Effect of prolonged slow expiratory technique as an adjunct to pulmonary rehabilitation in resolving pulmonary congestion in neonates with congenital pneumonia

Mishra, Rajnee; Dasgupta, Aurodeep; Samuel, Asir John

doi:10.4103/jcn.jcn_22_19

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…The manual pressure must be applied continuously and synchronously in both regions to stimulate the expiratory flow and mobilise secretions. 14 15 …”

Section: Methods and Analysismentioning

confidence: 99%

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Effects of respiratory physiotherapy interventions on pulmonary mechanics of newborns: a protocol for a systematic review

et al. 2022

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IntroductionAlthough respiratory physiotherapy techniques may reduce respiratory load in newborns, manual contact with the ribcage may interfere with pulmonary mechanics. Therefore, this systematic review aims to evaluate the effects of conventional and non-conventional respiratory physiotherapies on pulmonary mechanics of newborns.Methods and analysisWe will search PubMed, LILACS, SciELO, ScienceDirect, Cochrane Central and Web of Science databases. Searches will be conducted from September 2022. We will include randomised clinical trials reporting thoracoabdominal synchrony, lung volumes and capacities, respiratory discomfort and pain in newborns aged between 1 hour and 28 days and admitted to neonatal intensive care units. We will exclude studies not fully available or incomplete and studies conducted with newborns presenting structural alterations. Two independent researchers will perform the study selection, data extraction and quality assessment. After consensus, one reviewer will proceed with the process. We will include studies published in English or Portuguese, without publication date restriction. An overview of the included studies and extracted information will be reported and the quality of studies will be assessed. A meta-analysis will be conducted if data regarding between-group comparisons are available.Ethics and disseminationEthics approval is not required for this systematic review. Results will be presented in journals and national and international conferences, and findings will be shared on social media using accessible language.PROSPERO registration numberCRD42021266729.

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“…The manual pressure must be applied continuously and synchronously in both regions to stimulate the expiratory flow and mobilise secretions. 14 15 …”

Section: Methods and Analysismentioning

confidence: 99%

“…Prolonged slow expiration: bronchial hygiene manoeuvre that consists of prolonging spontaneous breathing by manually pressing the chest and abdomen during expiration. The manual pressure must be applied continuously and synchronously in both regions to stimulate the expiratory flow and mobilise secretions 14 15…”

Section: Methods and Analysismentioning

confidence: 99%

Effects of respiratory physiotherapy interventions on pulmonary mechanics of newborns: a protocol for a systematic review

et al. 2022

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Short-Term Effects of Conventional Chest Physiotherapy and Expiratory Flow Increase Technique on Respiratory Parameters, Heart Rate, and Pain in Mechanically Ventilated Premature Neonates: A Randomized Controlled Trial

Macedo,

Olivo,

Barnabé

et al. 2024

Healthcare

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Background/Objectives: Prematurity is a leading cause of infant mortality and mechanical ventilation increases respiratory complication risk. The effects of secretion removal techniques in premature infants remain a topic of ongoing debate. The aim of the study is to compare two secretion removal techniques in premature infants on mechanical ventilation; Methods: The participants were randomized into conventional chest physiotherapy (CPT; n = 22) or expiratory flow increase technique (EFIT; n = 21) groups. Each participant completed four sessions on consecutive days with a minimum of one and a maximum of two sessions per day. We assessed peripheral oxygen saturation (SpO2), heart (HR) and respiratory rates (RR), tidal volume (VT), and pain levels at specific time points: before the intervention, immediately after the intervention, 5 min after the intervention, and 10 min after the intervention. The partial Eta squared (ŋp2) was reported to measure the effect size; Results: HR and RR increased post-intervention in both groups (p < 0.001; HR ŋp2 = 0.51; RR ŋp2 = 0.38); post hoc comparisons showed EFIT group decreased RR from the first to last session (p = 0.045). Both groups exhibited increased VT and SpO2 in all sessions (p < 0.001; VT ŋp2 = 0.40; SpO2 ŋp2 = 0.50). The EFIT group had higher SpO2 values (p = 0.013; ŋp2 = 0.15) and lower pain scores (p < 0.001; ŋp2 = 0.46) post-intervention compared to CPT; Conclusions: CPT and EFIT resulted in similar effects on short-term respiratory parameters and heart rate; however, EFIT had advantages, including lower RR, higher SpO2, and reduced pain, suggesting it may be a more effective, comfortable neonatal respiratory treatment.

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Effect of prolonged slow expiratory technique as an adjunct to pulmonary rehabilitation in resolving pulmonary congestion in neonates with congenital pneumonia

Cited by 2 publications

References 6 publications

Effects of respiratory physiotherapy interventions on pulmonary mechanics of newborns: a protocol for a systematic review

Effects of respiratory physiotherapy interventions on pulmonary mechanics of newborns: a protocol for a systematic review

Short-Term Effects of Conventional Chest Physiotherapy and Expiratory Flow Increase Technique on Respiratory Parameters, Heart Rate, and Pain in Mechanically Ventilated Premature Neonates: A Randomized Controlled Trial

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