Descriptive Study of the Relationship between Frequency and Degree of Bed Rotation with Pao2/Fio2 Ratios in Mechanically Ventilated Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/159351
Type:
Presentation
Title:
Descriptive Study of the Relationship between Frequency and Degree of Bed Rotation with Pao2/Fio2 Ratios in Mechanically Ventilated Patients
Abstract:
Descriptive Study of the Relationship between Frequency and Degree of Bed Rotation with Pao2/Fio2 Ratios in Mechanically Ventilated Patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Girt, Terri
Contact Address:6388 S. 200 E, Markleville, IN, 46056, USA
Co-Authors:Juanita Fogel Keck
Critically ill patients who are mechanically ventilated are commonly on prolonged bed rest impeding recovery. Prolonged immobility can lead to accumulation of secretions in the airway leading to pulmonary complications, such as decreased tidal volume, atelectasis, hypoxemia, pneumonia, and acute respiratory distress syndrome (ARDS). These complications can result in increased morbidity and mortality among immobilized critically ill patients. Frequent position changes are expected to aid in the removal of secretions from the airway, thus improving oxygenation. Placing the patient on a rotational bed has been shown to improve lung function. Position change is relatively inexpensive and promotes redistribution of gas and blood flow and alveolar recruitment. Rotation has two properties, degree and frequency. Current practice involves frequent rotations as often as ten minutes on one side, five minutes on the back and ten minutes of the other side. The degree of rotation varies depending on the tolerance of the patient. While there is research to support that the rotation is beneficial, there are no studies to date that investigate whether the degree of rotation or the frequency of rotation have greater clinical benefit. The purpose of this study is to describe the relationship between the degree and frequency of bed rotation and lung function measured by PaO2/FiO2 ratios in mechanically ventilated patients. Using a descriptive correlational design, a retrospective review of computerized medical records for 30 patients will be performed. Data are being collected from the medical record by the primary investigator. Descriptive statistics will be computed for P/F ratios and degree of rotation. Approval to conduct the study has been received from the Institutional Review Boards of the University and the hospital where the study will be conducted and data collection is in progress. AN: MN030003
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDescriptive Study of the Relationship between Frequency and Degree of Bed Rotation with Pao2/Fio2 Ratios in Mechanically Ventilated Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159351-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Descriptive Study of the Relationship between Frequency and Degree of Bed Rotation with Pao2/Fio2 Ratios in Mechanically Ventilated Patients </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Girt, Terri</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">6388 S. 200 E, Markleville, IN, 46056, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Juanita Fogel Keck </td></tr><tr><td colspan="2" class="item-abstract">Critically ill patients who are mechanically ventilated are commonly on prolonged bed rest impeding recovery. Prolonged immobility can lead to accumulation of secretions in the airway leading to pulmonary complications, such as decreased tidal volume, atelectasis, hypoxemia, pneumonia, and acute respiratory distress syndrome (ARDS). These complications can result in increased morbidity and mortality among immobilized critically ill patients. Frequent position changes are expected to aid in the removal of secretions from the airway, thus improving oxygenation. Placing the patient on a rotational bed has been shown to improve lung function. Position change is relatively inexpensive and promotes redistribution of gas and blood flow and alveolar recruitment. Rotation has two properties, degree and frequency. Current practice involves frequent rotations as often as ten minutes on one side, five minutes on the back and ten minutes of the other side. The degree of rotation varies depending on the tolerance of the patient. While there is research to support that the rotation is beneficial, there are no studies to date that investigate whether the degree of rotation or the frequency of rotation have greater clinical benefit. The purpose of this study is to describe the relationship between the degree and frequency of bed rotation and lung function measured by PaO2/FiO2 ratios in mechanically ventilated patients. Using a descriptive correlational design, a retrospective review of computerized medical records for 30 patients will be performed. Data are being collected from the medical record by the primary investigator. Descriptive statistics will be computed for P/F ratios and degree of rotation. Approval to conduct the study has been received from the Institutional Review Boards of the University and the hospital where the study will be conducted and data collection is in progress. AN: MN030003 </td></tr></table>en_GB
dc.date.available2011-10-26T21:56:05Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:56:05Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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