Case Study: Nursing Care for a Post-Craniotomy Patient with an Endotracheal Tube (ETT) for the Nursing Diagnosis of Ventilator Weaning Difficulty, Including Chest Physical Therapy and Deep Suction in the ICU at Cempaka Putih Islamic Hospital
DOI:
https://doi.org/10.56359/igj.v5i3.1098Keywords:
Deep Suction, Chest Physical Therapy, Ventilator Weaning Complications, Post-CraniotomyAbstract
Background & Objective: Patients after craniotomy often require mechanical ventilation through the insertion of an endotracheal tube (ETT). This condition carries the risk of ventilator weaning disorders due to secretions buildup, decreased cough reflex, and respiratory muscle weakness. To implement nursing interventions in the form of chest physiotherapy and deep suction in an effort to maintain airway patency and support successful ventilator weaning.
Method: Describing nursing care for patients with ventilator weaning disorders through chest physiotherapy and deep suction interventions. This case study uses a descriptive case study with a nursing care approach to post craniotomy patients who use endotracheal tubes (ETT) and experience problems in the ventilator weaning process in the ICU of Cempaka Putih Islamic Hospital. The method used in this study is a combination of chest physiotherapy and deep suction twice a day for 3 consecutive days. The desired outcome of the intervention was weaning from the ventilator and additional criteria, namely ventilator assistance synchronization, use of accessory breathing muscles, shallow breathing, respiratory rate, breathing effort, SpO², rales, sputum production, and RR.
Results: After intervention, oxygen saturation increased from 96% to 100% and was maintained, sputum production decreased from 410 cc to 100 cc, and rales disappeared. CRT parameters also showed improvement from 4 seconds to 2 seconds.
Conclusion: The combination of chest physiotherapy and deep suction interventions was effective in increasing oxygen saturation, reducing secretion production, and improving respiratory parameters in post-craniotomy patients with ventilator weaning disorders.
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