edema narrower.Objective: To describe the incidence of hyponatremia in children after major surgery.Methods: A retrospective cross-sectional study was conducted on children aged 1 month to 18 years who underwent major surgery and entered the intensive care ward. The inclusion subjects was traced from medical records. The data was recorded from preoperative, intraoperative, and postoperative monitoring. Subjects who met hyponatremia (<135 mEq/L) were classified according to the severity of hyponatremia and its complications.Results: Ninety subjects were enrolled in this study (56.7% male, 51.1% age 1 month-4 years). There were 47.8% subjects underwent laparotomy with a variety of indications. Almost all subjects (93.3%) received postoperative hypotonic fluid. The incidence of postoperative hyponatremia was 28.9%, while 11.1% among them were moderate-severe hyponatremia. The mean postoperative sodium levels was 130.1 ± 4.1 mEq/L with a mean total fluid 79.8 ± 27.4 ml/kg. There were 30.9% subjects who received hypotonic fluids and experienced hyponatremia with a mean length of stay 5.6 ± 4 days. One of 26 subjects with hyponatremia suffered from seizures and brain edema.Conclusions: The incidence of postoperative hyponatremia in pediatric intensive care reached nearly 30%, and almost all of them received hypotonic fluid. Therefore, further research should be performed to evaluate the appropriate fluid in order to anticipating postoperative hyponatremia, Background: Hyponatremia is commonly found post major surgery in pediatric population. The use of improper fluid often leads to increasing incidence of hyponatremia which causes complications such as cerebral edema, seizure, and death. Pediatric is a high risk population due to the large ratio between the brain tissue and skull, so that the availability space.Hyponatremia after major surgery in pediatric population is a common electrolyte disorder. The use of improper fluid often lead to increased incidence of hyponatremia which is closely linked to the increasing variety of complications such as cerebral edema, seizures, and even death. Pediatric is high risk population due to the larger comparison of brain tissue and the skull so that the space available in the event of brain edema narrower.Objective: To describe the incidence of hyponatremia in children after major surgery.Methods: A retrospective cross-sectional study was conducted on children aged 1 month to 18 years who underwent major surgery and entered the intensive care ward. The inclusion subjects was traced from medical records. The data was recorded from preoperative, intraoperative, and postoperative monitoring. Subjects who met hyponatremia (<135 mEq/L) were classified according to the severity of hyponatremia and its complications.Results: Ninety subjects were enrolled in this study (56.7% male, 51.1% age 1 month-4 years). There were 47.8% subjects underwent laparotomy with a variety of indications. Almost all subjects (93.3%) received postoperative hypotonic fluid. The incidence of postoperative hyponatremia was 28.9%, while 11.1% among them were moderate-severe hyponatremia. The mean postoperative sodium levels was 130.1 ± 4.1 mEq/L with a mean total fluid 79.8 ± 27.4 ml/kg. There were 30.9% subjects who received hypotonic fluids and experienced hyponatremia with a mean length of stay 5.6 ± 4 days. One of 26 subjects with hyponatremia suffered from seizures and brain edema.Conclusions: The incidence of postoperative hyponatremia in pediatric intensive care reached nearly 30%, and almost all of them received hypotonic fluid. Therefore, further research should be performed to evaluate the appropriate fluid in order to anticipating postoperative hyponatremia]"