Pemasangan ventilasi mekanik akibat dari kegagalan pernafasan pasien yang disebabkan penumpukan sputum pada bronkus dan paru-paru disertai ketidakmampuan pasien mengeluarkan sputum secara mandiri dapat menyebabkan bersihan jalan nafas tidak efektif. Tujuan Karya Ilmiah Akhir Ners ini untuk mengalisis penerapan fisioterapi dada dalam mengatasi bersihan jalan nafas pada pasien yang terpasang ventilasi mekanik yang mengalami Pneumonia. Karya Ilmiah Akhir Ners ini menggunakan metode studi kasus dengan pendekatan proses asuhan keperawatan melibatkan pasien terpasang ventilator yang mengalami pneumonia sebagai sampel yang berjumlah 2 sampel dengan pemberian intervensi pre dan post fisioterapi dada yang dilaksanakan satu hari dua kali selama tiga hari. Evaluasi implementasi inovasi selama perawatan mengalami perubahan kearah yang lebih baik setelah dilakukan fisioterapi selama 10 menit, pada tidal volume mengalami peningkatan, sedangkan Spo2 mengalami peningkatan secara signifikan, frekuensi nafas mengalami perubahan antara sebelum dan sesudah dilakukan intervensi. Analisa penerapan fisioterapi dada efektif dalam mengatasi masalah bersihan jalan nafas pada pasien yang terpasang ventilasi mekanik. Diperlukan kombinasi positioning dan terapi farmakologis saat fisioterapi dada supaya mempunyai efek yang maksimal pada pasien yang pneumonia berat dan produksi sputum yang kental.

Kata Kunci: Bersihan Jalan Nafas, Fisioterapi Dada, Pneumonia, Ventilasi Mekanik

The installation of mechanical ventilation due to the patient's respiratory failure caused by the accumulation of sputum in the bronchi and lungs accompanied by the patient's inability to remove sputum independently has the potential to cause ineffective airway clearance. The aim of this study was to analyze the application of chest physiotherapy in overcoming airway clearance in patients with pneumonia assisted by mechanical ventilation. This study used a case study method with a nursing care process approach involving two ventilator-assisted patients with pneumonia as samples. Both samples were given pre and post-chest physiotherapy interventions twice a day, for three days. Evaluation of the implementation of innovation during treatment changed towards a better condition after physiotherapy for 10 minutes, in tidal volume has increased, while Spo2 has increased significantly, the frequency of breathing also experienced changes between before and after the intervention. Analysis of the application of chest physiotherapy was effective in solving airway clearance problems in patients assisted by mechanical ventilation. It is necessary to combine positioning and pharmacological therapy during chest physiotherapy to have maximum effect on patients with severe pneumonia and thick sputum production. Keywords: Airway Clearance, Chest Physiotherapy, Pneumonia, Mechanical Ventilation