There is a well-known old saying, “Prevention is better than cure”. This saying is especially true in case of ventilator dependent patients. Ventilated patients are most likely to suffer from VAP (Ventilator Associated Pneumonia) and oral hygiene is the best prevention for such patients. Oral care along with regular tooth brushing is the measure doctors or care takers adopt to avoid chances of VAP in mechanical ventilated patients.
VAP is rated as most problematic issue ventilated patients can suffer from. The reason for this occurrence is the Endotracheal tube which is passed through the throat. This tube paves the path for the bacteria and other infections. Oral hygiene hence in ventilated patients is considered as the best precautionary measure to avoid VAP. Proper and regular cleaning of oral cavity along with lubrication not only reduces the chance of pneumonia but also ensures fast recovery of the patient.
Steps To Do Proper Oral Care of Ventilated Patients
Here are few steps that can ensure proper oral care of the patients on long-term ventilation.
1- Oral Cavity Assessment of Ventilated Patients
Inspection of oral cavity on regular basis is a must for ventilated patients. Doctors and care takers are supposed to thoroughly assess oral tissues, lips, teeth, tongue and saliva of every patient at the time of admission as well as on daily basis. This way physicians can identify oral problems on an early phase and prevent patient to suffer from serious health issues.
2- Oral Moisturizing of Ventilator Dependent Patient
Intubation and certain medicines used for ventilation may result in dryness of mouth. Dryness of mouth may result in irritation and in severe conditions mouth ulcer. All these conditions are unfavorable for any person but in case of ventilated patient the threat doubles. It is needed to lubricate the lips of the patient after every six hours to avoid chapping. Also, it is suggested to lubricate oral cavity with wet gauze wrapped around the finger. Regular moisturizing helps in fighting against dried mouth which may lead to ulcer. Doctors also recommend to keep patient hydrated enough to keep throat clear.
3- Proper Oral Hygiene of Ventilated Patients
Oral cavity is the entry point of bacteria and microorganisms in ventilated patients. The bacteria of pneumonia can easily pass-through oral cavity to cause lung infection. Also, there is a chance of accumulation of plaque if teeth and gums are not properly cleaned. Ventilated patients like normal persons need proper and regular teeth and tongue cleaning to avoid infections and plaque. Removal of plaque can also be painful for patients as it can damage delicate tissues and gums. It is thus suggested to use a damp gauze to moisten the plaque and then rub it gently with the help of soft toothbrush. Saline mouthwash can also add extra advantage to the patient in fighting against bacteria and infectious organisms.
Why Proper Oral Care Is Necessary For Ventilator Patients
It is observed that proper oral care is a must for the fast recovery of the ventilated patients. Additionally, oral care also reduces the chance of VAP as well as other body infections. However, the person who is responsible for oral care must clean his hands and use gloves before any proceeding. Furthermore, all of the items used must be cleaned and sterilized properly. Otherwise, the results may be painful and unfavorable.
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