Effect of Postural Changes on Postoperative Hypoxemia
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Lateral positioning, Semirecumbent positioning.
- Кому может быть актуально
- Состояния в реестре: Postoperative Hypoxemia, Position Differences. Базовые параметры: 18 лет — 80 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Список центров уточняется — проверьте первичный протокол.
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Effect of Semirecumbent and Lateral Positioning on Postoperative Hypoxemia : a Randomized Controlled Trial
Обзор
The goal of this clinical trial is to learn which positioning strategy works better to prevent postoperative hypoxemia in surgical patients: semirecumbent positioning or lateral positioning. It will also learn about the safety and effectiveness of these two positioning approaches. The main questions it aims to answer are: Does semirecumbent positioning reduce the incidence of postoperative hypoxemia more effectively than lateral positioning? Does lateral positioning reduce the incidence of postoperative hypoxemia more effectively than semirecumbent positioning? What are the differences in patient comfort and recovery outcomes between these two positioning strategies? Researchers will compare semirecumbent positioning directly to lateral positioning to see which approach is more effective in preventing postoperative hypoxemia. Participants will: Be randomly assigned to either semirecumbent positioning or lateral positioning after surgery Have their oxygen levels and breathing monitored regularly during the postoperative period Receive standard post-surgical care with their assigned positioning strategy Be assessed for comfort levels and any positioning-related complications Have their recovery progress tracked throughout their hospital stay.
Вмешательства
- Поведенческое Lateral positioning
Patients allocated to lateral positioning were placed at 90° on a horizontal bed, supported with a pillow to maintain neutral alignment of the spine and avoid hyperextension or forward flexion of the neck. No preference was specified for left or right lateral decubitus positioning, allowing flexibility based on patient comfort and surgical requirements. - Поведенческое Semirecumbent positioning
Patients in the semi-recumbent position were placed in the bed and the head of the bed was raised by 30 °, allowing flexibility based on patient comfort and surgical requirements.
Первичные конечные точки
- Incidence of hypoxaemia [Срок оценки: Within 24 hours after the surgery was completed]
Вторичные конечные точки (6)
- Rrequency of airway rescue interventions [Срок оценки: Within 24 hours after the surgery was completed]
- incidence of severe hypoxaemia [Срок оценки: Within 24 hours after the surgery was completed]
- Lowest oxygen saturation [Срок оценки: Within 24 hours after the surgery was completed]
- Duration of stay in the post-anaesthesia care [Срок оценки: Perioperative/Periprocedural]
- wound pain [Срок оценки: Perioperative/Periprocedural]
- Adverse events [Срок оценки: Perioperative/Periprocedural]
Критерии участия
Критерии включения
- Patients aged 18 or above and 80 or below who received general anesthesia and intubation
Критерии исключения
Критерии включения
\- Patients aged 18 years and above, and 80 years and below, who received general anesthesia and intubation;
Критерии исключения
- Presence of hypotension or bradycardia upon entering the anesthesia recovery room;
- Preoperative hypoxemia;
- Surgical procedures where body position adjustment is not possible or is prohibited due to the nature of the surgery;
- Surgical procedures involving severe cardiovascular or cerebrovascular diseases, severe pulmonary diseases, intracranial hypertension, etc.;
- Intubation more than 3 times.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Двойное слепое
- Основная цель
- Лечение
Центры проведения
Список центров уточняется — проверьте первичный протокол.
Публикации
- Wang X, Guo K, Sun J, Yang Y, Wu Y, Tang X, Xu Y, Chen Q, Zeng S, Wang L, Liu S. Semirecumbent Positioning During Anesthesia Recovery and Postoperative Hypoxemia: A Randomized Clinical Trial. JAMA Netw Open. 2024 Jun 3;7(6):e2416797. doi: 10.1001/jamanetworkopen.2024.16797. PMID 38941098
- Ye H, Chu LH, Xie GH, Hua YJ, Lou Y, Wang QH, Xu ZX, Tang MY, Wang BD, Hu HY, Ying J, Yu T, Wang HY, Wang Y, Ye ZJ, Bao XF, Wang MC, Chen LY, Wang XX, Zhang XB, Huang CS, Wang J, Lu YP, Luo FQ, Zhou W, Wang CG, Cheng H, Liu WJ, Luo J, Wu YQ, Li RR, Wang D, Hou LQ, Shi L, Zhang J, Wang K, Pi X, Zhou R, Yang QQ, Wan PL, Li H, Wu SJ, Song SW, Cui P, Shu L, Islam N, Fang XM. Effect of lateral versus s PMID 40829895
Идентификаторы
NCT: NCT07161817 · Postoperative Hypoxemia