Effects of Oral Care in the Neuroscience ICU

St. Joseph's Hospital and Medical Center, Phoenix113 enrolled

Overview

The purpose of this study is to compare how effective different ways of mouth cleaning are for patients in a neuroscience intensive care unit with a breathing tube in their mouth.

Patients with neurological dysfunction requiring intubation and ventilation are at risk for developing ventilator acquired pneumonia. Several studies have suggested that oral hygiene plays a role in the subsequent development of pneumonia for patients in the intensive care unit requiring intubation and mechanical ventilation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

113

Conditions

Ventilator Associated Pneumonia Oral Hygiene

Interventions

Standard Oral CarePROCEDURE

Patients in this arm will receive standard oral care with manual brushes and routine oral hygiene products twice a day

Comprehensive Oral CarePROCEDURE

Patients will receive a comprehensive oral care protocol using mechanical brushes and oral care products formulated for patients with a dry mouth twice a day

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * \> or equal 18 years old * Intubated within 24hours of admission to the Neuroscience ICU * Intubation anticipated to continue for approximately 72 hours Exclusion Criteria: * Minors * Pregnancy * Acute cervical spinal cord injury * Severe facial trauma * Family not present for consent

Locations (1)

St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States

Outcomes

Primary Outcomes

Development of Ventilator Acquired Pneumonia

Time frame: During the period of intubation

Secondary Outcomes

Improved Oral Health

Time frame: During the period of intubation and 48 hours following extubation

Data from ClinicalTrials.gov

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