Impact of oral hygiene in patients undergoing mechanical ventilation in the COVID-19 pandemic.
Dayane Helen Ferreira SilvaJúlia Hinkelmann de CamargosJefferson Guimarães RodriguesLeilismara Sousa NogueiraDênia Alves de AzevedoMaria das Graças CarvalhoMelina de Barros PinheiroPublished in: Revista da Associacao Medica Brasileira (1992) (2020)
COVID-19, caused by SARS-CoV-2, can present respiratory complications that often lead patients to depend on mechanical ventilation (MV) for several days. It is known that Pneumonia Associated with Mechanical Ventilation (PAMV) is frequent in patients who use this equipment for a long time. As a consequence of COVID-19, its prolonged use can lead to a worse prognosis for the patients. For this reason, in addition to the insufficiency of devices for mechanical ventilation to meet the current demand, it is necessary to adopt measures aimed at preventing complications that may aggravate the patient's clinical condition and, consequently, increase the average hospital stay and the respective hospital care costs. Therefore, the objective of this study was to discuss, in a concise and practical way, and based on the available literature, the importance of adopting adequate oral hygiene protocols for patients on mechanical ventilation. Based on the data obtained, it was identified that the adoption of effective oral hygiene measures, especially under the supervision of dental professionals, can contribute to the reduction of morbidity and mortality associated with MV, resulting in greater availability of mechanical ventilation equipment. Since such equipment is in great demand during the COVID-19 pandemic, the knowledge and implementation of effective oral hygiene measures will undoubtedly have an impact on improving the quality of care offered to patients, therefore benefiting all those in critical health conditions and assisted in ICUs.
Keyphrases
- mechanical ventilation
- acute respiratory distress syndrome
- intensive care unit
- sars cov
- end stage renal disease
- healthcare
- respiratory failure
- newly diagnosed
- ejection fraction
- chronic kidney disease
- patients undergoing
- prognostic factors
- coronavirus disease
- systematic review
- primary care
- emergency department
- mental health
- machine learning
- public health
- climate change
- electronic health record
- pain management
- artificial intelligence