Efektifitas Posisi Pronasi pada Pasien COVID-19 dengan Gangguan Pernafasan Tanpa Intubasi di Ruang ICU: Literature Review

Diah Pujiastuti, - and LARASASIH, LONGODAY IRENE NATALIE and ISMANDANI, RISA SETIA and TENGGARA, ROCKY MATIUS and PURBA, THERESIA BELLA (2021) Efektifitas Posisi Pronasi pada Pasien COVID-19 dengan Gangguan Pernafasan Tanpa Intubasi di Ruang ICU: Literature Review. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7 (2). pp. 326-330. ISSN 2528-3022

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Abstract

Problem: COVID-19 is caused by the SARS-Cov-2 virus which causes the main symptoms of fever, cough, chest tightness and dyspnea. Until the end of July 2021, there have been 3.331.206 confirmed positive cases of COVID-19, and the number of patients who have died is 90.552 with an increase of 1.893 people dying in a day1. Patients with COVID-19 who are critically ill and need to be transferred to the ICU are patients who experience severe illness characterized by dyspnea accompanied by hypoxemia. This condition allows the patient to experience decreased oxygen saturation and multi-organ failure. Objective: This study was conducted to analyze the pronation position to increase oxygenation of COVID-19 patients with respiratory disorders in the ICU who were not intubated. Method: The method used is a literature review. Researchers got 122 journals according to the chosen topic and screened according to the eligibility criteria and got five journals. Source searches were carried out through Google Scholar, PubMed web, Science Direct web, Springer Link web, Biomedcentral web and Medrxiv web. Results: The research showed that the pronation position was able to improve oxygenation in COVID-19 patients with respiratory disorders who were not intubated. Conclusion: Patients with COVID-19 provide a spectrum of symptoms that vary from asymptomatic, mild symptoms, pneumonia, severe pneumonia, ARDS, to septic shock. The use of the prone position in moderate to severe respiratory disorders experienced by COVID-19 patients is considered safe enough to do.

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