Prone versus supine position for regional cerebral tissue oxygenation in preterm neonates receiving noninvasive ventilation

Kaya, Tuğba; Aydemir, Özge; Tekin, Ahmet

doi:10.1080/14767058.2019.1678133

Cited by 11 publications

(10 citation statements)

References 27 publications

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“…Barsan Kaya et al 28 found a higher rScO2 and lower cerebral fractional oxygen extraction (CFOE) in the prone compared to the supine position in premature infants during the first days after birth. The five other observational cohort studies could not demonstrate a statistically significant difference between the measured body positions of interest.…”

Section: Resultsmentioning

confidence: 99%

“…SaO2 desaturations can lead to a hypoxic (low oxygen content) cerebral desaturation but not necessarily an ischemic (low blood flow) cerebral desaturation 3 . Barsan Kaya et al 28 found a significantly higher SaO2 and rScO2 in the prone position in preterms on non‐invasive ventilation. Shepherd et al 23 found an increased CFOE (CFOE = SaO2‐rScO2/SaO2) in the prone position at 1 week after birth in the extremely preterm infants, with no change in rScO2 despite higher SaO2 in prone position, some of them on mechanical ventilation.…”

Section: Discussionmentioning

confidence: 95%

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Cerebral oxygenation and body position in the preterm infant: A systematic review and meta‐analysis

Maes

Cools²,

Dereymaeker

et al. 2022

Acta Paediatrica

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Aim: After preterm birth, supine head midline position is supported for stable cerebral blood flow (CBF) and prevention of intraventricular haemorrhage (IVH), while prone position supports respiratory function and enables skin-to-skin care. The prone compared to supine position could lead to a change in near-infrared derived cerebral tissue oxygen saturation (rScO2), which is a surrogate for cerebral blood flow (CBF).By monitoring rScO2 neonatologists aim to stabilise CBF during intensive care and prevent brain injury. In this systematic review and meta-analysis, we investigate the effect of the body position on rScO2.Methods: A comprehensive literature search was performed to identify all trials that included preterm infants in the first 2 weeks after birth and compared rScO2 in the prone versus supine head in midline position of the infant. A meta-analysis, including two subgroup analyses based on postnatal age (PNA) and gestational age (GA), was performed. Results:Six observational cohort studies were included. In the second, but not the first week after birth, a significant higher rScO2 in the prone position was found with a mean difference of 1.97% (95% CI 0.87-3.07). No rScO2 difference was observed between positions in the extremely preterm nor the preterm group. Conclusion:No consistent evidence was found that body position influences rScO2 in the first 2 weeks after preterm birth. Subgroup analysis suggests that in the second week after birth, the prone position might result in higher cerebral rScO2 than the supine position with head in midline. Multiple factors determine the best body position in preterms.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 95%

Cerebral oxygenation and body position in the preterm infant: A systematic review and meta‐analysis

Maes

Cools²,

Dereymaeker

et al. 2022

Acta Paediatrica

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show abstract

“…Pernyataan tersebut juga didukung oleh Hannan et al, (2020) yang menyatakan bahwa posisi supine telah direkomendasikan untuk semua bayi dan mampu mengurangi angka kejadian sudden infant death syndrome (SIDS). Kaya et al, (2021) melakukan intervensi posisi prone dan supine terhadap 32 bayi prematur dengan dukungan alat bantu nafas non invasif. Menurutnya meskipun didapatkan saturasi oksigen lebih tinggi pada posisi prone, namun rata-rata tekanan darah lebih stabil pada posisi supine.…”

Section: Pendahuluanunclassified

“…Pengaturan posisi tubuh yang tepat harus dilakukan sebagai salah satu usaha mempercepat penyembuhan sehingga terhindar dari komplikasi akibat perawatan yang lama dengan posisi tubuh yang statis atau telentang saja (Shepherd et al, 2020). Hal ini didukung oleh hasil penelitian yang mengatakan posisi prone sangat mempengaruhi perbaikan saturasi oksigen, pengembangan paru, pengembangan dinding dada dan penurunan insiden apnea pada bayi prematur (Kaya et al, 2021).…”

Section: Pembahasanunclassified

“…Akan tetapi tidak ada perbedaan yang signifikan pada posisi prone, supine maupun lateral sebelum dan sesudah pemberian ASI melalui orogastrik. Kaya et al, (2021) pada penelitiannya terhadap 32 bayi prematur dengan dukungan alat bantu nafas non invasif, didapatkan bayi prematur dengan posisi prone rata-rata laju pernapasan lebih rendah dibandingkan dengan posisi supine, namun rata-rata tekanan darah lebih stabil pada posisi supine. Sedangkan saturasi oksigen lebih tinggi pada posisi prone.…”

Section: Pembahasanunclassified

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Efektivitas Posisi Prone Dibandingkan Posisi Supine terhadap Fungsi Fisiologis Bayi Prematur

Susanthy

Rustina²

2022

JOTING

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This study aims to examine the differences in the effectiveness of the prone position compared to the supine position on the physiological functions of premature infants. The method used is the literature review. The search for articles was adjusted to the research question formulation with the PICO formula using sources from the Clinicalkey, Proquest and EBSCO databases. The results showed that the prone position intervention increased oxygen saturation, decreased heart rate and respiratory rate, reduced bradycardia and desaturation frequency, improved sleep quality and reduced stress caused by environmental factors. In conclusion, the prone position intervention proved to be more effective on the physiological function of premature infants than supine. Keywords: Premature Baby, Physiological Function, Prone Position, Supine Position, Oxygen Saturation

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The Use of Near-Infrared Spectroscopy (NIRS) to Measure Cerebral Oxygen Saturation During Body Position Changes on Infants Less than One Year Old

Tran

Elgabalawy

et al. 2020

Journal of Pediatric Nursing

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Prone versus supine position for regional cerebral tissue oxygenation in preterm neonates receiving noninvasive ventilation

Cited by 11 publications

References 27 publications

Cerebral oxygenation and body position in the preterm infant: A systematic review and meta‐analysis

Cerebral oxygenation and body position in the preterm infant: A systematic review and meta‐analysis

Efektivitas Posisi Prone Dibandingkan Posisi Supine terhadap Fungsi Fisiologis Bayi Prematur

The Use of Near-Infrared Spectroscopy (NIRS) to Measure Cerebral Oxygen Saturation During Body Position Changes on Infants Less than One Year Old

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