Which oral care product is better for intubated pateints?

Published

Specializes in ER trauma, ICU - trauma, neuro surgical.

Our oral care kits have have peroxide and cetylpyridinium chloride. Some doc's order chlorhexadine instead. I think we are moving towards using both at different intervals. Do any of you prefer one over the other or think one is better than the other?

Up Vote Up Vote ×
Specializes in Critical Care.

For preventing VAP, the recommended and evidence supported solution is chlorhexadine 0.12%. The CHG shouldn't rely on an order, it should be protocol for any intubated patient. Other solutions can be used for routine q 2hr cleaning.

Up Vote Up Vote ×

I agree with the previous comment, we are currently using chlorhexidine gluconate oral solution that you clean each patient's mouth out with every 8 hours and then can provide mouth care with chlorhexidine swabs as needed every 2 hours and PRN. I believe that it is protocol and a vent standard that we are currently using! :)

Up Vote Up Vote ×
Specializes in ICU,ANTICOAG,ACUTE STROKE,EDU,RESEARCH.

Toothbrush (preferably electric) and toothpaste twice daily. Mouth Care in Patients Receiving Mechanical Ventilation: A Systematic Review - Nursing and Midwifery Studies - - Kowsar

Up Vote Up Vote ×

My employer is a larger organization with several hospitals. A few years ago they switched to the sage oral kit regimine with a QID chlorhexadine scrub and we have seen a significant reduction in VAP rates. THe Sage kits include 2 bristled brushs in each kit that are soft enough to be safe with tramatic intubations or bleeding risk patients plus four other cleansing sponges to make a q4hr mouth care regimine. It has made a difference for all of our facilities.

Up Vote Up Vote ×
+ Join the Discussion