Efficacy of A Novel RinSe Device to Reduce Oral Bacteria in Intubated IntEnsive CaRe Patients: a Pilot Study

Inclusion Criteria: * Adults, 18 years or older * Individual or legally authorized representative consent * Intubated with an oral endotracheal tube and expected to remain intubated for at least 2 days. Exclusion Criteria: * Maxillofacial trauma (current maxillofacial trauma precluding standard oral care techniques) * Conditions precluding lateral Trendelenburg positioning (e.g., increased intracranial pressure, spinal instability, hemodynamic instability) * Oropharyngeal injury or infection * Orofacial edema precluding access for oral care * Known or anticipated difficult intubation * Endotracheal cuff air leak that clinicians believe precludes mouth lavage * Already intubated for more than 24 continuous hours within a week before enrollment.