Positioning for acute respiratory distress in hospitalised infants and children

Gillies, Donna; Wells, Deborah

doi:10.1002/14651858.cd003645.pub2

Cited by 18 publications

(11 citation statements)

References 67 publications

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“…A conservative, “minimal handling” approach seems beneficial, especially for the youngest age group (<3 months) [1,2,23]. A prone position may improve oxygenation and is suggested for infants if they are carefully observed [1,38]. Careful nasal suctioning may be beneficial in infants with copious secretion [1,39].…”

Section: Methodsmentioning

confidence: 99%

Acute bronchiolitis in infants, a review

Øymar

Skjerven

Mikalsen

2014

Scand J Trauma Resusc Emerg Med

114

121

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Acute viral bronchiolitis is one of the most common medical emergency situations in infancy, and physicians caring for acutely ill children will regularly be faced with this condition. In this article we present a summary of the epidemiology, pathophysiology and diagnosis, and focus on guidelines for the treatment of bronchiolitis in infants. The cornerstones of the management of viral bronchiolitis are the administration of oxygen and appropriate fluid therapy, and overall a “minimal handling approach” is recommended. Inhaled adrenaline is commonly used in some countries, but the evidences are sparse. Recently, inhalation with hypertonic saline has been suggested as an optional treatment. When medical treatment fails to stabilize the infants, non-invasive and invasive ventilation may be necessary to prevent and support respiratory failure. It is important that relevant treatment algorithms exist, applicable to all levels of the treatment chain and reflecting local considerations and circumstances.

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Section: Methodsmentioning

confidence: 99%

Acute bronchiolitis in infants, a review

Øymar

Skjerven

Mikalsen

2014

Scand J Trauma Resusc Emerg Med

114

121

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“…It was also shown that semi-elevated supine position was more efficient and needed less skill compared to the side-lying position (Park et al 2014). In a systematic review studied by Gillies, Wells, and Bhandari (2012), there was no sig- Very preterm infants fed in the ESL position demonstrated significantly less variation in heart rate, less severe and fewer decreases in heart rate, respiratory rate that was closer to the pre-feeding state, shorter and more regular intervals between breaths, and briefer feeding-related apneic events. No significant differences for SpO 2 or feeding performance were found.…”

Section: Discussionmentioning

confidence: 99%

Effect of Body Position on Physiological Alteration While Feeding Infants: A Systematic Review

Jahed

Borimnejad

Haghani

2017

JCCNC

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Background: An infant should be able to coordinate sucking, swallowing, and breathing to have a safe and effective feeding, which is developed with the increasing gestational age. Any problem in each of these functions can lead to the risk of aspiration, pneumonia, decreased oxygenation saturation, apnea, and bradycardia. The changed body positions may cause changes in the physiological efficiencies of the preterm infants. The objective of this review is to determine the impact of body position on the physiological alternations in the preterm infants while bottle feeding. Methods: In order to review the previous studies, we referred the related resources from existing databases such as Scopus,

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“…olumlu etkiye sahip olduğu belirlenmiştir. [63][64][65][66][67][68] Prematüre bebekler termlere göre hipotonik oldukları için intrauterin pozisyonu sürdürmekte güçlük çekmektedir. Preterm bebekler için "orta hatta el-ağız manevrasını yapabilme ve kendi kendini sakinleştirme gibi öz-düzenleme davranışla-rını kolaylaştıran fetal fleksör pozisyon" en uygun pozisyon olarak tanımlanmaktadır.…”

Section: Geli̇şi̇msel Destekleyi̇ci̇ Akti̇vi̇teler Besleyici Olmayan Emmeniunclassified

Individualized Developmental Care in Neonatal Intensive Care Unit: Current Approaches: Review

Arpaci¹,

Altay²

2017

Turkiye Klinikleri J Nurs Sci

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Positioning for acute respiratory distress in hospitalised infants and children

Cited by 18 publications

References 67 publications

Acute bronchiolitis in infants, a review

Acute bronchiolitis in infants, a review

Effect of Body Position on Physiological Alteration While Feeding Infants: A Systematic Review

Individualized Developmental Care in Neonatal Intensive Care Unit: Current Approaches: Review

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