Mekanik Ventilatöre Bağlı Hastalarda Ağız Bakımı

Mekanik ventilatöre bağlı hastalarda tedavi için kullanılan ilaçlar, endotrakeal tüp nedeniyle ağzın sürekli olarak açık kalması, endotrakeal tüpün varlığı ve tespit için kullanılan flasterler, ağız yoluyla sıvı ve besin alınmaması ağız ve çevresindeki doku bütünlüğünün bozulmasına ve ağız florasında değişikliklere neden olmaktadır. Mekanik ventilatöre bağlı hastaların ağız mukozasında meydana gelen değişiklikler ve ağız bakımı yetersizliği nedeniyle gelişebilecek ağız sorunları ve ventilatörle ilişkili pnömoni'yi (VİP) önlemede ağız hijyeninin sağlanması ve sürdürülmesi son derece önemlidir. Bu makalede, mekanik ventilatöre bağlı hastalarda ağız bakımının önemi ve ağız mukoza sağlığının korunması ve sürdürülmesinde dikkat edilmesi gereken noktalara yer verilmiştir.

Oral Care in Patients Receiving Mechanical Ventilator

In patients receiving mechanical ventilation; drugs, endotracheal tube, which requires the mouth to remain continuously open, use of plasters for fastening the tube, lack of oral liquid and food consumption cause to lose integrity of the mouth and surrounding tissues and changes the flora of the mouth. Providing and maintaining oral hygiene of patients receiving mechanical ventilation is vital in preventing oral problems and ventilator associated pneumonia (VAP) due to mechanical ventilation, changes in oral mucosa and poor oral care originated In this article, the importance of oral care and special considerations for maintaining and protection of oral mucosa in patients on mechanical ventilation are discussed.

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