Essay - Oral Hygiene with Intubation Patients Introduction Preliminary Literature Review Methodology...

Oral Hygiene with Intubation Patients

Introduction

Preliminary Literature Review

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Results

Analysis

Discussion

Conclusion

An Investigation of the Importance of Oral ***** with Intubated Patients

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Today, anesthetists are increasingly being challenged by the fact that anes*****tic drugs now have a more rapid onset, higher potency, and faster emergence, making swifter responses to changing and potentially life-threatening situations very important (Horst et al., 1996). Like most other medical domains, emergency healthcare services are provided by a collection of personnel with differing expertise and professional backgrounds. However, unlike most other ***** domains, the coordination of team efforts in emergency situations takes place under severe time constraints.

As suggested by the concept of the "golden hour" in treating traumatized patients, *****re is only a brief window of opportunity during clinici*****ns can significantly improve a patient's chance of survival. In fact, according to Brown (1987), about 80 percent of trauma deaths occur in the first 4 ********** after *****jury. Nevertheless, while the need ***** intubate patients in order to save their lives dur*****g this brief ***** ***** opportunity clearly outweighs a number of other medic*****l considerations, the fact remains ***** tracheal intubations also provide an enormous window of opportunity for nosocomial infections to take place, jeopardizing ***** patient's healthcare outcome (Chikami & Murphy, 1998). Therefore, it is import*****t for healthcare providers ***** ensure that notwithstanding the need to admin*****ter ***** healthcare ***** in a timely fashion, these services must be accompanied ***** appropriate precautions to provide the patient with ***** maximum ***** for recovery and resumption of a normal life.

***** this end, this dissertation exam*****es six studies from the peer-reviewed literature concerning the problems associated with ensuring proper intubation to develop an *****st*****ing ***** the factors involved in ensuring a hygienic intubation process. The introduction is followed by a description of the methodology employed. A critical review of ***** intubation studies is followed by a discussion ***** the results, *****d a summary of the research will be ***** in ***** conclusion.

***** ***** Review.

Oral hygiene has a profound effect on gener*****l health (Munro & Grap, 2004).

***** colonization has been associated with several systemic diseases, including cardiovascular disease, chronic obstructive pulmonary disease (COPD), endocarditis, and bacteremia. In an intensive care unit (ICU) setting, the relationship of oral hygiene to systemic disease ***** been largely focused on the development of ventila*****r-***** pneumonia (Munro & *****, 2004). According to *****se authors, bacterial colonization of the oropharynx has ***** identified as being an important risk factor for ventilator-associated *****. Good oral hygiene, which includes addressing the accumulation of dental plaque, oral microbial flora, and local oral immunity, serves to influence ***** number of organisms, including pathogens that may result in ventilator-associated pneumonia ***** the ***** cavity. *****refore, efficacious oral hygiene care interventions that prevent ***** accumulation of ***** ***** stimulate local oral immunity during the early period of hospitalization may help to reduce the incidence of ventilator-associated ***** (Ibid., *****).

There are currently two ways that clinicians remove dental plaque and associated microbes: 1)