ORAL CARE

A Randomized Control Trail: Oral Care

A Randomized Control Trail: Oral Care

Introduction

One of the most serious concerns currently present in an intensive care unit (ICU) is Ventilator associated pneumonia. Studies have shown that the increasing rate of morbidity and mortality can be reduced to a considerable extent with the implementation of a wide range of defensive mechanism and strategies. Optimizing oral hygiene can also be considered in this regard. The purpose of this study was to test the significance of oral hygiene in preventing grim and lethal results associated with Ventilator associated pneumonia. To test the effects of dental plague over respiratory pathogens, a couple of oral hygiene strategies, tested with evidences of microbial colonization. This study leads to the application and its association with the prevention of VAP. I'm currently working on the MICU unit which means, Medical Intensive Care unit. I provide oral care for all my patients providing comprehensive care for critically ill medical patients with a vast variety of diagnoses. The idea behind this paper is to analyze the study conducted at reduce bacterial colonization in mechanically vandalized patients. This analysis we be followed by the prospects of practical implementation and its implications in the basis this study (Lakshman, Samaranayake, Jones, 2002).

Article and Research Analysis

Methodology

The site for this research analysis was adult metropolitan university hospital. In a year, over 800 adult patients provided mechanical ventilation through 20 bed medical, surgical ICU. All the nurtured patients that were treated in intensive care were measured for inclusion in the study. These patients selected on the basis of pre-developed criteria that, they should be over 15 years of age. The next to kin should be able to provide informed approval. These patients should be able to randomize within 12 hours window of their incubation. Apart from these, all those patients who were to receive oral hygiene procedures that depend upon dental surgery and trauma, or they received intensive care previously during their period of hospitalization, or if, in the preceding weeks, they have received chemotherapy/ irradiation on their admission to the Intensive Care, or they have suffered minor diseases that genuinely cured, does not meet the eligibility criteria to be included in the study. Prior to the commencement of the study, informed agreement received from the patient, and this agreement could be inhibited at any time.

The selected patients for the study randomized on the basis of three routines. These routines classified as group controls. “Group A manages, second hourly oral was with antiseptic fluid, Group B caters second hourly sodium bicarbonate mouthwash, and Group C two times daily irrigation with chlorhexidine 0.2% aqueous oral wash and second hourly irrigations with antiseptic fluid”. All studies based on toothbrush cleaning with non foaming toothpaste. The study in this article is appropriate and can realistically be implemented in my local settings. As I am working in Medical Intensive Care Unit (MICU) which is a 12-bed adult critical care unit and the study used 20 bed ICUs, we can question similarity in practices ...