Extruded the effectıveness of Prone posıtıon ın ınfants evaluatıon

Medipol Health Group

Status: Completed

Conditions: Prone posıtıon

Treatments: Other: Prone positioning

Study type: Interventional

Funder types: Other

Identifiers

NCT06493058

E-10840098-772.02-3150

Details and patient eligibility

About

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.

Full 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".

Enrollment: 40 patients

Sex: All

Ages: 1 day to 1 year old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Intervention group

Experimental group

Description:

In 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.

Treatment:

Other: Prone positioning

Control group

No Intervention group

Description:

Babies in the control group did not receive any treatment.