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Prevalens dan prediktor keberhasilan ekstubasi pada bayi di Nicu RSCM = Prevalence and predictors of successful extubation in infants at Nicu Cipto Mangunkusumo Hospital

Suraiyah; Kaban, Risma Kerina, examiner; Rinawati Rohsiswatmo, supervisor ([Publisher not identified] , 2015)

 Abstrak

[ABSTRAK
Latar belakang: Ventilasi mekanik (VM) adalah prosedur yang dipilih untuk
menyelamatkan bayi dalam kondisi kritis, tetapi merupakan tindakan invasif dan
perlu pemantauan ketat untuk menghindari barotrauma dan volutrauma.
Ekstubasi merupakan upaya untuk penyapihan VM.
Tujuan: Mengetahui berapa prevalens keberhasilan ekstubasi dan prediktor apa
yang berperan dalam keberhasilan ekstubasi pada bayi di NICU RSCM.
Metode: Rancangan penelitian ini merupakan penelitian observasional analitik
dengan desain potong lintang. Pengumpulan data dilakukan secara retrospektif
dengan menggunakan data RM yang lengkap untuk melihat prediktor keberhasilan
ekstubasi.
Hasil: Dari 60 RM yang dikumpukan, diperoleh data bayi yang berhasil
diekstubasi dan data dicatat tanda vital 72 jam kemudian didapatkan 55 (91,7%)
bayi yang berhasil diekstubasi dan 5 (8,3%) bayi tidak berhasil. Karakteristik
subyek penelitian adalah semua bayi yang dirawat di NICU, dengan UG antara 22
- 41 minggu dan BL berkisar antara 820 g sd 4100 g. Pada bayi yang diekstubasi
dengan merujuk pada hasil AGD, tidak berbeda bermakna antara keberhasilan
ekstubasi dengan normal tidaknya nilai AGD. Lama pemakaian VM berkisar
antara 1- 30 hari. Prediktor ekstubasi yang diteliti adalah setting VM meliputi
FiO2, PIP, flow trigger, IT, napas spontan, dan hasil AGD. Pengolahan data
dengan regresi logistik terbukti diantara semua prediktor ekstubasi, hanya FiO2
saja yang bermakna dengan p value 0.057 dan OR 0.76.
Simpulan: Prevalens keberhasilan ekstubasi adalah 91.7%. Hasil penelitian
menunjukkaan bahwa hanya rendahnya setting FiO2 yang terbukti secara statistik
sebagai prediktor keberhasilan ekstubasi.

ABSTRACT
Background: Mechanical ventilation (VM) is a procedure which is chosen to
save the baby in critical condition, bu it is an invasive procedure and need close
monitoring to avoid barotrauma and volutrauma. Extubation was an attempt to
weaning VM.
Objective: To determine prevalence and predictors of successful extubation in
infants in the NICU RSCM.
Methods: The study was design observational analytic research with cross
sectional design. Data collected by retrospectively using complete medical record
(MR) data to decided prevalence and predictors of successful extubation.
Results: Of the 60 MR was collected, the data obtained were successfully
extubated infants and data recorded vital signs 72 hours later obtained 55 (91.7%)
infants were successfully extubated and 5 (8.3%) infants did not succees.
Characteristics of the study subjects were all babies admitted to the NICU,
with GA between 22-41 weeks and BW ranged from 820 g up to 4100 g. Refer
to the results of blood gas analysis (BGA) normal or not was not significantly
different between succesful extubated. Long of used MV ranging between 1 to
30 days. Predictors of extubation were studied were MV settings include FiO2,
PIP, flow trigger, IT, spontaneous breath, and the results of BGA. Processing of
data by logistic regresion among all predictors extubation, only setting FiO2 are
significant with p value 0.057 and OR 0.76.
Conclusion: Prevalence successful extubation is 91.7%. Research results that
only the low setting FiO2 statistically proven as a predictor of extubation, Background: Mechanical ventilation (VM) is a procedure which is chosen to
save the baby in critical condition, bu it is an invasive procedure and need close
monitoring to avoid barotrauma and volutrauma. Extubation was an attempt to
weaning VM.
Objective: To determine prevalence and predictors of successful extubation in
infants in the NICU RSCM.
Methods: The study was design observational analytic research with cross
sectional design. Data collected by retrospectively using complete medical record
(MR) data to decided prevalence and predictors of successful extubation.
Results: Of the 60 MR was collected, the data obtained were successfully
extubated infants and data recorded vital signs 72 hours later obtained 55 (91.7%)
infants were successfully extubated and 5 (8.3%) infants did not succees.
Characteristics of the study subjects were all babies admitted to the NICU,
with GA between 22-41 weeks and BW ranged from 820 g up to 4100 g. Refer
to the results of blood gas analysis (BGA) normal or not was not significantly
different between succesful extubated. Long of used MV ranging between 1 to
30 days. Predictors of extubation were studied were MV settings include FiO2,
PIP, flow trigger, IT, spontaneous breath, and the results of BGA. Processing of
data by logistic regresion among all predictors extubation, only setting FiO2 are
significant with p value 0.057 and OR 0.76.
Conclusion: Prevalence successful extubation is 91.7%. Research results that
only the low setting FiO2 statistically proven as a predictor of extubation]

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No. Panggil : T-Pdf
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Entri tambahan-Nama badan :
Subjek :
Penerbitan : [Place of publication not identified]: [Publisher not identified], 2015
Program Studi :
Bahasa : ind
Sumber Pengatalogan : LibUI ind rda
Tipe Konten : text
Tipe Media : computer
Tipe Carrier : online resource
Deskripsi Fisik : xvi, 65 pages : illustration ; 28 cm + lamp.
Naskah Ringkas :
Lembaga Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 3
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