Prone posıtıon
Conditions
Keywords
Congenital Heart Diseases, Extubation, Newborn, Prone Position
Brief summary
The aim of this study was to determine the effect of prone position on vital signs, arterial blood gases and blood values in 0-1 year old infants extubated after congenital heart surgery. The study was a randomised controlled experimental type study.
Detailed description
The sample of the study consisted of 40 infants aged 0-1 year who underwent surgery in the Cardiovascular Surgery Intensive Care Unit of a private hospital.Data collection tools consisted of Data Collection Form, Vital Signs Follow-up Form, Arterial Blood Gas Follow-up Form, Blood Values Follow-up Form prepared by the researcher in line with the literature information and some measurement data used in the study (arterial blood sample obtained with the blood gas measurement device used in the NICU and blood gas parameters (PaCO2, pH, PaO2, Lac and SaO2) and bedside monitor). The study was conducted in the Cardiovascular Surgery Intensive Care Unit of a private foundation university hospital. Infants between the ages of 0 and 1 year who had undergone congenital heart surgery and were extubated after surgery, who did not have any congenital anomalies of the lungs in addition to congenital heart disease, who did not have any condition that could affect cardiac, circulatory and respiratory functions or prevent positioning were included in the study. The infants to be included in the study were randomly selected to the control and study groups to avoid bias in the study. Which of the experimental or control groups the infants included in the study would be in was determined by using the address https://www.calculatorsoup.com.
Interventions
OTHERProne positioning
The babies in the study group were given the supine, right lateral and left lateral positions (12×1), which are used in nursing care practices in the clinic after extubation, in addition to the supine, right lateral and left lateral positions (12×1), the prone position was given twice a day for 2×2 hours twice a day within 48 hours after extubation, with the head on the midline of the neck and the head facing to the right or left side.
Sponsors
Istanbul Medipol University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
1 Days to 1 Years
Healthy volunteers
Yes
Inclusion criteria
* To be between 0-1 years old * Having congenital heart surgery * Endotracheal intubation has been applied * Being extubated after congenital heart surgery * Obtaining permission from their parents to participate in the study
Exclusion criteria
* In addition to the diagnosis of congenital heart disease, congenital heart disease of the lungs with any of the anomalies, * Position that may affect cardiac, circulatory and respiratory functions or surgical intervention that prevents ECMO (open sternum bone, ECMO support, etc.) * Complications developed during the study, * Infants whose parents did not agree to participate in the study were included in the study. is not recognised.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Life Findings Monitoring Form | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation | Pulse values were monitored for 48 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Arterial Blood Gas Monitoring Form | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation | After positioning, potansiyel hidrojen in blood were evaluated. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Blood Values Monitoring Form | Ekstübasyondan hemen önce ve ekstübasyon sonrası 24. ve 48. saatlerde alındı | Hemoglobin were evaluated. |
Countries
Turkey (Türkiye)
Outcome results
None listed