Impact of Three Body Positioning Strategies in the Drainage Fluids After Coronary Artery Bypass Surgery
Condition: Coronary Artery Disease
MeSH terms: Coronary Artery Disease
Study type: Interventional
Phase: Phase 1

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).
    

Detailed description: 
      Coronary artery bypass surgery can lead to pulmonary complications like pleural effusion and
      pneumonia. These complications increase the length of stay and the immobility time. The
      investigators aim was to assess the impact of early mobilization of fluids drainage of chest
      tubes and the incidence of pulmonary complications. A prospective, randomized study included
      101 patients divided in three groups. In the Control Group (CG:n=33) the patients were seated
      in armchair in the first 48 hours postoperative time. The Group (TRCL n=34) a Continuous
      Rotational Bed Therapy was instituted six hours post extubation in the first 24 hours and it
      comprised with by consecutive cycles of lateral rotation to the left and right side, and
      supine position with 30 seconds for pauses (using a Hill Rom Rotational Bed Device) witch
      stopped when need to perform routine measurements the hemodynamics measurements and clinical
      controls by nursing crew.The group ( ORT n=33) following the sequential steps T1: sitting in
      the bed for 2 hours, T2: sitting on the bed with their feet on the floor for 2 minutes and
      T3: the patients stoos up and walked on the spot for 2 minutes. Hemodynamics and oxygenation
      measurement before and after each intervention.
    

Intervention name(s): Bed Rotation Group; Orthostatic Group
Intervention type(s): Other; Other
Intervention description(s): 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.; 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.
Allocation: Randomized
Intervention model: Single Group Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: mobility; coronary artery bypass; positioning; body