Analysis Of Differences In Patients' Hemodynamic Status With Pre And Post Suction Hyperoxygenation Measures In Pneumonia Patients On Ventilators

Authors

  • Dwi Santoso Rumah Sakit Soerojo, Magelang
  • Nurul Hidayah Universitas Muhammadiyah Magelang

DOI:

https://doi.org/10.31983/jrk.v15i1.14406

Keywords:

Hemodynamic Status , Pre Post Suction , Hyperoxygenation, Pneumonia , Ventilator

Abstract

Pneumonia remains a major health problem in developing countries. Pneumonia can be fatal if not promptly diagnosed and treated appropriately. If a pneumonia patient experiences a worsening or declines in condition resulting in respiratory failure, the patient will require intensive care. Management of patients with respiratory failure is to use a ventilator. One procedure that can be performed on patients on a ventilator to reduce the buildup of secretions is suction (suctioning out mucus). Suctioning can also trigger several complications, so hemodynamic monitoring is necessary. This study used quantitative research with consecutive sampling data collection techniques. The sample was determined by sample calculation, which in this study was conducted in June-July 2025 for 5 patients and 71 observations. The data collection tools used in this study were patient hemodynamic status observation sheets and a Dräger Vista 120 bed site monitor. The data collection method in this study was carried out using primary data obtained directly by observing the patient's hemodynamic status. This study used descriptive statistics and a paired sample t-test. The pre-post suction hemodynamic status was as follows: blood pressure difference t = 0.977, MAP difference t = 0.598, heart rate difference 0.061, respiratory rate difference t = 0.198, body temperature difference t = 0.505, and oxygen saturation difference t = 0.828. There was no difference in hemodynamic status between pre and post suction action in pneumonia patients on ventilators, because the p value was > 0.05.

References

Abdjul, R. & Herlina. (2020). Asuhan Keperawatan Pada Pasien Dewasa Dengan Pneumonia. Study Kasus, 102-107.

Abid, S., Xie, S., Bose, M., Shaul, P.W., Terada, L.S., Brody, S.L., Thomas, P.J., Katzenellenbogen, J.A., Kim, S.H., Greenberg, D.E., Jain, R. (2017). 17β-Estradiol Dysregulates Innate Immune Responses to Pseudomonas aeruginosa Respiratory Infection and Is Modulated by Estrogen Receptor Antagonism. Infect Immun, 85(10): e00422-17. doi: 10.1128/IAI.00422-17. PMID: 28784925; PMCID: PMC5607430.

Akbarpour, R.M.B., Jafarpoor, H., Shamsalinia, A., Fotokian, Z., Hamidi S.H. (2023). Effects of a forced-air warming system and warmed intravenous fluids on hemodynamic parameters, shivering, and time to awakening in elderly patients undergoing open cardiac surgery. Ann Card Anaesth, 26(4):386-392. doi: 10.4103/aca.aca_20_23. PMID: 37861571; PMCID: PMC10691583.

Alvis, B.D. & Hughes, C.G. (2016). ‘Physiology considerations in the geriatric patients’, Anesthesiology Clinics, vol 33(3):447–56.

Adriansyah, A. A., Setianto, B., Lestari, I., Ayu, P., & Arindis, M. (2021). Jurnal Riset Kesehatan Patient Satisfaction Analysis Based on Service Quality. 10(2), 105–113. https://doi.org/10.31983/jrk.v10i2.7529

Aris, R.J., Arafat, R., & Rachmawaty, R. (2025). The Effect of Endotracheal Suction on Hemodynamics of Neurological Patients: A Literature Review. International Journal of Nursing and Health Services (IJNHS), 8(4): 243-250. DOI: 10.35654/ijnhs.v8i4.844.

Atchley, E., Tesoro, E., Meyer, R., Bauer, A., Pulver, M., Benken, S. (2022). Hemodynamic Effects of Ketamine Compared with Propofol or Dexmedetomidine as Continuous ICU Sedation. Ann Pharmacother, 56(7):764-772. doi: 10.1177/10600280211051028.

Barbagelata, E., Cilloniz, C., Dominedo, C., Torres, A., Nocolini, A., Solidoro, P. (2020). Gender Differences in Community-acquired pneumonia. Minerva Medica April; 111 (2):153-165.

Blackwood, B., Burns, K.E.A., Cardwell, C.R., & O'Halloran, P. (2014). Protocolized versus non‐protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD006904. DOI: 10.1002/14651858.CD006904.pub3.

Blakeman, T.C., Scott, J.B., Yoder, M.A., Capellari, E., & Strickland, S.L. (2022). AARC Clinical Practice Guidelines: Artificial Airway Suctioning. Respir Care, 67(2):258-271. doi: 10.4187/respcare.09548. PMID: 35078900.

Choridah, L., Ekowati, A., Setyawan, N. H., Setyawati, B. A., Afifah, N. H., & Rengganis, A. A. (2023). The Concordance of Brixia and Rale Scores in Evaluation of Covid-19 Pneumonia Patient Using Radiography in Indonesia Referral Hospital. Jurnal Riset Kesehatan, 12(1), 16–21. https://doi.org/10.31983/jrk.v12i1.9333.

Choudhary, M.K., Holmström, K., Bouquin, H., Saarinen, T.P., Koskela, J.K., Pietilä, E., Suojanen, L., Mustonen, J.T., Nevalainen, P.I., Pörsti, I.H. (2025). Impact of aging on cardiovascular dynamics and heart rate variability during passive head-up tilt. Physiol Rep, 13(14):e70477. doi: 10.14814/phy2.70477. PMID: 40685803; PMCID: PMC12277527.

Dee, T. S., Natalia, D., & Suwardianto, H. (2025). The Effect of Suction Towards Oxygen Saturation to Patients in Intensive Care Unit: Literature Review. 0–7. https://doi.org/10.20944/preprints202504.1206.v1.

Eggen, I, B. & Brønstad, G. (2020). Short-term Effects of Endotracheal Suctioning in Post-Cardiac Arrest Patients. Graduate thesis in Medicine, Programme of Professional Study. Norwegian University of Science and Technology.

Faraji, A., Khatony, A., Moradi, G., Abdi, A., & Rezaei, M. (2015). Open and Closed Endotracheal Suctioning and Arterial Blood Gas Values: A Single-Blind Crossover Randomized Clinical Trial. Crit Care Res Pract. 2015;2015:470842. doi: 10.1155/2015/470842. Epub 2015 Sep 3. PMID: 26425366; PMCID: PMC4573878.

Fatin, M. N. A., & Pasha, E. Y. M. (2021). Potensi Interaksi Obat Dengan Obat Pada Pasien Dewasa Dengan Pneumonia. Journal of Pharmacopolium, 4(2), 98–104.

Firmansyah, M.A., Amin, Z., Loho, T., dan Shatri, H., 2015. Faktor-Faktor Prediktor Mortalitas Community-Acquired Pneumonia dalam Perawatan Inap di Rumah Sakit Cipto Mangunkusumo, Jakarta. Indonesia Journal of CHEST Critical and Emergency Medicine, 2: 45–53.

Hafifah, I.R.F.R. & Hakim, L. (2021). Studi kasus: evaluasi status hemodinamik pasien dengan ventilator mekanik pasca mobilisasi harian (supinasi-lateral) di ruang ICU RSUD Ulin Banjarmasin. Faletehan Health Journal, 8(01), 51–57.

Hidayati, A.F., Akbar, M.I.D., & Rosyid, A.N. (2018). Gawat Darurat Medis dan Bedah. Surabaya: Airlangga University Press.

Jahromi, F.F., Mahdood, B., Shaafi, M.S., & Ramezanli, H. (2022). Investigating The Effest of The Duration of Hyperoxygenation before Endotracheal Tube Suction on Heart and Arterial Blood Oxygen Saturation of Patients Hospitalized in The Intensive Care Unit. Int J Med Invest, 11(3), 89-96.

Kementerian Kesehatan Republik Indonesia. (2018). Hasil Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Republik Indonesia.

Kollef, M. H., et al. (2021). The epidemiology of ventilator-associated pneumonia and the role of multi-drug-resistant pathogens. Current Infectious Disease Reports, 23(2), 15–25.

LeWine, H.E. (2024). Memahami respon stress, aktivitas kronis mekanisme bertahan hidup ini mengganggu kesehatan. Harvard Health Publishing.

Maggiore, S.M., Lellouche, F., Pignataro, C., Girou, E., Maitre, B., Richard, J.C., Lemaire, F., Brun-Buisson, C., & Brochard, L. (2013). Decreasing the adverse effects of endotracheal suctioning during mechanical ventilation by changing practice. Respir Care, 58(10):1588-97. doi: 10.4187/respcare.02265.

Mauri, T., Spinelli, E., Pavlovsky, B., Grieco, D.L., Ottaviani, I., Basile, M.C., Dalla, F.D., Corte., Pintaudi, G., Garofalo, E., Rundo, A., Volta, C.A., Pesenti, A., & Spadaro, S. (2021). Respiratory Drive in Patients with Sepsis and Septic Shock: Modulation by High-flow Nasal Cannula. Anesthesiology; 135:1066–75.

Misirlioglu, M., Horoz, O.O., Yildizdas, D., Ekinci, F., Yontem, A., Menemencioglu, A., & Salva, G. (2021). The Effects of Endotracheal Suctioning on Hemodynamic Parameters and Tissue Oxygenation in Pediatric Intensive Care Unit. J Pediatr Intensive Care, 11(4):349-354. doi: 10.1055/s-0040-1721725. PMID: 36388067; PMCID: PMC9649295.

Mohammed, H.M. (2025). Effects of Hyperoxygenation Techniques on Arterial Blood Gases and Hemodynamic Status after Endotracheal Suctioning. Rawal Medical Journal, 50(2), 605-609.

Nyoman, P. & Bagus, S. (2017). Pneumonia Atipikial. Sari Pediatri,9(2),138-144.

Oktarisa, A. (2019) Penerapan Hiperoksigenasi sebagai Evidence Based Nursing Untuk Meningkatkan Saturasi Oksigen Pada Pasien Yang Terpasang Endotracheal Tube, Riset Media Keperawatan, 2(2), 10-14.

Perl, S., Niederl, E., Kos, C., Mrak, P., Ederer, H., Rakovac, I., Beck, P., Kraler, E., Stoff, I., Klima, G., Pieske, B.M., Pieber, T.R., Zweiker, R. (2016). Randomized Evaluation of the Effectiveness of a Structured Educational Program for Patients with Essential Hypertension. Am J Hypertens, 29(7):866-72. doi: 10.1093/ajh/hpv186. PMID: 26643687.

Pinsky, M. R., Cecconi, M., Chew, M. S., Backer, D. De, Douglas, I., Edwards, M., Hamzaoui, O., Hernandez, G., Martin, G., Monnet, X., Saugel, B., Scheeren, T. W. L., Teboul, J. L., & Vincent, J. L. (2022). Effective hemodynamic monitoring. Critical Care, 1–10. https://doi.org/10.1186/s13054-022-04173-z.

Rass, V., Ianosi, B.A., Lindner, A., Kofler, M., Schiefecker, A.J., Pfausler, B., Beer, R., Schmutzhard, E., & Helbok, R. (2020). Hemodynamic response during endotracheal suctioning predicts awakening and functional outcome in subarachnoid hemorrhage patients. Crit Care, 24(1):432. doi: 10.1186/s13054-020-03089-w. PMID: 32665009; PMCID: PMC7362501.

Salsabila, A., Windiarti, S. E., & Arwani, A. (2025). Toonatric on Reducing Systolic Blood Pressure in Elderly Hypertension Patients. Jurnal Riset Kesehatan, 14(1), 61–66. https://doi.org/10.31983/jrk.v14i1.12392.

Siebenmann, C. & Lundby, C. (2015). Regulation of cardiac output in hypoxia. Scand J Med Sci Sports. Suppl 4:53-9. doi: 10.1111/sms.12619. PMID: 26589118.

Spear, L. (2022). Neonatal/Pediatric Endotracheal Suctioning, Endotracheal suctioning is one of the most commonly performed NICU/PICU interventions but the practice requires special care for neonatal and pediatric airways. Clinical, ICU & Ventilation, Neonatal, Pediatric Care, Therapy Devices.

Ulya, S.R., Nurhidayah, I., & Jufrizal. (2024). Asuhan Keperawatan Acute Respiratory Failure Et Causa Pneumonia di Intensive Care Unit: Studi Kasus. Jurnal Gawat Darurat, 6(1), 21–38.

Urden, L.D., Stacy, K.M., & Lough, M.E. (2022). Critical Care Nursing Diagnosis and Management (9th ed.). St. Louis: Elsevier.

Wu, D., Wu, C., Zhang, S., & Zhong, Y. (2019). Risk Factors of Ventilator-Associated Pneumonia in Critically III Patients. Frontiers in Pharmacology, 10(May), 1–7. https://doi.org/10.3389/fphar.2019.00482

Downloads

Published

2026-05-31

How to Cite

Santoso, D., & Hidayah, N. (2026). Analysis Of Differences In Patients’ Hemodynamic Status With Pre And Post Suction Hyperoxygenation Measures In Pneumonia Patients On Ventilators. Jurnal Riset Kesehatan, 15(1), 128–138. https://doi.org/10.31983/jrk.v15i1.14406

Issue

Section

Original Research