CASE REPORT: SEMI FOWLER POSITION AND SUCTION IN POST CRANIOTOMY PATIENTS

Nadia Faizah, Ida Nurjayanti, Lina Karunia

Abstract


Stroke is a pathological condition that occurs when cerebral blood flow is blocked or when nerve function is disrupted due to occlusion or rupture of vascular structures, culminating in necrosis of certain brain cells resulting in inadequate supply of nutrients and oxygen needed for optimal brain activity. Intracerebral hemorrhage (ICH) stroke, better known as hemorrhagic stroke, occurs when a blood vessel in the brain ruptures. This study aims to determine the effectiveness of the semi-Fowler position and suction in post-craniotomy patients with nursing problems related to the airway. The process of this case study includes assessment, nursing diagnosis, planning, and evaluation. The respondents in this study were 1 patient who was given a semi-Fowler position and suction for approximately 10 seconds after surgery. Case study after being given the semi-Fowler position and suction intervention, sputum production and rhonchi sounds decreased

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References


Almohammedi, R. M., Almutairi, H., Alhoussien, R. O., Alotayan, M. T., Almutairi, A. K., Bafail, W. O., … Khatri, I. A. (2020). Brainstem hemorrhage is uncommon and is associated with high morbidity, mortality, and prolonged hospitalization. Neurosciences, 25(2), 91–96. Retrieved from https://doi.org/10.17712/nsj.2020.2.20190102

Amal Said Taha, E. S. O. and E. A. M. E. (2024). Effectiveness of Semi-fowler’s Position on Hemodynamic Function among Patients with Traumatic Head Injury. Sports Culture, 15(1), 72–86. Retrieved from https://doi.org/10.25130/sc.24.1.6

Dewi, A. A., Fikriyanti, & Jufrizal. (2024). Asuhan Keperawatan Post Craniotomy Evakuasi Intracerebral Hemorrhage (ICH) di Intensive Care Unit: Studi Kasus. Jurnal Gawat Darurat, 6(1), 9–20.

Greenberg, S. M., Ziai, W. C., Cordonnier, C., Dowlatshahi, D., Francis, B., Goldstein, J. N., … Sunnerhagen, K. S. (2022). 2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association. Stroke (Vol. 53). Retrieved from https://doi.org/10.1161/STR.0000000000000407

Hammad, H., Rijani, M. I., & Marwansyah, M. (2020). Perubahan Kadar Saturasi Oksigen pada Pasien Dewasa yang Dilakukan Tindakan Suction Endotrakeal Tube di Ruang ICU RSUD Ulin Banjarmasin. Bima Nursing Journal, 1(1), 82. Retrieved from https://doi.org/10.32807/bnj.v1i2.466

Kristyanta, H., & Mandaty, F. A. (2023). Napas Pada Pasien Dengan General Anastesi Di Analysis of Factors Related To Ineffective Airway Clearance in Patients With General Anesthesia in St . Elisabeth Hospital Recovery Room, 5(1).

Lesmana, H., Murni, T. W., & Anna, A. (2020). Analisis Dampak Penggunaan Varian Tekanan Suction terhadap Pasien Cedera Kepala Berat The Use of Different Pressure of Suction and Its Impact on Oxygen Saturation among Patients with Head Injury. Jurnal Keperawatan Padjadjaran, 3(3), 129–138. Retrieved from http://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/114

Manno, E. M., Atkinson, J. L. D., Fulgham, J. R., & Wijdicks, E. F. M. (2020). Emerging medical and surgical management strategies in the evaluation and treatment of intracerebral hemorrhage. Mayo Clinic Proceedings, 80(3), 420–433. Retrieved from https://doi.org/10.4065/80.3.420

Muhsinin, S. Z., Musniati, M., Zulfa, E., & Yanti, N. W. M. (2023). Perbedaan Efektifitas Posisi Fowler Dengan Posisi Semifowler Untuk Mengurangi Sesak Nafas. Jurnal Ilmu Kesehatan Dan Farmasi, 10(2), 47–50. Retrieved from https://doi.org/10.51673/jikf.v10i2.1391

Nafisah, H., & Yuniartika, W. (2023). Pengaruh Pemberian Posisi Semi Fowler terhadap Tingkat Saturasi Oksigen pada Pasien Gagal Jantung: Literature Review. Prosiding Semianr Nasional Keperawatan Universitas Muhammadiyah Surakarta2, (1), 42–59.

Parry-Jones, A. R., Krishnamurthi, R., Ziai, W. C., Shoamanesh, A., Wu, S., Martins, S. O., & Anderson, C. S. (2025). World Stroke Organization (WSO): Global intracerebral hemorrhage factsheet 2025. International Journal of Stroke, 20(2). Retrieved from https://doi.org/10.1177/17474930241307876

Pujiyana, P., Syaripudin, A., Rahmatullah Hidayat, L., Herlina, H., & Rahayu Okta, I. (2024). Studi Kasus Resiko Perfusi Serebral Tidak Efektif pada Pasien Intracerebral Hemorrhage (ICH) RSUD Gunung Jati. Jurnal Global Ilmiah, 1(9), 489–493. Retrieved from https://doi.org/10.55324/jgi.v1i9.87

Rejo. (2024). Journal of Language and Health Volume 5 No 2 , Agustus 2024. 2024, 5(2), 561–570.

Setiawan et al. (2021). Diagnosis Dan Tatalaksana Stroke Hemoragik. Jurnal Medika Utama, 02(01), 402–406.

Setyaningsih, F., & Arofiati, F. (2023). Efektifitas Pemberian Posisi Head Up 300 Pada Oksigenasi Pasien Cidera Kepala. Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, 14(1), 56–65. Retrieved from https://doi.org/10.33859/dksm.v14i1.892

Sihotang, H., & Purba, E. V. B. (2023). Hubungan Latihan Range Of Motion (ROM) Pasif Dengan Kekuatan Otot Ekstermitas Atas Pada Pasien Stroke Non Hemoragic. Health Care : Jurnal Kesehatan, 12(2), 397–404.

Syafiati, N., & Nurhayati, S. (2021). Penerapan Fisioterapi Dada Dalam Mengatasi Bersihan Jalan Nafas Tidak Efektif Pada Anak Pneumonia Usia Toddler (3-6 Tahun) the Implementation of Chest Physiotherapy in Resolve the Ineffective Airway Clearance in Toddler (3-6 Years) With Pneumonia. Jurnal Cendikia Muda, 1(1), 103–108. Retrieved from https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/188

Yasin, M. Q., Septimar, Z. M., & Dewi, E. (2024). Asuhan Keperawatan Pada Pasien Strokehemoragik Post Craniotomy Dengan Intervensi Fisioterapi Dada Menggunakan Teknik Clapping Dan Vibrasi Terhadap Saturasi Oksigen Di Ruang Icu Rs An-Nisa Tangerang, 237–243.

Yulianti Puspitasari. (2023). Pengaruh Alih Baring Terhadap Kejadian Pneumonia Pada Pasien Post Operasi Kraniotomi di RSUP dr. Soeradji Tirtonegoro Klaten, 1, 1–9.

Yuswandi, Warongan, A. W., & Rayasari, F. (2020). Status Hemodinamik Pasien Yang Terpasang Ventilasi. Journal of Islamic Nursing, 5(2018), 146–155.

Almohammedi, R. M., Almutairi, H., Alhoussien, R. O., Alotayan, M. T., Almutairi, A. K., Bafail, W. O., … Khatri, I. A. (2020). Brainstem hemorrhage is uncommon and is associated with high morbidity, mortality, and prolonged hospitalization. Neurosciences, 25(2), 91–96. Retrieved from https://doi.org/10.17712/nsj.2020.2.20190102

Amal Said Taha, E. S. O. and E. A. M. E. (2024). Effectiveness of Semi-fowler’s Position on Hemodynamic Function among Patients with Traumatic Head Injury. Sports Culture, 15(1), 72–86. Retrieved from https://doi.org/10.25130/sc.24.1.6

Dewi, A. A., Fikriyanti, & Jufrizal. (2024). Asuhan Keperawatan Post Craniotomy Evakuasi Intracerebral Hemorrhage (ICH) di Intensive Care Unit: Studi Kasus. Jurnal Gawat Darurat, 6(1), 9–20.

Greenberg, S. M., Ziai, W. C., Cordonnier, C., Dowlatshahi, D., Francis, B., Goldstein, J. N., … Sunnerhagen, K. S. (2022). 2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association. Stroke (Vol. 53). Retrieved from https://doi.org/10.1161/STR.0000000000000407

Hammad, H., Rijani, M. I., & Marwansyah, M. (2020). Perubahan Kadar Saturasi Oksigen pada Pasien Dewasa yang Dilakukan Tindakan Suction Endotrakeal Tube di Ruang ICU RSUD Ulin Banjarmasin. Bima Nursing Journal, 1(1), 82. Retrieved from https://doi.org/10.32807/bnj.v1i2.466

Kristyanta, H., & Mandaty, F. A. (2023). Napas Pada Pasien Dengan General Anastesi Di Analysis of Factors Related To Ineffective Airway Clearance in Patients With General Anesthesia in St . Elisabeth Hospital Recovery Room, 5(1).

Lesmana, H., Murni, T. W., & Anna, A. (2020). Analisis Dampak Penggunaan Varian Tekanan Suction terhadap Pasien Cedera Kepala Berat The Use of Different Pressure of Suction and Its Impact on Oxygen Saturation among Patients with Head Injury. Jurnal Keperawatan Padjadjaran, 3(3), 129–138. Retrieved from http://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/114

Manno, E. M., Atkinson, J. L. D., Fulgham, J. R., & Wijdicks, E. F. M. (2005). Emerging medical and surgical management strategies in the evaluation and treatment of intracerebral hemorrhage. Mayo Clinic Proceedings, 80(3), 420–433. Retrieved from https://doi.org/10.4065/80.3.420

Muhsinin, S. Z., Musniati, M., Zulfa, E., & Yanti, N. W. M. (2023). Perbedaan Efektifitas Posisi Fowler Dengan Posisi Semifowler Untuk Mengurangi Sesak Nafas. Jurnal Ilmu Kesehatan Dan Farmasi, 10(2), 47–50. Retrieved from https://doi.org/10.51673/jikf.v10i2.1391

Nafisah, H., & Yuniartika, W. (2023). Pengaruh Pemberian Posisi Semi Fowler terhadap Tingkat Saturasi Oksigen pada Pasien Gagal Jantung: Literature Review. Prosiding Semianr Nasional Keperawatan Universitas Muhammadiyah Surakarta2, (1), 42–59.

Parry-Jones, A. R., Krishnamurthi, R., Ziai, W. C., Shoamanesh, A., Wu, S., Martins, S. O., & Anderson, C. S. (2025). World Stroke Organization (WSO): Global intracerebral hemorrhage factsheet 2025. International Journal of Stroke, 20(2). Retrieved from https://doi.org/10.1177/17474930241307876

Pujiyana, P., Syaripudin, A., Rahmatullah Hidayat, L., Herlina, H., & Rahayu Okta, I. (2024). Studi Kasus Resiko Perfusi Serebral Tidak Efektif pada Pasien Intracerebral Hemorrhage (ICH) RSUD Gunung Jati. Jurnal Global Ilmiah, 1(9), 489–493. Retrieved from https://doi.org/10.55324/jgi.v1i9.87

Rejo. (2024). Journal of Language and Health Volume 5 No 2 , Agustus 2024. 2024, 5(2), 561–570.

Setiawan et al. (2021). Diagnosis Dan Tatalaksana Stroke Hemoragik. Jurnal Medika Utama, 02(01), 402–406.

Setyaningsih, F., & Arofiati, F. (2023). Efektifitas Pemberian Posisi Head Up 300 Pada Oksigenasi Pasien Cidera Kepala. Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, 14(1), 56–65. Retrieved from https://doi.org/10.33859/dksm.v14i1.892

Sihotang, H., & Purba, E. V. B. (2023). Hubungan Latihan Range Of Motion (ROM) Pasif Dengan Kekuatan Otot Ekstermitas Atas Pada Pasien Stroke Non Hemoragic. Health Care : Jurnal Kesehatan, 12(2), 397–404.

Syafiati, N., & Nurhayati, S. (2021). Penerapan Fisioterapi Dada Dalam Mengatasi Bersihan Jalan Nafas Tidak Efektif Pada Anak Pneumonia Usia Toddler (3-6 Tahun) the Implementation of Chest Physiotherapy in Resolve the Ineffective Airway Clearance in Toddler (3-6 Years) With Pneumonia. Jurnal Cendikia Muda, 1(1), 103–108. Retrieved from https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/188

Yasin, M. Q., Septimar, Z. M., & Dewi, E. (2024). Asuhan Keperawatan Pada Pasien Strokehemoragik Post Craniotomy Dengan Intervensi Fisioterapi Dada Menggunakan Teknik Clapping Dan Vibrasi Terhadap Saturasi Oksigen Di Ruang Icu Rs An-Nisa Tangerang, 237–243.

Yulianti Puspitasari. (2023). Pengaruh Alih Baring Terhadap Kejadian Pneumonia Pada Pasien Post Operasi Kraniotomi di RSUP dr. Soeradji Tirtonegoro Klaten, 1, 1–9.

Yuswandi, Warongan, A. W., & Rayasari, F. (2020). Status Hemodinamik Pasien Yang Terpasang Ventilasi. Journal of Islamic Nursing, 5(2018), 146–155.




DOI: http://dx.doi.org/10.30633/jsm.v8i2.3229

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