Analisis Dampak Penggunaan Varian Tekanan Suction terhadap Pasien Cedera Kepala Berat

Penurunan kesadaran pada pasien cedera kepala berat akan menimbulkan risiko gangguan jalan napas sehingga perlu dilakukan intubasi endotrakeal untuk mempertahankan perfusi otak. Suctioning diperlukan untuk mempertahankan oksigenasi tetapi dapat menimbulkan penurunan saturasi oskigen, peningkatan TIK dan trauma jalan nafas. Tekanan suction yang tepat sangat diperlukan untuk mengatasi penurunan saturasi oksigen pada klien cedera kepala berat. Penelitian Quasi experiment ini bertujuan mengetahui perbedaan saturasi oksigen pada pasien cedera kepala setelah dilakukan suctioning pada tekanan 100 mmHg, 120 mmHg dan 150 mmHg. Desain penelitian menggunakan one group pre test and post test without control, yang dilakukan pengukuran berulang. Hasil penelitian didapatkan semakin tinggi penggunaan tekanan suction maka akan semakin terjadi penurunan saturasi oksigen. Hasil penelitian ini diharapkan menjadi panduan dalam melakukan suction pada pasien cedera kepala berat dengan memerhatikan saturasi oksigen.Kata kunci: Cedera kepala berat, hiperoksigenasi, suctioning, saturasi oksigen, & tekanan suction. The Use of Different Pressure of Suction and Its Impact on Oxygen Saturation among Patients with Head InjuryAbstractRather maintaining adequate airway patency, suctioning may pose risk of developing diminished oxygen saturation among patient with severe head injury. Patients may also experience intra cranial pressure (ICP) and airway trauma. Therefore, providing appropriate pressure of suction machine is needed to overcome those problems particularly to reduce risk of diminished oxygen saturation. This quasi-experimental study aimed to determine differences in oxygen saturation among patients with head injury after suctioning with three different pressures: 100 mmHg, 120 mmHg and 150 mmHg. The study design used one group pretest and post-test without control that performed with repeated measurements. Findings suggest higher pressure of suctioning tends to decrease their oxygen saturation. Results are expected to provide best practice to conduct suctioning for patients with severe head injury and maintaining oxygen saturation after hyper oxygenation action.Key words: Hyperventilation, oxygen saturation, severe head injury, suctioning, and suction pressure.

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Efek SuctionMelalui Catheter Mouth terhadap Saturasi Oksigen Pasien Cedera Kepala

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v1i3.64 ◽

1970 ◽

Vol 1 (3) ◽

Author(s):

Marlisa M ◽

Ponpon S Idjradinata ◽

Cecep Eli Kosasih

Keyword(s):

Head Injury ◽

Intracranial Pressure ◽

Oxygen Saturation ◽

Severe Head Injury ◽

Intervention Group ◽

Oxygen Desaturation ◽

Control Group ◽

P Value ◽

Oxygen Saturation Level ◽

Post Test

Tindakan suction endotrachealpada pasien cedera kepala berat dapat menyebabkan terjadinya oxygendesaturationarteri yang berakibat pada peningkatan intracranial pressure, pembengkakan otak dan hipoksemiasistemikbahkan dapat menyebabkan kematian. Penelitian ini bertujuan untuk mengevaluasi pengaruh suplai oksigen melalui catheter mouthsaat suction terhadap saturasi oksigen pada pasien cedera kepala yang terpasang ventilator yang dirawat di ruang perawatan intensif. Penelitian ini menggunakan desain penelitian desain kuasi eksperimen pendekatan pre dan post test dengan kelompok kontrol dan perlakuan. Jumlah sampel pada penelitian ini adalah 40 responden yang dibagi menjadi kelompok perlakuan sebanyak 20 responden yang dipasang catheter mouthdan kelompok kontrol sebanyak 20 responden tanpa menggunakan catheter mouth. Teknik sampel menggunakan accidental sampling. Penurunan saturasi oksigen nilai thitung (-16,538) < ttabel (-2,024) dan nilai p-value(0.000) < 0.05. Saturasi oksigen saat suctionpada kelompok kontrol dengan kelompok perlakuan adalah memang berbeda secara nyata. Hasil penelitian ini dapat dijadikan evidence basedbagi perawat di ruang intensif untuk meningkatkan pelayanan perawatan dalam melakukan tindakan suctionuntuk mengurangi resiko terjadinya penurunan saturasi oksigen pada pasien cedera kepala berat yang terpasang ventilator. Kata kunci : catheter mouth, suction,saturasi oksigen AbstractThe intervention of endotracheal suction to patients with the severe head injury may have effected to oxygen desaturation in arteries. The oxygen desaturation process could be impacted to increase the intracranial pressure, brain’s swelling, hypoxemia systemic, and deaths. This study aimed to evaluate the influence of the oxygen supply via oral catheterization in the suction process to the oxygen saturation level in the patient with the severe head injury who using ventilator. This research has been conducted in the intensive care unit. This study was applied the quasi experiment design using pre and post-test. Samples were chosen using accidental sampling. There were two groups of samples, the first group was the intervention group with 20 respondents using oral catheterization, and the second group was the control group with 20 respondents. The result showed that the oxygen saturation was reduced with t value (-16.538) < t table (-2.024), and p value (0.000) < 0.05. The oxygen saturation was significantly different between two groups. This study could be an evidence that nurses should enhance their services to reduce the risk of decreasing the oxygen saturation in the severe head injury patient who using ventilator.Key words:Catheter Mouth, oxygen saturation, suction

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Elevated jugular venous oxygen saturation after severe head injury

Journal of Neurosurgical Anesthesiology ◽

10.1097/00008506-199907000-00020 ◽

1999 ◽

Vol 11 (3) ◽

pp. 220 ◽

Cited By ~ 1

Author(s):

Cormio M ◽

Valadka AB ◽

CS Robertson

Keyword(s):

Head Injury ◽

Oxygen Saturation ◽

Severe Head Injury ◽

Jugular Venous Oxygen Saturation ◽

Venous Oxygen Saturation

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Impact of a work-based feedback intervention on student performance during clinical placements in acute-care healthcare settings: a quasi-experimental protocol for the REMARK programme

BMJ Open ◽

10.1136/bmjopen-2019-034945 ◽

2020 ◽

Vol 10 (6) ◽

pp. e034945

Author(s):

Christine Ossenberg ◽

Marion Mitchell ◽

Amanda Henderson

Keyword(s):

Student Performance ◽

Best Practice ◽

Ethics Committees ◽

Normalisation Process Theory ◽

Workplace Performance ◽

Clinical Placements ◽

Healthcare Settings ◽

Post Test ◽

Quasi Experimental ◽

Layered Design

IntroductionCurrent perspectives present feedback as a dynamic, dialogic process. It is widely accepted that feedback can have an impact on workplace performance, however, how dialogic feedback is enacted with the learner in authentic healthcare settings is less apparent. This paper seeks to describe the design and development of an implementation study to promote the learner voice in the feedback process and improve feedback encounters between learners and learning partners in healthcare settings.Methods and analysisA quasi-experimental study design will be used to evaluate whether implementation of a work-based intervention to improve feedback impacts student performance during clinical placements in healthcare settings. Student performance will be measured at three time points: baseline (pre), mid-placement (post-test 1) and end-placement (post-test 2) in keeping with standard assessment processes of the participating university. The intervention is underpinned by Normalisation Process Theory and involves a layered design that targets learners and learning partners using best-practice education strategies. Data regarding participants’ engagement with feedback during clinical placements and participants’ level of adoption of the intervention will be collected at the completion of the clinical placement period.Ethics and disseminationThis study has ethics approval from both Griffith University and Metro South Health Human Research and Ethics committees. Dissemination of results will be local, national and international through forums, seminars, conferences and publications.

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Correlation of jugular venous oxygen saturation to spontaneous fluctuations of cerebral perfusion pressure in patients with severe head injury

Neurological Research ◽

10.1080/01616412.1995.11740338 ◽

1995 ◽

Vol 17 (5) ◽

pp. 329-333 ◽

Cited By ~ 19

Author(s):

Reinhart Murr ◽

Ludwig Schürer

Keyword(s):

Head Injury ◽

Oxygen Saturation ◽

Cerebral Perfusion Pressure ◽

Cerebral Perfusion ◽

Severe Head Injury ◽

Perfusion Pressure ◽

Jugular Venous Oxygen Saturation ◽

Venous Oxygen Saturation ◽

Spontaneous Fluctuations

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Elevated jugular venous oxygen saturation after severe head injury

Neurosurgical FOCUS ◽

10.3171/foc.2001.11.4.4 ◽

2001 ◽

Vol 11 (4) ◽

pp. 9-15 ◽

Cited By ~ 1

Author(s):

Manuela Cormio ◽

Alex B. Valadka ◽

Claudia S. Robertson

Keyword(s):

Head Injury ◽

Oxygen Saturation ◽

Severe Head Injury ◽

Vegetative State ◽

Persistent Vegetative State ◽

Lactate Production ◽

Jugular Venous Oxygen Saturation ◽

Group I ◽

Venous Oxygen Saturation ◽

Group Ii

Object The aim of this study was to investigate the incidence of elevated (≥ 75%) jugular venous oxygen saturation (SjvO2) and its relationship to cerebral hemodynamic and metabolic parameters and to outcome after severe head injury. Methods Data from 450 severely head injured patients admitted to the Neurosurgical Intensive Care Unit of Ben Taub General Hospital were analyzed retrospectively. The SjvO2 was measured in blood obtained from indwelling jugular bulb catheters. Patients were classified into the following categories: high (Group I), normal (Group II), or low SjvO2 (Group III) if their mean SjvO2 over the duration of monitoring was 75% or higher, 74 to 56%, or 55% or lower, respectively. A high SjvO2 occurred in 19.1% of patients. There was no consistent relationship between SjvO2 and simultaneous cerebral blood flow (CBF) or cerebral perfusion pressure measurements. Compared with Groups II and III, the patients in Group I had a significantly higher CBF and lower cerebral metabolic rate of oxygen (CMRO2). In Group I, the out- comes were death or persistent vegetative state in 48.8% of patients and severe disability in 25.6%. These outcomes were significantly worse than for patients in Group II. Within Group I, the patients with a poor neurological outcome were older and more likely to have suffered a focal head injury; they demonstrated a lower CMRO2 and a greater rate of cerebral lactate production than the patients who attained a favorable outcome. Conclusions Posttraumatic elevation of SjvO2 is common but cannot be automatically equated with hyperemia. Instead, elevated SjvO2 is a heterogeneous condition that is associated with poor outcome after head injury and may carry important implications for the management of comatose patients.

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Analysis of abnormal jugular bulb oxygen saturation data in patients with severe head injury

Acta Neurochirurgica ◽

10.1007/bf01411119 ◽

1996 ◽

Vol 138 (12) ◽

pp. 1409-1415 ◽

Cited By ~ 16

Author(s):

C. de Deyne ◽

T. Vandekerckhove ◽

J. Decruyenaere ◽

F. Colardyn

Keyword(s):

Head Injury ◽

Oxygen Saturation ◽

Severe Head Injury ◽

Jugular Bulb ◽

Jugular Bulb Oxygen Saturation

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Effect of Postural Drainage and Effective Cough After Nebulizer Intervention to in Oxygen Saturation Among Children with Bronchopneumonia

Abstract Proceedings International Scholars Conference ◽

10.35974/isc.v6i1.1323 ◽

2018 ◽

Vol 6 (1) ◽

pp. 58

Author(s):

Selly Amelia Suryana Putri ◽

Lisbet Octavia Manalu ◽

Budi Somantri ◽

Albert Manggading Hutapea

Keyword(s):

Oxygen Saturation ◽

Sampling Technique ◽

T Test ◽

Future Studies ◽

Postural Drainage ◽

Post Test ◽

Quasi Experimental ◽

The Mean ◽

Drainage Group ◽

Experimental Study Design

Bronchopneumonia is a disease that occurs at the distal end of the bronchioles, where this portion of the bronchiole is blocked by mucopurulent exudate. One of the main problems of children with bronchopneumonia is an increase in excessive sputum secretion that will affect the process of oxygen exchange, which ultimately can reduce the oxygen saturation in the blood of the patients. The purpose of this study was to determine the differences between postural drainage and effective cough exercises in nebulizer intervention on oxygen saturation changes in children aged 3-5 years with bronchopneumonia. Analytical quasi-experimental study design with pre- and post-test approach among 30 children in a hospital was utilized. Sampling was done with non-probability sampling technique. The methods used were postural drainage and effective cough. The result was analyzed using t-Test. The mean difference in oxygen saturation value in the postural drainage group was higher (4.53 %) than in the effective cough group (3.64 %). Result of unpaired t-Test indicated a p = 0.343. Thus, there is no difference in postural drainage and effective cough exercises in nebulizer intervention to oxygen saturation change in bronchopneumonia. Future studies can be done on the effects of these methods when applied before nebulizer intervention.

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