The Effects of the Position Changes of Critical Care Patients on Respiratory and Cardiac Parameters

Objective:Position changes in patients requiring critical care aimed to mobilise secretions, prevent compression wounds and decrease the risk of ventilator-related pneumonia. This study aimed to investigate the effects of supine, left lateral, right lateral and Fowler positions on the respiratory an...

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Autores principales:	İsa Kılıç, İlkay Ceylan, Derya Karasu, Sinan Gürsoy
Formato:	article
Lenguaje:	EN TR
Publicado:	Galenos Yayinevi 2021
Materias:	critical care patient position cardiac output hemodynamic monitoring airway resistance Medicine R Internal medicine RC31-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/8445dabe7b98434aaf7fba0009b92d67
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spelling	oai:doaj.org-article:8445dabe7b98434aaf7fba0009b92d672021-11-23T10:33:41ZThe Effects of the Position Changes of Critical Care Patients on Respiratory and Cardiac Parameters2146-64162147-267X10.4274/tybd.galenos.2020.02996https://doaj.org/article/8445dabe7b98434aaf7fba0009b92d672021-12-01T00:00:00Z http://www.turkishjic.org/archives/archive-detail/article-preview/the-effects-of-the-position-changes-of-critical-ca/43202 https://doaj.org/toc/2146-6416https://doaj.org/toc/2147-267XObjective:Position changes in patients requiring critical care aimed to mobilise secretions, prevent compression wounds and decrease the risk of ventilator-related pneumonia. This study aimed to investigate the effects of supine, left lateral, right lateral and Fowler positions on the respiratory and cardiac parameters with the CO2 rebreathing technique using non-invasive cardiac output monitor.Materials and Methods:Forty patients aged 18-65 years who were on invasive mechanical ventilator support and had a hospitalisation time >24 h were included in the study. Cardiac output was monitored with non-invasive cardiac output monitor. Patients were assisted on supine, left lateral, right lateral and Fowler positions. Respiratory and hemodynamic parameters of patients were measured at these positions with 1-h intervals.Results:A significant difference was found among the measurements when the mean arterial pressure values measured at different times at the left lateral position were compared. Similarly, a significant difference was noted among SpO2 values measured at the supine position at different times. However, this difference was not clinically significant. No significant differences were found within the groups as regards to other respiratory and cardiac parameters.Conclusion:Position changes did not lead to a clinically significant change on respiratory mechanics, hemodynamic parameters and oxygenation in patients with stable hemodynamic who were on mechanical ventilator support.İsa Kılıçİlkay CeylanDerya KarasuSinan GürsoyGalenos Yayineviarticlecritical carepatient positioncardiac outputhemodynamic monitoringairway resistanceMedicineRInternal medicineRC31-1245Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENTRTürk Yoğun Bakim Derneği Dergisi, Vol 19, Iss 4, Pp 167-173 (2021)
institution	DOAJ
collection	DOAJ
language	EN TR
topic	critical care patient position cardiac output hemodynamic monitoring airway resistance Medicine R Internal medicine RC31-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	critical care patient position cardiac output hemodynamic monitoring airway resistance Medicine R Internal medicine RC31-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 İsa Kılıç İlkay Ceylan Derya Karasu Sinan Gürsoy The Effects of the Position Changes of Critical Care Patients on Respiratory and Cardiac Parameters
description	Objective:Position changes in patients requiring critical care aimed to mobilise secretions, prevent compression wounds and decrease the risk of ventilator-related pneumonia. This study aimed to investigate the effects of supine, left lateral, right lateral and Fowler positions on the respiratory and cardiac parameters with the CO2 rebreathing technique using non-invasive cardiac output monitor.Materials and Methods:Forty patients aged 18-65 years who were on invasive mechanical ventilator support and had a hospitalisation time >24 h were included in the study. Cardiac output was monitored with non-invasive cardiac output monitor. Patients were assisted on supine, left lateral, right lateral and Fowler positions. Respiratory and hemodynamic parameters of patients were measured at these positions with 1-h intervals.Results:A significant difference was found among the measurements when the mean arterial pressure values measured at different times at the left lateral position were compared. Similarly, a significant difference was noted among SpO2 values measured at the supine position at different times. However, this difference was not clinically significant. No significant differences were found within the groups as regards to other respiratory and cardiac parameters.Conclusion:Position changes did not lead to a clinically significant change on respiratory mechanics, hemodynamic parameters and oxygenation in patients with stable hemodynamic who were on mechanical ventilator support.
format	article
author	İsa Kılıç İlkay Ceylan Derya Karasu Sinan Gürsoy
author_facet	İsa Kılıç İlkay Ceylan Derya Karasu Sinan Gürsoy
author_sort	İsa Kılıç
title	The Effects of the Position Changes of Critical Care Patients on Respiratory and Cardiac Parameters
title_short	The Effects of the Position Changes of Critical Care Patients on Respiratory and Cardiac Parameters
title_full	The Effects of the Position Changes of Critical Care Patients on Respiratory and Cardiac Parameters
title_fullStr	The Effects of the Position Changes of Critical Care Patients on Respiratory and Cardiac Parameters
title_full_unstemmed	The Effects of the Position Changes of Critical Care Patients on Respiratory and Cardiac Parameters
title_sort	effects of the position changes of critical care patients on respiratory and cardiac parameters
publisher	Galenos Yayinevi
publishDate	2021
url	https://doaj.org/article/8445dabe7b98434aaf7fba0009b92d67
work_keys_str_mv	AT isakılıc theeffectsofthepositionchangesofcriticalcarepatientsonrespiratoryandcardiacparameters AT ilkayceylan theeffectsofthepositionchangesofcriticalcarepatientsonrespiratoryandcardiacparameters AT deryakarasu theeffectsofthepositionchangesofcriticalcarepatientsonrespiratoryandcardiacparameters AT sinangursoy theeffectsofthepositionchangesofcriticalcarepatientsonrespiratoryandcardiacparameters AT isakılıc effectsofthepositionchangesofcriticalcarepatientsonrespiratoryandcardiacparameters AT ilkayceylan effectsofthepositionchangesofcriticalcarepatientsonrespiratoryandcardiacparameters AT deryakarasu effectsofthepositionchangesofcriticalcarepatientsonrespiratoryandcardiacparameters AT sinangursoy effectsofthepositionchangesofcriticalcarepatientsonrespiratoryandcardiacparameters
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The Effects of the Position Changes of Critical Care Patients on Respiratory and Cardiac Parameters

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