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IRCT20181031041518N1 IRCT 2019-01-23 Hamedan University of Medical Sciences The effect of removing the chest tube in the end of expiration on the severity of pain and pulmonary complications after surgery. Investigating the effect of removal of chest tube at the end of the exhalation on the severity of pain and pulmonary complications after coronary artery bypass graft surgery. 2018-11-30 anticipated 120 Complete https://irct.ir/trial/35001 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Other design features: Quasi- Experimental study, Randomization description: In the present study, the patients were registered according to the sample size (120) and according to theinclusion criteria, and using the blocking method (using a two-block method, two letters A and B with different permutations we place blocks in blocks and randomly select 60 blocks and assign each block to 2 people) will be assigned to two groups. N/A Atherosclerotic heart disease. Intervention 1: The intervention group: In this study, patients are randomly placed under the outflow of the thoracic tube at the end of exhalation. The sampling procedure continues to complete the number of samples. When the researcher said that the patient drew a breath of 2 - 3 deeply breaths and exhaled a deep breath during the outflow of the chest tube (a Valsalva maneuver at the end of exhalation). It receives if it is prescribed for a patient with a narcotic drug. The intensity of pain in the thoracic cavity, the severity of the shortness of breath and the amount of spo2 is measured over the three-time frame: immediately after - 15 minutes and 1 hour after the chest tube pipeline is removed. To measure pneumothorax 1 hour after the departure the chest tube (chest x-ray) and compared with the last CXR of the patient before the extubation of the chest tube by a specialist. Intervention 2: Control group: Includes patients who routinely withdraw from the chest tube at the tail end (performing valsalva maneuver at the tail end). In this group, all the above tutorials are also given, the variables are recorded at the same time but at the end of the tail and compared to the end of the results. Yes - There is a plan to make this available What will be shared: Individual data of participants after unidentifiable individuals; and the main implications of the study. When: After completing the study. To whom: Researchers working in scientific institutions Conditions: Researchers working in scientific institutions Where to obtain: 00988133115516 How to obtain: Refer to the email: a.gohari@edo.umsha.ac.ir Comments:
public Akbar Gohari Kamel
Fahmideh BIvd- Opposite the People's Park-Hamedan University of Medical Sciences- School of Nursing and Midwifery.
Hamedan Iran (Islamic Republic of) 65178-38698 +98 81 3311 5516 a.gohari@edo.umsha.ac.ir Hamedan University of Medical Sciences scientific Mohsen Salavati
Fahmideh BIvd - Opposite the People's Park-Hamedan University of Medical Sciences- School of Nursing and Midwifery.
Hamedan Iran (Islamic Republic of) 65178-38698 +98 81 3838 0447 salavatimohsen42@yahoo.com Hamedan University of Medical Sciences Iran (Islamic Republic of) Awful patients undergoing coronary artery bypass graft surgery by cardiopulmonary bypass method Having two chest drainage chambers at the same distance to each other At least 24 hours have passed since the tubes were imported. Lack of diabetes and neuropathies caused by other diseases Ability to speak and understand Persian language Lack of hearing impairment Having hemodynamic stability (systolic blood pressure greater than 90 mmHg, lack of dangerous dysrhythms) 40 years 70 years Both Valve Replacement Surgery Patients undergoing cardiac emergency surgery Patients with diabetes I25.1 Atherosclerotic heart disease of native coronary artery Treatment - Other Treatment - Other The intervention group: In this study, patients are randomly placed under the outflow of the thoracic tube at the end of exhalation. The sampling procedure continues to complete the number of samples. When the researcher said that the patient drew a breath of 2 - 3 deeply breaths and exhaled a deep breath during the outflow of the chest tube (a Valsalva maneuver at the end of exhalation). It receives if it is prescribed for a patient with a narcotic drug. The intensity of pain in the thoracic cavity, the severity of the shortness of breath and the amount of spo2 is measured over the three-time frame: immediately after - 15 minutes and 1 hour after the chest tube pipeline is removed. To measure pneumothorax 1 hour after the departure the chest tube (chest x-ray) and compared with the last CXR of the patient before the extubation of the chest tube by a specialist. Control group: Includes patients who routinely withdraw from the chest tube at the tail end (performing valsalva maneuver at the tail end). In this group, all the above tutorials are also given, the variables are recorded at the same time but at the end of the tail and compared to the end of the results. Intensity of pain. Timepoint: Immediately before, immediately after, 15 minutes and an hour after the chest tube exits. Method of measurement: VAS(Visual Analogue Scale). Dyspnea. Timepoint: Immediately before, immediately after, 15 minutes and an hour after the chest tube exits. Method of measurement: Borg's Facilitated Criterion. Amount of spo2. Timepoint: Immediately before, immediately after, 15 minutes and an hour after the chest tube exits. Method of measurement: Monitor device available on the patient's bedside. Pneumothorax. Timepoint: َAn hour after the chest tube exits. Method of measurement: Chest X-ray. Hamedan University of Medical Sciences Approved 2018-10-12 Ethics Committee of Hamedan University of Medical Sciences BIvd fahmideh-Opposite the People's Park-Hamedan University of Medical Sciences-School of Nursing and Midwifery Hamedan Hamadan Iran (Islamic Republic of)