Dental Management for Patients in ICU

2016 ◽  
Vol 10 (3) ◽  
pp. 80-86 ◽  
Author(s):  
SK Rath ◽  
U Kumar
Keyword(s):  
Oral Care ◽  
Oral Diseases ◽  
Special Equipment ◽  
Icu Patients ◽  
Professional Qualification ◽  
Mechanically Ventilated ◽  
Psychological Conditions ◽  
Dental Management ◽  
Life Threatening ◽  
Multifaceted Interventions

ABSTRACT The essence of multi disciplinarity is that professionals from different areas acting on the same patient in intensive care do not rely on the environment or special equipment but on the decision making process, based on the full understanding of the patient's physiological, psychological conditions and of new therapies. It is mandatory that ICU patients receive sufficient oral hygiene care during their stay, for the purpose of preventing oral pathologies and possible complications of already existing oral diseases. There is real need for the effective participation of dentists and the nursing staff in the instructions, professional qualification, and motivation of health professionals working in the ICU in order to create specific routines to promote oral health in ICU patients. Multifaceted interventions to improve oral care nursing practices are required to reduce the incidence of life threatening conditions in mechanically ventilated patients, thereby improving patient safety

Pregnancy & Oral Health and Dental Management in Pregnant Patient

2020 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. Vishal Thakur ◽  
Dr. Reetika Thakur ◽  
Dr. Manpreet Kaur ◽  
Dr. Jasleen Kaur ◽  
Dr. Atul Kumar ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Oral Health ◽  
Human Body ◽  
Oral Hygiene ◽  
Pregnancy Outcomes ◽  
Oral Care ◽  
Pregnant Patient ◽  
Dental Management ◽  
Exciting Time

Pregnancy is a unique, exciting time in a woman's life, and there are so many changes going on in human body during pregnancy and mouth is no exception , so good oral hygiene is extremely important during pregnancy . Usually oral health is often the most neglected form of health during all stages of life & the most important cause for this neglection is lack of awareness among people & this problems also increases when a lady is pregnant because of mis-perceptions and mis-leading information in the society or due to lack of knowledge. But the fact is during pregnancy many complex physiologic changes occur in the women’s body, which can adversely affect oral health and in turn those oral health problems may lead to pregnancy outcomes like preterm birth or low birth weight. Proper oral care is of utmost importance during pregnancy to avoid these complications. Avoiding foods that may cause oral problems, proper brushing and flossing and having dental consultations on a regular basis are steps to ensure good oral health during pregnancy.

CUIDADOS BUCAIS EM PACIENTES VENTILADOS MECANICAMENTE: CONHECIMENTO DE ENFERMEIROS DE UM HOSPITAL ESCOLA

2018 ◽  
Vol 8 (4) ◽  
Author(s):  
Gérsica Sampaio Silva ◽  
Fernanda Alves Ferreira Gonçalves ◽  
Bárbara Ribeiro Miquelin Bueno ◽  
Georlucya Kátia Da Silva Ferreira ◽  
Ludmila Pinheiro Da Silva ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Oral Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Complicating Factors ◽  
Materials Used ◽  
Ventilated Patients

Objetivo: Avaliar o conhecimento acerca dos cuidados bucais realizados por enfermeiros a pacientes ventilados mecanicamente. Método: Estudo transversal, realizado em um hospital escola de Goiânia/Goiás. A coleta de dados deu-se por meio de questionário estruturado. Resultados: Os enfermeiros conhecem as medidas recomendadas sobre higiene bucal. Os fatores dificultadores encontrados foram a falta de pessoal (21,7%), falta de tempo (16,7%) e trabalhos burocráticos (15%). Contudo ainda existem lacunas no que se refere a produtos e materiais utilizados na higiene bucal. Conclusão: As Lacunas e os fatores dificultadores sinalizados nesse estudo merecem reflexão, como forma de avaliar a qualidade do cuidado oferecido.Descritores: Biofilme; Higiene Bucal; Cuidados de enfermagem.ORAL CARE IN MECHANICALLY VENTILATED PATIENTS: KNOWLEDGE OF NURSES FROM A SCHOOL HOSPITALObjective: To evaluate the knowledge about oral care performed by nurses in mechanically ventilated patients. Methods: a cross-sectional study, conducted in a teaching hospital of Goiania/Goias. The data collection was performed by means of a structured questionnaire. Results: The nurses know the measures recommended on oral hygiene. The complicating factors found were the lack of personnel (21.7%), lack of time (16.7%) and work on tape (15%). However there are still gaps in relation to products and materials used in oral hygiene. Conclusion: The gaps and the factors complicating factors indicated in this study deserve consideration, as a means of evaluating the quality of care offered.Keywords: Biofilm; Oral hygiene; Nursing care.CUIDADO ORAL EN PACIENTES CON VENTILACIÓN MECÁNICA: EL CONOCIMIENTO DE LAS ENFERMERAS DEL HOSPITAL ESCUELAObjetivo: Evaluar el conocimiento sobre el cuidado bucal realizadas por enfermeras en pacientes ventilados mecánicamente. Métodos: Estudio transversal, realizado en un hospital de Goiania y Goias. La recolección de datos se realizó por medio de un cuestionario estructurado. Resultados: Las enfermeras saben las medidas recomendadas en la higiene bucal. Los factores encontrados fueron la falta de personal (21,7%), la falta de tiempo (16,7%) y trabajar en la cinta (15%). Sin embargo todavía hay lagunas en relación con los productos y los materiales utilizados en la higiene bucal. Conclusión: Las brechas y los factores factores indicados en este estudio merecen consideración, como medio de evaluar la calidad de la atención ofrecida.Palabras clave: Biofilme; Higiene Bucal; Atención de Enfermería.

Frequency and clinical impact of preserved bispectral index activity during deep sedation in mechanically ventilated ICU patients

2009 ◽  
Vol 35 (12) ◽  
Author(s):  
Pierre Trouiller ◽  
Pascal Fangio ◽  
Catherine Paugam-Burtz ◽  
Corinne Appéré-de-Vecchi ◽  
Paul Merckx ◽  
...  
Keyword(s):  
Bispectral Index ◽  
Deep Sedation ◽  
Clinical Impact ◽  
Icu Patients ◽  
Mechanically Ventilated

scholarly journals New Insights of Molecular Dentistry in Dental Management and Oral Biology

2018 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Disease Management ◽  
Treatment Option ◽  
Genetic Predisposition ◽  
Dental Materials ◽  
Oral Diseases ◽  
Dental Management ◽  
Control And Prevention ◽  
Science Of Prevention ◽  
Brighter Future

Evolution in dentistry, dental materials, genetics and disease management has been growing over the last few decades. Understanding the links between genetics and dental and oral diseases could result in better treatment option. This knowledge could also results in better control and prevention of diseases. This review demonstrates various links between genetic predisposition and effect on dental and oral tissues. It highlights the recent suggestions of up and down regulating different genes and their effect on dental and oral diseases. Further studies are needed to confirm those links and maybe a brighter future in the science of prevention will be reached.

scholarly journals Compared the Microbiota Profiles between Samples from Bronchoalveolar Lavage and Endotracheal Aspirates in Severe Pneumonia: A Real-World Experience

2022 ◽  
Vol 11 (2) ◽  
pp. 327
Author(s):  
Yeong-Nan Cheng ◽  
Wei-Chih Huang ◽  
Chen-Yu Wang ◽  
Pin-Kuei Fu
Keyword(s):  
Microbial Community ◽  
Bronchoalveolar Lavage ◽  
Microbial Community Composition ◽  
Severe Pneumonia ◽  
Metagenomic Sequencing ◽  
Microbial Composition ◽  
Icu Patients ◽  
Mechanically Ventilated ◽  
The Difference ◽  
New Onset

Lower respiratory tract sampling from endotracheal aspirate (EA) and bronchoalveolar lavage (BAL) are both common methods to identify pathogens in severe pneumonia. However, the difference between these two methods in microbiota profiles remains unclear. We compared the microbiota profiles of pairwise EA and BAL samples in ICU patients with respiratory failure due to severe pneumonia. We prospectively enrolled 50 ICU patients with new onset of pneumonia requiring mechanical ventilation. EA and BAL were performed on the first ICU day, and samples were analyzed for microbial community composition via 16S rRNA metagenomic sequencing. Pathogens were identified in culture medium from BAL samples in 21 (42%) out of 50 patients. No difference was observed in the antibiotic prescription pattern, ICU mortality, or hospital mortality between BAL-positive and BAL-negative patients. The microbiota profiles in the EA and BAL samples are similar with respect to diversity, microbial composition, and microbial community correlations. The antibiotic treatment regimen was rarely changed based on the BAL findings. The samples from BAL did not provide more information than EA in the microbiota profiles. We suggest that EA is more useful than BAL for microbiome identification in mechanically ventilated patients.

scholarly journals Caregivers’ attitudes, knowledge and practices of oral care at nursing homes in Serbia

2016 ◽  
Vol 73 (7) ◽  
pp. 668-673 ◽  
Author(s):  
Ivica Stancic ◽  
Milos Petrovic ◽  
Aleksandra Popovac ◽  
Miroslav Vasovic ◽  
Nebojsa Despotovic
Keyword(s):  
Oral Health ◽  
Nursing Homes ◽  
Periodontal Disease ◽  
Oral Hygiene ◽  
Oral Care ◽  
The Elderly ◽  
Oral Diseases ◽  
Closed Type ◽  
Work Shifts ◽  
Self Administered Questionnaire

Background/Aim. Within the elderly population, residents in nursing homes, there is a greather risk of caries, periodontal disease and teeth loss. Assistance of caregivers in maintaininig good oral hygiene besides improving oral health can improve of residents general health and the qulity of their lives. The aim of this study was to examine the attitudes of caregivers and knowledge about oral health, as well as the practice regarding oral care they apply at nursing homes in Serbia. Methods. The survey was conducted at the Gerontology Center Belgrade, consisting of four nursing homes located in the urban area. The study included 58 caregivers. They were contacted on working days, in all work shifts, during January, February and March of 2013. They were asked to fill in a self-administered questionnaire consisting of 26 closed-type questions. Results. The caregivers mostly considered that it was very important to take care of oral health of the residents, but 69% responded that the level of their oral health was low or very low. As the main barriers to oral hygiene maintenance, the caregivers indicated lack of time. The caregivers had more knowledge about periodontal disease than about the main cause of caries and its prevention. Formal medical education had the influence on the knowledge about oral diseases. Oral hygiene procedures carried out by the mayority of caregivers were denture cleaning and tooth brushing. Conclusion. The caregivers were aware of the limitations in everyday oral care of nursing homes residents in Serbia, although solving these problems requires the involvement of the entire public health service.

scholarly journals Oral-health awareness among pregnant women in the region of Republika Srpska

2019 ◽  
Vol 66 (1) ◽  
pp. 20-28
Author(s):  
Svjetlana Janković ◽  
Bojana Davidović ◽  
Igor Radović ◽  
Vladimirka Ikonić ◽  
Ivana Dmitruk-Miljević
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Oral Hygiene ◽  
University Education ◽  
Oral Diseases ◽  
Health Awareness ◽  
Professional Qualification ◽  
Dental Examination ◽  
Republika Srpska ◽  
Oral Hygiene Habits

Summary Introduction Oral diseases during pregnancy are an important reason for enhanced dental care of this vulnerable population. The aim of this study was to determine the degree of oral health awareness among pregnant women and examine their oral hygiene habits, attitudes and behaviors in relation to the professional qualification. Material and methods The study was conducted in Foča, East Sarajevo, Bijeljina and Pale (Republika Srpska, Bosnia and Herzegovina). A total of 198 respondents voluntarily filled an anonymous survey, specially created for this research. Results In addition to toothbrush and toothpaste, 39.8% of pregnant women did not use any additional oral hygiene resources. When brushing their teeth, 60.1% of pregnant women had bleeding gums. Also, 54.1% of pregnant women visited dentist, while 34.3% did not. Obstetrician did not advise 69.7% of respondents that the should visit dentist during pregnancy. Furthermore, 80.8% of pregnant women thought that they were more susceptible to pregnancy caries, and 29.6% of them thought that caries is disease that cannot be prevented. Respondents with university education understood that minerals from the mother’s teeth were not lost during pregnancy, which was statistically significant compared to pregnant women with secondary education. Conclusion The level of oral health awareness of pregnant women is low. It is important that all women perform regular dental examination during pregnancy, as they will receive useful information from their dentist how to prevent oral diseases.

Actigraphy in mechanically ventilated pediatric ICU patients: comparison to PSG and evaluation of behavioral circadian rhythmicity

2021 ◽  
pp. 1-12
Author(s):  
Raymond E. A. Sanchez ◽  
Joanna E. Wrede ◽  
R. Scott Watson ◽  
Horacio O. de la Iglesia ◽  
Leslie A. Dervan
Keyword(s):  
Circadian Rhythmicity ◽  
Icu Patients ◽  
Mechanically Ventilated ◽  
Pediatric Icu

Association of opioid exposure during intensive care unit stays with post-discharge opioid use: A retrospective study and literature review

2021 ◽  
Vol 17 (6) ◽  
pp. 511-516
Author(s):  
Yoonsun Mo, MS, PharmD, BCPS, BCCCP ◽  
John Zeibeq, MD ◽  
Nabil Mesiha, MD ◽  
Abou Bakar, PharmD ◽  
Maram Sarsour, PharmD ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Hospital Discharge ◽  
Invasive Mechanical Ventilation ◽  
High Dose ◽  
Opioid Use ◽  
Electronic Health Record Data ◽  
Icu Patients ◽  
Mechanically Ventilated

Objective: To evaluate whether pain management strategies within intensive care unit (ICU) settings contribute to chronic opioid use upon hospital discharge in opioid-naive patients requiring invasive mechanical ventilation. Design: A retrospective, observational study.Setting: An 18-bed mixed ICU at a community teaching hospital located in Brooklyn, New York.Participants: This study included mechanically ventilated patients requiring continuous opioid infusion from April 25, 2017 to May 16, 2019. Patients were excluded if they received chronic opioid therapy at home or expired during this hospital admission. Eligible patients were identified using an electronic health record data query.Main outcome measure(s): The proportion of ICU patients who continued to require opioids upon ICU and hospital discharge. Results: A total of 196 ICU patients were included in this study. Of these, 22 patients were transferred to a regular floor while receiving a fentanyl transdermal patch. However, the fentanyl patch treatment was continued only for three patients (2 percent) at hospital discharge.Conclusions: This retrospective study suggested that high-dose use of opioids in mechanically ventilated, opioid-naive ICU patients was not associated with continued opioid use upon hospital discharge.

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