Banca de QUALIFICAÇÃO: Marcos Barbosa Pains

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : Marcos Barbosa Pains
DATE: 03/02/2023
TIME: 14:00
LOCAL: Google Meet
TITLE:

STUDY OF THE PERFORMANCE OF THE DENTAL SURGEON IN INTENSIVE CARE UNITS

KEY WORDS:

dentistry, intensive care unit, mortality, ventilator-associated pneumonia

PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Odontologia
SUMMARY:

³This is a retrospective observational study carried out in the ICU of a public hospital in the Federal District from 2012 to 2017. The objectives of this study are to investigate the performance of the Doctor of Dental Surgery (DDS) in an Intensive Care Unit (ICU) performing dental procedures and routine biofilm removal, as well as the impact on ICU indicators such as mortality, incidence of ventilator-associated pneumonia (VAP), duration of mechanical ventilation (MVT) and length of stay in the ICU (LS). Studies were carried out on the performance of dental extractions to verify the safety of performing the procedure, investigating the results of the biofilm removal routine with the participation of the DDS, including comparing the use of chlorhexidine and saline solution during the biofilm removal routine. As a result, we observed that performing tooth extraction does not promote changes in leukocytes (p-value = 0.9091) or capillary glycemia (p-value = 0.3256) after 7 days of the procedure, compared to 3 days before her. With the routine performance of oral hygiene by the dentist, comparing saline with saline, there was no difference in the incidence of VAP (incidence rate of 2.105 and 2.865, respectively), in the duration of MV (p-value = 0.1136) and in LS (p-value = 0.5694). In general, when the DDS performs the biofilm removal routine, mortality in patients older than 52 years was higher. MVT and the presence of VAP were not associated with the outcome of death (p>0.05). The number of dental appointments per patient increased significantly from 2014 (p<0.05). The LS in the ICU did not vary significantly over time (p>0.05), but the MVT was significantly lower in the years 2015 and 2017, when compared to 2013 (p<0.05). The interval between dental appointments decreased from 2014 onwards (p<0.05) and the VAP incidence density rate decreased significantly over time (r=-0.9293, p<0.05). It was observed that patients who had MV for more than 10 days had a higher incidence of VAP. We conclude that mechanical plaque removal seems to be more important than the auxiliary substance used in the removal of buccal biofilm when the CD participates in the process. In addition, the performance of the dental surgeon has a positive impact on the treatment of patients admitted to the ICU and in terms of performing dental procedures, there is patient safety. Performing surgical procedures such as tooth extractions or other basic dental procedures seem to be safe and do not increase or even reduce patient mortality

BANKING MEMBERS:
Interno - 3437282 - ANDRE FERREIRA LEITE
Interna - 2315081 - NILCE SANTOS DE MELO
Presidente - 3475960 - PAULO TADEU DE SOUZA FIGUEIREDO
Externa à Instituição - WANESSA TEIXEIRA BELLISSIMO-RODRIGUES - USP