Right Lateral Positioning of Postoperative Pediatric Cardiac Surgery

Right Lateral Positioning of Postoperative Pediatric Cardiac Surgery: Effect on Arterial Oxygenation, Respiratory Mechanics, Hemodynamics, and Adverse Events

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02622152

Enrollment

Registered

2015-12-04

Start date

2016-01-30

Completion date

2018-12-31

Last updated

2018-07-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Heart Defects, Congenital

Keywords

Right lateral, Oxygenation, Cardiac, Congenital, Pediatric, Postoperative

Brief summary

Directly following cardiac surgery for congenital heart disease; patients are not receiving routine turning every two hours to prevent pressure ulcers, because a negative influence on hemodynamic parameters is assumed. Investigators have suggested that lateral position may have clinically significant effects on oxygenation in cardiac surgery patients.

Detailed description

Sixty pediatric congenital heart disease patients were randomly assigned to two equal intervention groups

Interventions

PROCEDURERight lateral position (2 hours)

Repositioning the patients for two-hours period on the right lateral position

PROCEDURELeft lateral position (30 minutes)

Repositioning the patients for 30 minutes period on the left lateral position

PROCEDURESupine position (30 minutes)

Repositioning the patients for 30 minutes period on the supine position

PROCEDURELeft lateral position (2 hours)

Repositioning the patients for two-hours period on the left lateral position

PROCEDURESupine position (2 hours)

Repositioning the patients for two-hours period on supine position

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

1 Years to 10 Years

Healthy volunteers

Inclusion criteria

* Age within 10 years with a cyanotic congenital heart disease * Hemodynamic stability with no compromising arrhythmia * No respiratory arrest * Not connected with mechanical ventilation

Exclusion criteria

* Cyanotic congenital heart disease * Hemodynamic instability

Design outcomes

Primary

Measure	Time frame	Description
Arterial oxygenation	Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days	The samples will be analyzed by a blood gas analyzer before and after changing position

Secondary

Measure	Time frame	Description
Blood pressure	Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days	Systolic, diastolic and mean blood pressure mm Hg
Heart rate	Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days	Heart rate beats per minute
Oxygen saturation	Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days	Oxygen saturation %
Respiratory rate	Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days	Respiratory rate rate per minute

Countries

Egypt

Contacts

Primary Contactsayed abd-elshafy, MD

sayed_k_72@yahoo.com0020882413203

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026