scholarly journals Perubahan Kadar Saturasi Oksigen pada Pasien Dewasa yang Dilakukan Tindakan Suction Endotrakeal Tube di Ruang ICU RSUD Ulin Banjarmasin

2020 ◽  
Vol 1 (1) ◽  
pp. 82
Author(s):  
Hammad Hammad ◽  
M. Ichwan Rijani ◽  
Marwansyah Marwansyah

Handling for airway obstruction due to excessive accumulation of secretions can be done with suction, suction is done by inserting suction catheter tube into endotracheal tube or tracheostomy which aims to liberate airway. Endotracheal suction in critically ill patients can cause increased intracranial pressure, brain swelling and systemic hypoxemia may even lead to death. The easiest way to find out hypoxemia is by looking at the patient's oxygen saturation of peripheral oxygen saturation is a presentation of hemoglobin binds with oxygen in the arteries with normal values between 95-100%.This research aims to analyze changes in oxygen saturation levels of patients before, during and after the suction endotracheal tube performed in Intensive Care Unit Ulin Banjarmasin Hospital. This research method is quantitative with comparative design. The population in this research are all patients who had endotracheal tube and suction was done, the sample in the research are 25 respondents with Probability sampling technique, analyzed by paired T test.The results of this research at the time of 1 "-3" average oxygen saturation change of 0-1%, while 4"- 6" on average by 2-3% and at 7 "-10" on average by 2-5% . Paired T-test results showed there was a change in oxygen saturation level in adult patients performed endotracheal tube suction in Intensive Care Unit Ulin Banjarmasin Hospital.

2020 ◽  
Vol 11 (2) ◽  
pp. 134-142
Author(s):  
Widia Widia Astuti AW ◽  
Fajar Fajar Adhie Sulistyo

Respiratory failule is the cause of high morbidity and high mortality at the Intensive Care Unit. The condition that leads to respiratory failule is airway obstruction, including obstruction on endotracheal tube. The airway obstruction handling due to the accumulation of secretions in the endotrackel tube is done through suction. The endotracheal tube suction can give effects such as oxygen saturation reduction as much as greater 5%. The objective of this resarch is to knowing the corelation intensity of suctionaction with changes in oxygen saturation levels in ventilator- installed patients the intensive care unit of general hospital of Bogor City. This type of research is quantitative, using analytical descriptive approach. The analysis technique used in this research is using cross sectional method. How to sample this research with total sampling technique with the number of 42 respondents who installed ventilator in Intensive Care Unit room. Data collection was obtained through an observation sheet assisted by 5 nurses on duty. Data analysis used is univariate and bivariate (Chi Square). From 42 respondents, there were 20 (47,6%) respondents with the intensity of suction action insufficient and 35 (83,3%) respondents in normal oxygen saturation range, where p value = 0,01. This means Ha accepted and Ho rejected, meaning there is a significant relationship between the two variables.


2019 ◽  
Vol 10 (4) ◽  
pp. 2800-2804 ◽  
Author(s):  
Alice Jeba J ◽  
Senthil Kumar S ◽  
Shivaprakash sosale

Preterm infants are babies who are delivered before the completion of 37 weeks gestation period. They are born with immature functioning of the brain. In  Neonatal Intensive Care Unit (NICU), these infants receives many environmental stimuli, and their comfort will be disturbed. These various sensory stimulus received in NICU influence the functional and neurodevelopmental outcome of these infants and also their quality of life. So this study was intended to evaluate the axillary temperature, heart rate, respiratory rate and oxygen saturation level of these infants prior to nesting and after nesting at the 60th minute. Forty preterm infants who fulfilled the criteria of selection were included in the study by simple random sampling and segregated into case and control groups by blocked randomization. Data was collected and recorded. The temperature was recorded by a digital thermometer, respiratory rate was counted by the number of times the infants' chest rises, heart rate and oxygen saturation readings from the pulse oximeter. The result of the study showed that there was statistically significant effect of nesting at 60th minute, temperature (t=5.03966,p<0.05), respiratory rate(t= -2.13,p<0.05) and heart rate (t=-2.59766,p<0.05). But the effect was not significant on oxygen saturation level (t=1.2,p=0.238).  Hence this study result supports the use of nesting in NICU.


2020 ◽  
pp. 175114372090970
Author(s):  
Anwar Hassan ◽  
Maree Milross ◽  
William Lai ◽  
Deepa Shetty ◽  
Jennifer Alison ◽  
...  

Background Intrapulmonary percussive ventilation is used in various clinical settings to promote secretion clearance, reverse or treat atelectasis and improve gas exchange. Despite a few studies reporting the use of intrapulmonary percussive ventilation in critical care, the available data remain insufficient, contributing to weaker evidence toward its effectiveness. Also, there is a paucity of studies evaluating the safety and feasibility of intrapulmonary percussive ventilation application in critical care. This retrospective pilot study has evaluated the safety and feasibility of intrapulmonary percussive ventilation intervention in non-intubated patients admitted to an intensive care unit. Methods The medical records of 35 subjects were reviewed, including 22 subjects who received intrapulmonary percussive ventilation intervention and 13 subjects matched for age, sex, and primary diagnosis who received chest physiotherapy. The records were audited for feasibility, safety, changes in oxygen saturation, chest X-ray changes, and intensive care unit length of stay. Results A total of 104 treatment sessions (IPV 65 and CPT 39) were delivered to subjects admitted with a range of respiratory conditions in critical care. Subjects completed 97% of IPV sessions. No major adverse events were reported with intrapulmonary percussive ventilation intervention. Intensive care unit length of stay in the intrapulmonary percussive ventilation group was 9.6 ± 6 days, and in the CPT group, it was 11 ± 9 days ( p = 0.59). Peripheral oxygen saturation pre to post intervention was 92% ± 4 to 96% ± 4 in IPV group and 95% ± 4 to 95% ± 3 in the CPT group. Conclusion Application of intrapulmonary percussive ventilation intervention was feasible and safe in non-ventilated adult patients in critical care.


2018 ◽  
Vol 4 (5) ◽  
pp. 457-461
Author(s):  
Dina Sulviana Damayanti ◽  
Djauhar Ismail ◽  
Warsiti Warsiti

Background: Preterm infants are at risk for respiratory and hypothermia disorders that may affect physiologic growth and development processes that can be aggravated by treatment processes while in the neonatal intensive care unit. Treatment in the NICU can trigger stress that can affect the vital signs and healing process of preterm infants, thus requiring non-medical treatment to stimulate the condition. This research provides a different treatment of sound therapy that has never been given to preterm infants in previous studies by listening murottal Al-Qur'an.Objective: To examine the effect of listening to the murottal Qur'an on oxygen saturation in preterm infants during treatment at the neonatal intensive care unit (NICU).Method: This was a pre-experimental study with one group pretest-postest design from September to October 2017. The samples were 30 preterm infants treated at NICU of the General Hospital of Panembahan Senopati Bantul selected using accidental sampling. The analysis used was simple linear regression.Result: There was an increase of the oxygen saturation level after given intervention of Murottal Qur'an for 3 days. The first day of oxygen saturation intervention increased by 2.07%, the second day 3.75%, and the third day 4.65% compared to the oxygen saturation level before the intervention.Conclusion: Listening to murrotal Qur'an could statistically increase oxygen saturation, but clinically there was no significant change in preterm infants, as the increase of oxygen saturation level was still within normal limits.


Author(s):  
Kaashif A. Ahmad ◽  
Cody L. Henderson ◽  
Steven G. Velasquez ◽  
Jaclyn M. LeVan ◽  
Katy L. Kohlleppel ◽  
...  

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