1. The effects of different degrees of head-of-bed elevation on the respiratory pattern and drainage following thyroidectomy: a randomized controlled trial
- Author
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Nihal Sunal, Ilhan Öztekin, Serpil Yüksel, Zeynep Temiz, Emel Sengul, Ertuğrul Göksoy, Seher Deniz Öztekin, Serkan Teksoz, Gülay Altun Uğraş, İÜC, Florence Nightingale Hemşirelik Fakültesi, Hemşirelik Bölümü, and Temiz, Zeynep
- Subjects
Adult ,Male ,Supine position ,Respiratory rate ,Turkey ,medicine.medical_treatment ,030231 tropical medicine ,Head of bed ,Respiratory pattern ,Beds ,Patient Positioning ,law.invention ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Hematoma ,Randomized controlled trial ,law ,medicine ,Supine Position ,Tidal Volume ,Humans ,Prospective Studies ,Drainage ,Head-of-bed elevation ,business.industry ,Thyroidectomy ,General Medicine ,Articles ,Middle Aged ,controlled trial ,medicine.disease ,Respiration, Artificial ,Thyroid Diseases ,Anesthesia ,thyroidectomy ,Female ,business ,Head - Abstract
Background: The patient’s position is important for ensuring patient comfort and preventing complications after thyroidectomy. Objectives: This study was carried out to determine the effects of different degrees of head-of-bed elevation (HOBE) on the respiratory pattern and drainage following thyroidectomy and to provide suggestions for evidence-based clinical practice. Methods: The sample of this prospective, parallel arm, randomized controlled trial included 114 patients undergoing thyroidec- tomy in a university hospital in Turkey. The patients were randomly assigned (1:1:1) to supine 0° (baseline), 30° and 45° HOBE groups. Respiratory pattern including respiratory rate (RR), peripheral oxygen saturation (SpO2) and dyspnea, and drainage including amount of drainage and hematoma formation were evaluated at the 1st, 2nd, 3rd and 4th hours following thy- roidectomy. Results: The majority of the patients (83.3%) were female and 84.2% had undergone total thyroidectomy. The mean RR (18.47, 95% CI=17.85-19.09) of the patients in the supine 30° HOBE group at the 1st hour was significantly higher than that of the patients in the supine 0° group (17.32, 95% CI=16.88-17.76; p0.05). The amount of drainage was significantly higher in the supine 0° group at the 2nd hour than that of the patients in the supine 45° HOBE group (5.92±5.18; 3.34±5.56 respectively; p
- Published
- 2020