Determining the Effect of Two Different Methods in Children to Maintain Drain Patency After Cardiac Surgery

Summary

In this study, it was aimed to determine the effect of the use of milking and sucking methods on bleeding amount, vital signs and oxygen saturation in children with chest and mediastinal drains after cardiac surgery.

Conditions

• Infant ALL
• Congenital Heart Disease

Interventions

OTHER

Control

Common Process Steps: 1. Informed consent forms will be signed by those who wish to take part in the research. 2. The form in which individual characteristics are questioned will be filled. 3. Hands will be washed, gloves will be worn. 4. Before the procedure, body temperature, heart rate, respiratory rate, blood pressure, oxygen saturation and bleeding amount will be recorded. 5. Drains will be kept parallel to the ground and upright. 6. Drainage hoses will not be bent and in-bed position will be provided in accordance with gravity. 7. It will be ensured that all connections between the chest tubes and drainage unit are tight and secure. 8. Dressings of the chest and mediastinum drains will be fixed on the patient's skin, so as not to interfere with drainage. 9. 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

OTHER

Experimental Group (Absorption Group)

1. Common process steps 2. Appropriate negative pressure monitoring system of the patient, who is admitted to the intensive care unit with underwater drainage system, will be established. * The suction control room combined with the vacuum regulator will be filled with sterile distilled water up to the specified level (20 cm H2O). * From the vacuum regulator, the drain or drains will be connected tightly and by preventing the crimping, from the aspirator receptor hoses. 3. Suction will begin with a low level and gradually increase the suction until a slight bubble is noticed in the suction control room. 4. Suction pressure will be maintained between 5 and 15 kPa (kilopascals) or 10-20 cm H20. 5. The application will continue without interruption until the patient's drain need and the doctor's request is ended. 6. During the application, the patient's vital signs, Sp02 and bleeding amount will be recorded every hour without using an additional manipulation method.

OTHER

Experimental Group (Milking Group)

1. Common process steps will be applied 2. Operation will start from the area near the drain entrance point 3. Latex tube will be folded into 12 cm long pieces and will be gripped with two hands 4. The procedure will be repeated 3 times by compressing the parts gripped by the nurse hand. 5. This process will be repeated in the distal part. 6. After the application, the patient's vital signs, Sp02 and bleeding amount will be recorded every hour without using an additional manipulation method.

Sponsors & Collaborators

• Acibadem University

  lead OTHER

Principal Investigators

• Zehra Kan Öntürk, Ass. Prof. · Acibadem University

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

1 Month

Max Age

12 Months

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-07-28

Primary Completion

2019-12-12

Completion

2019-12-12

Countries

• Turkey (Türkiye)

Study Locations