Closed Suction System terhadap Saturasi Pasca Operasi Jantung Bawaan (PJB) pada Anak
Abstract
This study aims to identify the effect of a closed suction system on oxygen saturation in post-cardiovascular (CHD) patients. The method used is the electronic database literature search ScienceDirect, Clinical Key, Pro quest, EBSCO and Scopus by reviewing the results of previous studies in published articles using the keywords Pediatric AND Endotracheal Closed suction system AND saturation. The results of the analysis obtained the following themes: (1) desaturation; (2) pain; (3) cardiovascular instability; (4) saline instillation. In conclusion, the use of the open suction system method showed a decrease in SPO2 and an increase in Heart Rate (HR) and Mean Arterial Pressure (MAP) compared to the closed suction system method so that a closed suction system can be recommended in patients after congenital heart surgery (CHD).
Keywords: Children, Closed Suction System, PJB, Saturation
References
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Edwards, E. (2018). Principles of Suctioning in Infants, Children and Young People. Nursing Children and Young People, 30(4), 46–54. https://doi.org/10.7748/ncyp.2018.e846
Fatollahzade, M., Parvizi, S., Kashaki, M., Haghani, H., & Alinejad-Naeini, M. (2020). The Effect of Gentle Human Touch during Endotracheal Suctioning on Procedural Pain Response in Preterm Infant Admitted to Neonatal Intensive Care Units: A Randomized Controlled Crossover Study. Journal of Maternal-Fetal and Neonatal Medicine, 1–7. https://doi.org/10.1080/14767058.2020.1755649
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Schults, J. A., Long, D. A., Mitchell, M. L., Cooke, M., Gibbons, K., Pearson, K., & Schibler, A. (2020). Adverse Events and Practice Variability Associated with Paediatric Endotracheal Suction: An Observational Study. Australian Critical Care, 33(4), 350–357. https://doi.org/10.1016/j.aucc.2019.08.002
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Seyedhejazi, M., Sheikhzade, D., Sharabiani, B. A., Abri, R., & Sadeghian, M. (2019). Evaluating the Effects of Post-Intubation Endotracheal Suctioning before Surgery on Respiratory Parameters in Children with Airway Secretion. Anesthesiology and Pain Medicine, 9(3). https://doi.org/10.5812/aapm.86486
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Thabet, A. M., & Sayet, A. Z. (2019). Effectiveness of Suctioning Methods on Cardiorespiratory Parameters among Critically Ill Children Undergoing Mechanical Ventilation. International Journal of Novel Research in Healthcare and Nursing, 6(2), 1783-1792. https://www.researchgate.net/publication/342515727_Effectiveness_of_Suctioning_Methods_on_Cardiorespiratory_Parameters_among_Critically_ill_Children_Undergoing_Mechanical_Ventilation
Utario, Y., Rustina, Y., & Waluyanti, F. T. (2017). The Quarter Prone Position Increases Oxygen Saturation in Premature Infants Using Continuous Positive Airway Pressure. Comprehensive Child and Adolescent Nursing, 40(1), 95–101. https://doi.org/10.1080/24694193.2017.1386976
Brown, K. L., Pagel, C., Ridout, D., Wray, J., Tsang, V. T., Anderson, D., Banks, V., Barron, D. J., Cassidy, J., Chigaru, L., Davis, P., Franklin, R., Grieco, L., Hoskote, A., Hudson, E., Jones, A., Kakat, S., Lakhani, R., Lakhanpaul, M., McLean, A., Morris, S., Rajagopal, V., Rodrigues, W., Sheehan, K., Stoica, S., Tibby, S., Utley, M., & Witter, T. (2020). Early Morbidities Following Paediatric Cardiac Surgery: A Mixed-Methods Study. Health Services and Delivery Research, 8(30), 1–192. https://doi.org/10.3310/hsdr08300
Chegondi, M., Francis, T., Lin, W. C., Naqvi, S., Raszynski, A., & Totapally, B. R. (2018). Effects of Closed Endotracheal Suctioning on Systemic and Cerebral Oxygenation and Hemodynamics in Children. Pediatric Critical Care Medicine, 19(1), 23–30. https://doi.org/10.1097/PCC.0000000000001377
Edwards, E. (2018). Principles of Suctioning in Infants, Children and Young People. Nursing Children and Young People, 30(4), 46–54. https://doi.org/10.7748/ncyp.2018.e846
Fatollahzade, M., Parvizi, S., Kashaki, M., Haghani, H., & Alinejad-Naeini, M. (2020). The Effect of Gentle Human Touch during Endotracheal Suctioning on Procedural Pain Response in Preterm Infant Admitted to Neonatal Intensive Care Units: A Randomized Controlled Crossover Study. Journal of Maternal-Fetal and Neonatal Medicine, 1–7. https://doi.org/10.1080/14767058.2020.1755649
Lema-Zuluaga, G. L., Fernandez-Laverde, M., Correa-Varela, A. M., & Zuleta-Tobón, J. J. (2018). As-Needed Endotracheal Suctioning Protocol Vs A Routine Endotracheal Suctioning in Pediatric Intensive Care Unit: A Randomized Controlled Trial. Colombia Medica, 49(2), 148–153. https://doi.org/10.25100/cm.v49i2.2273
Li, Y., Li, X., Wen, Z., Zhang, X., Liu, Y., & Wei, L. (2021). Effect of Open Versus Closed Endotracheal Suctioning on Intracranial Pressure in Severe Brainâ€Injured Children: Study Protocol for a Randomized Controlled Trial. Nursing Open, 1–6. https://doi.org/10.1002/nop2.656
Manopo, B. R., Kaunang, E. D., & Umboh, A. (2018). Gambaran Penyakit Jantung Bawaan di Neonatal Intensive Care Unit. E-Clinic (ECl), 6(2), 87–93. https://doi.org/10.35790/ecl.6.2.2018.22124
McKinley, D. F., Kinney, S. B., Copnell, B., & Shann, F. (2018). Long-Term Effects of Saline Instilled during Endotracheal Suction in Pediatric Intensive Care: A Randomized Trial. American Journal of Critical Care, 27(6), 486–494. https://doi.org/10.4037/ajcc2018615
Mengar, R. S., & Dani, P. (2018). A Comparative Study to Assess the Effectiveness of Open Tracheal Suction System and Closed Tracheal Suction System on Physiological Parameters. International Journal of Nursing Education, 10(4), 109. https://doi.org/10.5958/0974-9357.2018.00114.9
Schults, J. A., Long, D. A., Mitchell, M. L., Cooke, M., Gibbons, K., Pearson, K., & Schibler, A. (2020). Adverse Events and Practice Variability Associated with Paediatric Endotracheal Suction: An Observational Study. Australian Critical Care, 33(4), 350–357. https://doi.org/10.1016/j.aucc.2019.08.002
Schults, J. A., Mitchell, M. L., Cooke, M., Long, D. A., Ferguson, A., & Morrow, B. (2020). Endotracheal Suction Interventions in Mechanically Ventilated Children: An Integrative Review to Inform Evidence-Based Practice. Australian Critical Care, 34(1), 92-102. https://doi.org/10.1016/j.aucc.2020.05.003
Seyedhejazi, M., Sheikhzade, D., Sharabiani, B. A., Abri, R., & Sadeghian, M. (2019). Evaluating the Effects of Post-Intubation Endotracheal Suctioning before Surgery on Respiratory Parameters in Children with Airway Secretion. Anesthesiology and Pain Medicine, 9(3). https://doi.org/10.5812/aapm.86486
Supriatin, E., & Oktaviani, M. (2019). The Life Experience of Family as Caregiver in Child with Cancer. KnE Life Sciences, 155–161. https://doi.org/10.18502/kls.v4i13.5236
Thabet, A. M., & Sayet, A. Z. (2019). Effectiveness of Suctioning Methods on Cardiorespiratory Parameters among Critically Ill Children Undergoing Mechanical Ventilation. International Journal of Novel Research in Healthcare and Nursing, 6(2), 1783-1792. https://www.researchgate.net/publication/342515727_Effectiveness_of_Suctioning_Methods_on_Cardiorespiratory_Parameters_among_Critically_ill_Children_Undergoing_Mechanical_Ventilation
Utario, Y., Rustina, Y., & Waluyanti, F. T. (2017). The Quarter Prone Position Increases Oxygen Saturation in Premature Infants Using Continuous Positive Airway Pressure. Comprehensive Child and Adolescent Nursing, 40(1), 95–101. https://doi.org/10.1080/24694193.2017.1386976
