KEEFEKTIFAN VENTILASI MEKANIK (INTUBASI) DALAM PENATALAKSANAAN KEGAWATDARURATAN RESPIRASI PADA PASIEN GAGAL NAPAS AKUT

Abstract

Respiratory Failure is defi ned as respiratory system inability to compensate oxygenation, ventilation and metabolic needs of the patient. In respiratory distress patient who needs intubation and sedation, it is highly related with the incidence of Ventilator Associated Pneumonia (VAP) and would increases the number of morbidity and mortality. Recently, mecanic ventilator is one of alternative option for respiratory failure. The purpose of this study is to evaluate the effectiveness of mecanic ventilator and specify proportion on respiratory failure patients in ICU. Objective: This research is to knowing association between duration of mechanical ventilator use with mortality in ICU can help reducing the factors that cause patient’s mortality in ICU. Methods: This research was done prospectively with randomized controlled trial parallel design. Randomization was performed by permutation block. The sample was 30 adult patients. Samples were recorded by clinical respiration changes, haemodynamic stability, and blood gas analysis. Each data will be analyzed by T test. For data proportion, it will be underwent chi-square test. Results: From the demographic data, no statistically significant differences (p>0.05) were found among respondents with intubation. The analysis results show that most patients who will receive intubation treatment have a rapid breathing frequency. For the intubation treatment, a p-value of 0.01>0.05 was obtained, meaning there is a significant relationship between the P/F ratio and pCO2 levels and respiratory rate in patients with respiratory failure who underwent intubation. However, clinically there is. From the statistical test, a p-value of 0.09 was obtained, which is greater than 0.05, meaning there is no significant relationship between the P/F ratio and pCO2 levels and respiratory rate in patients with respiratory failure who underwent intubation. The use of intubation in patients with respiratory failure within the first 3 hour is more effective in improving clinical respiratory status, pCO2 levels, and the P/F ratio.