The effects of milking and suction drain management methods in paediatric patients after cardiac surgery

Gökgöz G., Karabacak Ü., Kan Öntürk Z.

INTERNATIONAL JOURNAL OF NURSING PRACTICE, cilt.29, sa.2, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 2
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1111/ijn.13122
  • Dergi Adı: INTERNATIONAL JOURNAL OF NURSING PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Anahtar Kelimeler: cardiac surgery, drain manipulation, nursing care, paediatric, vital signs
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

AimThe aim of this study is to determine the effects of milking and suction methods on maintaining drain patency following cardiac surgery in paediatric patients. MethodsThis was a randomized controlled trial. The patients were assigned to three groups (suction method, milking method, and control group) between July 2018 and December 2019. ResultsThe most frequent medical diagnoses were tetralogy of Fallot (34.4%, n = 31) and ventricular septal defect (14.4%, n = 13). Heart rate may increase unless a method was chosen to maintain drain patency (F: 4.450, p = 0.003); suction (F: 0.528 p = 0.781) and milking (F: 2.281 p = 0.070) methods did not significantly increase the heart rate. The use of a manipulation method for maintaining drain patency maintained stability of the blood pressure values and did not affect haemodynamic stability, oxygen saturation, and body temperature. There was no statistically significant difference within and among the groups (p > 0.05) in relation to the volume of bleeding between admission until the sixth hour, although there was greater bleeding with the milking method (2.67 +/- 15.30 ml) and less bleeding (-5.00 +/- 23.30) with the suction method. ConclusionThe milking and suction methods used to maintain drain patency can be employed and will assist with maintaining the stability of the patient within the first critical 6 h. Further studies need to be conducted in order to clarify that the recommendations can be generalized to all children with congenital heart disease.