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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.
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".
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | 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. |
|
| Control group | No Intervention | Babies in the control group did not receive any treatment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prone positioning | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Life Findings Monitoring Form | Pulse values were monitored for 48 hours | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation |
| Life Findings Monitoring Form | Saturation values were monitored for 48 hours | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation |
| Life Findings Monitoring Form | Blood pressure values were monitored for 48 hours | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation |
| Measure | Description | Time Frame |
|---|---|---|
| Arterial Blood Gas Monitoring Form | After positioning, potansiyel hidrojen in blood were evaluated. | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation |
| Arterial Blood Gas Monitoring Form |
| Measure | Description | Time Frame |
|---|---|---|
| Blood Values Monitoring Form | Hemoglobin were evaluated. | Ekstübasyondan hemen önce ve ekstübasyon sonrası 24. ve 48. saatlerde alındı |
| Blood Values Monitoring Form | Hematocrit were evaluated. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aysel Kökcü Doğan | Istanbul Meidpol University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Meidpol University Hospital | Istanbul | Beykoz | 34815 | Turkey (Türkiye) |
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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 |
|---|---|
| D016684 | Prone Position |
| ID | Term |
|---|---|
| D011187 | Posture |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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After positioning, Partial arterial oxygen pressure, were evaluated.
| Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation |
| Arterial Blood Gas Monitoring Form | After positioning, Partial arterial carbon dioxide pressure were evaluated. | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation |
| Arterial Blood Gas Monitoring Form | After positioning, Arterial oxygen saturation were evaluated. | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation |
| Arterial Blood Gas Monitoring Form | After positioning, Laktat, were evaluated. | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation |
| Arterial Blood Gas Monitoring Form | After positioning, arterial blood gases were evaluated. | Taken immediately before extubation and at 8, 16, 24, 32 and 48 hours after extubation |
| Taken immediately before extubation and at 24 and 48 hours after extubation |
| Blood Values Monitoring Form | Leukocyte were evaluated. | Taken immediately before extubation and at 24 and 48 hours after extubation |
| Blood Values Monitoring Form | Platelet were evaluated. | Taken immediately before extubation and at 24 and 48 hours after extubation |
| Blood Values Monitoring Form | Procalcitonin were evaluated. | Taken immediately before extubation and at 24 and 48 hours after extubation |
| Blood Values Monitoring Form | C-reaktif protein were evaluated. | Taken immediately before extubation and at 24 and 48 hours after extubation |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |