Impact of Three Body Positioning Strategies in the Drainage Fluids After Coronary Artery Bypass Surgery

Summary

To investigate different strategies of body positioning associated to early corporal mobilization and verify the impact int the time and quantification of thoracic and mediastinal drainage, pulmonary complications and time of intensive care units in hospitals stay. After first six hours post extubation in the first postoperative day and after evaluation and inclusion in the study, patients were randomized in three groups for receiving different strategies of body positioning associated to early mobilization with help of bed Hill Rom (Hill Rom Batesville@): Group 1: Control (GC n=33); Group 2: Continuous Lateral Rotation Group (TRCL n=34); Group 3:Positioning in sitting and Orthostatic (ORT n=34).

Conditions

• Coronary Artery Disease

Interventions

OTHER

Bed Rotation Group

Patients received continuous lateral rotation by a mechanical device (Hill Rom Bed Rotation), consecutive cycles of to left and right side, plus supine position during 30 seconds for pause, in the first postoperative day until 48 hours. Additional breathing exercises.

OTHER

Orthostatic Group

Patients were seated on the bed 6 hours post extubation for two hours. After, sitting in the bed with their feet on the floor for two minutes; standing up and walking in the place for two minutes, in the first 24 hours and 48 hours postoperative. Additional breathing exercises.

Sponsors & Collaborators

• University of Sao Paulo General Hospital

  lead OTHER

Principal Investigators

• Filomena G Gallas, PHD · University of Sao Paulo

• Ludhmila A Hajjar, PHD · University of Sao Paulo Medical School

• Maria Ignêz Z Feltrim, PHD · Heart Intsitute (InCor) Hospital das Clinicas - FMUSP

• Camila CM Buzzeto, PT · Heart Institute (InCor) Hospital das Clinicas - FMUSP

• Vera RM Coimbra, PT · Heart Institute (InCor) Hospital das Clinicas _ FMUSP

• Adriano RB Rodrigues, Nursing · Heart Intitute (InCor) Hospital das Clinicas _ FMUSP

• Cristiane D Gonçalves, PT · Heart Intitute (InCor) Hospital das Clinicas _ FMUSP

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Max Age

80 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2012-11-30

Primary Completion

2013-12-31

Completion

2015-06-30