APPLICATION OF AIRWAY MANAGEMENT IN PATIENTS POST CRANIOTOMY EPIDURAL HEMATOM
Keywords:
Epidural Hematoma, Craniotomy, Airway Management
Abstract
Epidural Hematoma (EDH) is an extra-axial bleeding condition with clinical symptoms that commonly occur after head trauma. The typical symptom in cases of EPD is progressive loss of consciousness. The treatment of choice for EDH cases is to perform a decompressive laminectomy and evaluation of the hematoma using a craniotomy. Craniotomy action makes neurological changes characterized by seizures and changes in breathing patterns. The author's aim is to provide nursing care for post-craniotomy epidural hematoma patients who experience ineffective breathing patterns. The author uses a case study method through a nursing care approach. Action refers to providing airway management. Implementation was carried out for 3 days of treatment. Problems with ineffective breathing patterns related to neurological disorders, head injuries are partially resolved, so longer treatment is needed and collaboration with family and other medical teams is needed
References
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[2] Al-Dorzi, H. M., Alruwaita, A. A., Marae, B. O., Alraddadi, B. S., Tamim, H. M., Ferayan, A., dan Arabi, Y. M. (2017). Incidence, risk factors and outcomes of seizures occurring after craniotomy for primary brain tumor resection. Neurosciences,22 (2), 107-113. doi: 10.17712/nsj.2017.2.2016057
[3] Ansar, et all. (2021). Gambaran Klinis Pasien Epidural Hematoma di RSUD Dr. H. Abdul Moeloek Provinsi Lampung. Jurnal Ilmu Kedokteran dan Kesehatan Vol 8 (1): 302-309
[4] Dananjoyo, K., Tama, W. N., Malueka, R. G., & Asmedi, A. (2019). Nyeri kepala tumor otak pada dewasa. Berkala NeuroSains, 18(2), 94-99.
[5] Fitrianti, Fita., et all. (2022). Manajemen Nyeri Pada Karsinoma Hepatoseluler Stadium Lanjut : Sebuah Studi Kasus. Jurnal Penyakit Dalam Indonesia Vol 9 (1):53-58
[6] Hendellyn, Alvin., Yuliani, Desie., Mahadewa, Tjokorda G.B. (2020). Laporan Kasus: Hematoma Epidural Spinal Spontan. Callosum Neurology Journal 3(1): 37-42. DOI:https://doi.org/10.29342/cnj.v3i1.96
[7] Herrero, S., Carrero, E., Valero, R., Rios, J., dan Fábregas, N. (2017). Postoperative surveillance in neurosurgical patients –usefulness of neurological assessment scores and bispectral index. Brazilian Journal of Anesthesiology, 67(2), 153–165. doi:10.1016/j.bjane.2015.09.003
[8] Husnia, Laode Muh Irsyad. (2020). Hubungan Antara Glasgow Coma Scale Dengan Volume Perdarahan Epidural Hematoma. Skripsi: Universitas Hasanudin Makassar
[9] Insani, Rina Nur Insani. (2021). Intervensi Head Up 300 Terhadap Masalah Peningkatan Tekanan Intracranial Pada Pasien Trauma Brain Injury Post Craniotomy Di Rsud Labuang Baji Makassar. Karya Tulis Ilmiah: Universitas Islam Negeri Alauddin Makassar
[10] Khairat, A., & Waseem, M. (2021). Epidural Hematoma. IN StatPearls. StarPearls Publishing
[11] Kusuma, Arif Hendra., Anggraeni, Atika Dhiah. (2019). Pengaruh Posisi Head UP 30 Derajat Terhadap Nyeri Kepala Pada Pasien Cedera Kepala Ringan. Jurnal Ilmu Keperawatan Dan Kebidanan 10(2).
[12] Manurung, N. (2018). Keperawatan Medikal Bedah Konsep, Mind Mapping dan NANDA NIC NOC. Jakarta: TIM
[13] Musri, & Yudistirawati, N. (2021). Comparison Of Positioning Between Semi-Fowler’s And Left Lateral To Oxygen Saturation In Ventilated Patients: A Quasi-Experimental Study: Comparison Of Positioning Between Semi-Fowler’s And Left Lateral To Oxygen Saturation In Ventilated Patients: A Quasi-Experimental Study . Quality : Jurnal Kesehatan, 15(2), 142–152. https://doi.org/10.36082/qjk.v15i2.403
[14] Muzaki, Ahmad., Ani, Yuli. (2020). Penerapan Posisi Semi fowler Terhadap Ketidakefektifan Pola Nafas Pada Pasein Congestive Heart failure. Nursing Science Journal Vol 1 (1): 19-24
[15] Pratama, RA, BH Laksono, AZ Fatoni. Manajemen Nyeri Akut Pasca-Kraniotomi. Journal of Anaesthesia and Pain. 2020;1(3):28-38. doi:10.21776/ub.jap.2020.001.03.04
[16] Riskesdas 2018. (2018). Hasil Utama Riskesdas Kesehatan. 116- 121. Retrieved http://www.kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274. pdf
[17] Santoso, Mochamad Istiadjid Eddy., Rahayu, Masruroh, Balafif, Fachriy. (2016). Hubungan Respond Time Trepanasi Hematoma Epidural Pada Cedera Kepala Berat Dengan Outcome. MNJ Jorurnal 2(1): 14-18. http://dx.doi.org/10.21776/ub.mnj.2016.002.01.3
[18] Suarjaya, I Putu Pramana., Wargahadibrata, A. Himendra. (2012). Manajemen Perioperatif Epidural Hemoragik Akibat Cedera Otak Traumatik. JNI Journal 1(1): 10-15
[19] Tanriono, Celine., Lalenoh, Diana C., Laihad, Mordekhai L. (2017). Profil Pasien Pasca Kraniotomi di ICU RSUP Prof Dr. R. D.Kandou Mandao Periode Juli 2016 – Juni 2017. E-Clinik Journal 5(2). DOI: https://doi.org/10.35790/ecl.v5i2.18541
[20] Taha, A. S., Omran, E. S., & Mahmoud, E. A. (2021). Effectiveness of Semi-fowler's Position on Hemodynamic Function among Patients with Traumatic Head Injury. Journal of Nursing Science Benha University, 2(1), 89-108.
[21] Komite Penanggulangan Kanker Nasional. (2017). Panduan Penatalaksanaan Tumor Otak. Jakarta : Kementrain Kesehatan Republik Indonesia
[22] Kusuma, Arif Hendra., Anggraeni, Atika Dhiah. (2019). Pengaruh Psosisi Head Up 30 Derajat Terhadap Nyeri Kepala Pada Pasien Cedera Kepala Ringan. Jurnal Ilmu Keperawatan dan Kebidanan Vol 10 (2): 417-422
[23] Muzaki, Ahmad., Ani, Yuli. (2020). Penerapan Posisi Semi fowler Terhadap Ketidakefektifan Pola Nafas Pada Pasein Congestive Heart failure. Nursing Science Journal Vol 1 (1): 19-24
[24] Pangestika, A. (2021). Gangguan Memori pada Pasien Meningioma. Jurnal Syntax Fusion, 1(12), 904-917.
[25] Pertami, Sumirah Budi., Sulastyawati., Anami, Puthut. (2017). Effect of 300 Head-Up Position On Intracranial Pressure Change In Patients With Head Injury In Surgical Ward Of General Hospital of Dr. R. Soedarsono Pasuruan. Public Health of Indonesia Vol 3 (3): 89-95
[26] Pratama, R., Laksono, B., & Fatoni, A. (2020). Manajemen Nyeri Akut Pasca-Kraniotomi. Journal of Anaesthesia and Pain, 1(3), 28-38. doi:http://dx.doi.org/10.21776/ub.jap.2020.001.03.04
[27] Rianawati, SB., Munir, B. (2017). Buku Ajar Neurologi. Jakarta: Sagung Seto
[28] Smeltzer, S.C., & Bare, B.G. (2015). Buku Ajar Asuhan Keperawatan Medikal Bedah Vol 2. Jakarta: EGC
[29] Suhatridjas, S., & Isnayati, I. (2020). Posisi Semi Fowler terhadap Respiratory Rate untuk Menurunkan Sesak pada Pasien TB Paru. Jurnal Keperawatan Silampari, 3(2), 566-575. https://doi.org/https://doi.org/10.31539/jks.v3i2.1116
[30] Sunantara, I., Sriwidyani, N., Ekawati, N., & Saputra, H. (2021). Gambaran Klinikopatologi Pasien Meningioma Darii Tahuni 2014 – 2018 Di Rsupi Sanglahi Denpasar. E-Jurnal Medika Udayana, 10(3), 77-82. doi:10.24843/10.24843.MU.2021.V10.i3.P12
[31] Suwaryo, Putra Agina Widyaswara., Amalia, Wahyu Rizki., Waladani, Barkah. (2021). Efektifitas Pemberian Semi fowler dan fowler Terhadap Perubahan Status Pernafasan Pada Pasien Asma. Proceeding of The URECOL, 1-8
[32] Tim Pokja SIKI DPP PPNI. (2016). Standar Intervensi Keperawatan Indonesia. Jakarta: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia
[33] Valentino, Andrea., Endriani, Rita., Ameini, Fitria. (2020). Gambaran Kejadian Pneumonia pada Pasien Pasca Kraniotomi di Ruang Rawat Intensif RSUD Arifin Achmad Provinsi Riau Periode Januari 2015 sampai Desember 2019. Journal of Medical Science Kedokteran Vol 14.2: 111-120
[34] Wijayati, S., Ningrum, D. H., & Putrono, P. (2019). Pengaruh Posisi Tidur Semi Fowler 450 Terhadap Kenaikan Nilai Saturasi Oksigen Pada Pasien Gagal Jantung Kongestif Di RSUD Loekmono Hadi Kudus. Medica Hospitalia : Journal of Clinical Medicine, 6(1), 13–19. https://doi.org/10.36408/mhjcm.v6i1.372
[35] Yuswandi, Warongan, A. W., & Rayasari, F. (2020). Status Hemodinamik Pasien Yang Terpasang Ventilasi Mekanik Dengan Posisi Lateral Kiri Elevasi Kepala 300. Journal Of Islamic Nursing, 5(2018), 146–155
Published
2022-08-22
How to Cite
Kinanti, A., & Siwi, A. (2022). APPLICATION OF AIRWAY MANAGEMENT IN PATIENTS POST CRANIOTOMY EPIDURAL HEMATOM. Jurnal Inovasi Penelitian, 3(4), 5815-5820. https://doi.org/10.47492/jip.v3i6.1981
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Articles
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