1、1,Oral care for critically ill patients with endotracheal intubation,Chang Yangyang 2013106109,2,Contents,The importance of oral care,The oral care method,Mouthwashes,1,2,3,Oral care assessment tool,4,3,VAP is the critically ill patients with a common complication of assisted mechanical ventilation,
2、 maintaining good oral hygiene is one of the most important aspects of VAP prevention strategies .,The importance of oral care,1,Berry AM，Davidson PM，Masters J，etal. Systematic literature review of oral hygiene practices for intensive care patients receiving mechanical. vebtilationAm J Crit Care,200
3、7,16(6):552-562,1.promote oral hygiene, 2.clear oral secretions， 3.reduce oral bacteria and dental plaque, 4. reduce the incidence of VAP.,4,The traditional method of scrubbing,Scrubbing method + flushing method,Flushing method,Brushing method,The oral care method,The oral care method,2,5,Company Lo
4、go,0.9% sodium chloride solution, cotton scrub, although this method can effectively wipe away plaque and stains, but not thorough enough.,传统的擦洗法,6,we can choose 0.9% sodium chloride solution, sodium bicarbonate , hydrogen peroxide solution, which is easy to cause aspiration pneumonia.,冲洗法,7,This me
5、thod can effectively reduce the accumulation of bacteria in the patients mouth to improve the quality of oral care.,擦洗法+ 冲洗法,8,The frequency of oral care : Suggestions for oral care more than three times a day,9,mouthwash,NS,Chlorhexidine,Bicarbonate solution,Nitrofurazone solution,Mouthwashes,3,10,
6、Oral care assessment tool,Function：Help caregivers understand the oral health status of the patient, and provides practical methods to assess the efficacy of oral care.,4,The new concept of oral care: oral care should be considered as the main purpose to remove dental plaque1.,Foreign common indicator: VAP incidence,1尚少梅，王荣梅，张海燕.护理人员对经口气管插管口腔护理认识状况的研究.中国实用护理杂志，2006,22(9A):13 -15.,11,Company Logo,Oral care assessment tool,Chinese common indicators,4,12,Thank You !,
