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IRCT201503157494N11 IRCT 2015-04-25 Vice Chancellor for research Mazandaran University of Medical Sciences. The effects of pleasing olfactory images on the atelectasis The effects of pleasing olfactory images on the atelectasis in patients with cardiac surgery 2015-03-21 anticipated 80 Complete https://irct.ir/trial/7962 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. 2 Atelectasis. Intervention 1: Patients who are allocated in experiment group will receive planned trainings before surgery. Designed cards with pictures of rose, banana, apple and lemon placed at their disposal and Will be asked to look at these pictures and Imagine the smell of it in their minds and as much as possible to do deep sniffing. The exercises will be conducted for two hours in the morning and evening during the first and second day after surgery at the awakening. Intervention 2: Patients who are allocated in control group will receive the hospital routine treatment. Any intervention is not done before surgery for this group of patients.
public Dr Masumeh Bagheri Nesami
Mazandaran University of Medical Sciences, three-way Joibar, highway Basij, Imam square, Sari, Mazandaran, Iran.
Sari Iran (Islamic Republic of) 4816715793 +98 11 3336 7551 anna3043@gmail.com Mazandaran University of Medical Sciences scientific Dr Masumeh Bagheri Nesami
Mazandaran University of Medical Sciences, three way Joibar, highway Basij, Imam square, Sari, Mazandaran, Iran.
Sari Iran (Islamic Republic of) 4816715793 +98 11 3336 7551 anna3043@gmail.com Mazandaran University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: consent to participate in the study؛ no emergency surgery(coronary artery bypass and heart valves using sternotomy and cardiopulmonary bypass support)؛ aged 18 years and older؛ ejection fraction more than 30 percent؛ having no mental retardation and olfactory impairment؛ negative history of previous heart or lung surgery؛ negative history of previous severe trauma to the head or nose؛ negative history of previous frequent sinus infections؛ Lack of preoperative pulmonary disease(pneumonia, chronic obstructive pulmonary disease, atelectasis, pleural effusion and asthma)؛ BMI less than 40 kg/m2. Patients with systolic blood pressure less than 90 mm Hg despite additional fluids؛ PH arterial less than 7.30؛ arterial carbon dioxide pressure greater than 50 mmHg؛ arterial oxygen saturation less than 80% despite oxygen؛ blood hemoglobin concentration of less than 7 g/dL؛ serum creatinine greater than3.5 mg/dL were not included in the study. Exclusion criteria: patients' unwillingness to continue cooperation؛ need for reoperation due to surgery complications؛ incidence of cognitive and neurological disorders after surgery؛ postoperative hemodynamic instability(systolic blood pressure below 80 mm Hg)؛ postoperative bleeding more than 500 ml؛ need for mechanical ventilation for more than 15 hours after surgery. 18 years no limit Both J98.1 Pulmonary collapse Prevention Prevention Patients who are allocated in experiment group will receive planned trainings before surgery. Designed cards with pictures of rose, banana, apple and lemon placed at their disposal and Will be asked to look at these pictures and Imagine the smell of it in their minds and as much as possible to do deep sniffing. The exercises will be conducted for two hours in the morning and evening during the first and second day after surgery at the awakening Patients who are allocated in control group will receive the hospital routine treatment. Any intervention is not done before surgery for this group of patients. Atelectasis. Timepoint: Pre & post operation and second day post operatively. Method of measurement: Chest x ray. Arterial blood gases. Timepoint: Before surgery; the morning and afternoon of the first day of surgery, before and after the intervention; morning and afternoon of the second day after surgery, before and after the intervention. Method of measurement: Arterial blood gas test(ABG). Systolic and diastolic arterial blood pressure. Timepoint: Before surgery; the morning and afternoon of the first day of surgery, before and after the intervention; morning and afternoon of the second day after surgery, before and after the intervention. Method of measurement: Sphygmomanometer. Tempereture. Timepoint: Before surgery; the morning and afternoon of the first day of surgery, before and after the intervention; morning and afternoon of the second day after surgery, before and after the intervention. Method of measurement: Oral Thermometer. Respiratory rate. Timepoint: Before surgery; the morning and afternoon of the first day of surgery, before and after the intervention; morning and afternoon of the second day after surgery, before and after the intervention. Method of measurement: Number of respiratory rate. Heart rate. Timepoint: Before surgery; the morning and afternoon of the first day of surgery, before and after the intervention; morning and afternoon of the second day after surgery, before and after the intervention. Method of measurement: Cardiac monitoring. Saturation of Peripheral Oxygen. Timepoint: Before surgery; the morning and afternoon of the first day of surgery, before and after the intervention; morning and afternoon of the second day after surgery, before and after the intervention. Method of measurement: Monitor and pulse oximetry. Vice Chancellor for research Mazandaran University of Medical Sciences. Approved 2016-03-03 Ethics Committee of Mazandaran University of Medical Mazandaran University of Medical Sciences, Vice chancellor for research, Moalem street, Moalem square, Sari, Mazandaran, Iran. Sari Iran (Islamic Republic of)