Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT06352047 |
| Other study ID # |
Karadeniz Tech. University |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
November 1, 2018 |
| Est. completion date |
June 1, 2019 |
Study information
| Verified date |
April 2024 |
| Source |
Karadeniz Technical University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The aim of this study was to examine the effect of positioning on respiratory functions of
preterm infants after extubation.
Hypothesis 0a (H0a): There is no difference between the oxygen saturation (SpO2) levels of
preterm infants in supine and prone positions after extubation.
Hypothesis 0b (H0b): There is no difference between the respiratory rate of preterm infants
in supine and prone positions after extubation.
Hypothesis 0c (H0c): There is no difference between the respiratory rhythms of preterm
infants in supine and prone positions after extubation.
Hypothesis 0d (H0d): There is no difference between respiratory distress in preterm infants
in supine and prone positions after extubation.
Description:
Among infants in the neonatal intensive care unit (NICU), the ones in the high and medium
risk group are premature infants. Respiratory distress is the most important problem in
infants with a history of preterm birth due to undeveloped systems and organs. Especially
premature infants need respiratory support in the NICU. The most important stage of
supportive treatment is the application of mechanical ventilation with endotracheal
intubation. Newborns receiving mechanical ventilation support should be checked constantly
Considering that endotracheal intubation may cause extreme stress and traumatic effects on
premature babies, it should be ensured that premature babies get through the ventilation
process and afterward with minimal trauma. This will positively affect the adaptation process
after the termination of intubation. The neonatal nurse continuously monitors the changes in
heart rate, body temperature, blood pressure, SpO2, respiratory characteristics and number of
infants receiving mechanical ventilation and records them in the patient follow-up form. The
nurse tries to provide the most ideal respiratory form in infants with mechanical
ventilation. For this reason, neonatal nurses should provide individualized developmental
nursing care by considering all the physiological needs of premature babies in order to
provide the most ideal respiratory form. The use of individualized care models in premature
babies increases the health quality and social cohesion of preterm babies. It fastens the
physiological recovery, shortens the hospital stay and increases neurodevelopmental
functions. Positionig is one of the most important developmental supportive activities. It is
important in nursing care to position the preterm babies appropriately and to ensure its
continuity according to their needs. It is recommended that preterm infants with respiratory
distress in the NICU should be placed in the supine position after extubation when
respiratory patterns are stabilized. It has been observed that the prone position increases
oxygen saturation in premature babies, shortens the duration of mechanical ventilator
therapy, decreases re-intubation after extubation, decreases neonatal apnea, and contributes
to the development of respiratory muscles and positively affects respiratory functions. In
addition, the prone position increases the lung capacity of preterm infants. Studies show
that the prone position improves diaphragmatic function, increases lung perfusion, and has
positive effects on respiratory functions. In another study, it was stated that the prone
position is a safe and healthy process according to the order of separation from mechanical
ventilation and may contribute to the success of separation from mechanical ventilation in
preterm infants [4]. The neonatal nurse should be aware of the importance of positioning and
should be able to position the newborn baby when needed in routine care practices. During the
respiratory system intubation period and after extubation, the effects of the positioning on
the respiratory functions of the preterm should be observed and the position with the highest
benefit should be taken into consideration when performing individualized nursing care.
Therefore, the aim of this study was to examine the effect of positioning on respiratory
functions of preterm infants after extubation.
