0566

THE ESTABLISHMENT AND CLINICAL UTILIZATION OF CHEST PHYSICAL THERAPY FOR POST CARDIAC SURGERY CHILDREN

Ren, S-Q

Shanghai Children��s Medical Center, Shanghai, China

Objective: Children with congenital heart disease frequently have an enlarged heart, left-to-right shunt, pulmonary hypertension, and recurrent respiratory tract infection before surgery. During post surgery stage, lung atelectasis, impaired cardiac function, and depending on ventilator are also common that slows down the recovery. Therefore, the purpose of this paper is to describe the process and implication of establishing chest physical therapy (CPT) for cardiac surgery children.

Methods: One designated nurse acquired knowledge and skills of CPT from a 3-month training in Israel Schneider Children��s Medical Center. Three clinical indexes, for example: oxygen saturation level, arterial PO₂, and arterial PCO₂ level were collected from 36 children in cardiovascular intensive unit (CICU). All children serve as their own control. All clinical indexes were collected 30 minutes after regular laryngeal suction and 30 minutes after completion of the CPT.

Results: Clinical implementation CPT has received a positive outcome from parents and physicians. CPT is implemented in Shanghai Children��s Medical Center for one year; a total of 347 children received CPT, and has generated $33630 RMB revenue from this practice. Ninety-five nurses received CPT training and 142 parents got CPT health teaching. All indexes collected in CICU were analyzed by T-test. The mean differences of SO₂, PCO₂, and PO₂ level before and after CPT were all statistical significant (P< 0.001).

Conclusions: CPT practice is important and it needs administrative support to implement the work. The clinical outcome of CPT is encouraging and parents also have expressed positive feedback. The clinical indexes of SO₂, PCO₂, and PO₂ after receiving CPT were better than not receiving CPT. This preliminary data indicate that CPT could decrease the complication associated with cardiovascular surgery and could promote the post-operative recovery.