Prediktor Keberhasilan Ekstubasi pada Bayi dan Anak

Deddy Satriya Putra

Sari


Indikasi primer untuk melakukan ekstubasi adalah penyembuhan proses primer yang
membutuhkan pipa endotrakeal ( ETT ). Faktor – faktor yang mempengaruhi keberhasilan
ekstubasi seperti stabilitas paru, kardiovaskular, sistim saraf pusat dan metabolik. Sejumlah
pengukuran seperti kadar oksigen, lamanya pemakaian ventilasi, setting ventilasi, termasuk
tekanan tahanan nafas, rasio frekuensi nafas dengan volume tidal (RSBI = rapid swallow breathing
index) dan indeks CROP (compliance, rate, oxygenation and pressure ), dapat dipakai untuk
memprediksi keberhasilan ekstubasi pada anak. Hal lain yang mempengaruhi keberhasilan
ekstubasi adalah faktor teknik atau nonfisiologi yang terdiri dari persiapan ekstubasi, teknik
ekstubasi dan monitoring setelah ekstubasi. Berbagai prediktor yang digunakan untuk
memprediksi keberhasilan ekstubasi tidak menjamin seluruh keberhasilan ekstubasi. Akurasi
dari prediktor ekstubasi sulit diprediksi karena banyak faktor yang menentukan kemampuan
pasien untuk bernafas secara spontan, sehingga diperlukan keterampilan dan ketelitian seorang
dokter dalam melakukan ekstubasi agar berhasil dengan baik.


Kata Kunci


ekstubasi, pipa endotrakeal, rapid swallow breathing index; compliance rate oxygenation and pressure

Teks Lengkap:

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Referensi


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DOI: http://dx.doi.org/10.14238/sp5.3.2003.117-21

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