Benefícios do decúbito ventral associado ao CPAP em recém-nascidos prematuros

Lanza, Fernanda Moura; Barcellos, Patrícia Gombai; Corso, Simone Dal

doi:10.1590/s1809-29502012000200008

Cited by 5 publications

(8 citation statements)

References 21 publications

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“…However, this finding was present in less than half (25.8%) of our sample, and it was the presence of respiratory distress the main indication for the babies' hospitalization. The pulmonary immaturity of this population hinders the gas exchange and makes the dyspnea the main sign in newborn infants after birth, which may justify our results 20 . Almost half of our sample needed the use of vasoactive drugs and the vast majority required the use of a ventilatory support, moreover, they had a prolonged hospitalization with excessive time in therapy.…”

Section: Referencessupporting

confidence: 64%

“…Ibuprofen is a therapeutic alternative for the closure of PDA 18.19 . In several controlled and randomized clinical trials, ibuprofen was as effective as indomethacin in the promotion of the closing of the canal, and had less effect on mesenteric, renal and cerebral perfusions 18,20 .…”

Section: Referencesmentioning

confidence: 99%

“…In the group of other CHDs, those of low pulmonary flow were the most common, which may have contributed to a better prognosis for these babies, since the majority of the PNs of Group CHD who were discharged from the hospital (n=9) presented low pulmonary flow. It is known that the pulmonary hyperflow often causes respiratory dysfunction in children with heart disease 19 and this fact is even more worrying in newborn infants, due to pulmonary immaturity alone already generate serious consequences to the patient, which associated with pulmonary hyperflow may worsen the population in question 20 .…”

Section: Referencesmentioning

confidence: 99%

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Characteristics of Congenital Heart of Premature Newborns

Sena

Sampaio

Torres³

et al. 2019

J. Health Scie.

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Congenital heart disease is considered the most common malformation found in neonatology. The aim of this study was to characterize the congenital heart diseases of premature newborns in the Neonatal Intensive Care Unit (NICU) of a high-risk maternity unit. This was an observational retrospective, descriptive character study carried out in a maternity school, reference in high-risk gestation in the state of Rio Grande do Norte. The study was carried out with premature infants admitted to NICU, who presented some cardiological findings when performing the echocardiogram examination. Data collection was performed through the records of infants hospitalized from December 2016 to December 2017. A total of 371 records were evaluated. Fifty eight infants were diagnosed with congenital heart disease, and 38 of them had Persistence of the ductus arteriosus. The main diagnosed cardiopathies caused low pulmonary flow. About half of the pregnant women with cardiac infants presented some complications during pregnancy, and the most frequent was Urinary Tract Infection; 55 infants needed some ventilatory support, 14 had at least one extubation failure during the hospitalization period, and 8 presented atelectasis. Persistence of the ductus arteriosus was the most common cardiologic finding, and the most frequent congenital heart diseases were those that decreased pulmonary flow, diagnosed mostly in premature infants who needed some ventilation support, but who were discharged from hospital.Keywords: Infant, Premature. Intensive Care Units, Neonatal. Neonatology.ResumoCardiopatias congênitas (CC) são consideradas as malformações mais comuns encontradas na neonatologia. O objetivo deste estudo foi caracterizar as CC de recém-nascidos prematuros em Unidade de Terapia Intensiva Neonatal (UTIN) de uma maternidade de alto risco. Tratase de um estudo observacional retrospectivo, de caráter descritivo, realizado em uma maternidade escola, referência em gestação de alto risco do estado do Rio Grande do Norte. O estudo foi realizado com os bebês prematuros admitidos na UTIN, que apresentaram algum achado cardiológico ao realizar o exame de ecocardiograma. A coleta de dados foi realizada através dos prontuários dos bebês internados no período de dezembro de 2016 a dezembro de 2017. Foram avaliados 371 prontuários, sendo elencados para o estudo 58 bebês, 38 apresentaram persistência do canal arterial (PCA) e foram alocados no grupo PCA e 20 apresentaram outro tipo de CC e foram alocados no grupo CC. 55 bebês necessitaram do uso de algum suporte ventilatório, 14 apresentaram pelo menos uma falha de extubação durante o período de internação e 8 apresentaram atelectasia. Cerca de metade das gestantes com bebês cardiopatas apresentaram alguma intercorrência durante a gestação. A mais frequente foi à infecção do trato urinário. A PCA foi o achado cardiológico mais comum da amostra (65%) e dentre os 20 RN com diferentes CC, as que causam o baixo fluxo pulmonar foram as mais frequentes (70%), sendo encontradas em sua maioria em prematuros que necessitaram de algum suporte ventilatório, mas que receberam alta hospitalar.Palavras-chave: Recém-Nascido Prematuro. Unidade de Terapia Intensiva Neonatal. Neonatologia.

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Section: Referencessupporting

confidence: 64%

Section: Referencesmentioning

confidence: 99%

Section: Referencesmentioning

confidence: 99%

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Characteristics of Congenital Heart of Premature Newborns

Sena

Sampaio

Torres³

et al. 2019

J. Health Scie.

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“…The premature neonates has characteristics that can compromise the realization of the gas exchanges, and as characteristics of this group the disadvantages resulting from the immaturity of the respiratory system and the disadvantages in the respiratory mechanics. 17,18 A study conducted in the State of Piauí, which had as objective to determine the association between the predisposing factors of the admission of the newborn in the NITU and the maternal characteristics, demonstrated that 57.2% (n=215) of the neonates presented some respiratory problem as a diagnosis to its admission. 19 This relationship between the prematurity and the respiratory disturbances was emphasized in the statements of the interviewees, when these report that as soon as the neonates are admitted, at the time of the data collection they seek initially information that allow reference to some of these two characteristics.…”

Section: Discussionmentioning

confidence: 99%

Continuous positive pressure on aircraft in neonates: care provided by the nursing team

et al. 2019

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Objective: to describe the nursing care of the neonate in continuous positive airway pressure (CPAP) with prong analyzing them in the light of the systematization of nursing care / process. Method: Descriptive research, qualitative approach. We interviewed 30 nursing professionals from the neonatal intensive and intermediate care units of a school hospital in Maceió / Alagoas, from August / 2016 to January / 2017, through a semi-structured interview, in the light of Bardin's content analysis. Results: Although unit nurses are aware of the use of CPAP and the care associated with this therapy, mid-level professionals still find it difficult to systematize systematized knowledge about the system. The tripod's correlation between CPAP, the formation of nasal lesions and the assistance provided was highlighted. Conclusion: It is necessary to carry out training, such as raising the awareness of professionals about the importance of keeping records up to date and applying protocols.

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“…12 Os RN apresentam características anatômicas e fisiológicas (como retificação do músculo diafragma e das costelas, a instabilidade nas vias aéreas, da caixa torácica, e do abdômen, etc.) 13 que predispõem o desenvolvimento de distúrbios do sistema respiratório (alguns dos quais associados a quadros álgicos, como as pneumonias, derrames pleurais), os quais podem requerer a necessidade de intubação endotraqueal, e complicações, como lesões traqueais e quadros inflamatórios em vias aéreas superiores. 14 Rev.…”

Section: Introductionunclassified

Tecnicas de fisioterapia respiratoria: efeito nos parametros cardiorrespiratorios e na dor do neonato estavel em UTIN

Martins

Silva

Honório³

et al. 2013

Rev. Bras. Saude Mater. Infant.

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OBJETIVOS: verificar os efeitos de técnicas de fisioterapia respiratória (TFR) na dor e na função cardiorrespiratória de recém-nascidos (RN) clinicamente estáveis com prescrição de TFR, internados em unidade de terapia intensiva neonatal. MÉTODOS: ensaio clínico randomizado cego. Os RN foram alocados em três grupos: G1-controle; G2- fisioterapia convencional; G3-reequilíbrio tóracoabdominal. Neonatos do G2 e G3 receberam intervenção em atendimento único. Todos foram avaliados antes, imediatamente após e 15 minutos após o término da intervenção/repouso quanto aos parâmetros cardiorrespiratórios (saturação periférica de oxigênio/SpO2, frequências cardíaca/fc e respiratória/fr) e dor (escalas específicas: NIPS, NFCS e PIPP). Para análise dos dados foram aplicados: testes qui-quadrado, Friedman, Kruskal- Wallis e, posteriormente, análise de comparações múltiplas, com p<0,05 significativo. RESULTADOS: participaram do estudo 60 RN, dos quais 56,7% eram do sexo feminino, 68,3% prétermo/ muito baixo peso, com média de idade gestacional corrigida de 38,88 ± 2,03 semanas, idade de 13,22 ± 7,37 dias e peso de 1603,42 ± 439,16 gramas. Antes da intervenção, os grupos eram equivalentes quanto à presença de dor e parâmetros cardiorrespiratórios basais. Comparando os efeitos de cada um dos procedimentos, entre os grupos e no decorrer das três avaliações, não houve alterações significativas em nenhum dos parâmetros cardiorrespiratórios avaliados (p>0,05) e em relação à dor houve mudanças significativas nas escalas NIPS (G1 e G2, p=0,037 e p=0,011, respectivamente) e PIPP (G2, p=0,005). CONCLUSÕES: técnicas de fisioterapia respiratória não desencadearam dor, nem instabilidade cardiorrespiratória nos RN estudados.

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Benefícios do decúbito ventral associado ao CPAP em recém-nascidos prematuros

Cited by 5 publications

References 21 publications

Characteristics of Congenital Heart of Premature Newborns

Characteristics of Congenital Heart of Premature Newborns

Continuous positive pressure on aircraft in neonates: care provided by the nursing team

Tecnicas de fisioterapia respiratoria: efeito nos parametros cardiorrespiratorios e na dor do neonato estavel em UTIN

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