THERAPEUTIC MANAGEMENT FOR PREVENTING REINTUBATION IN INTENSIVE CARE UNIT Yolanda Sri Bhunga (a), Iwan Purnawan (b), Ridlwan Kamaluddin (c)
a) Faculty of health science, University Jenderal Soedirman, Purwokerto, Indonesia
b) Faculty of health science, University Jenderal Soedirman, Purwokerto, Indonesia
c) Faculty of health science, University Jenderal Soedirman, Purwokerto, Indonesia
Abstract
Introduction: The success rate of removing mechanical ventilators in some hospitals in Indonesia is still low, so there are frequent reintubations. The condition is influenced by many factors, one of which is cough, which can be controlled with therapy, but there is no article discussing the set of therapies to increase cough in patients who are in the intensive care unit. Aim: Know the therapeutic management that increases the ability to cough so that the incidence of reintubation decreases. Methods: The research used a systematic review design using four databases: PubMed, Springer, Wiley Online Library, and Google Scholar. The last 5 years of English-language articles were selected using PRISMA and evaluated using the Joanna Briggs Institute (JBI). Result study: Six of the 710 articles met the criteria. The results of the analysis showed a combination of chest physiotherapy, abdominal muscle load training, reduction of suction, and optional interventions significantly reduced the duration of mechanical ventilator use, the length of treatment in the ICU, and the incidence of reintubation. Conclusion: Therapeutic management is known to be effective in reducing the incidence of reintubation in patients undergoing mechanical ventilator drainage in intensive care rooms.
Keywords: Extubation- nursing intervention- mechanical ventilator- intensive care
