Effects of prone and supine positioning on gastric residuals in preterm infants: A time series with cross-over study

Chen, Shiau-Shr; Tzeng, Ya‐Ling; Gau, Bih‐Shya; Kuo, Ping‐Huan; Chen, Jia-Yuh

doi:10.1016/j.ijnurstu.2013.02.009

Cited by 52 publications

(75 citation statements)

References 40 publications

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“…15 Finally, Chen et al, in a randomized, time series with cross-over study of 33 premature infants found a lower GR volume when infants were positioned prone. 16 However, in these studies, the volume of gastric contents remaining in the stomach was not verified making it unclear whether body position influenced gastric emptying or affected whether tube holes were more likely to be positioned in the pool of gastric fluid.…”

Section: Gastric Residuals As An Indicator Of Gastric Contentsmentioning

confidence: 95%

Aspiration and Evaluation of Gastric Residuals in the Neonatal Intensive Care Unit

Parker

Torrazza

et al. 2015

Journal of Perinatal &Amp; Neonatal Nursing

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The routine aspiration of gastric residuals (GR) is considered standard care for critically ill infants in the neonatal intensive care unit (NICU). Unfortunately, scant information exists regarding the risks and benefits associated with this common procedure. This article provides the state of the science regarding what is known about the routine aspiration and evaluation of GRs in the NICU focusing on the following issues: (1) The use of GRs for verification of feeding tube placement, (2) GRs as an indicator of gastric contents, (3) GRs as an indicator of feeding intolerance or necrotizing enterocolitis, (4) the association between GR volume and ventilator associated pneumonia, (5) whether GRs should be discarded or re-fed, (6) the definition of an abnormal GR, and (7) the potential risks associated with aspiration and evaluation of GRs. Recommendations for further research and practice guidelines are also provided.

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Section: Gastric Residuals As An Indicator Of Gastric Contentsmentioning

confidence: 95%

Aspiration and Evaluation of Gastric Residuals in the Neonatal Intensive Care Unit

Parker

Torrazza

et al. 2015

Journal of Perinatal &Amp; Neonatal Nursing

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“…1,2 Decreased gastric residual and improved feeding tolerance have also been observed when preterm infants are positioned prone after feeding. 3 In addition, improved sleep state and decreased stress behaviors have been reported in neonates placed prone. 4 On the other hand, prone positioning is also associated with some adverse effects.…”

Section: Introductionmentioning

confidence: 99%

Prone positioning decreases cardiac output and increases systemic vascular resistance in neonates

Noori

et al. 2015

J Perinatol

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“…Table 1 shows the articles used for extraction of the risk factors for neonatal safety during C-section. [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] jaundice due to delayed cord clamping [22,25,33] nosocomial infection [3,[34][35][36][37][38] hypothermia and hyperthermia [9,39,40] Fall [9,10] safe sleep [9,[41][42][43][44] medication error [3,45] perioperative damage [3] error in registering infants' identity [8,46] Discussion Timely Cord Clamping…”

Section: Resultsmentioning

confidence: 99%

Infant’s safety in cesarean section surgery: a meta-synthesis

Ghafouri

Yaghmaei

Khodadadi

2020

Preprint

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Background: Patient safety is the most important clinical priority, especially in high-risk groups such as infants. Neonatal safety after a C-section is more challenging because despite all efforts and guidelines, patient safety is still a major challenge in the operating room. This meta-synthesis study aimed to investigate the factors affecting neonatal safety during a C-section and to provide improved strategies. Methods: This systematic review was carried out through meta-synthesis. A total of 112 articles were found and finally, 37 articles were selected for research after review. The articles were first reviewed by title and abstract and those which met the inclusion criteria were entered into the study. The inclusion criteria were papers in English and Persian, relevance to neonatal safety and being published before 2019. Exclusion criteria were papers that were not relevant to safety or neonate. In the next step, the quality of the articles was reviewed simultaneously by two separate researchers using the Strengthening the Reporting of Observational studies in Epidemiology" STROBE" and consolidated standards of reporting trials "CONSORT" Review Guidelines. Data were analyzed using content analysis. Results: The most important risk factors of neonatal safety during a C-section included anemia due to early cord clamping, jaundice due to delayed cord clamping, nosocomial infection, hypothermia and hyperthermia, inappropriate positioning of the infant, fall, medication error, operative damage and error in registering infants identity. Conclusion: For improvement of neonatal safety during C-section, it is important to consider teamwork, team and interdisciplinary continuous training through simulation, accurate identification of mothers and accurate registration of mothers and infants' identity on the identification band, accurate medication and right dosage, safely carrying and sleeping, observing infection control tips, maintaining operating room temperature and humidity, cord clamping after 30 seconds before birth and 2 minutes after birth.

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Effects of prone and supine positioning on gastric residuals in preterm infants: A time series with cross-over study

Cited by 52 publications

References 40 publications

Aspiration and Evaluation of Gastric Residuals in the Neonatal Intensive Care Unit

Aspiration and Evaluation of Gastric Residuals in the Neonatal Intensive Care Unit

Prone positioning decreases cardiac output and increases systemic vascular resistance in neonates

Infant’s safety in cesarean section surgery: a meta-synthesis

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