Introduction: Endotracheal tube in patients with ventilator is a foreign thing in respiratory tract secretions that can increase the production of the airway and cause airway clearance ineffectiveness problems that require suction action. The close suction technique is used in patients who are using ETT type. Close suction system is one of technique suction that applied without opening the ventilator connector in patients with ventilator in Intensive Care Unit. The purpose of this case study is to evaluate breath sounds, RR, SpO2 before and after implementation of technique close suction in patients with ventilator in the Intensive Care Unit of Dr Mohammad Soewandhie Hospital Surabaya. Method: Research method was a case study in patients with early pulmonary edema eclampsia who use a ventilator. The instrument used is the observation sheet. Result: The results of the case study showed before the close suction action Ronchi breath sounds in the right lung field left, RR 27 x / min, and SpO2 90%. After applying technique close suction action on the first day with the results of SpO2 95%, RR 22 x / min, still no sound Ronchi in both lung fields, day 2 with the results of SpO2 97%, RR 20 x / min, there was the sound of a smooth Ronchi left lung, day 3 with the results of the oxygen saturation of 100%, RR 18 x / min and vesicular breath sounds. Discussion: Based on these results it can be concluded that the provision of closed suction system technique is effective in addressing the problem of ineffectiveness airway clearance. However, in patients with pulmonary infection that uses a ventilator with thick secretions should be given nebulizer prior to close suction action.
Key words: closed suction system, ineffective airway clearance, ventilator, intensive care uni
