Prone position in spontaneously breathing infants with pneumonia

Chaisupamongkollarp, Thitida; Preutthipan, Aroonwan; Vaicheeta, S.; Chantarojanasiri, T.; Kongvivekkajornkij, W.; Suwanjutha, S.

doi:10.1080/08035259950168586

Cited by 7 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…38 In a small case-control study with 40 neonates with radiologically confirmed moderate pneumonia in Beijing, China, Li et al 60 found that unswaddled infants in the prone position had 18% higher oxygen tension than swaddled supine infants and 12% higher oxygen tension than unswaddled supine infants. The fact that the oxygen saturation level is higher in the prone than in the supine position is supported by a small case-control study by Chaisupamongkollarp et al 61 in which prone positioning in spontaneously breathing infants with pneumonia resulted in a statistically significant increase in mean oxygen saturation. Kahn et al 33 also found indications for cardiorespiratory compromise associated with swaddling, especially tight swaddling.…”

Section: Respiratory Infectionsmentioning

confidence: 51%

Swaddling: A Systematic Review

Sleuwen¹,

et al. 2007

View full text Add to dashboard Cite

Swaddling was an almost universal child-care practice before the 18th century. It is still tradition in certain parts of the Middle East and is gaining popularity in the United Kingdom, the United States, and the Netherlands to curb excessive crying. We have systematically reviewed all articles on swaddling to evaluate its possible benefits and disadvantages. In general, swaddled infants arouse less and sleep longer. Preterm infants have shown improved neuromuscular development, less physiologic distress, better motor organization, and more self-regulatory ability when they are swaddled. When compared with massage, excessively crying infants cried less when swaddled, and swaddling can soothe pain in infants. It is supportive in cases of neonatal abstinence syndrome and infants with neonatal cerebral lesions. It can be helpful in regulating temperature but can also cause hyperthermia when misapplied. Another possible adverse effect is an increased risk of the development of hip dysplasia, which is related to swaddling with the legs in extension and adduction. Although swaddling promotes the favorable supine position, the combination of swaddling with prone position increases the risk of sudden infant death syndrome, which makes it necessary to warn parents to stop swaddling if infants attempt to turn. There is some evidence that there is a higher risk of respiratory infections related to the tightness of swaddling. Furthermore, swaddling does not influence rickets onset or bone properties. Swaddling immediately after birth can cause delayed postnatal weight gain under certain conditions, but does not seem to influence breastfeeding parameters.www.pediatrics.org/cgi

show abstract

Section: Respiratory Infectionsmentioning

confidence: 51%

Swaddling: A Systematic Review

Sleuwen¹,

et al. 2007

View full text Add to dashboard Cite

show abstract

“…The flow rate should be regulated to keep the bag of the mask inflated during inspiration and expiration. Using the prone position for infants may improve hypoxia and the respiratory system compliance 62 and should be attempted if hypoxia is difficult to treat. Oxygen should be discontinued when the child is improving clinically and the transcutanous saturation is above 90% in room air.…”

Section: Methods Of Oxygen Administrationmentioning

confidence: 99%

Diagnosis and management of community—acquired pneumonia in childhood—South African Thoracic Society guidelines

Zar¹,

Jeena²,

Argent³

et al. 2009

Southern African Journal of Epidemiology and Infection

View full text Add to dashboard Cite

“…The prone position is most often applied to mechanically ventilated patients. Three cases of its use in spontaneously breathing patients, in addition to cases of infant pneumonia, have been described (3–5).…”

mentioning

confidence: 99%