A COMPARISION OF EFFECT OF SEMI FOWLER’S VS SIDE LYING POSITION ON TIDAL VOLUME & PULSE OXYMETRY IN ICU PATIENTS

Abstract

Aim of study: To find out Comparision of side lying versus semi Fowler’s
position in mechanically ventilated ARDS (Acute Respiratory Distress
Syndrome) patients on tidal volume and pulse oxymetry in ICU. Study
Design: Cross sectional observational comparative study. Study Group: 30
patients admitted to ICU of government hospital fulfilling criteria for a
diagnosis of ARDS. Inclusion Criteria: Mechanically ventilated patients, Age
between 20 to 60 yrs, Sex: male female both and patient with ARDS.
Exclusion Criteria: Aged less than 20 years, Evidence of cerebral edema
and neurosurgery, Chest X-ray showed pleural effusion, pneumothorax or
atelectasis, thoraco abdominal surgery or severe hemodynamic instability,
Shock refractory to vasoactive drugs and volume therapy. Outcome
Measures: Tidal Volume, Pulse Oxymetry, PaO2, PaCO2. Result: suggest
that there is extremely significant difference in tidal volume after giving
semi Fowler’s position. There is no significant difference in tidal volume
after giving right and left side lying position. Conclusion: Comparing semi
Fowler’s position to each of these side lying positions, semi Fowler’s
positioning found to be better in improving tidal volume and oxygenation
in mechanically ventilated ARDS patients in ICU. These findings may be
helpful in reducing FiO2, hence side effects related to oxygen toxicity in
mechanically ventilated ARDS patients in ICU.