Oral Hygiene, Ventilator Associated Pneumonia
Conditions
Keywords
Ventilator Acquired Pneumonia, Oral Hygiene, Oral Care, Xerostomia
Brief summary
The purpose of this study is to compare how effective different ways of mouth cleaning are for patients in a neuroscience intensive care unit with a breathing tube in their mouth.
Detailed description
Patients with neurological dysfunction requiring intubation and ventilation are at risk for developing ventilator acquired pneumonia. Several studies have suggested that oral hygiene plays a role in the subsequent development of pneumonia for patients in the intensive care unit requiring intubation and mechanical ventilation.
Interventions
PROCEDUREStandard Oral Care
Patients in this arm will receive standard oral care with manual brushes and routine oral hygiene products twice a day
PROCEDUREComprehensive Oral Care
Patients will receive a comprehensive oral care protocol using mechanical brushes and oral care products formulated for patients with a dry mouth twice a day
Sponsors
Lund University
St. Joseph's Hospital and Medical Center, Phoenix
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* \> or equal 18 years old * Intubated within 24hours of admission to the Neuroscience ICU * Intubation anticipated to continue for approximately 72 hours
Exclusion criteria
* Minors * Pregnancy * Acute cervical spinal cord injury * Severe facial trauma * Family not present for consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Development of Ventilator Acquired Pneumonia | During the period of intubation |
Secondary
| Measure | Time frame |
|---|---|
| Improved Oral Health | During the period of intubation and 48 hours following extubation |
Countries
United States
Outcome results
None listed