The Effect of Semi Fowler 30' Right Lateral on Cardiac Output in Acute Heart Failure

Indonesia University20 enrolled

Overview

Heart failure is a special clinical syndrome such as difficulty breathing, fatigue, and swollen legs characterized by increased JVP, crackle lung sounds, and peripheral edema caused by heart disorders both structural and/or functional, resulting in decreased cardiac output and increased intracardiac pressure at rest and activity. Body positioning has been shown to affect stroke volume and parasympathetic modulating activity. The right lateral 30" semifowler position is a very safe position in heart failure patients admitted to the ICU. Although body positioning can affect stroke volume, and parasympathetic modulation, it is not yet clear what effect it has on cardiac output

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Cardiac Output, High Heart Failure Pulmonary Edema With Heart Failure Dyspnea; Cardiac

Interventions

Semifowler 30' Right Lateral Body PositionBEHAVIORAL

Semifowler 30' Right Lateral Body Position Is a regulation of body position by placing the patient's body in a semi-fowler and lateral resting position of 30 degrees

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * The patient was diagnosed with acute decompensated heart failure, * fully conscious, * not intubated, * \>18 years old, * had no mobility problems, * palpable radial artery pulsation, * was not under the influence of anti-hypotensive drugs, * willing to be a respondent, * LVEF \<50%. Exclusion Criteria: * Pulmonary edema, * severe valve disease comorbidities, * receiving high doses of anti-hypotensive treatment, * heart failure readmission in the last 3 months, * finger edema, * use of mechanical circulatory support, * irregular rhythms, * artificial pacemaker attached, * obesity * peripheral perfusion disorders * cardiogenic shock

Locations (1)

Ryan Budiyanto

Jakarta, West Jakarta, Indonesia

Outcomes

Primary Outcomes

Cardiac Output

The amount of blood volume pumped by the heart for 1 minute in liters

Time frame: 15 Minutes

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.