Pengukuran Tekanan Cuff Endotracheal Tube Kontinyu dan Intermiten dalam Mencegah Kejadian Ventilator Associated Pneumonia di Ruang ICU : Systematic Review
Abstract
Background: Background: Ventilator-Associated Pneumonia (VAP) is a major complication in mechanically ventilated patients, often resulting from microaspiration due to inadequate endotracheal cuff pressure. Maintaining optimal cuff pressure can be achieved through continuous or intermittent monitoring. Aim : To compare the effectiveness of continuous versus intermittent cuff pressure monitoring in preventing VAP. Methods: A systematic review was conducted across PubMed, Scopus, Taylor dan Francis, and ScienceDirect. Articles were screened based on publication year, title, abstract, and relevance. Results: Of 550 identified studies, 7 met the inclusion criteria. Four studies reported greater VAP prevention efficacy with continuous monitoring (p < 0.05, p = 0.06, p = 0.109, p = 0.02; OR 0.45, 95% CI = 0.22–0.89). Six studies found no significant impact on secondary outcomes, including ICU length of stay, ventilation duration, and mortality. Conclusion: Continuous cuff pressure monitoring ensures more stable pressure regulation, potentially reducing VAP risk. Further studies are needed to assess its impact on clinical outcomes
How strong is the evidence?
Evidence Hub reads this as a systematic review. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.
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