EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEALTUBE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIAIN CRITICAL PATIENTS IN INTENSIVE CARE UNIT

Background: The mechanical ventilator is an indispensable breathing tool in the Intensive Care Unit (ICU). But themechanical ventilator is associated with the risk of Ventilator Associated Penumonia (VAP). VAP occurs due to poorhygiene of the endotracheal tube (ETT). ETT hygiene should be maintained to inhibit bacterial development in the lungsusing suction above cuff endotracheal tube (SACETT) to prevent VAP.Objective: To analyze the effectiveness of SACETT in preventing Ventilator Associated Pneumonia (VAP) in criticalpatients in the ICU.Methods: This was a quasy experimental study with posttest only with control group design with 15 samples in interventiongroup (SACETT and Chlorhexidine 0.2%) and 15 in control group (ETT, Open Suction, and Chlorhexidine 0.2%) withpurposive 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 thecontrol 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 standar