Prone position in spontaneously breathing infants with pneumonia

Abstract

This study was designed to evaluate further the effect of prone positioning on oxygen saturation (SpO2) and respiratory mechanics in spontaneously breathing infants with pneumonia. SpO2 and respiratory mechanics were measured in the supine and prone positions in 17 infants. Prone positioning resulted in statistically significant increases in mean (± SD) SpO2 (95.52 ± 2.87 to 98.00 ± 2.40%, p= 0.0002) and respiratory system compliance (5.99 ± 2.52 to 7.93 ± 4.30 ml/ cmH2O, p= 0.02). This suggests that prone positioning is another beneficial supportive measure for spontaneously breathing infants with pneumonia. □Mechanics, oxygen, pneumonia, prone

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

“…23,24 Improvements in respiratory function and oxygenation in preterm infants placed prone are shown in those with ongoing respiratory dysfunction, [9][10][11][12]18,25,26 but not as consistently in those without residual lung disease. 27,28 A similar effect of prone positioning has been demonstrated in older infants, children and adults with respiratory illness 29,30 but again not as consistently in those without respiratory disease. [31][32][33] While a number of studies have now documented that very preterm neonates ready for discharge still have frequent cardiorespiratory events [34][35][36] most have failed to control for sleep state and sleep position.…”

Faisabilité et place du décubitus ventral chez le patient non intubé de réanimation

“…Avant le début de la pandémie COVID-19, la réalisation de séances de DV chez le patient non intubé a été rapportée On voit les modifications de l'aération pulmonaire et de la répartition de la vascularisation en fonction de la position du malade (A : patient en décubitus dorsal, B patient en décubitus ventral). tout d'abord en pédiatrie dans un cas clinique chez un enfant noyé et une cohorte de 17 enfants [20,21]. Dans les 2 expériences, une amélioration de l'oxygénation et de la compliance du système respiratoire a été rapportée.…”