![]() However, the outcome assessment of the patients was blinded. Baseline values were not reached after repositioning supine in any patient until after a standardised recruitment manoeuvre was performed. The nurses could not be blinded to the allocation because of the nature of the intervention. Adopting the Trendelenburg position led to a significant decrease in functional residual capacity (median range 12 (621)) and increase in lung clearance index (12 (219)). When the patients were scheduled to be positioning, the envelope was opened by the researcher who then performed the positioning. Patients were assigned a sequential number that was placed in an opaque, sealed envelope by the researcher. Information of allocation was available to the principal researcher only. Two-group pre-test and repeated post-test studyĬomputer generated randomization (was used to randomly assign patients to one of both groups. Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information ![]() Baseline ventilation and oxygenation parameters were assessed immediately before positioning then it was reassessed every 10 minutes after positioning for 30 minutes. Patients were maintained in the study positions for 2 hours each time. Patients were positioned in the study positions 4 times per day. One hundred and ten adult mechanically ventilated patients with body mass index ≥ 30 were randomly assigned by a computer program to either reverse Trendelenburg position group (n=55) which is the intervention group or semi-recumbent position group (n=55) which is the routine unit position. This trial was conducted in four general intensive care unit of Alexandria Main University hospital in Alexandria, Egypt. Reverse Trendelenburg position is recommended for obese patients but in critical illness with mechanical ventilation little is known about its effect on respiratory therapeutic targets. There are so many beds available for the reverse. In these cases, beanbag restraints can help. It is also associated with mechanical ventilation success or failure and may be a main determinant of the obese patients' outcome. In reverse Trendelenburg position, the head will be positioned up, and the feet will be positioned down. Deep Trendelenburg positions which are classified as 30-40 degrees might require more in the way of support and restraint to keep your patient from shifting or sliding on the table. Obese critically ill patients' position significantly impacts on their ventilation and oxygenation status. In the Trendelenburg position, the body is laid face up/flat on the back on a 15-30 degree incline with the feet elevated above the head. Similar to the Trendelenburg position, patients will need restraints to keep them from sliding off the table. Here, the patient is flat but the table is moved so the head is higher than the legs. Why Should I Register and Submit Results? Apart from these there are certain variations that includes: 1. The Lo Lo is a mobility focused adjustable electric bed that features Trendelenburg and reverse Trendelenburg positions. The reverse Trendelenburg position flips what we described for the original Trendelenburg’s position.
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