Elevate the head of the bed 35°-45°
Perform hand hygiene before and after contact with the
patient or the ventilator
Provide oral care according to the patient’s age
Neonates and infants with no teeth
Every 2 hours: moisten mouth with swabs soaked in clean
water or physiologica saline
Every 2 hours and as needed: coat lips with petroleum jelly
Infants and children <6 years old with teeth
Every 12 hours: brush teeth with small, soft toothbrush
and fluoride toothpaste; suction out excess toothpaste,
but do not rinse out mouth
Every 2 hours: moisten mouth with swabs soaked in clean
water or physiological saline
Every 2 hours and as needed: coat lips with petroleum jelly
Children ≥6 years old with teeth
Every 12 hours:
Brush teeth with small, soft toothbrush and fluoride
toothpaste; suction out excess toothpaste, but do not
rinse out mouth
Rinse mouth with 1% chlorhexidine: irrigate with a
syringe or wipe oral mucosa with a swab; suction
excess solution, but do not rinse out mouth with water;
use at least 30 minutes after brushing teeth
Every 2 hours: Moisten mouth with swabs soaked in clean
water or physiological saline
Every 2 hours and as needed: coat lips with petroleum jelly
Change ventilator circuit every 7 days or when circuit is visibly
soiled or malfunctioning
Suction endotracheal tube only when indicated by a clinical
examination; do not instill physiological saline for suctioning
Drain condensation from ventilator circuit every 2-4 hours
and before repositioning the patient
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