• Yustina Ni Putu Yusniawati Institute of Technology and Health Bali, Indonesia
  • Emanuel Ileatan Lewar Institute of Technology and Health Bali, Indonesia
  • I Gade Agus Shuarsedana Putra Institute of Technology and Health Bali, Indonesia
  • I Gusti Ayu Nandita Arta Putri Institute of Technology and Health Bali, Indonesia
Keywords: Sectio caesarea, ERACS, Conventional, Recovery conscious


Background: Enhanced recovery after Caesarean surgery (ERACS) is a method of perioperative care in the form of a multimodal approach. ERACS is a good method of pain management by reducing opioid use by 30-50 percent and using intravenous fluid therapy and a good combination of anti-nausea drugs. The ERACS technique was carried out starting from pre-intra and post-surgery. In its implementation, ERACS has various benefits, namely reducing postoperative complications, accelerating conscious recovery, saving costs and reducing morbidity. Urgency of this research is to find out effective surgical methods to speed up early postpartum mobilization without pain. Objective: To determine the effectiveness of the ERACS technique for conscious recovery in sectio caesarea patients with spinal anesthesia in the recovery room. Method: This study used a quasi-experimental with a cross-sectional approach using 2 groups, namely the control group and the treatment group. This research was carried out in June-August 2022 at TK II Udayana Hospital with 60 respondents for the control group and 60 for the treatment group. The research instrument uses a standard bromage score observation sheet. The research process was carried out by giving informed consent to the 2 groups and then post-surgery an assessment of conscious recovery was carried out in both groups. Results: The results of the study in the treatment group showed that the ERACS method had a faster recovery time of 15-30 minutes. The control group, namely the conventional method, has a longer conscious recovery time of 30-60 minutes. The statistical test Mann-Whitney test is sig <0.05 that can be concluded that ERACS is effective in decreasing the time to recover consciousness in the recovery room in patients with elective sectio caesarea surgery at RSAD Tk.II Udayana. Conclusion: The ERACS method is effective in accelerating the time to recover from consciousness in the recovery room and accelerating recovery in patients with elective sectio caesarea surgery at RSAD Tk.II Udayana. Therefore, the application of ERACS can be an effective choice to accelerate postoperative recovery with caesarean section.  


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Putra Pradhana's younger brother, Tjokorda Gde Agung Senapathi, I Putu Pramana Suarjaya, I Wayan Aryabiantara, I Wayan Suranadi, I Made Gede Widnyana, Eric Makmur. 2019. “Comparison between Low Flow and High Flow Sevoflurane Isocapnic Technique to Achieve Early Recovery after Surgery (ERAS).” Journal of Global Pharma Technology 11(1):250–55.

Firdaus, Riyadh, Dea Britta, and Hilda Setiani. 2020. “Differences in the Management of Postoperative Nausea and Vomiting in the Latest Consensus: Literature Review.” 58–64. doi: 10.55497/majanestcricar.v40i1.

Fitria, Wayan Eka, Siti Fatonah, and Purwati Purwati. 2019. "Factors Associated with Bromage Score in Spinal Anesthesia Patients in the Recovery Room." Sai Betik Scientific Journal of Nursing 14(2):182. doi: 10.26630/jkep.v14i2.1304. DOI: https://doi.org/10.26630/jkep.v14i2.1304

Hensley, FA, GP Gravlee, DE Martin, and Donald E. Martin Frederick A. Hensley, Glenn P. Gravlee. 2012. A Practical Approach to Cardiac Anesthesia.

Hosseinzadeh, Hamzeh, Mahmood Eidy, Samad Ej Golzari, and Mahmood Vasebi. 2013. “Hemodynamic Stability during Induction of Anesthesia in Elderly Patients: Propofol + Ketamine versus Propofol + Etomidate.” Journal of Cardiovascular and Thoracic Research 5(2):51–54. doi: 10.5681/jcvtr.2013.011.

Jaata, Jikrun. 2021. "The Effect of Postoperative Enhanced Recovery After Surgery Intervention on Length of Stay: A Systematic Review." Coping: Community of Publishing in Nursing 9(1):107. doi: 10.24843/coping.2021.v09.i01.p14. DOI: https://doi.org/10.24843/coping.2021.v09.i01.p14

Lewar, Emanuel Ileatan, I. Wayan Agus Maharyawan, Yustina Ni Putu Yusniawati, and Carles Takandjandji. 2022. "The Effect of Intravenous Induction of Anesthesia on the Hemodynamic Changes among Patients in the Central Surgical Unit of Level-II Udayana Denpasar Hospital." Babali Nursing Research 3(3):185–93. doi: 10.37363/bnr.2022.33111. DOI: https://doi.org/10.37363/bnr.2022.33111

Macones, George A., Aaron B. Caughey, Stephen L. Wood, Ian J. Wrench, Jeffrey Huang, Mikael Norman, Karin Pettersson, William J. Fawcett, Medhat M. Shalabi, Amy Metcalfe, Leah Gramlich, Gregg Nelson, and R. Douglas Wilson. 2019. "Guidelines for Postoperative Care in Cesarean Delivery: Enhanced Recovery After Surgery (ERAS) Society Recommendations (Part 3)." American Journal of Obstetrics and Gynecology 221(3):247.e1-247.e9. doi: 10.1016/j.ajog.2019.04.012. DOI: https://doi.org/10.1016/j.ajog.2019.04.012

Maghfiroh, Siti, Ratna Puji Priyanti, and Alik Septian Mubarrok. 2019. "Relationship of Waiting Time and Length of Stay (LOS) with Patient Satisfaction at the Jombang Hospital Emergency Room." Journal of Muhammadiyah Nursing 4(1):89–93. doi: 10.30651/jkm.v4i1.2200. DOI: https://doi.org/10.30651/jkm.v4i1.2200

Pardede, Dimas Kusnugroho Bonardo. 2020. “A Review of Enhanced Recovery After Surgery (ERAS).” Mirror of Medicine 47(5):333–39. DOI: https://doi.org/10.55175/cdk.v47i7.594

Raff, Gilbert L., Udo Hoffmann, and James E. Udelson. 2017. "Trials of Imaging Use in the Emergency Department for Acute Chest Pain." JACC: Cardiovascular Imaging 10(3):338–49. doi: 10.1016/j.jcmg.2016.10.015. DOI: https://doi.org/10.1016/j.jcmg.2016.10.015

Razak, Abd, Lestari Lorna Lolo, and Ahmad Aminuddin. 2020. "Relationship between American Society of Anesthesiologists (Asa) Physical Status and Bromage Score in Post-Spinal Anesthesia Patients." Journal of Health Phenomenon 3(September 2019):378–83.

Ripollés-Melchor, Javier, José M. Ramírez-Rodríguez, Rubén Casans-Francés, César Aldecoa, Ane Abad-Motos, Margarita Logroño-Egea, José Antonio García-Erce, Ángels Camps-Cervantes, Carlos Ferrando-Ortolá, Alejandro Suarez De La Rica, Ana Cuellar-Martínez, Sandra Marmaña-Mezquita, Alfredo Abad-Gurumeta, and José M. Calvo-Vecino. 2019. “Association between Use of Enhanced Recovery after Surgery Protocol and Postoperative Complications in Colorectal Surgery: The Postoperative Outcomes Within Enhanced Recovery after Surgery Protocol (POWER) Study.” JAMA Surgery 154(8):725–36. doi: 10.1001/jamasurg.2019.0995. DOI: https://doi.org/10.1001/jamasurg.2019.0995

Wallentin, Lars, Steen Dalby Kristensen, Jeffrey L. Anderson, Marco Tubaro, José Luis Lopez Sendon, Christopher B. Granger, Christoph Bode, Kurt Huber, Eric R. Bates, Marco Valgimigli, Philippe Gabriel Steg, and E. Magnus Ohman. 2014. "How Can We Optimize the Processes of Care for Acute Coronary Syndromes to Improve Outcomes?" American Heart Journal 168(5):622-631.e2. doi: 10.1016/j.ahj.2014.07.006. DOI: https://doi.org/10.1016/j.ahj.2014.07.006

How to Cite
Yusniawati, Y. N. P., Lewar, E. I., Putra, I. G. A. S., & Putri, I. G. A. N. A. (2023). EFFECTIVENESS ENHANCED RECOVERY AFTER CAESAREAN SURGERY (ERACS) ON CONSCIOUS RECOVERY TIME IN SECTIO CAESAREA PATIENTS IN THE RECOVERY ROOM OF RSAD TK. II UDAYANA. Nurse and Health: Jurnal Keperawatan, 12(2), 235-241. https://doi.org/10.36720/nhjk.v12i2.562
Original Research Article
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