ÖZET
Amaç:
Koronavirüs hastalığı-2019 hastalarında akciğer tutulumu sıklıkla görülmekte, mekanik ventilasyona ihtiyaç duyulmakta, oksijenasyonun artırılmasında pozisyon desteğinden de faydalanılmaktadır. Çalışmamızda ultrasonografi rehberliğinde verilen pozisyon uygulamasının oksijenizasyon üzerine etkisinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem:
Hastalar akciğer ultrasonografisi yapılanlar ve yapılmayanlar olmak üzere iki gruba ayrıldı. Akciğer ultrasonografisi yapılan hastalara infiltrasyon alanı fazla olan bölge yukarıda olacak şekilde pozisyon verildi. Gruplar karşılaştırıldı.
Bulgular:
Çalışmaya katılan 103 hasta 2. ve 12. saatte arter kan gazı ile değerlendirilerek karşılaştırıldı. Ultrasonografi rehberliğinde pozisyon verilen hastalarda pozisyon verilmesinden sonra 2. saat ve 12. saatte PaO2 değerlerindeki artışın istatiksel olarak anlamlı olduğu görüldü. Ultrasonografi yapılmayan grupta ise 12. saatte PaO2 değerlerinde artış görüldü. Hastalar verilen pozisyonlara göre değerlendirildiğinde sağ lateral dekübit pozisyonunda PaO2 değerinde 2. ve 12. saatteki artış istatiksel olarak anlamlı idi. Pron pozisyonda ise PaO2 değerinde artış olmakla birlikte istatistiksel olarak anlamlı değildi.
Sonuç:
Çalışmamızda hastalara ultrasonografi rehberliğinde pozisyon verildiğinde, 2 saat gibi bir sürede oksijenizasyonda artış olduğu görüldü.
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