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"Latar Belakang: Anak sakit kritis berisiko mengalami kelebihan cairan akibat terapi cairan inadekuat. Venous excess ultrasound (VExUS), suatu point of care ultrasound (POCUS), dapat digunakan pada kongesti sistemik akibat kelebihan cairan. Terdapat 5 kelas skor VExUS yaitu VExUS A, B, C, D, dan E. Kelebihan cairan pada organ paru dievaluasi dengan lung ultrasound (LUS). Kelebihan cairan sering dihubungkan dengan balans cairan positif. Tujuan: Mengetahui korelasi antara balans cairan positif dengan skor VExUS dan LUS. Metode: Penelitian potong lintang melibatkan anak sakit kritis berusia 1 bulan hingga 18 tahun, mengalami balans cairan positif pada perawatan 24 jam pertama di PICU RSUPN Dr. Cipto Mangunkusumo selama November hingga Desember 2024. Analisis korelasi dilakukan terhadap skor VExUS dan LUS dengan balans cairan positif serta tanda klinis. Hasil: Pada 40 anak sakit kritis, tidak terbukti ada korelasi antara skor VExUS dan LUS dengan balans cairan positif. Hasil tambahan penelitian menunjukkan korelasi antara VExUS A dengan ronki (r=0,367, p=0,020), VExUS B dengan ronki (r=0,367, p=0,020), dan VExUS D dengan edema (r = 0,328, p = 0,039). Simpulan: Skor VExUS dan LUS tidak terbukti berkorelasi dengan balans cairan positif. VExUS A, B, dan D berkorelasi dengan ronki dan edema pada anak sakit kritis dengan kelebihan cairan.

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Background: Critically ill children were at risk of fluid overload due to inadequate fluid therapy. Venous excess ultrasound (VExUS), a point of care ultrasound (POCUS), was used in systemic congestion due to fluid overload. There were 5 classes of VExUS scoring system (VExUS A, B, C, D, and E). Fluid overload in lung can be evaluated by lung ultrasound (LUS). Fluid overload was also referred to positive fluid balance. Objective: To obtain correlation between positive fluid balance with VExUS and LUS score. Methods: Cross section study on critically ill children aged 1 month to 18 years old, with positive fluid balance during first 24 hour admission to PICU RSUPN Dr. Cipto Mangunkusumo, in November to December 2024. Correlation analysis were done between VExUS and LUS score, as well as the clinical signs. Results: Among 40 critically ill children, there were no correlation between VExUS and LUS score with positive fluid balance. Positive correlations were obtained between VExUS A with ronchi (r=0.367, p=0.020), VExUS B with ronchi (r=0.367, p=0.020), VExUS D with edema (r = 0.347, p = 0.028). Conclusion: VExUS and LUS score was not correlated with positive fluid balance. VExUS A, B, dan D scoring system were correlated with ronchi and edema in critically ill children with fluid overload. "

"Anak dengan kondisi penyakit kritis yang bertahan di ruang Pediatric Intensive Care Unit (PICU) berisiko mengalami immobilitas karena kondisi penyakit dan penggunaan alat bantu napas yang cukup lama. Mobilisasi dini merupakan salah satu cara yang efektif dan aman untuk mengurangi komplikasi akibat immobilisasi yang lama. Tujuan studi kasus ini adalah untuk memberikan gambaran asuhan keperawatan berdasarkan Model Konservasi Levine pada anak yang mengalami gangguan mobilitas fisik. Model konservasi Levine digambarkan pada 5 kasus pasien anak. Pengkajian dilakukan berdasarkan 4 jenis konservasi Levine yaitu konservasi energi, integritas struktural, personal dan sosial. Tropikognosis, hipotesis dan intervensi ditujukan untuk mencapai adaptasi serta membuat pasien mencapai keutuhan dalam menjalani proses perawatan di rumah sakit. Model Konservasi Levine direkomendasikan dalam memberikan asuhan keperawatan pada anak dengan gangguan mobilitas fisik.

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Children with critical illness condition who survive in Pediatric Intensive Care Unit (PICU) are at risk of immobility due to the disease condition and the use of long breathing aids. Early mobilization is an effective and safe way to reduce complication due to prolonged immobilization. The purpose of this case study is to provide an overview of the application of Levine Conservation Model in children who are at risk of physical mobility barriers and the development of an early mobilization protocol at PICU. Levine Conservation Model was described in five cases of pediatric patients. The assesment is base on four types of Levine conservation there are energy conservation, structural integrity, personal and social. Tropicognosis, hypotheses and interventions are aimed at achieving adaptation and making patients achieve integrity in undergoing the hospital treatment process. Levine conservation model is recommended in providing nursing care to children with risk of impaired physical mobility. "