Indonesian Journal of Global Health Research
Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research

The Effect of Combined Suction Techniques on Peep and Oxygen Saturation in ICU Patients: A Systematic Review

Arif Mubarok (Universitas Jenderal Soedirman)
Iwan Purnawan (Universitas Jenderal Soedirman)
Imaningtyas Ridar (Prof Dr. Margono Soekarjo Hospital)



Article Info

Publish Date
28 Feb 2026

Abstract

Suction techniques in mechanically ventilated ICU patients affect important respiratory parameters, such as Positive End Expiratory Pressure (PEEP) and oxygen saturation. Open suction techniques can cause significant reductions in these parameters, necessitating a systematic evaluation of the effectiveness of combined suction techniques. The aim of this study is to provide evidence-based recommendations regarding the effects of combined suction techniques on PEEP and oxygen saturation in ICU patients. A systematic search was conducted in five databases of PubMed, ScienceDirect, EBSCO, and other databases was conducted for studies published between 2014 and 2024. The keyword using in English included “combined suction”, “Ventilator”, “ICU”, “PEEP” and oxygen saturation. From the initial search, a total of 41 articles were identified. Ten full-text papers underwent a thorough evaluation after titles and abstracts were filtered according to the inclusion criteria (language, publication year, and open-access availability). Ten papers were chosen for final analysis after being critically evaluated and their applicability to the study's goals was evaluated. PRISMA guidelines were followed for study selection, and data extraction focused on PEEP and oxygen saturation results. A total of Based on 10 included literatures, it was shown that combined suction technique resulted in less decrease in PEEP and oxygen saturation compared to open suction technique. Pooled analysis showed that combined suction was superior in maintaining alveolar pressure and oxygenation during suctioning. The combined suction technique is more effective than the open suction technique in maintaining PEEP and oxygen saturation in mechanically ventilated ICU patients.

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Journal Info

Abbrev

IJGHR

Publisher

Subject

Description

Indonesian Journal of Global Health Research is a open access, peer reviewed and refereed international journal. Indonesian Journal of Global Health Research aim to publish original research paper devoted to various area of all health sciences. Indonesian Journal of Global Health Research provides a ...