EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT

Background: The mechanical ventilator is an indispensable breathing tool in the Intensive Care Unit (ICU). But the mechanical ventilator is associated with the risk of Ventilator Associated Penumonia (VAP). VAP occurs due to poor hygiene of the endotracheal tube (ETT). ETT hygiene should be maintain...

Full description

Bibliographic Details
Main Authors: Arfiyan Sukmadi, Rr Sri Endang Pujiastuti, Aris Santjaka, Supriyadi
Format: Article
Language:English
Published: Belitung Raya Foundation 2018-06-01
Series:Belitung Nursing Journal
Subjects:
Online Access:http://belitungraya.org/BRP/index.php/bnj/article/view/503
_version_ 1818405964280233984
author Arfiyan Sukmadi
Rr Sri Endang Pujiastuti
Aris Santjaka
Supriyadi
author_facet Arfiyan Sukmadi
Rr Sri Endang Pujiastuti
Aris Santjaka
Supriyadi
author_sort Arfiyan Sukmadi
collection DOAJ
description Background: The mechanical ventilator is an indispensable breathing tool in the Intensive Care Unit (ICU). But the mechanical ventilator is associated with the risk of Ventilator Associated Penumonia (VAP). VAP occurs due to poor hygiene of the endotracheal tube (ETT). ETT hygiene should be maintained to inhibit bacterial development in the lungs using suction above cuff endotracheal tube (SACETT) to prevent VAP. Objective: To analyze the effectiveness of SACETT in preventing Ventilator Associated Pneumonia (VAP) in critical patients in the ICU. Methods: This was a quasy experimental study with posttest only with control group design with 15 samples in intervention group (SACETT and Chlorhexidine 0.2%) and 15 in control group (ETT, Open Suction, and Chlorhexidine 0.2%) with purposive technique sampling. The Simplified Clnical Pulmonary Infection Score (CPIS) was used to measure VAP. Results: This study illustrates that there was no VAP incidence in the intervention group, and as much as 13.3% VAP in the control group. SACETT was more effective in preventing VAP than in standard ETT on day 4 (p = 0.001). Conclusion: SACETT is more effective in preventing VAP than standard ETT in the fourth day in patients with neurological, cardiovascular, urinary, digestive, and immune system disorders.
first_indexed 2024-12-14T09:04:24Z
format Article
id doaj.art-2422654aacd24fccbecd1ce1b0ff66ae
institution Directory Open Access Journal
issn 2477-4073
2477-4073
language English
last_indexed 2024-12-14T09:04:24Z
publishDate 2018-06-01
publisher Belitung Raya Foundation
record_format Article
series Belitung Nursing Journal
spelling doaj.art-2422654aacd24fccbecd1ce1b0ff66ae2022-12-21T23:08:45ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732477-40732018-06-0144380389EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNITArfiyan Sukmadi0Rr Sri Endang Pujiastuti1Aris Santjaka2Supriyadi3Mahasiswa Keperawatan, Program Pascasarjana, Magister Terapan Kesehatan, Politeknik Kesehatan Kemenkes SemarangDosen Keperawatan, Politeknik Kesehatan Kemenkes SemarangDosen Keperawatan, Politeknik Kesehatan Kemenkes SemarangDosen Keperawatan, Politeknik Kesehatan Kemenkes SemarangBackground: The mechanical ventilator is an indispensable breathing tool in the Intensive Care Unit (ICU). But the mechanical ventilator is associated with the risk of Ventilator Associated Penumonia (VAP). VAP occurs due to poor hygiene of the endotracheal tube (ETT). ETT hygiene should be maintained to inhibit bacterial development in the lungs using suction above cuff endotracheal tube (SACETT) to prevent VAP. Objective: To analyze the effectiveness of SACETT in preventing Ventilator Associated Pneumonia (VAP) in critical patients in the ICU. Methods: This was a quasy experimental study with posttest only with control group design with 15 samples in intervention group (SACETT and Chlorhexidine 0.2%) and 15 in control group (ETT, Open Suction, and Chlorhexidine 0.2%) with purposive technique sampling. The Simplified Clnical Pulmonary Infection Score (CPIS) was used to measure VAP. Results: This study illustrates that there was no VAP incidence in the intervention group, and as much as 13.3% VAP in the control group. SACETT was more effective in preventing VAP than in standard ETT on day 4 (p = 0.001). Conclusion: SACETT is more effective in preventing VAP than standard ETT in the fourth day in patients with neurological, cardiovascular, urinary, digestive, and immune system disorders.http://belitungraya.org/BRP/index.php/bnj/article/view/503suction above cuff endotracheal tubestandard endotracheal tubeassociated pneumonia ventilatorcritical patient
spellingShingle Arfiyan Sukmadi
Rr Sri Endang Pujiastuti
Aris Santjaka
Supriyadi
EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT
Belitung Nursing Journal
suction above cuff endotracheal tube
standard endotracheal tube
associated pneumonia ventilator
critical patient
title EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT
title_full EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT
title_fullStr EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT
title_full_unstemmed EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT
title_short EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT
title_sort effectiveness of suction above cuff endotracheal tube in preventing ventilator associated pneumonia in critical patients in intensive care unit
topic suction above cuff endotracheal tube
standard endotracheal tube
associated pneumonia ventilator
critical patient
url http://belitungraya.org/BRP/index.php/bnj/article/view/503
work_keys_str_mv AT arfiyansukmadi effectivenessofsuctionabovecuffendotrachealtubeinpreventingventilatorassociatedpneumoniaincriticalpatientsinintensivecareunit
AT rrsriendangpujiastuti effectivenessofsuctionabovecuffendotrachealtubeinpreventingventilatorassociatedpneumoniaincriticalpatientsinintensivecareunit
AT arissantjaka effectivenessofsuctionabovecuffendotrachealtubeinpreventingventilatorassociatedpneumoniaincriticalpatientsinintensivecareunit
AT supriyadi effectivenessofsuctionabovecuffendotrachealtubeinpreventingventilatorassociatedpneumoniaincriticalpatientsinintensivecareunit