@thesis{thesis,
		author={LUKU  MOH. AKRAM},
		title ={PENGARUH PEMANTAUAN TEKANAN INTRAKRANIAL
TERHADAP PENINGKATAN PERFUSI SEREBRAL
PADA PASIEN NON HEMORAGIC STROKE
DI RUANG IGD RSUD LABUANG
BAJI MAKASSAR},
		year={2026},
		url={http://repository.umi.ac.id/7869/},
		abstract={Stroke non-hemoragik berisiko meningkatkan tekanan intrakranial (TIK)
yang dapat menurunkan perfusi serebral dan memperburuk luaran.
Tujuan: Mendeskripsikan pengaruh pemantauan TIK dan intervensi posisi
terhadap perfusi serebral pada pasien stroke non-hemoragik fase akut di
IGD. Metode: Laporan kasus pasien dewasa dengan diagnosis stroke
non-hemoragik. Data diperoleh melalui pengkajian primer–sekunder,
pemeriksaan penunjang (CT-scan, EKG, dan laboratorium), serta
observasi serial parameter neurologis (GCS, pupil), hemodinamik (MAP),
respirasi (SpO₂), dan tanda bahaya TIK. Intervensi keperawatan mengacu
SLKI–SIKI: posisi head-up 30°, meminimalkan stimulus lingkungan,
pemantauan neurologis terstruktur, optimasi oksigenasi, pencegahan
komplikasi, dan kolaborasi terapi medis. Hasil: Pemantauan TIK yang
sistematis memfasilitasi deteksi dini perburukan dan keputusan klinis
cepat. Penerapan head-up 30° dan lingkungan tenang membantu
mempertahankan oksigenasi serta stabilitas hemodinamik; selama
periode observasi tidak tampak penurunan GCS akut, MAP tetap dalam
target, dan tujuan jangka pendek (stabilitas respirasi dan hemodinamik)
tercapai. Kesimpulan: Pada fase akut stroke non-hemoragik,
pemantauan TIK terstruktur yang dipadukan dengan intervensi
nonfarmakologis—khususnya head-up 30°—dan optimasi oksigenasi
berkontribusi mempertahankan perfusi serebral dan meningkatkan
keselamatan. Disarankan penerapan protokol pemantauan standar di IGD
untuk mempercepat pengambilan keputusan dan meningkatkan luaran.

Non-hemorrhagic stroke can elevate intracranial pressure (ICP),
compromising cerebral perfusion and clinical outcomes. Objective: To
describe the effect of structured ICP monitoring and positioning on
cerebral perfusion during the acute phase in the emergency department
(ED). Methods: Case report of an adult with non-hemorrhagic stroke. Data
were collected via primary–secondary assessment, ancillary tests (CT
scan, ECG, laboratory), and serial observations of neurologic (GCS,
pupils), hemodynamic (MAP), and respiratory (SpO₂) parameters,
including ICP red-flags. Nursing interventions followed Indonesian SLKI–
SIKI: 30° head-up positioning, environmental stimulus minimization,
structured neurologic checks, oxygenation optimization, complication
prevention, and collaborative medical therapy. Results: Systematic ICP
monitoring enabled early recognition of deterioration and timely decisions.
Implementing a 30° head-up position within a calm environment supported
oxygenation and hemodynamic stability; no acute GCS decline was
observed during the observation window, MAP remained on target, and
short-term goals (respiratory and hemodynamic stability) were achieved.
Conclusions: In acute non-hemorrhagic stroke, structured ICP monitoring
combined with non-pharmacologic measures—particularly 30° head-up—
and oxygenation optimization helps maintain cerebral perfusion and
enhances patient safety. Adoption of standardized ED monitoring protocols
is recommended to accelerate decision-making and improve outcomes.}
		}