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IRCT2015091424018N1 IRCT 2015-11-14 Kurdistan University of Medical Sciences Evaluation of Coronary Angiography The Comparative Study of the Effects of Sand Bag Keeping Time and Changing Body Position on Acute Complications of Coronary Angiography. 2015-10-07 anticipated 75 Complete https://irct.ir/trial/20371 interventional Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Single, Purpose: Prevention. N/A complication of cronary angiography. Intervention 1: control group: patients in the control group, will receive routines care include of 8 hours motionless in supine position, with head angle of zero degrees, rest in bed and preserving a 4 kg sandbag on the site of catheter insertion for 6 hours. Intervention 2: sandbag’s intervention group: patients in sandbag’s intervention group will receive routines care except that in the third hour after entering to the heart ward, sandbag will be removed from the position. Intervention 3: Changing body Position’s intervention group: patients in Changing body Position’s intervention group will receive routines care except that the following positions during bed rest will be applied. During the first and second hours supine position and head angle of zero degrees, during the third and fourth positions supine head angle of 45 degrees, during the fifth and sixth hours left and right latera position with head angle of 15 degrees and in the seventh and eighth in the sitting position will be cared for.
public Sina Valiee
Number 4, Negin alley, Keshavarz town, Sanandaj
Sanandaj Iran (Islamic Republic of) 00 sinavaliee@yahoo.com Kurdistan University of Medical Sciences scientific Parvin Mahmoodi
Number7,Diman 4 alley, Hazhar street, Andishe town, Janbazan blv, Sanandaj, Kurdistan
Sanandaj Iran (Islamic Republic of) 6616814915 +98 87 3328 0414 mahmoodi.parvin@gmail.commahmoodi.parvin@muk.ac.irmahmoodi.parvin@yahoo.com Kurdistan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: under non-emergency catheterization; age between 18-65 years; blood pressure less than 100/180 mmHg; the absence of active bleeding disorders; prothrombin time less than 16 seconds and time; Partial thromboplastin less than 90 seconds; no history of diabetes with disabilities; consent to participate in the study; angiography via the femoral artery; arterial puncture for the route only once; no DVT before the procedure; treatment with thrombolytic drugs and anticoagulant (taking warfarin); taking pain medication before the procedure; lack of peripheral vascular disease; no history of urinary problems; lack of sensitivity to contrast; no drug addiction; lack of chronic low back pain lack of blood and liver disease will be. Exclusion criteria: active bleeding from the catheter entry with hemodynamic impairment and the need for blood transfusion; blood coagulation disorders; history of chronic low back pain; the need for cardiopulmonary resuscitation during angiography; chest pain with ECG changes; non-invasive blood pressure (NIBP) systolic or diastolic over and over mmHg 180 mmHg 100; disability and impaired level of consciousness in such a way that the patient is able to transform the work; rupture of the femoral artery during angiography; after a dangerous rhythm disorder Angiography; heparin injection during or after the procedure; the patient's hemodynamic status was while studying will be unhappy. 18 years 65 years Both I70.8 Atherosclerosis of other arteries( coronary arteries) Prevention Prevention Prevention control group: patients in the control group, will receive routines care include of 8 hours motionless in supine position, with head angle of zero degrees, rest in bed and preserving a 4 kg sandbag on the site of catheter insertion for 6 hours. sandbag’s intervention group: patients in sandbag’s intervention group will receive routines care except that in the third hour after entering to the heart ward, sandbag will be removed from the position. Changing body Position’s intervention group: patients in Changing body Position’s intervention group will receive routines care except that the following positions during bed rest will be applied. During the first and second hours supine position and head angle of zero degrees, during the third and fourth positions supine head angle of 45 degrees, during the fifth and sixth hours left and right latera position with head angle of 15 degrees and in the seventh and eighth in the sitting position will be cared for. Bleeding. Timepoint: at 0, 3, 6, 8 and 24 hours after angiography. Method of measurement: Measurement scales with a sensitivity of 0.1 g. Hematoma. Timepoint: at 0, 3, 6, 8 and 24 hours after angiography. Method of measurement: with Trans Parente and graph paper. Bruise. Timepoint: at 0, 3, 6, 8 and 24 hours after angiography. Method of measurement: with Trans Parente and graph paper. Pain( include of back pain and groin pain). Timepoint: at 0, 3, 6, 8 and 24 hours after angiography. Method of measurement: NRS. Urinary retention. Timepoint: at 0, 3, 6, 8 and 24 hours after angiography. Method of measurement: Based on asking from the patient. Convenience. Timepoint: at 0, 3, 6, 8 and 24 hours after angiography. Method of measurement: VAS. Thrombosis. Timepoint: at 0, 3, 6, 8 and 24 hours after angiography. Method of measurement: The sensory and motor symptoms, absence of peripheral pulse, the white appearance and painful physical examination. Kurdistan University of Medical Sciences Approved 2015-09-30 Kurdistan University of Medical Sciences Kurdistan University of Medical Sciences,sanandaj, kurdistan sanandaj Iran (Islamic Republic of)