nach oben

Intensive Care Medicine

Erschienen in:

10.10.2020 | Less is more in Intensive Care

Less daily oral hygiene is more in the ICU: yes

verfasst von: Brian H. Cuthbertson, Craig M. Dale

Erschienen in: Intensive Care Medicine | Ausgabe 3/2021

Einloggen, um Zugang zu erhalten

Excerpt

Ventilator associated pneumonia (VAP) and halitosis can be considered to be the two scourges of the decade in the 2000s, one medical and one social of course. While these two problems may seem unrelated, both are conditions in which pressure to adopt oral therapies may result in more harm than good. …

Melsen WG, Rovers MM, Groenwold RHH, Bergmans DCJJ, Camus C, Bauer TT, Hanisch EW, Klarin B, Koeman M, Krueger WA, Lacherade J-C, Lorente L, Memish ZA, Morrow LE, Nardi G, van Nieuwenhoven CA, O'Keefe GE, Nakos G, Scannapieco FA, Seguin P, Staudinger T, Topeli A, Ferrer M, Bonten MJM (2013) Attributable mortality of ventilator-associated pneumonia: a meta-analysis of individual patient data from randomised prevention studies. Lancet Infect Dis 13:665–671CrossRef

Weiss CH, Amaral LAN (2010) Moving the science of quality improvement in critical care medicine forward. Am J Respir Crit Care Med 182:1461–1462CrossRef

Berwick DM, Calkins DR, McCannon CJ, Hackbarth AD (2006) The 100 000 lives campaign setting a goal and a deadline for improving health care quality. JAMA 295:324–327CrossRef

Group TSICSA (2008) VAP prevention bundle – guidance for implementation. NHS National Services Scotland, Edinburgh

Klompas M, Li L, Kleinman K, Szumita PM, Massaro AF (2016) Associations between ventilator bundle components and outcomes. JAMA Intern Med 176:1277–1283CrossRef

Payer L (1992) How doctors, drug companies, and insurers are making you feel sick. J. Wiley, New York

Bollen CML, Beikler T (2012) Halitosis: the multidisciplinary approach. Int J Oral Sci 4:55–63CrossRef

Bekaert M, Timsit J-F, Vansteelandt S, Depuydt P, Vésin A, Garrouste-Orgeas M, Decruyenaere J, Clec'h C, Azoulay E, Benoit D (2011) Attributable mortality of ventilator-associated pneumonia. Am J Respir Crit Care Med 184:1133–1139CrossRef

Klompas M, Speck K, Howell MD, Greene LR, Berenholtz SM (2014) Reappraisal of routine oral care with chlorhexidine gluconate for patients receiving mechanical ventilation: systematic review and meta-analysis. JAMA Intern Med 174:751–761CrossRef

10.

Dale CM, Rose L, Carbone S, Smith OM, Burry L, Fan E, Amaral ACK, McCredie VA, Pinto R, Quinonez CR, Sutherland S, Scales DC, Cuthbertson BH (2019) Protocol for a multi-centered, stepped wedge, cluster randomized controlled trial of the de-adoption of oral chlorhexidine prophylaxis and implementation of an oral care bundle for mechanically ventilated critically ill patients: the CHORAL study. Trials 20:603CrossRef

11.

Plantinga NL, Wittekamp BHJ, Leleu K, Depuydt P, Van den Abeele AM, Brun-Buisson C, Bonten MJM (2016) Oral mucosal adverse events with chlorhexidine 2% mouthwash in ICU. Intensive Care Med 42:620–621CrossRef

12.

Sands KM, Wilson MJ, Lewis MAO, Wise MP, Palmer N, Hayes AJ, Barnes RA, Williams DW (2017) Respiratory pathogen colonization of dental plaque, the lower airways, and endotracheal tube biofilms during mechanical ventilation. J Crit Care 37:30–37CrossRef

13.

Choi BK, Kim MS, Kim SH (2020) Risk prediction models for the development of oral-mucosal pressure injuries in intubated patients in intensive care units: a prospective observational study. J Tissue Viability. https://doi.org/10.1016/j.jtv.2020.06.002CrossRefPubMed

14.

Rello J, Koulenti D, Blot S, Sierra R, Diaz E, De Waele JJ, Macor A, Agbaht K, Rodriguez A (2007) Oral care practices in intensive care units: a survey of 59 European ICUs. Intensive Care Med 33:1066–1070CrossRef

15.

Herridge MS, Moss M, Hough CL, Hopkins RO, Rice TW, Bienvenu OJ, Azoulay E (2016) Recovery and outcomes after the acute respiratory distress syndrome (ARDS) in patients and their family caregivers. Intensive Care Med 42:725–738CrossRef

Titel: Less daily oral hygiene is more in the ICU: yes
verfasst von: Brian H. Cuthbertson
Craig M. Dale
Publikationsdatum: 10.10.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Intensive Care Medicine / Ausgabe 3/2021
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-020-06261-6

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren

Springer Medizin

Less daily oral hygiene is more in the ICU: yes

Excerpt

Neu im Fachgebiet AINS

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

Update AINS

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2021

Haloperidol, clonidine and resolution of delirium in critically ill patients: a prospective cohort study

Less daily oral hygiene is more in the ICU: not sure

Ten reasons why corticosteroid therapy reduces mortality in severe COVID-19

Less daily oral hygiene is more in the ICU: no

Early and sustained Lactobacillus plantarum probiotic therapy in critical illness: the randomised, placebo-controlled, restoration of gut microflora in critical illness trial (ROCIT)

SARS-CoV-2 in carotid body

Neu im Fachgebiet AINS

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

Update AINS