Right Lateral Positioning of Postoperative Pediatric Cardiac Surgery

Assiut University

Status: Unknown

Conditions: Heart Defects, Congenital

Treatments: Procedure: Left lateral position (2 hours); Procedure: Supine position (30 minutes); Procedure: Right lateral position (2 hours); Procedure: Left lateral position (30 minutes); Procedure: Supine position (2 hours)

Study type: Interventional

Funder types: Other

Identifiers

NCT02622152

IRB0000871200

Details and patient eligibility

About

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.

Full description

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

Enrollment: 60 estimated patients

Sex: All

Ages: 1 to 10 years old

Volunteers: No 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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Right lateral position group

Active Comparator group

Description:

After weaning from mechanical ventilation in the postoperative Intensive Care Unit (ICU patient underwent Repositioning the patients for 30 minutes period on the supine position Repositioning the patients for 30 minutes period on the left lateral position Repositioning the patients for two-hours period on the right lateral position This period of repositioning in both groups repeated during the period of ICU stay

Treatment:

Procedure: Right lateral position (2 hours)

Procedure: Supine position (30 minutes)

Procedure: Left lateral position (30 minutes)

Routine hospital care group

Active Comparator group

Description:

After weaning from mechanical ventilation in the postoperative Intensive Care Unit (ICU patient underwent Repositioning the patients for two-hours period on supine position Repositioning the patients for two-hours period on the left lateral position Repositioning the patients for two-hours period on the right lateral position This period of repositioning in both groups repeated during the period of ICU stay

Treatment:

Procedure: Right lateral position (2 hours)

Procedure: Left lateral position (2 hours)

Procedure: Supine position (2 hours)