PŘEHLEDOVÉ ČLÁNKY / REVIEW ARTICLES Orální hygiena jako klíčová součást balíčku péče v prevenci ventilátorové pneumonie: shrnutí a kritická analýza doporučených postupů v r. 2023 | 45 / Anest intenziv Med. 2024;35(1):42-46 / ANESTEZIOLOGIE A INTENZIVNÍ MEDICÍNA www.aimjournal.cz V případě, kdy dojde ke změně stavu sliznic nebo jazyka, jejich otoku, či krvácení z nich, zabarvení zubů, bolestivé reakci pacienta, je vždy informován lékař. Před hygienou kontrolujeme tlak v obturační manžetě a bezprostředně po hygieně dutiny ústní odsajeme přebytky roztoku a ústních sekretů z úst a hypofaryngu. Hygienu dutiny ústní provádíme vždy v polosedě, se zvednutou horní polovinou těla minimálně do 30°. Závěr Péče o dutinu ústní je u ventilovaných kriticky nemocných pacientů v intenzivní péči důležitá – její poctivé rutinní provádění patří mezí základní pilíře balíčku opatření k prevenci VAP. 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