PENERAPAN METODE SUCTION TERTUTUP PADA PASIEN YANG TERPASANG ENDOTRACHEAL TUBE DAN VENTILATOR TERHADAP SATURASI OKSIGEN, TEKANAN DARAH, DENYUT JANTUNG: STUDI KASUS
Application of Closed Suction Method to Patients with Endotracheal Tube and Ventilator Installation on Oxygen Saturation, Blood Pressure, Heart Rate: A Case Study
DOI:
https://doi.org/10.33023/jikep.v9i3.1584Keywords:
Metode suction tertutup, suction, endotracheal tube, ventilatorAbstract
Pendahuluan : Masalah yang sering timbul pada pasien yang terpasang ventilator invasif adalah bersihan jalan napas, diperlukan upaya untuk mengatasinya, salah satunya adalah tindakan suction, namun tindakan tersebut memberikan resiko dampak negatif seperti desaturasi oksigen, perubahan sistol dan diastol, serta peningkatan pada frekuensi denyut jantung. Suction metode tertutup dapat meminimalkan dampak yang mungkin terjadi. Tujuan: Mengidentifikasi penerapan suction metode tertutup pada pasien dengan endotracheal tube dan ventilator terhadap saturasi oksigen, tekanan darah, denyut jantung. Metode: Desain penelitian adalah studi kasus dengan mendeskripsikan kondisi pasien yang terpasang endotracheal tube dan ventilator yang mendapatkan tindakan suction metode tertutup yang diberikan pada 3 pasien yang dilibatkan dalam penelitian. Hasil : Prosedur suction metode tertutup memberikan dampak berupa peningkatan, denyut jantung dan peningkatan tekanan darah yang berangsur turun pada kondisi nilai sebelumnya setelah menit ke 5, sedangkan pada saturasi O2 tidak mengalami penurunan baik pada saat pelaksanaan prosedur maupun setelah pelaksanan prosedur. Faktor pendukung pelaksanaan prosedur ini lebih banyak dibandingkan faktor penghambat seperti sarana yang mudah dan murah, dampak terhadap pasien yang minimal, serta kepraktisan dan kemudahan petugas dalam pelaksanaan. Kesimpulan: metode suction tertutup memberikan dampak minimal terhadap penurunan saturasu O2, perubahan denyut jantung dan tekanan darah serta dapat diaplikasikan dengan mudah di lapangan
Downloads
References
Ahmed Sayed, Z. (2019). Effect of Open versus Closed Suction System on Cardiorespiratory Parameters and Suction Duration among Critically Ill Mechanically Ventilated Patients. Egyptian Journal of Health Care, 10(2), 409–418. https://doi.org/10.21608/ejhc.2019.196307
Alshahrani, S. H., Qureshi, A. A., Paulsamy, P., Venkatesan, K., & Sethuraj, P. (2021). The impact of open vs closed suction on cardio- respiratory parameters in mechanically ventilated patients. International Journal of Current Research in Chemistry and Pharmaceutical Sciences, 8(7), 33–38. https://doi.org/10.22192/IJCRCPS.2021.08.07.004
Alsomali, M. I., & Elhady, M. M. (2019). The Effect of Open Versus Closed Tracheal Suctioning System on the Physiological outcomes of Mechanically Ventilated Patients. IOSR Journal of Nursing and Helath Science (IOSR-JNHS), 8(4), 74–80. https://doi.org/10.9790/1959-0804077480
Assanga, P. A., & AmugutsiIsiaho, L. (2018). Effects of Open and Closed Tracheal Suction Systems on the Incidence of Ventilator Associated Events. A Systematic Review | ARC Journal of Nursing and Healthcare. https://www.arcjournals.org/journal-of-nursing-and-healthcare/volume-4-issue-3/2
Bahl, P., Doolan, C., de Silva, C., Chughtai, A. A., Bourouiba, L., & MacIntyre, C. R. (2022). Airborne or Droplet Precautions for Health Workers Treating Coronavirus Disease 2019? The Journal of Infectious Diseases, 225(9). https://doi.org/10.1093/INFDIS/JIAA189
Blakeman, T. C., Scott, J. B., Yoder, M. A., Capellari, E., & Strickland, S. L. (2022). AARC Clinical Practice Guidelines: Artificial Airway Suctioning. Respiratory Care, 67(2), 258–271. https://doi.org/10.4187/respcare.09548
Chiumello, D., Bolgiaghi, L., Formenti, P., Pozzi, T., Lucenteforte, M., & Coppola, S. (2021). Effects on lung gas volume, respiratory mechanics and gas exchange of a closed-circuit suctioning system during volume- and pressure-controlled ventilation in ARDS patients. Journal of Clinical Medicine, 10(23). https://doi.org/10.3390/jcm10235657
Dexter, A. M., & Scott, J. B. (2019). Airway Management and Ventilator-Associated Events. Respiratory Care, 64(8), 986–993. https://doi.org/10.4187/RESPCARE.07107
Ebrahimian, A., Tourdeh, M., Paknazar, F., & Davari, H. (2020). The effect of the open and closed system suctions on pain severity and physiological indicators in mechanically ventilated patients with traumatic brain injury: A randomised controlled trial. Turkish Journal of Anaesthesiology and Reanimation, 48(3), 202–207. https://doi.org/10.5152/TJAR.2019.03342
Elmansoury, A., & Said, H. (2017). Closed suction system versus open suction. Egyptian Journal of Chest Diseases and Tuberculosis, 66(3), 509–515. https://doi.org/10.1016/j.ejcdt.2016.08.001
Gupta, A., & Puri, S. (2020). Airway suctioning during the COVID-19 era: A simple method to minimise surface contamination. Airway, 3(3), 154. https://doi.org/10.4103/arwy.arwy_35_20
Imbriaco, G., & Monesi, A. (2021). Closed tracheal suctioning systems in the era of COVID-19: is it time to consider them as a gold standard? Journal of Infection Prevention, 22(1), 44–45. https://doi.org/10.1177/1757177420963775
Jackson, T., Deibert, D., Wyatt, G., Durand-Moreau, Q., Adisesh, A., Khunti, K., Khunti, S., Smith, S., Chan, X. H. S., Ross, L., Roberts, N., Toomey, E., Greenhalgh, T., Arora, I., Black, S. M., Drake, J., Syam, N., Temple, R., & Straube, S. (2020). Classification of aerosol-generating procedures: A rapid systematic review. BMJ Open Respiratory Research, 7(1), 1–9. https://doi.org/10.1136/bmjresp-2020-000730
Jung, F., Chou, S. S. P., Yang, S. H., Lin, J. C., & Jow, G. M. (2021). Closed endotracheal suctioning impact on ventilator-related parameters in obstructive and restrictive respiratory systems: A bench study. Applied Sciences (Switzerland), 11(11), 1–17. https://doi.org/10.3390/app11115266
Kemenkes RI. (2011). ICU & HCU GUIDELINES – ISICM – PERDICI. https://perdici.org/icu-hcu-guidelines/
Khayer, F., Ghafari, S., Saghaei, M., Yazdannik, A., & Atashi, V. (2020). Effects of open and closed tracheal suctioning on pain in mechanically ventilated patients. Iranian Journal of Nursing and Midwifery Research, 25(5), 426–430. https://doi.org/10.4103/ijnmr.IJNMR-135-18
KOSTEKLI, S., CELIK, S., & KESKIN, E. (2022). Effect of deep and superficial endotracheal suctioning on hemodynamic parameters and pain in neurosurgical intensive care patients. Marmara Medical Journal, 35(2), 237–243. https://doi.org/10.5472/marumj.1121846
Muttaqin, A. (2019). Buku Ajar Asuhan Keperawatan Klien dengan Gangguan Sistem Pernapasan. Jakarta?: Salemba Medika.
NHS. (2022). Intensive care - NHS. https://www.nhs.uk/conditions/intensive-care/
Raimundo, R. D., Sato, M. A., da Silva, T. D., de Abreu, L. C., Valenti, V. E., Riggs, D. W., & Carll, A. P. (2021). Open and closed endotracheal suction systems divergently affect pulmonary function in mechanically ventilated subjects. Respiratory Care, 66(5), 785–792. https://doi.org/10.4187/RESPCARE.08511
Sarkar, M., Niranjan, N., & Banyal, P. (2017). Mechanisms of hypoxemia. https://doi.org/10.4103/0970-2113.197116
Seckel, M. A. (2022). Suctioning?: Endotracheal or Tracheostomy Tube. Https://Www.Elsevier.Com/__data/Assets/Pdf_file/0007/270988/Ch0010.Pdf.
Seyedi Chegeni, P., Gholami, M., Azargoon, A., Hossein Pour, A. H., Birjandi, M., & Norollahi, H. (2018). The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial. Complementary Therapies in Clinical Practice, 31, 64–70. https://doi.org/10.1016/J.CTCP.2018.01.010
Stacy, K. (2020). Endotracheal Tube and Tracheostomy Tube Suctioning. Elsevier, 1–11.
Yilmaz, I., Ozden, D., & Arslan, G. (2021). Intensive Care Nurses’ Evidence-based Knowledge and Experiences Regarding Closed Suctioning System. Nigerian Journal of Clinical Practice. https://doi.org/10.4103/njcp.njcp_211_19
Yilmaz, S., Calikoglu, E. O., & Kosan, Z. (2021). for an Uncommon Neurosurgical Emergency in a Developing Country. Nigerian Journal of Clinical Practice, 22, 1070–1077. https://doi.org/10.4103/njcp.njcp
Published
How to Cite
Issue
Section
Authors who publish with Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) agree to the following terms:
- Authors retain copyright and grant Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing).
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing).
