Influence of intrapulmonary percussive ventilation in upright position on gastro‐oesophageal reflux in infants

Ginderdeuren, Filip Van; Kerckhofs, Eric; Deneyer, Michel; Vanlaethem, Sylvie; Buyl, Ronald; Vandenplas, Yvan

doi:10.1002/ppul.23400

Cited by 5 publications

(12 citation statements)

References 39 publications

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“…Some authors claim that certain ACT's could exacerbate GOR and even suggest that postural drainage with a head‐down tilt is contra‐indicated in patients with GOR . Our group found that intrapulmonary percussive ventilation (IPV) in upright position does not induce, nor aggravate GOR in infants without and with pathological GOR, respectively …”

Section: Introductionmentioning

confidence: 73%

Influence of bouncing and assisted autogenic drainage on acid gastro-oesophageal reflux in infants

et al. 2017

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OBJECTIVES:To determine the influence of modern airway clearance techniques using assisted autogenic drainage (AAD), whether or not combined with bouncing, on acid gastro-oesophageal reflux (GOR) in infants <1 year. Methods: In this controlled trial with intra-subject design infants were studied using oesophageal pH monitoring over 24 h, during which they received one 15 min session of bouncing, AAD or bouncing combined with AAD (BAAD). The number of reflux episodes (RE) and the refluxindex (RI) were the outcome measures. The results obtained during (T15) and 15 min after the intervention (T30) were compared to a period of 15 min before treatment (T0). Results: The results of 150 infants, evenly distributed over the three treatment groups, were analyzed. No significant differences were found in number of RE at T15 and T30 compared to T0 in the bouncing group (P = 0.42), the AAD group (P = 0.14), and the BAAD group (P = 0.91). RI was significantly lower in the AAD group at T15 compared to T0 (P < 0.01). No differences in RI were found in the bouncing group (P = 0.28), nor in the BAAD group (P = 0.81).

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Section: Introductionmentioning

confidence: 73%

Influence of bouncing and assisted autogenic drainage on acid gastro-oesophageal reflux in infants

et al. 2017

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“…The children were well supported in upright sitting, avoiding a slumped sitting position which may in turn predispose to GOR during treatment …”

Section: Methodsmentioning

confidence: 99%

Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis

Ginderdeuren

Vandenplas

Deneyer

et al. 2016

Pediatric Pulmonology

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“…8 Other research from our group also showed that IPV does not induce nor aggravate GER in infants with and without GERD, compared to a period of the same duration but in uncontrolled conditions regarding position and alertness, awake or asleep. 9 However, since it is well known that posture and awakeness have an impact on the frequency of GER episodes, the nonstandardized position, and state of alertness of the control group was a major shortcoming of this previous report. [10][11][12] Therefore, we now studied the influence of IPV on GER by comparing the number of REs during IPV to a period of the same duration in the same conditions as during IPV, in the upright position, and when awake.…”

Section: Airway Pressures Oscillate Between 2 and 35 CM H 2 O And Thementioning

confidence: 88%

“…To establish normal values on MII-pH for infants under the age of 1 year, our group performed an interim analysis of 15 infants in a previous study. 9…”

Section: Discussionmentioning

confidence: 99%

The influence of Intrapulmonary percussive ventilation on gastroesophageal reflux in infants under the age of 1 year

Lievens

Vandenplas

Vanlaethem

et al. 2020

Pediatric Pulmonology

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Background: Intrapulmonary percussive ventilation (IPV) is an airway clearance technique used at any age to facilitate the removal of secretions from the respiratory tract. The effect of IPV on gastroesophageal reflux(GER) is not well documented. This study aimed to determine the influence of IPV on GER in infants. Methods: During a 24-hour multichannel intraluminal impedance-pH monitoring (MII-pH), infants in the intervention group received a20 minutes session of IPV in upright position, 2 hours postprandial. The control group received no intervention and was placed in the same position for 20 minutes, 2 hours postprandial. The number of reflux episodes (REs) during IPV as compared to the number of REs in the control group during the 20 minutes period. Results: Fifty infants were included in each group;21 infants in the IPV group and 14 infants in the control group were diagnosed with abnormal MII-pH (P = .142). During IPV, the number of REs was significantly lower than in the control group (P < .001). Also in the subgroups with abnormal or normal MII-pH, a significantly lower number of REs during IPV was found (P = .011, P = .011 respectively). Conclusion: IPV decreases the number of REs in infants independent of the results of MII-pH.

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Influence of intrapulmonary percussive ventilation in upright position on gastro‐oesophageal reflux in infants

Abstract: IPV does not induce, nor aggravate GOR in infants without and with pathological GOR, respectively, but on the contrary decreases the number of RE in patients with pathological reflux. Pediatr Pulmonol. 2016;51:1065-1071. © 2016 Wiley Periodicals, Inc.

Cited by 5 publications

References 39 publications

Influence of bouncing and assisted autogenic drainage on acid gastro-oesophageal reflux in infants

Influence of bouncing and assisted autogenic drainage on acid gastro-oesophageal reflux in infants

Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis

The influence of Intrapulmonary percussive ventilation on gastroesophageal reflux in infants under the age of 1 year

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