A comparison of supine and prone positioning on improves arterial oxygenation in premature neonates

Eghbalian, Fatemeh

doi:10.3233/npm-14814049

Cited by 11 publications

(7 citation statements)

References 17 publications

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“…In their research, oxygen saturation and FRC were higher in prone group with mean difference was 2.1%. Another study by Eghbalian (2014) proved that oxygen saturation was higher in prone compare to that in supine with mean difference was 1.3%.…”

Section: Discussionmentioning

confidence: 93%

The Effect of Quarter Turn from Prone on Oxygen Saturation among Premature Babies with Respiratory Distress Syndrome

2018

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<p>The rate of death and illnesses on premature babies is mostly respiratory distress syndrome (RDS). Desaturated-period frequently occurs on premature babies with RDS. One intervention to prevent it is a quarter turn from prone position. The research design was pre-experimental study with one group pre- and post-test design. This study involved 20 respondents that were selected with consecutive sampling technique. The setting of the research was in Perinatology ward at Prof. Dr. Margono Soekarjo. The oxygen saturation was examined before and after 2 hours of intervention. Data was then analyzed with Wilcoxon test. The results showed that median value of SpO2 before quarter turn from prone position was 94%, and its value after two hours of intervention was 96.5%. It was found that there was a significant effect in giving quarter turn from prone position to oxygen saturation on premature babies with RDS. Quarter turn from prone position was able to increase oxygen saturation on premature babies with RDS and is possible to be implemented in perinatology room.</p>

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Section: Discussionmentioning

confidence: 93%

The Effect of Quarter Turn from Prone on Oxygen Saturation among Premature Babies with Respiratory Distress Syndrome

2018

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“…But mechanical ventilation, like other treatments, is not damage-free and can cause short and long term side effects (12). Some of these complications can be tracked and some others can be minimized by taking appropriate measures (10,14,21). Although, the recognition of clinical risk factors in early stages can improve the prognosis (12), severe neonatal diseases with high morbidity and mortality rate, can affect myocardial function with different mechanisms (8,11,20,22).…”

Section: Discussionmentioning

confidence: 99%

“…This process can be complicated by severe congenital (2,3) and systemic diseases (4)(5)(6)(7). In advanced stages of some systemic diseases such as asphyxia and sepsis, in neonatal period, cardiac dysfunction has been documented and in other patients exposed to hypoxia because of severe respiratory distress, degrees of myocardial damage has been observed (8)(9)(10)(11)(12)(13). In addition to echocardiography that plays an important role in the diagnosis of myocardial dysfunction (14), the use of cardiac biomarkers can improve early diagnosis of cardiac dysfunction and helps timely applying of supportive care (15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Serum Levels of Troponin I and Myocardial Function in Neonates Under Mechanical Ventilation

et al. 2019

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Background: Some of the severe diseases in the neonatal period lead to a myocardial injury that, if not detected promptly, would affect prognosis. Detection of acquired myocardial injury in the early stages of the diseases may be possible with simultaneous examination by echocardiography and determination of serum troponin I levels. Methods: In this cross-sectional study, between December 2016 and December 2018, myocardial function of 60 (33 males, 27 females) term neonates with a mean birth weight 3175.5 ± 441.18 grams who were at least 72 hours under ventilation, was studied using conventional and tissue Doppler echocardiography and measuring serum troponin I levels by ELFA method. Results: Mean and standard deviation of serum troponin I level, left and right MPI in neonates under study were 0.22 ± 0.64, 40.11 ± 0.11, and 0.41 ± 0.13, respectively. The correlation coefficient between serum troponin I level related to right MPI was +0.502 (P < 0.001) and left myocardial performance index was +0.524 (P < 0.001), and other criteria correlated to troponin I on right side of heart were Em, Sm, TAPSE, TR gradient in patients with PH was related to troponin I levels (P < 0.001). Conclusions: Serum level of troponin I is helpful in determination of right and left myocardial dysfunction especially in the presence of pulmonary hypertension in the neonates under mechanical ventilation.

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“…2 12 13 Studies have revealed that prone positioning effectively improves oxygenation. [14][15][16] When a premature infant is in the prone position, lung expansion occurs in the dorsal lung region and lung volume increases because compression of dorsal lung tissue by abdominal contents and the heart decreases. [17][18][19] A study showed that the dynamic elevation of end-expiratory lung volume decreased in the prone position; thus, providing additional evidence supporting this view earlier stated.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Avoiding invasive mechanical ventilation, minimising excessive oxygen administration, preventing infection and early extubation are important strategies to prevent BPD 2 12 13. Studies have revealed that prone positioning effectively improves oxygenation 14–16. When a premature infant is in the prone position, lung expansion occurs in the dorsal lung region and lung volume increases because compression of dorsal lung tissue by abdominal contents and the heart decreases 17–19.…”

Section: Introductionmentioning

confidence: 99%

Position management on pulmonary function and bronchopulmonary dysplasia in premature infants: study protocol for a randomised controlled trial

et al. 2022

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IntroductionBronchopulmonary dysplasia (BPD) is a common disease caused by various factors and mechanisms in premature infants. Owing to lung hypoplasia and the lack of alveolar surfactants in premature infants, oxygen therapy is often needed to maintain adequate breathing. Nevertheless, prolonged oxygen therapy can easily induce BPD, and there is currently no effective treatment. Therefore, the prevention of BPD in premature infants during hospitalisation is essential. Studies have revealed that the prone position can effectively improve the oxygenation of premature infants. However, a few studies have reported whether prone positioning can improve lung function and reduce BPD incidence. This trial will determine whether the prone position, compared with the supine position, can reduce BPD incidence and improve lung function in preterm infants.Methods and analysisThis study protocol is for a single-centre, single-blind, randomised controlled trial of the prone position in premature infants. Following daily feeding, premature infants will be placed in the lateral position for 30 min; then they will be turned to the supine position (control group) or prone position (intervention group) for 2 hours each in the morning and afternoon. Moreover, infants in both groups will be placed in the supine or lateral position alternately according to their medical needs for the remaining time. The study begins when the premature infants are stable within 5 days after admission and ends when they are discharged from the hospital or at 36 weeks postmenstrual age. The primary outcome is the survival rate without BPD. The secondary outcomes include lung function parameters and lung oxygen saturation.Ethics and disseminationThis trial is approved by the ethics committee of the Affiliated Hospital of Southwest Medical University, (ref approval no.KY2021186). The results will be published in a peer-reviewed journal.Trial registration numberChiCTR2100049847.

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A comparison of supine and prone positioning on improves arterial oxygenation in premature neonates

Cited by 11 publications

References 17 publications

The Effect of Quarter Turn from Prone on Oxygen Saturation among Premature Babies with Respiratory Distress Syndrome

The Effect of Quarter Turn from Prone on Oxygen Saturation among Premature Babies with Respiratory Distress Syndrome

The Relationship Between Serum Levels of Troponin I and Myocardial Function in Neonates Under Mechanical Ventilation

Position management on pulmonary function and bronchopulmonary dysplasia in premature infants: study protocol for a randomised controlled trial

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