Memantau respon pasien terhadap kinerja ventilasi mekanik merupakan faktor terpenting dari keterampilan personil Intensive Care. Sesaat setelah pasien on ventilator, personil ICU wajib membuat program weaning, rencana perawatan, serta pemantauan secara berkala.

Dalam materi kali ini akan dibahas proses pemantauan pasien dengan ventilasi mekanik, untuk materi weaning dan perawatan akan dalam materi terpisah.

Respon yang diharapkan dari pemasangan ventilasi mekanik:

  1. Pola nafas menjadi normal
  2. Saturasi O2 meningkat
  3. Tingkat GCS optimal
  4. Penggunaan otot bantu pernafasan menurun.

Sumber pemantauan pasien didapat dari:

  1. Fitur pemantauan internal mesin ventilasi mekanik
  2. Hasil lab Analisa Gas Darah

Apa yang perlu di pantau pada pasien dengan ventilasi mekanik?

  1. Tanta tanda vital terutama respiration rate pasien
  2. Volume tidal yang masuk ke pasien
  3. Pressure yang masuk ke pasien
  4. Kekuatan nafas spontan pasien

Fitur Monitoring ventilasi mekanik

Mesin ventilasi mekanik terkini telah menyediakan daftar pemantauan yang dapat digunakan oleh personil ICU dalam mengambil keputusan terhadap pasien.

[table “15” not found /]
Perbedaan PIP dan Plateau Pressure
Perbedaan plateau pressure dan PIP, sumber: https://doi.org/10.1016/j.cjca.2020.07.011

Daftar Pustaka

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Rayner-Hartley, E., Miller, P. E., Burstein, B., Bibas, L., Goldfarb, M., Rampersad, P., & van Diepen, S. (2020). The Basics of ARDS Mechanical Ventilatory Care for Cardiovascular Specialists. Canadian Journal of Cardiology, 36(10), 1675–1679. https://doi.org/10.1016/j.cjca.2020.07.011


Ns. Ari Wahyuningsih,S.Kep

Perawat di RS dr. Suyoto Kemhan

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