Audio Transcript Auto-generated
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Hi, My name is Lexi to Sean and my partner,
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Peyton. Rocky and I came up with this evidence based
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practice presentation over ventilator associated pneumonia.
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So, for starters, are PICO.
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Question was, if patients on a ventilator have better Orel
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hygiene rather than not doing oral hygiene well, the risk
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of developing ventilator associated pneumonia be lower.
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So a quick summary ventilator associated pneumonia has been a
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very serious problem for patients that are in the I.
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C. U and is a very common knows to Carmel
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infection. People that are on the ventilator typically have very
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dry mouth and have less saliva.
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This is this is significant because it is often a
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defense mechanism to different types of bacteria exactly present in
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the mouth.
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Another reason why these patients are at higher risk is
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because of the endotracheal tube that delivers oxygen down to
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the patient's lungs.
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This becomes a conduit for many pathogens and bacterias, and
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for them to grow rapidly and spread down the tube
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and into the lungs, which will create an infection so
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over to the right, we have different types of fax
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and questions, just stating how significant this is, and so
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I'll just click through them for you see?
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Okay. And our very first article was found by patent.
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And so just a quick summary.
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Um, it was basically just different randomized controlled trials that
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evaluated the effects of different types of interventions such as
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math rin swabs, toothbrushes and then also combined of those
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eso. This was also done on patients that were on
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the ventilator for at least 48 hours.
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Data was composed of 38 random controlled trials and had
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6000 and 16 participants.
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Three amount of times of the oral hygiene that occurred
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ranged in each study, but the median showed that it
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occurred mostly 2 to 4 times a day.
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So our analysis of it was that the results concluded
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that the use of Clorox seen mouthwash reduce the risk
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of developing ventilator associated pneumonia from 25% to 19% for
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every 17 people on the ventilator for more than 48
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hours in the I c.
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U. The use of aural hygiene, including core Hochstein, will
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help prevent at least one of those persons from developing
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ventilator associated pneumonia.
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The results did not show any evidence that this intervention
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reduced mortality or the length of stay in the I,
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C, U and Onley.
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Two studies reported adverse effects of the cortex scene, um,
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and that they were very mild.
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So this is very safe option for our future patients.
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And here is just a reference.
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And then the next article was one that I found,
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and it was just basically a bunch of different approaches
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at the CDC laid out um, and it included practices
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such as brushing teeth, guns and tongue at least twice
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a day with a soft pediatric toothbrush, moistening oral mucosa
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and lips every 2 to 4 hours 0.12% or a
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cortex sitting rents of the oral cavity twice daily and
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suctioning of the oral cavity.
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Slash the fair Knicks, um, and that it is crucial
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thio amp up.
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Or keep the moist environment of the mouth by using
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water, normal sailing or the use of saliva substitutes.
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Invoicing gel.
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Um, so a big thing is that they want to
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reduce the dryness of the patient's mouth because it does
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carry a risk for dental carries and other periodontal diseases,
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which just heavily mawr increases the level of bacteria and
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risk of infection.
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So our analysis was that the CDC recognized this issue,
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and with the implementation of these practices, it has reduced
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ventilator social pneumonia by 60%.
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And then it just goes into more details.
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Oh, and then here is a reference.
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And then just basically for the future, we would highly
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recommend these interventions or changes to be implemented into the
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I. C.
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U S.
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Um, each of these articles give very great details and
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levels of evidence used and collected data, and it could
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just be very effective and cost friendly.
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These were just some other reasons why we think that
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thes practices should be implemented and could be effective if
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you just want to pause and read.
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Other than that, that is basically our whole presentation.
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Thank you so much for watching, and we hope that
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this persuaded you and showed some good evidence.