Prone or supine for infants with chronic lung disease at neonatal discharge?

Elder, Dawn; Campbell, Angela; Doherty, Dorota

doi:10.1111/j.1440-1754.2005.00584.x

Cited by 29 publications

(19 citation statements)

References 49 publications

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“…This is in agreement with the findings of some authors, 14,15,18 but contrasts with the results observed in other studies, which have demonstrated significant improvements in SpO 2 in preterm newborn infants put in the prone position. 7,8,19 The samples in those studies were composed of newborn infants on mechanical ventilation, or, in the majority, of oxygen-dependent newborn infants.…”

Section: Variables Analyzedcontrasting

confidence: 57%

Posição prona e diminuição da assincronia toracoabdominal em recém-nascidos prematuros

Oliveira¹,

Rego²,

Pereira³

et al. 2009

J. Pediatr. (Rio J.)

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IntroductionIn newborn infants, the configuration and complacency of the chest wall puts the respiratory system at a clear mechanical disadvantage with relation to adults. 1 The more horizontal position of the ribs makes the chest wall more rounded, rather than elliptical as is seen in adults, AbstractObjective: To assess the effect of prone and supine positions on breathing pattern variables, thoracoabdominal motion and peripheral oxygen saturation of hemoglobin of premature newborn infants recovering from respiratory distress syndrome, while breathing spontaneously and in rapid eye movement sleep. Methods:This was a quasi-experimental study. Twelve preterms weighing > 1,000 g at enrollment were studied in both positions, in random order. Respiratory inductive plethysmography was used to analyze breathing pattern (tidal volume, respiratory rate, minute ventilation, mean inspiratory flow) and thoracoabdominal motion (labored breathing index, phase relation in inspiration, phase relation in expiration, phase relation in total breath and phase angle). Pulse oximetry was used to evaluate peripheral oxygen saturation. Student's t test for paired samples or the Wilcoxon test were used for statistical analysis. Significance was set at p < 0.05. Results:

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Section: Variables Analyzedcontrasting

confidence: 57%

Posição prona e diminuição da assincronia toracoabdominal em recém-nascidos prematuros

Oliveira¹,

Rego²,

Pereira³

et al. 2009

J. Pediatr. (Rio J.)

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“…Isso corrobora os achados de alguns autores 14,15,18 e difere dos resultados observados em outros estudos, que demonstraram melhora significativa da SpO 2 em recém-nascidos pré-termo na posição prona 7,8,19 . As amostras desses estudos eram constituídas por recém-nascidos em ventilação mecânica ou, em sua maioria, por recém-nascidos em dependência de oxigênio.…”

Section: Peso Nounclassified

Prone position and reduced thoracoabdominal asynchrony in preterm newborns

Oliveira

Rego²,

Pereira³

et al. 2009

J Pediatr (Rio J)

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Objective: To assess the effect of prone and supine positions on breathing pattern variables, thoracoabdominal motion and peripheral oxygen saturation of hemoglobin of premature newborn infants recovering from respiratory distress syndrome, while breathing spontaneously and in rapid eye movement sleep. Methods:This was a quasi-experimental study. Twelve preterms weighing > 1,000 g at enrollment were studied in both positions, in random order. Respiratory inductive plethysmography was used to analyze breathing pattern (tidal volume, respiratory rate, minute ventilation, mean inspiratory flow) and thoracoabdominal motion (labored breathing index, phase relation in inspiration, phase relation in expiration, phase relation in total breath and phase angle). Pulse oximetry was used to evaluate peripheral oxygen saturation. Student's t test for paired samples or the Wilcoxon test were used for statistical analysis. Significance was set at p < 0.05. Results:A total of 9,167 respiratory cycles were analyzed. The prone position was associated with significant reductions in labored breathing index (-0.84±0.69; p = 0.001; 95%CI -1.29 to -0.40), phase relation in inspiration p = 0.000;, phase relation in expiration p = 0.000;) and phase relation in total breath (-30.20±14.76; p = 0.000; 95%CI -39.59 to -20.82). There were no significant differences between the two positions in any of the other variables analyzed. Conclusion:The prone position resulted in a significant reduction in thoracoabdominal asynchrony, without affecting breathing pattern or peripheral oxygen saturation. J Pediatr (Rio J). 2009;85(5):443-448:Prone position, supine position, premature newborn infants, respiratory distress syndrome. ResumoObjetivo: Avaliar a influência das posições prona e supina em recém-nascidos prematuros pós-síndrome do desconforto respiratório, respirando espontaneamente e em estado de sono ativo, sobre variáveis de padrão respiratório, movimento toracoabdominal e saturação periférica da hemoglobina pelo oxigênio.Métodos: Estudo quase experimental. Doze prematuros com peso > 1.000 g no momento do estudo foram estudados nas duas posições, em ordem randomizada. A pletismografia respiratória por indutância foi utilizada para avaliação do padrão respiratório (volume corrente, frequência respiratória, ventilação minuto, fluxo inspiratório médio) e do movimento toracoabdominal (índice de trabalho respiratório, relação de fase inspiratória, relação de fase expiratória, relação de fase respiratória total e ângulo de fase). A oximetria de pulso registrou a saturação periférica de oxigênio. Para a análise estatística foram realizados os testes t de Student para amostras pareadas ou Wilcoxon. Foi considerado significativo p < 0,05.Resultados: Foram analisados 9.167 ciclos respiratórios. Na posição prona, houve redução significativa do índice de trabalho respiratório (-0,84±0,69; p = 0,001; IC95% -1,29 a -0,40), das relações de fase inspiratória (-27,36±17,55; p = 0,000; IC95% -38,51 a -16,20), expiratória (-32,36±16,20; p = 0,000; IC...

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“…When the previous survey was conducted, there were few data on the effects of the sleeping position in prematurely born convalescent infants. The data available suggested that the prone position, when compared to the supine position in such infants, had advantages: lower apnoea density and less periodic breathing [9], better response to hypercapnia [10] and superior oxygenation [8]. Such data may have influenced practitioners and hence they did not discourage prone sleeping.…”

Section: Discussionmentioning

confidence: 99%

Survey of sleeping position recommendations for prematurely born infants on neonatal intensive care unit discharge

et al. 2006

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Prone or supine for infants with chronic lung disease at neonatal discharge?

Abstract: The supine position appears appropriate for very preterm infants with CLD going home from the neonatal unit. Respiratory instability on neonatal discharge is more likely to be associated with immaturity than CLD.

Cited by 29 publications

References 49 publications

Posição prona e diminuição da assincronia toracoabdominal em recém-nascidos prematuros

Posição prona e diminuição da assincronia toracoabdominal em recém-nascidos prematuros

Prone position and reduced thoracoabdominal asynchrony in preterm newborns

Survey of sleeping position recommendations for prematurely born infants on neonatal intensive care unit discharge

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