Design of a pillow for infants in prone position ventilation and its application after surgery for congenital heart disease
10.3760/cma.j.cn211501-20230128-00191
- VernacularTitle:婴幼儿俯卧位通气抱枕的设计及在先天性心脏病患儿术后的应用
- Author:
Na LUO
1
;
Huifang ZHANG
;
Zhiyuan YIN
;
Yong ZHANG
Author Information
1. 中国人民解放军北部战区总医院心血管外科ICU，沈阳 110016
- Keywords:
Prone position ventilation;
Congenital heart disease;
Adverse events
- From:
Chinese Journal of Practical Nursing
2023;39(36):2844-2847
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of self-made pillow for infants with prone position ventilation after open heart surgery.Methods:This study was a case-control study. A total of 50 infants with congenital heart disease admitted to Cardiovascular Surgery ICU, General Hospital of Northern Theater Command, Chinese PLA from July to December 2020 were selected as the control group, and 50 infants with congenital heart disease admitted from January to June 2021 were selected as the experimental group. The control group used the traditional tool for prone position ventilation, and the experimental group used the self-designed pillow for infant in prone position ventilation. The incidence of adverse events (pressure ulcer, unplanned extubation, tube discount), operation and duration, and blood gas analysis (PaO 2, PaCO 2) indexes were compared between the two groups. Results:The incidence of pressure ulcer in the experimental group was 2%(1/50), which was lower than 14%(7/50) in the control group, and the difference was statistically significant ( χ2=2.78, P<0.05). There were no statistically significant differences in the incidence of unplanned extubation and the incidence of tube discount between the two groups (both P>0.05). The operation time was (4.25 ± 2.46) min in the experimental group and (6.73 ± 3.25) min in the control group, and the difference between the two groups was statistically significant ( t=-2.24, P<0.05). The duration of the experimental group was (62.67 ± 18.45) min, and that of the control group was (38.53 ± 20.74) min, the difference between the two groups was statistically significant ( t=6.98, P<0.05). Conclusions:The application of self-made pillow and traditional tools in pediatric prone position ventilation can effectively increase PaO 2, reduce PaCO 2 and improve lung oxygenation. However, the application of self-made prone position ventilation pillow can greatly reduce the operation time of nurses, increase the duration of prone position ventilation, and reduce the occurrence of adverse events.
