Position changing with blood distribution to different portions of lung
can produce V/Q mismatch, and finally extend to oxygenation disruption.
Thus, if position changing is done’ neglecting the patients’ pulmonary
problem types, not only does it fail to cause oxygenation improvement, but
it also induces gas exchange impairment, and with provocation of
hypoxemia and respiratory acidosis, serious problems result. The goals of this
research are to determine the semi-fowler’s position and its duration effect
on the arterial blood gases(ABGs)results in patients under mechanical
ventilation hospitalized in general ICU.
In this study , 30 ICU patients(22 males and 8 females) under mechanical
ventilation were chosen. Then using questionnaires , the patients’
demographic data were collected . A sample of arterial blood from these
patients lying in supine position, was taken . Again the patients immediately
were placed in semi-fowler’s position and after 15,30,45,and 60minutes lying
in this position, samples of arterial blood were taken and sent to laboratory.
The findings showed that semi-fowler’s position did not have any positive
effects on oxygenation and gas exchange. Also, the findings indicated that
the effect of lying duration(15,30,45,60 minutes) in semi-fowler’s position on
oxygenation and gas exchange wasn’t significant.
It was concluded that without considering the lung pathology, semi
fowler’s position should not be used , because not only is this position unable
to induce oxygenation-improvement, but actually it may causes gas
exchange impairment.
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