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Extruded the effectıveness of Prone posıtıon ın ınfants evaluatıon

Not Applicable
Completed
Conditions
Prone posıtıon
Interventions
Other: Prone positioning
Registration Number
NCT06493058
Lead Sponsor
Istanbul Medipol University Hospital
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".

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention groupProne positioningIn our study, 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.
Primary Outcome Measures
NameTimeMethod
Life Findings Monitoring FormTaken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation

Blood pressure values were monitored for 48 hours

Secondary Outcome Measures
NameTimeMethod
Arterial Blood Gas Monitoring FormTaken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation

After positioning, arterial blood gases were evaluated.

Trial Locations

Locations (1)

Istanbul Meidpol University Hospital

🇹🇷

Istanbul, Beykoz, Turkey

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