Penerapan airway clearance dengan suctioning berbasis minim trauma pada bayi terpasang endotracheal tube

Application of minimally traumatic airway clearance using suctioning in infants with an endotracheal tube

Authors

  • Entin Claudia Watumlawar STIK SINT CAROLUS JAKARTA
  • Tuti Asrianti Utami STIK Sint Carolus Jakarta

DOI:

https://doi.org/10.33023/jikep.v12iSupp%201.3294

Keywords:

Airway Clearance, Endotracheal Tube, Minimal Trauma Suctioning, NICU

Abstract

Bayi yang terpasang endotracheal tube (ETT) di NICU berisiko mengalami penumpukan sekret yang dapat mengganggu ventilasi dan oksigenasi. Suction berbasis minimal trauma dilakukan untuk mempertahankan kepatenan jalan napas sekaligus mengurangi risiko komplikasi akibat tindakan suction. Mendeskripsikan penerapan airway clearance dengan suction berbasis minimal trauma pada bayi yang terpasang ETT di ruang NICU RS X Jakarta Barat. Studi kasus deskriptif dilakukan pada dua bayi dengan Meconium Aspiration Syndrome (MAS) yang mendapatkan ventilasi mekanik. Observasi dilakukan selama tiga hari dengan menilai saturasi oksigen (SpO?), jumlah sekret, tanda gangguan pernapasan, dan komplikasi setelah suction. Kedua bayi menunjukkan penurunan jumlah sekret setelah tindakan suction. Saturasi oksigen pada By. J tetap stabil, sedangkan pada By.A meningkat. Selama periode observasi tidak ditemukan komplikasi yang berhubungan dengan tindakan suction. Suction berbasis minimal trauma membantu mempertahankan kepatenan jalan napas, mengurangi sekret, dan meningkatkan oksigenasi tanpa menimbulkan komplikasi. Intervensi ini dapat menjadi praktik keperawatan yang aman dan efektif di NICU.

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References

Abdelkader, S. H. D., Gaafar, Y. A.-E., Farag, M. M., & Badr, E. A. (2025). Effect of Minimally Invasive Endotracheal Suctioning on Physiological Parameters Among Mechanically Ventilated Preterm. Alexandria Scientific Nursing Journal, 27(3), 97–110. https://doi.org/10.21608/asalexu.2025.450082

Adugna, M., Asmare, K., & Wondim, A. (2025). Meconium aspiration syndrome and associated factors among neonates admitted at neonatal intensive care unit at Northwest Ethiopia comprehensive specialized hospitals Northwest Ethiopia 2023. BMC Pediatrics, 25(1). https://doi.org/10.1186/s12887-024-05181-4

Amaliya, S., Rustina, Y., & Efendi, D. (2024). The effectiveness of hyperoxygenation in preventing oxygen desaturation in intubated infants treated with endotracheal suctioning. Healthcare in Low-Resource Settings, 12(s1), 73–80. https://doi.org/10.4081/hls.2024.13045

American Association for Respiratory Care. (2022). AARC clinical practice guideline: Endotracheal suctioning of mechanically ventilated patients with artificial airways. American Association for Respiratory Care

Belli, S., Prince, I., Savio, G., Paracchini, E., Cattaneo, D., Bianchi, M., Masocco, F., Bellanti, M. T., & Balbi, B. (2021). Airway Clearance Techniques: The Right Choice for the Right Patient. Frontiers in Medicine, 8(February), 1–10. https://doi.org/10.3389/fmed.2021.544826

Merter, O. S., Dertli, S., Taskin, E., Aydin, M., & Benli, S. (2025). Effects of endotracheal suctioning duration cerebral oxygenation in preterm infants. Journal of Clinical Nursing, 34(3), 1063–1071. https://doi.org/10.1111/jocn.17382

Minwuyelet Amera Tizazu, Achenef Motbainor Begosaw, Y. A. Y. (2026). THE Magnitude And Associated Factors Of Meconium Aspiration Syndrome Among Neonates Admitted To The Nicu Of Results?: Conclusion And Recommendations?: Ethiopian Journal of Reproductive Health (EJRH), 18(2), 24–33. https://ejrh.org/index.php/ejrh/article/view/1013/327

Novelyn, S., Nazaruddin, N., Shoufiah, R., Trihandini, B., & Indra, I. (2025). Keperawatan sistem pernapasan. CV Eureka Media Aksara.

Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2021). Fundamentals of nursing (10th ed.). Elsevier.

Rifka Alkhilyatul Ma’rifat, I Made Suraharta, I. I. J. (2025). Keterampilan dalam Keperawatan. 2, 306–312.

Vandenplas, Y., Broekaert, I., Domellöf, M., Indrio, F., Lapillonne, A., Pienar, C., Ribes-Koninckx, C., Shamir, R., Szajewska, H., Thapar, N., Thomassen, R. A., Verduci, E., & West, C. (2024). An ESPGHAN Position Paper on the Diagnosis, Management, and Prevention of Cow’s Milk Allergy. Journal of Pediatric Gastroenterology and Nutrition, 78(2), 386–413. https://doi.org/10.1097/MPG.0000000000003897

Published

2026-05-29

How to Cite

Watumlawar, E. C., & Utami, T. A. . (2026). Penerapan airway clearance dengan suctioning berbasis minim trauma pada bayi terpasang endotracheal tube: Application of minimally traumatic airway clearance using suctioning in infants with an endotracheal tube. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 12(2), 324-328. https://doi.org/10.33023/jikep.v12iSupp 1.3294