The Effect of Physical Restraint on a Violent Patient in the Prone Position on the Quality of Breathing: A Pilot Simulation Study.

Neuro endocrinology letters Pub Date : 2024-04-07

Patrik Christian Cmorej, Ondřej Kounovský, Petr Bureš, Dana Rebeka Ralbovská, Jaroslav Pekara

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Abstract

Objectives: Physical restraint in the prone position is still utilized in healthcare facilities to immobilize violent patients. It is associated with the sudden death of violent patients. The aim of this study is to objectify the impact of physical restraint in the prone position on spirometric and ventilatory parameters.

Design: A pilot simulation study.

Material and methods: Ten university students were included in the study. They underwent two types of physical restraint: in the prone position with "chest kneeling" and in the lateral position. Spirometric parameters (FVC, PEF and FEV1%) and ventilatory parameters (EtCO2 and respiratory rate) were measured before initiation and after five minutes of physical restraint.

Results: Both methods of physical restraint resulted in a decrease in FVC (p = 0.005 or p = 0.047) and PEF (p = 0.005 or p = 0.028). No significant changes were observed in EtCO2 and respiratory rate.

Conclusion: Physical restraint in the prone position should not be used in healthcare.

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俯卧位暴力患者的物理约束对呼吸质量的影响：一项试点模拟研究。

目的：医疗机构仍在使用俯卧位的物理约束来固定有暴力倾向的病人。它与暴力患者的猝死有关。本研究旨在确定俯卧位物理约束对肺活量和通气参数的影响：材料和方法：研究对象包括 10 名大学生。他们接受了两种类型的物理约束：俯卧位 "胸跪 "和侧卧位。在开始物理约束前和五分钟后测量了肺活量参数（FVC、PEF 和 FEV1%）和通气参数（EtCO2 和呼吸频率）：两种物理约束方法都会导致 FVC（p = 0.005 或 p = 0.047）和 PEF（p = 0.005 或 p = 0.028）下降。结论：结论：医疗保健中不应使用俯卧位物理约束。

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Neuro endocrinology letters

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