Manajemen Pertukaran Gas pada Pasien Post CARDS (COVID-19 Acute Respiratory Distress Syndrome) yang Terpasang Ventilasi Mekanik
Abstract
This study aims to describe the effectiveness of prone intervention in cases of post-CARDS/COVID-19 Acute Respiratory Distress Syndrome who are mechanically ventilated. This type of research is research with a case study approach. The results showed that after the intervention was given in the prone position in patients with post CARDS/Covid-19 Acute Respiratory Distress Syndrome who had mechanical ventilation installed, there was an increase in oxygen saturation values and also to prevent secondary injuries that could worsen the condition of the lungs and other organs. In conclusion, prone position performed as early as possible will be better and provide a significant improvement effect on the respiratory system.
Keywords: ARDS, CARDS, COVID-19, Gas Exchange Disorders, Prone
References
Alshogran, O. Y., Altawalbeh, S. M., Al-Azzam, S. I., & Karasneh, R. (2021). NC-ND License Cross-Sectional Study Predictors of COVID-19 Case Fatality Rate: An Ecological Study. Annals of Medicine and Surgery, 65, 102319. https://doi.org/10.1016/j.amsu.2021.102319
Chandra, A., Chakraborty, U., Pal, J., & Karmakar, P. (2020). Silent Hypoxia: A Frequently Overlooked Clinical Entity in Patients with COVID-19. BMJ Case Reports CP, 13(9), e237207. https://doi.org/10.1136/BCR-2020-237207
Fanelli, V., Vlachou, A., Ghannadian, S., Simonetti, U., Slutsky, A. S., & Zhang, H. (2018). Acute Respiratory Distress Syndrome: New Definition, Current and Future Therapeutic Options. Journal of Thoracic Disease, 5(3), 326. https://doi.org/10.3978/J.ISSN.2072-1439.2013.04.05
Fatoni, A. Z., & Rakhmatullah, R. (2021). Acute Respiratory Distress Syndrome (ARDS) pada Pneumonia COVID-19. Journal of Anaesthesia and Pain, 2(1), 11-24. http://dx.doi.org/10.21776/ub.jap.2021.002.01.02
Gibson, P. G., Qin, L., & Puah, S. H. (2020). COVIDâ€19 Acute Respiratory Distress Syndrome (ARDS): Clinical Features and Differences from Typical Preâ€COVIDâ€19 ARDS. Med J Aust, 213(2), 54-56. https://doi.org/10.5694/mja2.50674
Grasselli, G., Tonetti, T., Protti, A., Langer, T., Girardis, M., Bellani, G., Laffey, J., Carrafiello, G., Carsana, L., Rizzuto, C., Zanella, A., Scaravilli, V., Pizzilli, G., Grieco, D. L., Di Meglio, L., de Pascale, G., Lanza, E., Monteduro, F., Zompatori, M., & Seccafico, C. (2020). Pathophysiology of COVID-19-Associated Acute Respiratory Distress Syndrome: A Multicentre Prospective Observational Study. The Lancet. Respiratory Medicine, 8(12), 1201. https://doi.org/10.1016/S2213-2600(20)30370-2
Greenhalgh, T., Knight, M., A’Court, C., Buxton, M., & Husain, L. (2020). Management of Post-Acute COVID-19 in Primary Care. The BMJ, 370. https://doi.org/10.1136/bmj.m3026
Kaunang, J. H. (2021). Efek Posisi Prone Pada Pernapasan Pasien Covid-19 yang Mengalami ARDS Berat: Serial Kasus. Universitas Indonesia. https://perpustakaan.fk.ui.ac.id/opac/index.php?p=show_detail
Leviner, S. (2021). Recognizing the Clinical Sequelae of COVID-19 in Adults: COVID-19 Long-Haulers. Journal Nurse Practice, 17(8), 946-949. https://doi.org/10.1016/j.nurpra.2021.05.003
Montanaro, J. (2021). Using In Situ Simulation to Develop a Prone Positioning Protocol for Patients with ARDS. Critical Care Nurse, 41(1), 12–24. https://doi.org/10.4037/CCN2020830
Ojo, A. S., Balogun, S. A., Williams, O. T., & Ojo, O. S. (2020). Predictive Factors and Risk Reduction Strategies. Pulmonary Medice, 10, 6175964. https://doi.org/10.1155/2020/6175964
Roche-Campo, F., Aguirre-Bermeo, H., & Mancebo, J. (2018). Prone Positioning in Acute Respiratory Distress Syndrome (ARDS): When and How? Presse Medicale, 40(12 PART 2). https://doi.org/10.1016/J.LPM.2011.03.019
Saloner, B., Parish, K., Julie Ward, M. A., Grace DiLaura, R., & Sharon Dolovich, J. (2020). Persistent Symptoms in Patients After Acute COVID-19. JAMA, 324(6), 603–605. https://doi.org/10.1001/JAMA.2020.12603
Shang, Y., Pan, C., Yang, X., Zhong, M., Shang, X., Wu, Z., Yu, Z., Zhang, W., Zhong, Q., Zheng, X., Sang, L., Jiang, L., Zhang, J., Xiong, W., Liu, J., & Chen, D. (2020). Management of Critically Ill Patients with COVID-19 in ICU: Statement from Front-Line Intensive Care Experts in Wuhan, China. Annals of Intensive Care, 10(1). https://doi.org/10.1186/S13613-020-00689-1
Wilkerson, R. G., Adler, J. D., Shah, N. G., & Brown, R. (2020). Silent Hypoxia: A Harbinger of Clinical Deterioration in Patients with COVID-19. American Journal of Emergency Medicine, 38(10), 2243.e5-2243.e6. https://doi.org/10.1016/j.ajem.2020.05.04
WHO. (2021). Coronavirus (COVID-19) Dashboard: Overview. https://covid19.who.int
Chandra, A., Chakraborty, U., Pal, J., & Karmakar, P. (2020). Silent Hypoxia: A Frequently Overlooked Clinical Entity in Patients with COVID-19. BMJ Case Reports CP, 13(9), e237207. https://doi.org/10.1136/BCR-2020-237207
Fanelli, V., Vlachou, A., Ghannadian, S., Simonetti, U., Slutsky, A. S., & Zhang, H. (2018). Acute Respiratory Distress Syndrome: New Definition, Current and Future Therapeutic Options. Journal of Thoracic Disease, 5(3), 326. https://doi.org/10.3978/J.ISSN.2072-1439.2013.04.05
Fatoni, A. Z., & Rakhmatullah, R. (2021). Acute Respiratory Distress Syndrome (ARDS) pada Pneumonia COVID-19. Journal of Anaesthesia and Pain, 2(1), 11-24. http://dx.doi.org/10.21776/ub.jap.2021.002.01.02
Gibson, P. G., Qin, L., & Puah, S. H. (2020). COVIDâ€19 Acute Respiratory Distress Syndrome (ARDS): Clinical Features and Differences from Typical Preâ€COVIDâ€19 ARDS. Med J Aust, 213(2), 54-56. https://doi.org/10.5694/mja2.50674
Grasselli, G., Tonetti, T., Protti, A., Langer, T., Girardis, M., Bellani, G., Laffey, J., Carrafiello, G., Carsana, L., Rizzuto, C., Zanella, A., Scaravilli, V., Pizzilli, G., Grieco, D. L., Di Meglio, L., de Pascale, G., Lanza, E., Monteduro, F., Zompatori, M., & Seccafico, C. (2020). Pathophysiology of COVID-19-Associated Acute Respiratory Distress Syndrome: A Multicentre Prospective Observational Study. The Lancet. Respiratory Medicine, 8(12), 1201. https://doi.org/10.1016/S2213-2600(20)30370-2
Greenhalgh, T., Knight, M., A’Court, C., Buxton, M., & Husain, L. (2020). Management of Post-Acute COVID-19 in Primary Care. The BMJ, 370. https://doi.org/10.1136/bmj.m3026
Kaunang, J. H. (2021). Efek Posisi Prone Pada Pernapasan Pasien Covid-19 yang Mengalami ARDS Berat: Serial Kasus. Universitas Indonesia. https://perpustakaan.fk.ui.ac.id/opac/index.php?p=show_detail
Leviner, S. (2021). Recognizing the Clinical Sequelae of COVID-19 in Adults: COVID-19 Long-Haulers. Journal Nurse Practice, 17(8), 946-949. https://doi.org/10.1016/j.nurpra.2021.05.003
Montanaro, J. (2021). Using In Situ Simulation to Develop a Prone Positioning Protocol for Patients with ARDS. Critical Care Nurse, 41(1), 12–24. https://doi.org/10.4037/CCN2020830
Ojo, A. S., Balogun, S. A., Williams, O. T., & Ojo, O. S. (2020). Predictive Factors and Risk Reduction Strategies. Pulmonary Medice, 10, 6175964. https://doi.org/10.1155/2020/6175964
Roche-Campo, F., Aguirre-Bermeo, H., & Mancebo, J. (2018). Prone Positioning in Acute Respiratory Distress Syndrome (ARDS): When and How? Presse Medicale, 40(12 PART 2). https://doi.org/10.1016/J.LPM.2011.03.019
Saloner, B., Parish, K., Julie Ward, M. A., Grace DiLaura, R., & Sharon Dolovich, J. (2020). Persistent Symptoms in Patients After Acute COVID-19. JAMA, 324(6), 603–605. https://doi.org/10.1001/JAMA.2020.12603
Shang, Y., Pan, C., Yang, X., Zhong, M., Shang, X., Wu, Z., Yu, Z., Zhang, W., Zhong, Q., Zheng, X., Sang, L., Jiang, L., Zhang, J., Xiong, W., Liu, J., & Chen, D. (2020). Management of Critically Ill Patients with COVID-19 in ICU: Statement from Front-Line Intensive Care Experts in Wuhan, China. Annals of Intensive Care, 10(1). https://doi.org/10.1186/S13613-020-00689-1
Wilkerson, R. G., Adler, J. D., Shah, N. G., & Brown, R. (2020). Silent Hypoxia: A Harbinger of Clinical Deterioration in Patients with COVID-19. American Journal of Emergency Medicine, 38(10), 2243.e5-2243.e6. https://doi.org/10.1016/j.ajem.2020.05.04
WHO. (2021). Coronavirus (COVID-19) Dashboard: Overview. https://covid19.who.int
Published
2022-05-20
Section
Articles
Copyright (c) 2022 Ida Amalia, Riri Maria, Dewi Irawaty
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
