Weighted Blankets for Recovery from Heart Procedures

Recruiting in Palo Alto (17 mi)

Overseen by Brian Armstrong, RN

Age: < 18

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Recruiting

Sponsor: University of Michigan

No Placebo Group

Approved in 4 Jurisdictions

Trial Summary

What is the purpose of this trial?

This trial is testing if using a heavy blanket can help calm patients after heart procedures. The goal is to see if the blanket can reduce their agitation, so they need less extra medicine and have fewer complications.

Do I have to stop taking my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What data supports the idea that Weighted Blankets for Recovery from Heart Procedures is an effective treatment?

The available research does not provide specific data on the effectiveness of weighted blankets for recovery from heart procedures. The studies mentioned focus on other treatments and conditions, such as pressure management after surgery and the use of therapeutic beds. Without direct evidence from these studies, we cannot conclude that weighted blankets are effective for heart procedure recovery. ^{1 2 3 4 5}

What safety data exists for weighted blankets used in recovery from heart procedures?

The provided research does not contain specific safety data on the use of weighted blankets, deep pressure stimulation blankets, or therapeutic weighted blankets in recovery from heart procedures. The studies focus on general patient safety incidents, adverse events in bariatric surgery, and the impact of adverse events on healthcare professionals, but do not address the safety of weighted blankets. ^{6 7 8 9 10}

Is using weighted blankets a promising treatment for recovery after heart procedures?

The research articles focus on massage therapy as a promising treatment for improving mood, reducing pain, anxiety, and tension, and enhancing sleep quality after heart surgery. They do not mention weighted blankets, so there is no evidence from these articles to suggest that weighted blankets are a promising treatment for recovery after heart procedures. ^{11 12 13 14 15}

Research Team

Brian Armstrong, RN

Principal Investigator

University of Michigan

Eligibility Criteria

This trial is for pediatric cardiology patients weighing between 40 and 220 pounds who are recovering from cardiac catheterization or electrophysiology procedures. They must plan to recover in the cardiac PACU for over 2 hours. It's not for those with severe asthma, recent open heart surgery, certain muscular disorders, skin issues, severe pulmonary hypertension, PTSD, claustrophobia, uncontrolled seizures, specific lung diseases or those needing immediate post-procedure tests.

Inclusion Criteria

Duration of recovery planned for 11th floor cardiac PACU

I will be on bed rest for more than 2 hours after my procedure.

I am undergoing a heart procedure involving catheters.

Exclusion Criteria

I weigh less than 40 pounds.

I weigh more than 220 pounds.

I need heart and lung checks right after surgery.

Treatment Details

Interventions

• Weighted blanket (Behavioural Intervention)

Trial Overview The study is testing if using a weighted blanket after heart-related procedures can calm patients more effectively than usual care without blankets. The goal is to see if this leads to less need for extra sedation and fewer complications related to blood vessels after the procedure.

Participant Groups

Group I: Weighted blanket Experimental Treatment 1 Intervention

Group II: Standard of Care Active Control 1 Intervention

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials

1,891

Recruited

6,458,000+

Marschall S. Runge

University of Michigan

Chief Executive Officer since 2015

MD, PhD

Karen McConnell

University of Michigan

Chief Medical Officer since 2020

MD

Findings from Research

Hammocks and cradles provide emotional soothing and may have significant effects on skin and deep body components, suggesting they could play a role in overall health and wellness.

These devices, while simple in structure, have the potential to transform health care practices in areas like acute care, rehabilitation, and home care due to their physiological benefits and possible economic and logistical advantages.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Study of cradle and pendulum motion for applications to health care. Frisina, W.[2019]

A pilot study using the Nimbus II alternating-pressure mattress for patients after hip replacement surgery showed that none of the patients experienced prosthetic dislocation, indicating safety in its use during recovery.

The study found that 87% of patients did not develop pressure sores, reinforcing the efficacy of alternating-pressure mattresses in preventing pressure injuries in this high-risk group.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Pressure area management in an orthopaedic setting. Young, T., Haughton, B., Williams, C.[2005]

A monitoring system for therapeutic bed usage was implemented at St. Vincent Medical Center to address concerns about prolonged and unnecessary use of these beds, which are designed to prevent pressure injuries.

After one year of monitoring, the results of this system were evaluated, highlighting the importance of appropriate usage of therapeutic beds in a 640-bed tertiary care hospital.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Results of therapeutic bed monitoring: justification of ET nursing. Kerschbaum, B., Murray, M.[2018]

Prolonged bed-rest is no longer considered essential for treating Deep Venous Thrombosis (DVT), as recent evidence shows that it can actually worsen the condition, while Low Molecular Weight Heparin (LMWH) has proven effective in managing DVT.

Current treatment for DVT emphasizes immediate mobilization, outpatient care, and the use of external compression therapy alongside LMWH and later oral anticoagulants, which helps prevent Pulmonary Embolism (PE) and improves patients' quality of life.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Physical treatment of deep venous thrombosis: bed rest or mobilization?]. Manganaro, A., Buda, D., Calabro, D., et al.[2007]

Out of 25,300 medical error reports analyzed from 8 hospitals, 13.3% were linked to adverse events, highlighting significant safety concerns in inpatient care.

The most frequent types of incidents leading to harm included complications from procedures (29%), falls (17%), and medication errors (10%), with skin breakdown and falls posing substantial risks, as they resulted in adverse events in 59% and 22% of cases, respectively.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Injury and death associated with incidents reported to the patient safety net. Reid, M., Estacio, R., Albert, R.[2009]

In a study of over 108,000 patients who underwent bariatric surgery, major adverse cardiac events (MACE) were rare, occurring in only 0.1% of patients, but were linked to longer hospital stays and higher mortality rates.

Independent predictors of MACE included older age, male sex, and pre-existing cardiopulmonary conditions, while the type of surgery (sleeve gastrectomy vs. Roux-en-Y gastric bypass) did not significantly affect the risk of MACE.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Early cardiac complications after bariatric surgery: does the type of procedure matter? Khorgami, Z., Jackson, TN., Aminian, A., et al.[2020]

A survey of 419 healthcare professionals revealed that 93.1% were aware of adverse events, with 44.4% having been directly involved, leading to significant emotional distress, including feelings of guilt and anxiety, among those affected.

The majority of healthcare professionals expressed a strong desire for training on how to handle the aftermath of adverse events and communicate effectively with patients, highlighting the need for support systems for 'second victims' in healthcare settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Prevalence of adverse events and their manifestations in health professionals as second victims Flórez, F., López, L., Bernal, C.[2022]

In a study of 72 patients who underwent coronary artery bypass surgery, those who received Swedish massage therapy showed a significant improvement in mood compared to those who only received routine care.

Massage therapy, administered in four 20-minute sessions shortly after surgery, is an effective and low-cost complementary treatment that can help alleviate psychological distress in post-operative heart surgery patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effectiveness of massage therapy on the mood of patients after open-heart surgery. Babaee, S., Shafiei, Z., Sadeghi, MM., et al.[2022]

In a randomized controlled trial involving 58 patients recovering from cardiac surgery, those who received a 20-minute massage therapy session reported significant reductions in pain, anxiety, and tension compared to those who received standard care.

The positive feedback from patients suggests that incorporating massage therapy into postoperative care could enhance recovery for cardiovascular surgical patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of massage therapy on pain, anxiety, and tension in cardiac surgical patients: a pilot study. Cutshall, SM., Wentworth, LJ., Engen, D., et al.[2022]

A study involving 120 patients who underwent coronary artery bypass graft (CABG) surgery found that both Benson relaxation (BR) and progressive muscle relaxation (PMR) techniques significantly improved overall sleep quality after a four-week intervention.

Patients in the BR and PMR groups experienced better subjective sleep quality and habitual sleep efficiency compared to a control group, indicating that these relaxation techniques can be beneficial for sleep in post-surgery recovery.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of Benson and progressive muscle relaxation techniques on sleep quality after coronary artery bypass graft: A randomized controlled trial. Bagheri, H., Moradi-Mohammadi, F., Khosravi, A., et al.[2021]

Massage therapy significantly improved sleep quality and reduced fatigue in patients recovering from cardiopulmonary artery bypass graft surgery, as evidenced by evaluations over three days.

In a study of 40 patients, those receiving massage therapy reported better sleep and less fatigue compared to a control group, highlighting the potential benefits of massage in postoperative recovery.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effects of massage therapy on sleep quality after coronary artery bypass graft surgery. Nerbass, FB., Feltrim, MI., Souza, SA., et al.[2022]

References

1. United States pubmed.ncbi.nlm.nih.gov

Study of cradle and pendulum motion for applications to health care. [2019]

2. United States pubmed.ncbi.nlm.nih.gov

Evaluation of the effectiveness of two support surfaces following myocutaneous flap surgery. [2006]

3. England pubmed.ncbi.nlm.nih.gov

Pressure area management in an orthopaedic setting. [2005]

4. United States pubmed.ncbi.nlm.nih.gov

Results of therapeutic bed monitoring: justification of ET nursing. [2018]

5. Italy pubmed.ncbi.nlm.nih.gov

[Physical treatment of deep venous thrombosis: bed rest or mobilization?]. [2007]

6. Netherlands pubmed.ncbi.nlm.nih.gov

Injury and death associated with incidents reported to the patient safety net. [2009]

7. United States pubmed.ncbi.nlm.nih.gov

Early cardiac complications after bariatric surgery: does the type of procedure matter? [2020]

8. United States pubmed.ncbi.nlm.nih.gov

National analysis of adverse patient safety for events in bariatric surgery. [2020]

9. England pubmed.ncbi.nlm.nih.gov

Evaluation of'the Buddy Study', a peer support program for second victims in healthcare: a survey in two Danish hospital departments. [2022]

10. Colombia pubmed.ncbi.nlm.nih.gov

Prevalence of adverse events and their manifestations in health professionals as second victims [2022]

11. India pubmed.ncbi.nlm.nih.gov

Effectiveness of massage therapy on the mood of patients after open-heart surgery. [2022]

12. England pubmed.ncbi.nlm.nih.gov

Effect of massage therapy on pain, anxiety, and tension in cardiac surgical patients: a pilot study. [2022]

13. Scotland pubmed.ncbi.nlm.nih.gov

Effect of Benson and progressive muscle relaxation techniques on sleep quality after coronary artery bypass graft: A randomized controlled trial. [2021]

14. United States pubmed.ncbi.nlm.nih.gov

Effects of massage therapy on sleep quality after coronary artery bypass graft surgery. [2022]

15. United States pubmed.ncbi.nlm.nih.gov

Massage therapy: a comfort intervention for cardiac surgery patients. [2015]