DOI: https://doi.org/10.14710/jai.v0i0.56989

Use of bronchial toilets in sepsis patients treated in the Intensive Care Unit (ICU): A review study on indications and complications

Department Anesthesiology and Intensive Tharapy, Faculty of Medicine, Sumatera Utara University, Medan, Indonesia

Received: 2 Aug 2023; Revised: 10 Jun 2024; Accepted: 13 Sep 2024; Available online: 19 Sep 2024.
Open Access Copyright 2021 JAI (Jurnal Anestesiologi Indonesia)
Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.

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Abstract

The respiratory system is very important for human life. Its performance determines the quality of life, physical exercise helps patients suffering from various diseases of this system to build physical fitness, improve respiratory mechanisms, and reduce secretions. It is important to choose the right technique for working with such patients, namely using fitness training, strength training, breathing exercises, bronchial cleansing. Bronchial Clearing – aims to remove respiratory tract secretions that contribute to recurrent inflammation and respiratory distress. This is based on recording the position of the drainage which facilitates the removal of dense secretions due to the influence of gravity. Pharmacological measures to thin the secretions in the respiratory tract and facilitate coughing should be administered prior to drainage (mucolytic drug products). This is a good solution. Tracheo-bronchial toilet is a method used to clear mucus and secretions from the airways. The benefits of a tracheo-bronchial toilet include preventing infections such as pneumonia and improving drainage of secretions. Methods used in tracheo-bronchial toilets include temporary naso-tracheal intubation with small tubes, percussion, positioning, spirometry, and coughing. A tracheotomy can also be performed for lung clearance. Toilet bronchoscopy is a potentially therapeutic intervention to aspirate retained secretions in the endotracheal tube and airway and restore atelectasis.

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Keywords: bronchial toilet; intensive care unit; morbidity; respiratory system; sepsis

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Section: Literature Reviews
Language : EN
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