Prolonged Mechanical Ventilation (PMV) in Adult Patients in ICU (Definitions and Factors): a Scoping Review

Yetti Kusmiati P, Etika Emaliyawati, Cecep E Kosasih

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ABSTRACT

 

Prolonged Mechanical Venilation (PMV) in the Intensive Care Unit can cause several problems including causing various diseases that are not expected, increasing the length of stay (LOS) of patients which ultimately increases the cost of care.This study aims to determine the limitations of the definition and factors associated with the incidence of Prolonged Mechanical Venilation (PMV) in patients in the ICU room. A scoping review was conducted using two databases, PubMed and CINAHL, with keywords Population: adult patients, Concept: Prolonged Mechanical Ventilation (PMV), Context: Intensive Care Unit. Articles included with the criteria are English articles, published in 2012-2022 and have full-text articles. Based on the search results, 38 articles were obtained which were then analyzed and 17 articles were reviewed. The results of the scoping review found that 3 out of 5 articles mentioned PMV was ventilator use above 21 days. Analysis of factors associated with PMV was seen from several approaches such as demographics. Three studies revealed that advanced age as a related factor. 14 out of 17 studies examined factors related to specific body conditions such as anemia, HAP, ARDS, Hematocytes and so on. While three other researchers discussed systems or tools. It can be concluded that almost all the analyzed articles mention that poor health conditions increase the duration of mechanical ventilation use.

 

Keywords: Adult, Prolonged Mechanical Ventilation (PMV), Intensive Care Unit

 

 

ABSTRAK

 

Prolonged Mechanical Venilation (PMV) di ruang Intensive Care Unit (ICU) dapat menimbulkan beberapa masalah diantaranya menimbulkan berbagai penyakit yang tidak di harapkan, meningkatkan lama rawat pasien length of stay (LOS) pasien yang pada akhirnya meningkatkan biaya perawatan. Penelitian ini bertujuan untuk mengetahui batasan definisi serta faktor-faktor yang berhubungan dengan kejadian PMV pada pasien di ruang ICU.  Metode dilakukan dengan scoping review menggunakan dua database yaitu PubMed dan CINAHLdengan kata kunci yaitu Population: pasien dewasa, Concept: Prolonged Mechanical Ventilation (PMV), Context: ruang Intensive Care Unit. Artikel yang masuk dengan kriteria adalah artikel berbahasa inggris, terbit tahun 2012-2022 dan memiliki artikel full-text. Berdasarkan hasil pencarian didapatkan 38 artikel yang selanjutnya dilakukan analisa data dan artikel yang akan di review 17 artikel. Hasil scoping review didapatkan bahwa 3 dari 5 artikel menyebutkan PMV merupakan penggunaan ventilator diatas 21 hari. Analisis faktor yang berhubungan dengan PMV dilihat dari beberapa pendekatan seperti demografi. Tiga penelitian megungkapkan bahwa usia lanjut sebagai factor yang berhubungan. 14 dari 17 penelitian meneliti faktor yang berkaitan dengan kondisi tubuh secara spesifik seperti anemia, HAP, ARDS, Hematoktit dan lain sebagainya. Sedangkan tiga peneliti lain membahas mengenai sistem atau tools. Kesimpulan studi ini adalah kondisi kesehatan yang buruk meningkatkan durasi penggunaan ventilasi mekanik.

 

Kata Kunci: Adult, Prolonged Mechanical Ventilation (PMV), Intensive Care Unit.


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DOI: https://doi.org/10.33024/mahesa.v4i10.15728

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