oral care kits for ventilated patientsgold necklace for teenage girl

Oral hygiene care for critically ill patients to prevent, [19]. Packaging: 24/case. Wolters Kluwer Health [31]. We are going to adopt The Grading of Recommendations Assessment, Development, and Evaluation (GRADE)[36] approach to assess the quality of evidence of the pooled studies. quiz 147-8. What the specific search strategy will be (taking PubMed as an example) is shown in Table 1. [4]. 2 14ml cups of 0.12% CHG Oral Rinse Solution. [27]. http://creativecommons.org/licenses/by/4.0. [12]. Arksey H, OMalley L. Scoping studies: towards a methodological framework. Preventing Incontinence-Associated Dermatitis, Easy to use, sequential packaging available in various configurations to meet hospital protocol, Burst pouch dispenses solution in seconds to moisten tools right in the package. J Clin Periodontol 2011;38:62836. Each CHG cup label includes a barcode for easy scanning and documentation. Published by Wolters Kluwer Health, Inc. a. Mortality rate: either ICU mortality if these data were available, or 30-day mortality. Most Non-Vented (NV) HAP infections (70.8%) are acquired outside of the ICU setting; of these, 18.8% require ICU admission. bEvidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou City, Gansu Province, China. Moreover, the evidences have showed that the cost of VAP was massive, calculating up to $20,000 in Europe and the United States. Crit Care Nurse 2017;37:e1921. Then they will select full-text of potentially eligible studies and determine study for inclusion or exclusion. This website uses cookies. The evidence mapping (EM) method will be introduce as a tool intended to complement the conventional systematic review (SR) and is suitable for this issue, at the same time, R software will be used for representing the outcome of EMSR. Nonrandomized controlled trials, observational studies, qualitative studies, and laboratory studies will be excluded. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. [28]. Sousa AS, Ferrito C, Paiva JA. Pentru a continua sa utilizati website-ul nostru, trebuie sa selectati preferintele dvs. GRADE guidelines: 1. Mobile 1: +40 744 618 445 [35] We are going to complete a risk of bias table for all the included study. Different opinions will be resolved through discussion or consult the third part (JHT). [9]. Two reviewers will evaluate the risk of bias of the included studies by using the Cochrane Risk of Bias tool. Preventing Ventilator-Associated Pneumonia 2004; All rights reserved. 3 Mini Suction Swab Pack (including mini suction swab, mini applicator swab & empty solution cup) Articles in Google Scholar by Hua-ping Wei, BN, Other articles in this journal by Hua-ping Wei, BN, Three-day tracheal intubation manikin training for novice doctors using Macintosh laryngoscope, McGRATH MAC videolaryngoscope and Pentax AirwayScope, Effects of blood flow on the antibacterial efficacy of chlorhexidine and silver sulfadiazine coated central venous catheter: A simulation-based pilot study, The value of the air bronchogram sign on CT image in the identification of different solitary pulmonary consolidation lesions, Survey of family satisfaction with intensive care units: A prospective multicenter study. [4,5] Therefore, it is significantly important for the clinicians to well reduce the incidence of VAP and is also the strategy of improving ICU care. If the P > .05 for Q test or I2 <50% for I2 test, which suggests there is no statistical heterogeneity, then the MantelHaenszel fixed effect model will be employed, whereas the P < .05 for Q test or I2 > 50% for I2 test, we will explore sources of heterogeneity by subgroup analysis and meta-regression. Torres A, Niederman MS, Chastre J, et al. Metheny NA, Stewart BJ, McClave SA. The comprehensive 24-hour oral care systems are designed to remove plaque, debris, and oral secretions while helping you comply with your oral care protocol. Hydrocortisone and fludrocortisone for prevention of hospital-acquired pneumonia in patients with severe traumatic brain injury (Corti-TC): a double-blind, multicentre phase 3, randomised placebo-controlled trial. The global research collaboration of network meta-analysis: a social network analysis. Oral care kit for ventilated patients 24h use Oral cavity hygiene kit for the prevention of pneumonia associated with prolonged hospitalization / immobilization, Toothbrush with suction hole. 1 Prep Pack (including 1 covered Yankauer, 1 y connector & 1 suction handle) Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]; 2011. Whether continuous or intermittent subglottic secretion drainage is superior for preventing VAP has already been discussed. Conceptualization: Huaping Wei, Kelu Yang. The evidence base for complementary and alternative medicine: methods of Evidence Mapping with application to CAM. Safdar N, Dezfulian C, Collard HR, et al. The Authors. Correspondence: Hua-ping Wei, Department of Nursing, The First Hospital of Lanzhou University, Lanzhou, Gansu Province, China (e-mail: [emailprotected]). Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. [14]. Data is temporarily unavailable. Impact of oral care with versus without toothbrushing on the prevention of, [20]. [35]. Introduction-GRADE evidence profiles and summary of findings tables. 5. aDepartment of Nursing, The First Hospital of Lanzhou University. Moher D, Shamseer L, Clarke M, et al. [28] As supplementary, evidence mapping (EM), a method of evidence summary,[2931] could be used to summarize the basic characteristics and results of the included studies, as well as to present the overall depth and breadth of the evidence. 4. Asehnoune K, Seguin P, Allary J, et al. For standard oral care protocol Am J Dent 2003;16:2237. *Registered Trademark or Trademark of Avanos Medical, Inc., or its affiliates. If there is missing data in several included studies, we shall contact the corresponding author to request any inadequate and missing data by E-mail. First, predesigned data extraction form is to be designed by our team. [18,19] But other systematic review concluded that using tooth brushing could find a trend toward lower VAP rate. Please enable scripts and reload this page. [29]. Spec Care Dentist 2005;25:611. Begg funnel plot will be conducted to evaluate the publication bias of the included studies. PLoS One 2016;11:e0163239. Writing review & editing: Huaping Wei, Kelu Yang. In terms of methodology, because there are >2 brushing scrubs, it is necessary to use systematic review (SR), which helps to cope with the rapid increase of clinical literature,[27] and network meta-analysis (NMA), a promotion of pairwise meta-analysis allows the simultaneous evaluation of the relative effectiveness of several interventions through a randomized clinical trial (RCT) network, which has been increasing worldwide under the leadership of western countries. Mechanical ventilation and cytopathological changes in the oral mucosa. A node splitting method will be used to examine the inconsistency between direct and indirect comparisons when a loop connecting 3 arms exists. Personal data protection We shall assess the heterogeneity on the bias of the magnitude of heterogeneity variance parameter (I2 or Cochrane Q). 25928 All the references lists of the included studies will be checked to identify any additional studies. Study selection and data collection will be performed independently by 2 reviewers. [5]. Prendergast V, Jakobsson U, Renvert S, et al. [11]. Any disagreement will be resolved by the third part. Studies have shown that Hospital Acquired Pneumonia (HAP) is the second most common Hospital Associated Infection (HAI) in the U.S. Innovative Self-Cleaning Covered Yankauer With BALLARD* technology, Y-Connector for Single Suction Canister Use, 2 Toothbrush Procedure Packs to be used with CHG, 2 Suction Swab Procedure Packs with alcohol-free oral rinse solutions, and non-petroleum based mouth moisturizer. Get new journal Tables of Contents sent right to your email inbox, http://creativecommons.org/licenses/by/4.0, March 2019 - Volume 98 - Issue 12 - p e14923. Clinical and economic consequences of. [37]. If necessary, the forms shall be continually modified until the final data extraction form complete. The application of Stata and R software will be performed the calculations. However, previous studies on scrubs in oral care have failed to suggest which the best choice. Prevention of ventilator-associated pneumonia. Oral care for acutely and critically ill patients. RCTs of prevention of VAP will be included to pool and review in this study. JPEN J Parenter Enteral Nutr 2011;35:34655. The impact of hospitalization on oral health: a systematic review. [2]. Gu WJ, Gong YZ, Pan L, et al. [15] Furthermore, the Ventilator Bundle was published by Institute for Healthcare Improvement (IHI)[16] in 2012 demonstrated the five aspects to prevent VAP, mainly including the item of raising the head of the bed to between 30 and 45; the assessment of sedative interruption and daily extubation preparation, the prevention of peptic ulcer disease; the deep venous thrombosis prophylaxis (unless contraindicated), and oral care using chlorhexidine daily. Colour-coded packaging that allow caregivers to select the right tool at the right time, based on patient need and your facilitys protocol, Colour-coded order-of-use guide on the carton makes it easy to identify specific packs and track oral care compliance, Yankauer with high-flow atraumatic tip allows for quick, effective removal of oral secretions. [16]. Fields LB. [7]. Two reviewers (YG, KLY) will independently extract data from each included study. Yildiz M, Durna Z, Akin S. Assessment of oral care needs of patients treated at the intensive care unit. APIC. J Nurses Train 2012;27:22903. If protocol amendments occur, the dates, changes, and rationales will be tracked in PROSPERO. [15]. Hetrick SE, Parker AG, Patrick C, et al. Chlorhexidine, toothbrushing, and preventing, [23]. And the necessity of oral care in ICU for ventilation patients has already been discussed and confirmed. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Alhazzani W, Smith O, Muscedere J, et al. Cambridge, MA: Institute for Healthcare Improvement; 2012.; We are also going to conduct subgroup analysis and sensitivity analysis if needed. Patients already diagnosed with VAP, edentulous patients, studies involving children, and pregnant patients will be excluded. Keyword Highlighting Packaging: 32/case, BALLARD* MINI ORAL CARE ADVANCED KIT | ART. Pstrarea acestui modul cookie ne permite s mbuntim site-ul nostru web. Intensive Crit Care Nurs 2018;44:4552. [20] However, the published systematic reviews on these topics included inadequate numbers of studies, which ranged from 4 to 6 records, and it is obviously difficult to conclude comprehensive and robust evidence on the oral care for patients with mechanical ventilation, even likely lead to the selective bias of the result due to the insufficient of the interventions and including studies. The micro-aspiration of oropharynx colonization agents is a significant cause of most VAP cases. The results will not be substantially changed when any study is excluded if the pooled ORs are robust. The first or corresponding authors of the included studies, other experts in the field, and manufacturers of oral hygiene products shall be contacted to request unpublished relevant information. Individual packs that allow caregivers to choose the right tool at the right time, based on patient need and hospital protocol. Writing original draft: Huaping Wei, Kelu Yang. Oral care includes different tools, such as using manual toothbrush, electric toothbrush, toothette, cotton ball, gauze, or others. PERIPHERAL NERVE STIMULTORS ND CCESSORIES, Percutaneous Endoscopic Gastrostomy (PEG) Tubes, aspHirate-Check pH Indicator Strip Reader, Association for Professionals in Infection Control and Epidemiology (APIC), American Association of Critical Care Nurses (AACN), Institute for Healthcare Improvement (IHI), Kommission fr Krankenhaushygiene und Infektionsprvention (KRINKO); Robert Koch-Institut, Colour-coded packaging, allowing caregivers to easily identify specific component packs and to track oral care compliance, Rectangular kit design with wall hanger, making it more conveniently accessible in the patients room to make compliance easier. 2 Toothbrush Packs (including 1 suction toothbrush, 1 applicator swab & 1 solution cup) Duration of mechanical ventilation: We define the duration of mechanical ventilation as the time period from receiving mechanical ventilation to weaning it. What's more, there are some clinical trials compared manual toothbrush with cotton ball,[21] toothette,[22,23] gauze,[24] or electronic toothbrush. Literature search records will be imported into EndNote X8 literature management software (Thomson Reuters [Scientific] LLC, Philadelphia, PA). Implementing effective oral car could reduce the incidence of VAP. Color-coded packaging, allowing caregivers to easily identify specific component packs to track oral care compliance, Individual packs allow caregivers to choose the right tool at the right time, based on patient need and hospital protocol, Color-coded Order of Use guide, printed directly on the kit, takes the guesswork out of oral care, providing easy identification of component packs while promoting proper continuity of care according to protocol, Rectangular kit design with wall hanger, making oral care conveniently accessible in the patients room, enhancing compliance. The odds ratio and 95% CIs will be used to assess the incidence rate of ventilator-associated pneumonia in critical patients. e. Adverse outcomes resulting from the interventions: such as intracranial pressure (ICP) increasing during the oral care in neurosurgical patients. For use with a 4-hour oral care protocol It is unclear which oral scrub is best for oral care and there are no enough head-to-head RCTs to compare the efficacy of the different scrubs. to maintaining your privacy and will not share your personal information without Cookies policy, 2019 Super Medical. Abbreviations: AACN = American Association of Critical-Care Nurses, CENTRAL = Cochrane Central Register of Controlled Trials, CINAHL = Cumulative Index to Nursing and Allied Health Literature, CIs = confidence intervals, EM = evidence mapping, GRADE = Grading of Recommendations Assessment, Development, and Evaluation, HAP = hospital-acquired pneumonia, ICP = intracranial pressure, IHI = Institute for Healthcare Improvement, INICC = International Nosocomial Infection Control Consortium, NMA = network meta-analysis, OR = odds ratio, PRISMA-P = Preferred Reporting Items for Systematic review and Meta-Analysis Protocols, PROSPERO = International Prospective Register of Systematic Reviews, RCTs = randomized controlled trials, SR = systematic review, VAP = ventilator-associated pneumonia. [25] Unfortunately, it is hard to tell which the best choice for the clinic working is. Stay up-to-date with new products, studies, offers and more! [810] Patients who receive mechanical ventilation must keep their mouths open and are not able to chew, resulting in reducing saliva flow and mucous membranes dryness.[11,12]. Intensive Crit Care Nurs 2011;27:299304. Effects of a standard versus comprehensive oral care protocol among intubated neuroscience ICU patients: results of a randomized controlled trial. Syst Rev 2015;4:1. Our oral care products are designed to help promote oral health to address the risk of hospital-acquired pneumonia. [21]. Hospital-acquired pneumonia (HAP) is an infection of the pulmonary parenchyma caused by pathogenic bacterium that are present in hospital settings, which is the second most common nosocomial infection and the leading cause of death in hospital-acquired infections in critical patients. As your partners in reducing the risks of VAE, we can provide evidence-based Best Practices, easy-to-use assessment and tracking tools, education and training support all to help you deliver consistent oral care. 1 Toothbrush Pack (including 1 suction toothbrush, 1 applicator swab & 1 solution cup) [32] This review has been registered on the International Prospective Register of Systematic Reviews (PROSPERO),[33] with the registration number CRD42018117019. Li L, Catala-Lopez F, Alonso-Arroyo A, et al. Landgraf ACM, Reinheimer A, Merlin JC, et al. d. Oral health indices: such as gingival index, plaque index, bleeding index, periodontal index, etc. The selection process will be summarized according to PRISMA flow diagram. Updated recommendation of KRINKO Nov 2013. Effects of systematic oral care in critically ill patients: a multicenter study. You may search for similar articles that contain these same keywords or you may Guyatt G, Oxman AD, Akl EA, et al. 8 Aug 2006; Oral care kit for ventilated patients, CDC Guidelines call for a consistent oral care routine to prevent healthcare-associated pneumonia, E-mail:salesonline@supermedical.ro It is acknowledged that plentiful risk factors could lead to VAP, which contained the sedation and curarization, heart and lung-associated disease, regurgitation and aspiration, and so on. Long YMG, Zuo Y, Lv F, et al. In addition, toothbrush is beneficial to removing plaque, and the electric toothbrush showed the better ability than manual toothbrush. This provided the first motivation for this study. Incidence of VAP: VAP is defined as the pneumonia that develops in intensive care unit (ICU) patients who have been mechanically ventilated for at least 48 hours.[2]. Needleman I, Hyun-Ryu J, Brealey D, et al. Evidence mapping: illustrating an emerging methodology to improve evidence-based practice in youth mental health. Hospital-Acquired Pneumonia (HAP) Brochure, Cetylpyridinium Chloride as an Oral Antiseptic, The Role of 0.12% Chlorhexidine Gluconate Oral Rinse (CHG) in the Ventilated Patient, The Impact of Surgical Site Infections (SSI) and Hospital-Acquired Pneumonia (HAP), QCarewith Corinz Training (Direct link), QCareRx with Corinz Training (Direct link), QCareRx-Compatible, with Corinz Training (Direct link), Sage Products LLC 2022 3909 Three Oaks Rd, Cary, IL 60013 | Privacy Policy | Contact Us | Careers | MSDS/SDS Sheets | Patents | Site Map. c. Duration of ICU stay: we define the duration of ICU stay as the time period from the timing of admission in ICU to discharge from ICU, according to the record in the hospital information system. By continuing to use this website you are giving consent to cookies being used. [13]. Ames NJ, Sulima P, Yates JM, et al. J Clin Epidemiol 2017;85:508. For more information, please refer to our Privacy Policy. 24, Craiova, Romania. NOTE: These settings will only apply to the browser and device you are currently using. The methodological and reporting quality of systematic reviews from China and the USA are similar. Pobo A, Lisboa T, Rodriguez A, et al. Am J Crit Care 2017;26:297302. J Eval Clin Pract 2010;16:102530. Are you targeting a prevention initiative? The following items will be extracted: general characteristics of the study: author, year of publication, country where the study was performed, funding, study duration, contact details of the authors and identifier; specific trial characteristics: sequence generation, allocation sequence concealment, blinding, incomplete outcome data, and selective outcome reporting, etc., and present them in the table of characteristics of included studies; participants: total number, setting, age, sex, country, sociodemographic details (e.g., education level; health insurance), diagnostic criteria for VAP, and the presence of comorbid conditions; interventions: we are going to collect details of all experimental and control interventions, such as dosages for drugs used, the scrubs for oral hygiene care, timing and duration of the oral care procedures, systemic antibiotic use, and other interventions that may affect the outcomes; outcomes: we are going to collect the incidence of VAP or other respiratory diseases, mortality (directly and indirectly attributable), duration of mechanical ventilation, duration of ICU stay, oral health indices, and adverse outcomes resulting from the interventions, etc. 2 Suction Swab Packs (including 1 suction swab, 1 applicator swab & 1 solution cup) 1 Prep pack (reusable includes self-cleaning covered Yankauer) Plaque removal efficacy of a prototype power toothbrush compared to a positive control manual toothbrush. [6]. Phone: +40 251 459 118 A systematic review of published evidence maps and their definitions, methods, and products. Electric versus manual tooth brushing among neuroscience icu patients: is it safe? The nuts and bolts of PROSPERO: an international prospective register of systematic reviews. All the works above will be done independently. We are here to create a plus-value, a professional working environment and improve peoples health by exceptional, competitive, reliable, recent generation products! [34]. Therefore, this protocol proposes to perform a network meta-analysis to evaluate the effectiveness of different oral care scrubs in preventing VAP. If publication bias is detected P < .5 is considered statistically significant, we will perform the trim and fill test for further analysis. Search for Similar Articles Site-ul nostru utilizeaz Google Analytics pentru a colecta informaii anonime, cum ar fi numrul de vizitatori ai site-ului i cele mai populare pagini. 2018-2022 AVNS. Mobile 2: +40 740 110 082, Terms and Conditions Address: Preciziei Street, no. Until now, there has been no official standard methodology developed for an EM. The presentation form of EM will be a bubble plot which display information on 4 dimensions: the sample size of each included study (bubble size); assessment of risk of bias (bubble label); the scrubs used in the included studies (y-axis); and the rating of conclusions (x-axis). [1] Ventilator-associated pneumonia (VAP) is one of the forms of HAP, which develops in intensive care unit (ICU) patients who have been mechanically ventilated for at least 48 hours. The content of this protocol follows the PRISMA Protocols (PRISMA-P) recommendations. Assessment of heterogeneity between the included studies will be conducted to evaluate the feasibility of network meta-analysis. Jones DJ, Munro CL, Grap MJ. Terezakis E, Needleman I, Kumar N, et al. Continuous versus intermittent subglottic secretion drainage to prevent, [18]. Prendergast V, Hallberg IR. J Clin Periodontol 2012;39:10116. A Cochrane systematic review showed that there was no difference in the rate of VAP comparing tooth brushing and no brushing, as same as the outcomes on mortality and duration of ventilation. [32]. Am J Respir Crit Care Med 2005;171:388416. [25]. A randomized trial of dental brushing for preventing. J Neurosci Nurs 2012;44:13446. Highlight selected keywords in the article text. J Clin Epidemiol 2011;64:38394. And the covered self-cleaning shaft with PEEP seal technology keeps it drier and cleaner between uses. Powered by Concept Web, Acest site utilizeaz module cookie funcionale i scripturi externe pentru a v mbunti experiena, Pentru a respecta legile privind protectia datelor personale, va rugam sa revizuiti punctele cheie ale politicii noastre de confidentialitate. The aim of this study is to perform an evidence mapping and network meta-analysis comparing the effect of different scrubs used in oral care for the prevention of VAP based on existing randomized controlled trials (RCTs). This work is supported by the Science and Technology Plan Project of Gansu Province. Powered by Concept Web, Terms and Conditions Personal data protection Cookies policy, 2019 Supermedical. Intubation-associated pneumonia: an integrative review. Packaging: 24/case, BALLARD* ORAL CARE MODERATE KIT | ART. Neurocrit Care 2011;14:2816. Your message has been successfully sent to your colleague. The results of this study will be submitted to a peer-reviewed journal for publication. The strategy will be modified for other databases use if necessary. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. Am J Crit Care 2011;20:e10314. Please try again soon. Natural history of dental plaque accumulation in mechanically ventilated adults: a descriptive correlational study. If sufficient evidence is available, we are going to conduct subgroup analyses to explore the difference between men and women; smoking and non-smoking; with and without rising, etc. Because this study is not a clinical study, ethical approval is not required. We shall also provide summaries of the intervention effects for each study by calculating odds ratios (OR) for dichotomous outcomes. Limitations of the study, inconsistencies, indirect evidence, inaccuracies, and publication bias will be considered. Ventilator-associated pneumonia (VAP) is defined as pneumonia develops in intensive care unit (ICU) patients who have been mechanically ventilated for at least 48 hours. Available at: [36]. Hua F, Xie H, Worthington HV, et al. The databases consulted are: Cochrane Oral Health's Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Chinese Biomedical Literature Database. ; other results: we are also going to collect key conclusions, comments, and any explanations provided for unexpected findings by the study authors. This study will compare different scrubs using a network meta-analysis to determine the better method and present an evidence mapping as supplement to help make clinical decisions. Altern Ther Health Med 2003;9:2230. 2. Wen Z, Zhang H, Ding J, et al. Some error has occurred while processing your request. si sa faceti click pe Salveaza setarile. You may be trying to access this site from a secured browser on the server. Rigid sponge aspiration catheter. Please see the full Directions for use containing Indications, Cautions, Warnings and other relevant information. evidence mapping; network meta-analysis; oral care; systematic review; ventilator-associated pneumonia. Syst Rev 2016;5:28. Oral care intervention to reduce incidence of, [24]. If the data are still not available, we are about to perform data synthesis through existing information and address the potential impact of missing data on the pooled results in the discussion parts. Each included study will be assigned a level of risk of bias (high risk, unclear risk, low risk) for each domain. International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and. Funding acquisition: Huaping Wei, Kelu Yang. There are inherent risks in the use of all prescription medical devices. 1 Prep Pack (including 1 covered Yankauer, 1 y connector & 1 suction handle)