PERBEDAAN PARAMETER KARDIO PULMONAL SETELAH TINDAKAN OPEN SUCTION
Keywords:
endotracheal suctioning, cardio pulmonary parameters, critically ill patients.Abstract
Background: Endotracheal suctioning is often performed by nurses and beneficial for critically ill patients. Suctioning is essential for removing secretions, maintaining airway patency and prevent unexpected complications. Open suctioning is performed by disconnecting patients with the ventilator. Suctioning not only removed secretions in the airway but also oxygen. Suctioning must be done correctly, safely, effectively and efficiently to prevent unexpected events in critically ill patients.
Objective: This study aimed to determine differences on cardiopulmonary parameters after open suction in critically ill patients
Methods: The study design was comparatif cross sectional analytic approach, using one group pre test and post test. The sample of the research amounted to 34 people, using purposive sampling technique. Catheter size 14 Fr on ETT number 7 mm used in this research to performed endotracheal suctioning. Cardiopulmonary parameters (Heart rate/ HR, respiratory rate/RR, oxygen saturation/SpO2, systolic blood pressure/ SBP and diastolic blood pressure/DBP) measured by pulse oxymeter and bedside monitor before suction and immediately thereafter.
Results: The results showed increase average heart rate 6.412 (from 106.62 into 113.03), Respiratory rate has increased 4.971 (from 20.62 into 25.59), SpO2 decreased 1.68 (from 99.09 into 97.41), and systolic blood pressure increased 5.71 (from 118.29 into 124.00) after performed open suction. The results of paired t-test statistical analysis (for RR, HR) obtained a < 0.05 (0.000), whereas Wilcoxon statistical analysis (for SpO2, SBP) obtained a < 0.05 (0.000 and 0.001). So it can be said that the difference cardiopulmonary parameters was statistically significant after perfomed open suction in critically ill patients.
Keywords: Endotracheal suctioning, cardiopulmonary parameters, critically ill patients.
References
Departemen Kesehatan Republik Indo- nesia. (2006). Standar Pelayanan Kepe- rawatan di ICU. Direktorat Keperawatan dan Keteknisian Medik: Direktorat Jen- deral Pelayanan Medik.
Grap, M.J., & Puntillo, K.A. (2006). Suc- tioning. Critical Care Nursing Secret. 2nd ed. Philadelphia: Hanley & Belfus
Hudak, C.M., & Gallo, B.M. (2010). Keperawatan Kritis: Pendekatan Holis- tik. Alih bahasa: Allenidekania et al. Ed.6. Jakarta: EGC
Kozier, B., Erb, G., Berman, A., & Snyder, S. (2010). Fundamental of Nur- sing: Concept, Process, and Practice. Editor edisi bahasa Indonesia: Widiarti,
W. Buku Ajar Fundamental Kepera- watan: Konsep, Proses, dan Praktik. Edisi 7. Vol. 1. Jakarta: EGC.
. (2010). Fundamental of Nur- sing: Concept, Process, and Practice. Editor edisi bahasa Indonesia: Widiarti, W. Buku Ajar Fundamental Keperawat- an: Konsep, Proses, dan Praktik. Edisi 7. Vol. 2. Jakarta: EGC: 907
. (2009). Kozier and Erb’s Techniques in Clinical Nursing. Editor edisi bahasa Indonesia: Ariani, F. Buku Ajar Praktik Keperawatan Klinis Kozier & Erb. Edisi 5. Jakarta: EGC. : 571-586
Higginson, R., Jones, B., & Davies, K. (2011). Emergency and Intensive Care: Assessing and Managing the Airway. British Journal of Nursing.Vol. 20. No. 16
Lemes, D.A., Zin, W.A., & Guimaraes, F.S. (2009). Hyperinflation Using Pres- sure Support Ventilation Improves Se- cretion Clearance And Respiratory Me- chanics In Ventilated Patients With Pulmonary Infection: A Randomised Crossover Trial. Australian Journal of Physiotherapy.Vol. 55
Kelleher, S. (2008). an Observational Study on the Open-System Endotra- cheal Suctioning Practices of Critical Care Nurses. Journal of Clinical Nur- sing. Vol.17: 360–369
Kjonegaard, R., Fields, W., & King, M.L. (2010). Current practice in Airway mana- gement: a Descriptive Evaluation Ame- rican Journal of Critical Care. Vol.19. No. 2
Moraveji., Nezhad, S., Bazargan, M. (2012). Effect of Hyperoxygenation for One Minute on ABGs during Endotra- cheal Suctioning in ICU in Zanjan Vali- E-Asr Hospital. Life Science Journal. Vol.10. No.9
Tingay, D.G., Copnell, B., Grant, C.A., Dargaville, P.A., Dunster, K.R., & Schibler, A. (2010). The Effect of Endotracheal Suction on Regional Tidal Ventilation and End-Expiratory Lung Volume. Intensive Care Med (36):888– 896
Fink, M.P., Abraham, E., Vincent, J.L., & Kochanek, P.M. (2005). Texbook of Cri- tical Care. 5th ed. Philadelphia: Elsevier Saunders
Sugiyono. (2010). Metode penelitian ku- antitatif kualitatif dan R dan D. Bandung: Alfabeta
Dahlan, M.S. (2011). Statistik untuk ke- dokteran dan kesehatan deskriptif, biva- riat dan multivariat dilengkapi dengan menggunakan spss. Jakarta: Salemba Medika
Dharma, K.K. (2011). Metodologi Pene- litian Keperawatan: Panduan Melaksa- nakan dan Menerapkan Hasil Penelitian. Ed.1. Jakarta: Trans Info Media
Vanner, R., & Bick, E. (2008). Tracheal pressures during open suctioning. Jour- nal of Anaesthesia, 313-315.
Briassoulis, G., Briassoulis, P., Michae- loudi, E., Fitrolaki, D.M., Spanaki, A.M., & Briassouli, E. (2009). The Effects of Endotracheal Suctioning on the Accura- cy of Oxygen Consumption and Carbon Dioxide Production Measurements and Pulmonary Mechanics Calculated by a Compact Metabolic Monitor. Internatio- nal Anesthesia Research Society. Vol. 109. No. 3
Lindgren, S., Odenstedt, H., Olegard, C., Sondergaard, S., Lundin, S., & Stenqvist, O. (2007). Regional Lung Derecruitment After Endotracheal Suc- tion During Volume or Pressure- Controlled Ventilation: A Study Using Electric Impedance Tomography. Inten- sive Care Med. No. 33:172–180
Heinze, H., Adib, B.S., Heringlake, M., Gosch, U.W., & Eichler, W. (2008). Functional Residual Capacity Changes After Different Endotracheal Suctioning Methods. International Anesthesia Re- search Society. Vol. 107.No. 3
Alimul, A.A. (2006). Kebutuhan Dasar Manusia Aplikasi Konsep dan Proses Keperawatan. Cetakan keempat. Jilid 2. Jakarta: Salemba Medika
McCance, K., & Huether, S.E. (2006). Pathophysiology the Biologic Basis for Deseases in Adults and Children. Vol.2. Philadelphia: Elsevier’s Mosby
Rostrup, M. (1998). Catecholamines, hypoxia and altitude. Acta Physiological Scandinavian, 162, 389-400.
Zadeh, A.A., Levine, B.D., Trost, J.C., Lange, R.A., Keeley, E.C., Hillis, L.D., & Cigarroa, J.E.(2008). The Effect of Acu- te Hypoxemia on Coronary Arterial Di- mensions in Patients with Coronary Ar- tery Disease. Cardiology :113:149–154
Dennison, R.D.(2009). “Shock, Sepsis, and Multiple Organ Dysfunction Syn- drome” in Sole, ML, Klein, DG, Moselly, MJ. Introduction to Critical Care Nursing. –Ed.5- . Missouri: Elsevier Sounder.
Lessig, M.L. (2006). “The Cardiovas- cular System” in Alspach, JG. Core Curriculum for Critical Care Nursing. – Ed.6. Missouri: Elsevier Sounder.
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