Application of panning axial turnover in placement of surgical positions before thoracic surgery
10.3760/cma.j.issn.1672-7088.2019.13.008
- VernacularTitle: 平移轴向翻身法在胸部手术术前安置手术侧卧位中的应用
- Author:
Kun FAN
1
;
Jinteng FENG
1
;
Haiqi HE
1
;
Qifei WU
1
;
Xiaopeng WEN
1
;
Junke FU
1
;
Linjuan ZHANG
2
;
Guangjian ZHANG
1
Author Information
1. Department of Thoracic Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
2. Department of Anesthesiology, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
- Publication Type:Clinical Trail
- Keywords:
Surgical turnover;
Surgical position;
Lateral position;
Thoracic surgery
- From:
Chinese Journal of Practical Nursing
2019;35(13):994-997
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the application of panning axial turnover in placement of surgical positions before thoracic surgery.
Methods:From June 2017 to September 2017, altogether 140 patients who underwent thoracic surgery were enrolled in and randomly divided into two groups: the observation group and the control group. The control group was treated with traditional turnover method, while the observation group were treated with axial turnover.
Results:No significant changes were found in blood pressure, heart rate and respiratory rate (P>0.05) after turning over. There was no significant difference between the observation group and the control group about turn over time, (7.06±0.78)s vs. (7.01±0.81)s (P>0.05). The subjective evaluation results of the medical staff in the observation group were significantly better than those of the control group (Z=-7.111, P<0.01) and the shift rate of double-lumen endotracheal tube in the observation group was 3.7% (2/54), which was significantly lower than 21.6% (11/51) of the control group (χ2=6.158, P<0.05).
Conclusions:The panning axial turnover properly guided the turn-over work with the principle of human body mechanics, which was more labor-saving and requires less operators. Besides, the panning axial turnover effectively reduced the double-lumen tracheal intubation shift rate. It′s worthy of clinical promotion.
