{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:31:02Z","timestamp":1753878662738,"version":"3.41.2"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T00:00:00Z","timestamp":1670976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study is to determine the effects of milking and suction methods on maintaining drain patency following cardiac surgery in paediatric patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a randomized controlled trial. The patients were assigned to three groups (suction method, milking method, and control group) between July 2018 and December 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most frequent medical diagnoses were tetralogy of Fallot (34.4%, <jats:italic>n<\/jats:italic>\u00a0=\u200931) and ventricular septal defect (14.4%, <jats:italic>n<\/jats:italic>\u00a0=\u200913). Heart rate may increase unless a method was chosen to maintain drain patency (F: 4.450, <jats:italic>p<\/jats:italic>\u00a0=\u20090.003); suction (<jats:italic>F<\/jats:italic>: 0.528 <jats:italic>p<\/jats:italic>\u00a0=\u20090.781) and milking (<jats:italic>F<\/jats:italic>: 2.281 <jats:italic>p<\/jats:italic>\u00a0=\u20090.070) methods did not significantly increase the heart rate. The use of a manipulation method for maintaining drain patency maintained stability of the blood pressure values and did not affect haemodynamic stability, oxygen saturation, and body temperature. There was no statistically significant difference within and among the groups (<jats:italic>p<\/jats:italic>\u00a0&gt;\u20090.05) in relation to the volume of bleeding between admission until the sixth hour, although there was greater bleeding with the milking method (2.67\u2009\u00b1\u200915.30\u2009ml) and less bleeding (\u22125.00\u2009\u00b1\u200923.30) with the suction method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The milking and suction methods used to maintain drain patency can be employed and will assist with maintaining the stability of the patient within the first critical 6\u2009h. Further studies need to be conducted in order to clarify that the recommendations can be generalized to all children with congenital heart disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijn.13122","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T04:21:34Z","timestamp":1671078094000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The effects of milking and suction drain management methods in paediatric patients after cardiac surgery"],"prefix":"10.1111","volume":"29","author":[{"given":"G\u00f6ksu","family":"G\u00f6kg\u00f6z","sequence":"first","affiliation":[{"name":"Istanbul Training and Research Hospital TR. Ministry of Health  \u0130stanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00dckke","family":"Karabacak","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Nursing, Ac\u0131badem Mehmet Ali Ayd\u0131nlar \u00dcniversitesi Kerem Ayd\u0131nlar Kamp\u00fcs\u00fc Ac\u0131badem Mehmet Ali Ayd\u0131nlar University  \u0130stanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7209-5684","authenticated-orcid":false,"given":"Zehra","family":"Kan \u00d6nt\u00fcrk","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Nursing, Ac\u0131badem Mehmet Ali Ayd\u0131nlar \u00dcniversitesi Kerem Ayd\u0131nlar Kamp\u00fcs\u00fc Ac\u0131badem Mehmet Ali Ayd\u0131nlar University  \u0130stanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,14]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_10_2_1","DOI":"10.1007\/s00246-018-2031-4"},{"doi-asserted-by":"publisher","key":"e_1_2_10_3_1","DOI":"10.1016\/j.athoracsur.2010.10.018"},{"doi-asserted-by":"publisher","key":"e_1_2_10_4_1","DOI":"10.35975\/apic.v0i0.554"},{"issue":"3","key":"e_1_2_10_5_1","first-page":"153","article-title":"Determination of sample size in using central limit theorem for Weibull distribution","volume":"17","author":"Chang H. J.","year":"2006","journal-title":"International Journal of Information and Management Sciences"},{"doi-asserted-by":"publisher","key":"e_1_2_10_6_1","DOI":"10.1016\/s1036-7314(05)80058-x"},{"doi-asserted-by":"publisher","key":"e_1_2_10_7_1","DOI":"10.1016\/j.iccn.2017.03.008"},{"doi-asserted-by":"publisher","key":"e_1_2_10_8_1","DOI":"10.1016\/j.ejcts.2009.06.034"},{"doi-asserted-by":"publisher","key":"e_1_2_10_9_1","DOI":"10.1510\/icvts.2008.185413"},{"doi-asserted-by":"publisher","key":"e_1_2_10_10_1","DOI":"10.1001\/jamasurg.2019.1153"},{"doi-asserted-by":"publisher","key":"e_1_2_10_11_1","DOI":"10.1097\/PCC.0000000000002006"},{"doi-asserted-by":"publisher","key":"e_1_2_10_12_1","DOI":"10.1007\/978-3-030-33443-7_51"},{"doi-asserted-by":"publisher","key":"e_1_2_10_13_1","DOI":"10.4037\/ajcc2007.16.6.609"},{"doi-asserted-by":"publisher","key":"e_1_2_10_14_1","DOI":"10.1007\/s00246-014-1039-7"},{"doi-asserted-by":"publisher","key":"e_1_2_10_15_1","DOI":"10.1093\/ejcts\/ezt140"},{"doi-asserted-by":"publisher","key":"e_1_2_10_16_1","DOI":"10.5090\/kjtcs.2020.53.1.16"},{"doi-asserted-by":"publisher","key":"e_1_2_10_17_1","DOI":"10.1186\/1471-2431-9-6"},{"doi-asserted-by":"publisher","key":"e_1_2_10_18_1","DOI":"10.1016\/s0003-4975(10)61841-3"},{"doi-asserted-by":"publisher","key":"e_1_2_10_19_1","DOI":"10.1097\/PCC.0000000000002654"},{"doi-asserted-by":"publisher","key":"e_1_2_10_20_1","DOI":"10.1093\/ije\/dyz009"},{"doi-asserted-by":"publisher","key":"e_1_2_10_21_1","DOI":"10.1111\/jocn.14127"},{"doi-asserted-by":"publisher","key":"e_1_2_10_22_1","DOI":"10.3109\/08860221003706966"},{"doi-asserted-by":"publisher","key":"e_1_2_10_23_1","DOI":"10.1097\/00005082-200603000-00006"},{"doi-asserted-by":"publisher","key":"e_1_2_10_24_1","DOI":"10.1007\/s00246-016-1423-6"},{"doi-asserted-by":"publisher","key":"e_1_2_10_25_1","DOI":"10.1016\/j.ccc.2013.01.003"},{"issue":"1","key":"e_1_2_10_26_1","first-page":"77","article-title":"A\u00e7\u0131k kalp cerrahisi sonras\u0131 hem\u015firelik bak\u0131m\u0131","volume":"26","author":"Pour H. A.","year":"2010","journal-title":"Journal of Ege University Nursing Faculty"},{"issue":"2","key":"e_1_2_10_27_1","first-page":"29","article-title":"Kritik konjenital kalp hastal\u0131\u011f\u0131 olan yenido\u011fanlarda ekokardiyografik de\u011ferlendirme","volume":"9","author":"Sar\u0131ta\u015f T.","year":"2018","journal-title":"Ac\u0131badem University Health Sciences Journal"},{"doi-asserted-by":"publisher","key":"e_1_2_10_28_1","DOI":"10.1111\/j.1540-8191.2009.00905.x"},{"doi-asserted-by":"publisher","key":"e_1_2_10_29_1","DOI":"10.12968\/bjon.2008.17.6.28906"},{"doi-asserted-by":"publisher","key":"e_1_2_10_30_1","DOI":"10.5152\/ejp.2016.97269"},{"doi-asserted-by":"publisher","key":"e_1_2_10_31_1","DOI":"10.1002\/14651858.CD003042.pub2"}],"container-title":["International Journal of Nursing Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijn.13122","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ijn.13122","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijn.13122","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T06:32:00Z","timestamp":1692426720000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijn.13122"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,14]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1111\/ijn.13122"],"URL":"https:\/\/doi.org\/10.1111\/ijn.13122","archive":["Portico"],"relation":{},"ISSN":["1322-7114","1440-172X"],"issn-type":[{"type":"print","value":"1322-7114"},{"type":"electronic","value":"1440-172X"}],"subject":[],"published":{"date-parts":[[2022,12,14]]},"assertion":[{"value":"2022-02-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13122"}}