Determining the Effect of Two Different Methods in Childr... | NCT04454294

Status Module

Description Module

Detailed Description

The patient admitted to the post-operative Cardiovascular Surgery Intensive Care Units primarily meets two nurses and is responsible for the arrangement of medical equipment, monitoring, monitoring, maintaining, recording, and performing the necessary treatments. Then the nurse positions the drain after checking the drain connections, checks the level of the drain and records it in the nurse follow-up note. Then, the method to be used in maintaining the drain opening is decided in cooperation with the physician.

Three different methods are currently used in the unit. The first method; There is no application in maintaining the drain opening, but if there are necessary medical indications such as clot formation, blood accumulation in the drainage connections, lack of drainage, this group is intervened by milking method. In our study, this group will be taken as a control group, there will be a situation that requires intervention in the first 6 hours, and if the milking method is used, it will be excluded from the sample.

The second method used to maintain the drain opening is the suction method. In this study, this group will be taken as the first experimental group. The suction method is a continuous use until the patient's drainage requirement and the physician's request is terminated by ensuring that the pressure is between 5 and 15 kPa (kilopascals) or 10-20 cm H20 after the appropriate negative pressure tracking system of the patient, who is accepted with intensive care under water drainage system, is established. system.

The third method is milking. In our study, this group will be taken as the 2nd experimental group. In the milking method, the process starts from the area close to the drain entry point. The latex tube is folded into 12 cm long pieces and gripped with two hands. The nurse repeats the process 3 times by compressing the parts gripped by the hand. This process is then used at intervals every hour to repeat the distal part.

After the applications related to the method to be used are performed, the patient's vital signs, Sp02 and bleeding amount are generally monitored every hour.

In this study, the data for each group will be collected before and after the procedure for 6 hours after surgery, from the moment the patient is admitted to the intensive care unit.

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
Control	Experimental	The first method; There is no application in maintaining the drain opening, but if there are necessary medical indications such as clot formation, blood accumulation in the drainage connections, lack of drainage, this group is intervened by milking method. In our study, this group will be taken as a control group, there will be a situation that requires intervention in the first 6 hours, and if the milking method is used, it will be excluded from the sample.	Other: Control
Experimental Group (Absorption Group)	Experimental	The second method used to maintain the drain opening is the suction method. In this study, this group will be taken as the first experimental group. The suction method is a continuous use until the patient's drainage requirement and the physician's request is terminated by ensuring that the pressure is between 5 and 15 kPa (kilopascals) or 10-20 cm H20 after the appropriate negative pressure tracking system of the patient, who is accepted with intensive care under water drainage system, is established. system.	Other: Experimental Group (Absorption Group)
Experimental Group (Milking Group)	Experimental	The third method is milking. In our study, this group will be taken as the 2nd experimental group. In the milking method, the process starts from the area close to the drain entry point. The latex tube is folded into 12 cm long pieces and gripped with two hands. The nurse repeats the process 3 times by compressing the parts gripped by the hand. This process is then used at intervals every hour to repeat the distal part.	Other: Experimental Group (Milking Group)

Interventions

Name	Type	Description	Arm Group Labels	Other Names
Control	Other	Common Process Steps: Informed consent forms will be signed by those who wish to take part in the research. The form in which individual characteristics are questioned will be filled. Hands will be washed, gloves will be worn. Before the procedure, body temperature, heart rate, respiratory rate, blood pressure, oxygen saturation and bleeding amount will be recorded. Drains will be kept parallel to the ground and upright. Drainage hoses will not be bent and in-bed position will be provided in accordance with gravity. It will be ensured that all connections between the chest tubes and drainage unit are tight and secure. Dressings of the chest and mediastinum drains will be fixed on the patient's skin, so as not to interfere with drainage. To prevent the tubes from coming out, they will be fixed to the patient bed. Vital signs, Sp02 and bleeding amount will be recorded every hour for 6 hours after surgery

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
Body temperature	This outcome will be considered as one of the vital signs. Body temperature measurement will be evaluated as axillary. The data for each group will be collected before and after the procedure for 6 hours after surgery	6 hours after surgery
Heart rate	This outcome will be considered as one of the vital signs. Heart rate measurement will be evaluated via monitor. The data for each group will be collected before and after the procedure for 6 hours after surgery	6 hours after surgery
Respiratory rate	This outcome will be considered as one of the vital signs. Heart rate measurement will be evaluated via monitor. The data for each group will be collected before and after the procedure for 6 hours after surgery	6 hours after surgery
Blood pressure	This outcome contains both systolic and diastolic blood pressure. Blood pressure measurement will be evaluated via monitor. The data for each group will be collected before and after the procedure for 6 hours after surgery	6 hours after surgery
Oxygen saturation	This outcome obtained with patient monitor. The data for each group will be collected before and after the procedure for 6 hours after surgery	6 hours after surgery
Bleeding amount	This outcome obtained with patient drain. The data for each group will be collected before and after the procedure for 6 hours after surgery	6 hours after surgery

Eligibility Module

Name	Affiliation	Role
Zehra Kan Öntürk, Ass. Prof.	Acibadem University	Principal Investigator

Facility	Status	City	State	ZIP	Country	Contacts
Acıbadem University		Istanbul	Atasehir		Turkey (Türkiye)

References Module

Citations

PubMed Identifier	Type	Citation	Retractions
19740284	Background	Shalli S, Saeed D, Fukamachi K, Gillinov AM, Cohn WE, Perrault LP, Boyle EM. Chest tube selection in cardiac and thoracic surgery: a survey of chest tube-related complications and their management. J Card Surg. 2009 Sep-Oct;24(5):503-9. doi: 10.1111/j.1540-8191.2009.00905.x.
28457690	Background	Cook M, Idzior L, Bena JF, Albert NM. Nurse and patient factors that influence nursing time in chest tube management early after open heart surgery: A descriptive, correlational study. Intensive Crit Care Nurs. 2017 Oct;42:116-121. doi: 10.1016/j.iccn.2017.03.008. Epub 2017 Apr 28.

ID	Term
D018376	Cardiovascular Abnormalities
D002318	Cardiovascular Diseases
D006331	Heart Diseases
D000013	Congenital Abnormalities
D009358	Congenital, Hereditary, and Neonatal Diseases and Abnormalities