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:: Volume 9, Issue 1 (3-2020) ::
پرستاری قلب و عروق 2020, 9(1): 244-253 Back to browse issues page
The effect of using the Burn assessment wean program on duration of mechanical ventilation and hemodynamic criteria in adult patients undergoing open heart surgery
Fateme Falamarzi1, Shiva Khaleghparast *2, Mohammad Zia Totonchi1, Mahmood Sheikh Fathollahi1
1- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
2- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran , sh_khaleghparast@yahoo.com
Abstract:   (790 Views)
Abstract
Aim. This study was conducted to examine the effect of using Burn weaning checklist on the duration of mechanical ventilation and hemodynamic criteria in patients undergoing adult open heart surgery.
Background. Mechanical ventilation is an adjunct or alternative to spontaneous breathing. Due to the proximity of the circulatory and pulmonary systems, the balance of the mechanical ventilation system and the human cardiovascular system is complex, and its weaning must be planned.
Method. This randomized clinical trial study was performed on 80 patients admitted for open heart cardiopulmonary bypass surgery. After random assignment, in the control group, the weaning process was performed according to the routines by a physician, and in the experimental group, the weaning was performed by a Burn checklist by a physician and a nurse. Hemodynamic criteria (first and second hours upon arrival, first and second hours during weaning, first and second hours after weaning) and duration of mechanical ventilation were recorded and compared between experimental and control group. Data were analyzed in SPSS software version 22 using two-way repeated measures ANOVA.
Findings. The mean intubation duration in the experimental group (7.50±1.86 hours) was significantly less than the control group (11.30±3.39 hours) (P≤0.0001). The interaction between group and time for variables diastolic blood pressure (P=0.002), pulse pressure (P=0.003) and heart rate (P≤0.0001) was statistically significant.
Conclusion. The use of the Burn assessment checklist reduces the duration of weaning process in patients after adult open heart surgery. It also helps balancing hemodynamic criteria.
Keywords: Weaning mechanical ventilation, Burn assessment wean program, Hemodynamics, Open heart surgery
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: Research | Subject: Hemodynamic monitoring
Received: 2021/07/13 | Accepted: 2021/12/04 | Published: 2022/01/17 | ePublished: 2022/01/17
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Falamarzi F, Khaleghparast S, Totonchi M Z, Sheikh Fathollahi M. The effect of using the Burn assessment wean program on duration of mechanical ventilation and hemodynamic criteria in adult patients undergoing open heart surgery. پرستاری قلب و عروق. 2020; 9 (1) :244-253
URL: http://journal.icns.org.ir/article-1-688-en.html


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Volume 9, Issue 1 (3-2020) Back to browse issues page
فصلنامه پرستاری قلب و عروق Iranian Journal of Cardiovascular Nursing
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