The Implementation of Inspiratory Muscle Training to Enhance Weaning from Mechanical Ventilation: A Systematic Literature Review

Priambodo, Anton; Mediani, Henny Suzana; Emaliyawati, Etika

doi:10.55048/jpns.v1i1.3

Cited by 2 publications

(2 citation statements)

References 11 publications

(17 reference statements)

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“…It is important to address all of the modifiable risk factors, one of which is endotracheal and tracheostomy suctioning through SSD equipment [ 4 ]. It is also necessary to pay attention to the observation of the cuff pressure because low cuff pressure allows bacteria to enter the body [ 36 , 43 , 44 ]. Strengthening nurses through regular training needs to be done to improve knowledge, attitude, skills, and practice levels.…”

Section: Discussionmentioning

confidence: 99%

RETRACTED: Efficacy of Intermittent and Continuous Subglottic Secretion Drainage in Preventing the Risk of Ventilator-Associated Pneumonia: A Meta-Analysis of Randomized Control Trials

et al. 2023

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Ventilator-associated pneumonia (VAP) is hospital-acquired pneumonia that develops 48 h or longer following mechanical ventilation. However, cuff pressure fluctuates significantly due to patient or tube movement, which might result in microaspiration. Subglottic secretion drainage (SSD) has been suggested as a method for VAP prevention bundles. This systematic review and meta-analysis aims to investigate the efficacy and safety of subglottic SSD in preventing VAP. The secondary outcomes of this study are to investigate the intensive care unit (ICU) stay length and mortality rate regarding VAP. This study followed the Preferred Reporting Item for Systematic Review and Meta-Analysis guidelines. A thorough search of PubMed, Embase, and the Web of Science was conducted between June and August 2022. The study analysis used the Mantel–Haenszel method, and the quality of the included study was assessed using the Cochrane Risk of Bias 2. Eighteen randomized controlled trials with a total of 2537 intubated patients were included. It was found that SSD was associated with a lower risk of VAP (RR 1.44; 95% CI; 1.20–1.73; p < 0.0001). The subgroup analysis (utilizing intermittent and continuous methods) found no statistically significant difference between the two groups (p = 0.28). The secondary endpoints showed that there was no significant difference in mortality (RR 1.02; 95% CI; 0.87–1.20; p = 0.83), but there were substantial differences in ICU stays (mean difference, 3.42 days; 95% CI; 2.07–4.76; p < 0.00001) in favor of the SSD group. This was based on a very low certainty of evidence due to concerns linked to the risk of bias and inconsistency. The use of SSD was associated with a reduction in VAP incidence and ICU stay length, but there was no significant difference in the mortality rate.

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Section: Discussionmentioning

confidence: 99%

RETRACTED: Efficacy of Intermittent and Continuous Subglottic Secretion Drainage in Preventing the Risk of Ventilator-Associated Pneumonia: A Meta-Analysis of Randomized Control Trials

et al. 2023

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“…Relaksasi otot pernafasan memberikan pengaruh kepada penyapihan ventilator. Persepsi upaya inspirasi dan dorongan pernapasan tidak proporsional dengan kekuatan otot inspirasi dan dapat membantu menjelaskan mengapa peningkatan MIP (Maximal Inspiration Pressure) (Priambodo et al, 2022).…”

Section: Pre Postunclassified

Terapi Relaksasi Benson Untuk Menurunkan Rasa Nyeri Pada Pasien Fraktur Femur Sinistra: Studi Kasus

Permatasari¹,

Sari²

2022

j.keperawatan.merdeka

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Latar Belakang: Fraktur atau biasa yang disebut patah tulang, biasanya disebabkan karena trauma. Menurut Badan Kesehatan Dunia World Health Organization (WHO) pada tahun 2020 mencatat peristiwa fraktur yang meningkat, tercatat kejadian fraktur kurang lebih 13 juta orang dengan angka prevalensi sebesar 2,7%. Fraktur dapat menyebabkan banyak masalah jika tidak segera ditangani salah satunya rasa nyeri yang mengganggu. Teknik relaksasi Benson merupakan pengalihan rasa nyeri pasien dengan lingkungan yang tenang dan badan yang rileks. Tujuan: mengetahui apakah ada penurunan skala nyeri dengan Teknik Relaksasi Benson pada pasien fraktur. Metode: Desain penelitian yang digunakan pada penelitian ini adalah metode penelitian deskriptif studi kasus dan pengambilan sampel pasien dengan fraktur di ruang VI Rumah Sakit Bethesda Yogyakarta tahun 2022. Hasil: setelah dilakukan intervensi didapatkan hasil terdapat penurunan skala nyeri dengan Teknik Relaksasi Benson pada pasien fraktur femur dari nyeri skala 10 menjadi nyeri skala 4. Kesimpulan: Terdapat penurunan skala nyeri dengan Teknik Relaksasi Benson pada pasien fraktur tahun 2022, pasien lebih rileks dan nyaman, pasien juga dapat melakukan Teknik Relaksasi Benson secara mandiri.

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The Implementation of Inspiratory Muscle Training to Enhance Weaning from Mechanical Ventilation: A Systematic Literature Review

Cited by 2 publications

References 11 publications

RETRACTED: Efficacy of Intermittent and Continuous Subglottic Secretion Drainage in Preventing the Risk of Ventilator-Associated Pneumonia: A Meta-Analysis of Randomized Control Trials

RETRACTED: Efficacy of Intermittent and Continuous Subglottic Secretion Drainage in Preventing the Risk of Ventilator-Associated Pneumonia: A Meta-Analysis of Randomized Control Trials

Terapi Relaksasi Benson Untuk Menurunkan Rasa Nyeri Pada Pasien Fraktur Femur Sinistra: Studi Kasus

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