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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.
Sixty pediatric congenital heart disease patients were randomly assigned to two equal intervention groups
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Right lateral position group | Active Comparator | 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 |
|
| Routine hospital care group | Active Comparator | 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 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Right lateral position (2 hours) | Procedure | Repositioning the patients for two-hours period on the right lateral position |
|
| Measure | Description | Time Frame |
|---|---|---|
| Arterial oxygenation | The samples will be analyzed by a blood gas analyzer before and after changing position | Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days |
| Measure | Description | Time Frame |
|---|---|---|
| Blood pressure | Systolic, diastolic and mean blood pressure " mm Hg" | Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days |
| Heart rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| sayed abd-elshafy, MD | Contact | 0020882413203 | sayed_k_72@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| sayed abd elshafy, MD | associate professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Recruiting | Asyut | Egypt |
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| ID | Term |
|---|---|
| D006330 | Heart Defects, Congenital |
| ID | Term |
|---|---|
| D018376 | Cardiovascular Abnormalities |
| D002318 | Cardiovascular Diseases |
| D006331 | Heart Diseases |
| D000013 | Congenital Abnormalities |
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| ID | Term |
|---|---|
| D016683 | Supine Position |
| ID | Term |
|---|---|
| D011187 | Posture |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Left lateral position (30 minutes) | Procedure | Repositioning the patients for 30 minutes period on the left lateral position |
|
| Supine position (30 minutes) | Procedure | Repositioning the patients for 30 minutes period on the supine position |
|
| Left lateral position (2 hours) | Procedure | Repositioning the patients for two-hours period on the left lateral position |
|
| Supine position (2 hours) | Procedure | Repositioning the patients for two-hours period on supine position |
|
Heart rate "beats per minute"
| Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days |
| Oxygen saturation | Oxygen saturation % | Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days |
| Respiratory rate | Respiratory rate "rate per minute" | Duration of Intensive Care Unit Admission after weaning from mechanical ventilation an expected average of 4 days |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |