Respiratory distress syndrome: influence of management on the hemodynamic status of
            ≤ 32-week preterm infants in the first 24 hours of life

Fiorenzano, Daniela Matos; Leal, Gabriela Nunes; Sawamura, Karen Saori Shiraishi; Lianza, Alessandro Cavalcanti; Carvalho, Werther Brunow de; Krebs, Vera Lúcia Jornada

doi:10.5935/0103-507x.20190056

Cited by 6 publications

(7 citation statements)

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“…Egyptian Journal of Health Care, 2020 EJHC Vol.11 No.2 Respiratory distress syndrome is considered one of the commonest problems in the first day of life and it is the most common respiratory disorder in preterm neonates (Reuter et al, 2014, Sabzehei et al, 2017. Respiratory distress syndrome is also known as hyaline membrane disease which is seen primarily in preterm neonates due to deficiency of surfactant in the lungs that play an important role in decreasing surface tension in the alveoli (Gallacher et al, 2016, Fiorenzanom et al,2019. Respiratory distress syndrome is the most common reason for admission of preterm neonates to the Neonatal Intensive Care Units (NICUs) (Pathrudu, 2015, Pourazar et al, 2018.…”

Section: Original Articlementioning

confidence: 99%

Effect of Lateral Positions versus Prone Position on Cardiorespiratory Parameters among Preterm Neonates with Respiratory Distress Syndrome

Mohamed

Elashry

Mokbel

2020

Egyptian Journal of Health Care

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Background: Respiratory distress syndrome in neonates is life threatening and results in death from severe respiratory failure. Positioning neonates in a good body alignment is essential to improve oxygenation and reduce the need for supplemental oxygen and mechanical ventilation. Aim of the study: The current study aimed to determine the effect of lateral positions versus prone position on cardiorespiratory parameters among preterm neonates with respiratory distress syndrome. Research design: A cross-over experimental research design was utilized for this study. Setting: The study was conducted at the Neonatal Intensive Care Unit at Alexandria University Children's Hospital at Smouha, Egypt. Subjects: purposive sample of 30 preterm neonates were selected to perform the current study. Tools: Two tools were used for data collection, Tool I: Characteristics and cardiorespiratory parameters of preterm neonates' assessment tool, Tool II: Complication detection record. Results: The values of heart rate, respiratory rate and oxygen saturation improved significantly among preterm neonates in prone position than in the lateral positions after one and two hours. Respiratory distress signs were significantly lower in prone position than in lateral positions after one and two hours. There was no statistical significant difference between the three positions at zero minute, one hour and two hours regarding complications among preterm neonates. Conclusion:The study concluded that cardiorespiratory parameters and respiratory distress signs have improved in prone position more than in lateral positions. Recommendations: Prone position under nurses' supervision is recommended to be used in the routine care of preterm neonates with respiratory distress syndrome and educational programs should be conducted to nurses working at Neonatal Intensive Care Units regarding the benefits and importance of positioning of preterm neonates.

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Section: Original Articlementioning

confidence: 99%

Effect of Lateral Positions versus Prone Position on Cardiorespiratory Parameters among Preterm Neonates with Respiratory Distress Syndrome

Mohamed

Elashry

Mokbel

2020

Egyptian Journal of Health Care

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“…A SDR ocorre devido a deficiência do surfactante no pulmão, ainda em desenvolvimento, levando ao colapso alveolar e manifestando desconforto respiratório nas primeiras 24 horas de vida (FIORENZANO et al, 2019). Um dos meios terapêuticos para tal condição é o uso de dispositivos CPAP's, o qual incide no recrutamento pulmonar através da pressão positiva contínua nas vias aéreas por meio de ventilação não invasiva ou invasiva, combinado ou não ao uso de surfactante exógeno (SWEET et al, 2013).…”

Section: Introductionunclassified

Os efeitos do CPAP selo d'água em recém nascidos prematuros: Uma revisão integrativa

Pereira¹,

Araújo²,

Cunha³

et al. 2023

Braz. J. Hea. Rev.

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INTRODUÇÃO: Os recém-nascidos pré-termos [RNPT (<37 semanas)] apresentam irregularidades anatômicas e fisiológicas que os tornam suscetíveis a complicações respiratórias. Dentre as patologias associadas à prematuridade, a síndrome do desconforto respiratório (SDR) neonatal é a mais comum causando um aumento da morbidade e mortalidade em recém nascidos prematuros. Um dos meios terapêuticos para tal condição é o uso de dispositivos CPAP’s. OBJETIVO: Identificar, a partir de revisão integrativa, os efeitos do CPAP selo d’água em recém-nascidos, bem como o seu custo-benefício em comparação ao CPAP associado ao ventilador mecânico. METODOLOGIA: Revisão integrativa de literatura realizada a partir de questão científica formulada conforme estratégia PICO. Os descritores “CPAP bubble”, “CPAP selo d 'água" e “CPAP bolha” foram utilizados nas bases eletrônicas, PubMed, Scopus, Science Direct e SciELO. Os critérios de exclusão de artigos: artigos duplicados; artigos que não apresentaram os termos indexadores no título ou no resumo; artigos que não apresentaram relação com o uso do CPAP selo d’água em RNPT. RESULTADOS: Os estudos incluídos na presente revisão alcançaram pontuação média de 6,25±1,8 (variação: 4 ― 9 pontos), conforme escala PEDro. DISCUSSÃO: De modo geral os estudos relacionam os diversos parâmetros avaliados com uso dos CPAP’s em selo d’água e convencional, como oxigênio suplementar, escoriação nasal, pneumotórax, falha no processo de extubação, trabalho respiratório resistivo, frequência respiratória, a relação custo/benefício ao utilizar o método derivado do ventilador mecânico e, até os níveis de ruído estabelecido em uma UTIN. CONCLUSÃO: Os estudos mostraram não haver diferenças significativas entre os dispositivos foco da revisão, porém o CPAP selo d’água é uma estratégia ventilatória fácil de usar, minimamente invasiva e eficaz para RNPT com SDR que pode ser utilizada em ambientes com recursos limitados.

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“…Therefore, this population is more susceptible to muscle fatigue, requiring ventilatory support, hospitalisation and respiratory physiotherapy. [1][2][3] Respiratory physiotherapy uses techniques to improve respiratory function, facilitate gas exchange, prevent and treat pulmonary complications and improve ventilation-perfusion, mucociliary clearance and secretion removal. 3 These techniques can be conventional or non-conventional, depending on the initial contact with the ribcage.…”

Section: Introductionmentioning

confidence: 99%

“…Newborns present unique physiological and anatomical characteristics, such as fewer alveoli, more cartilaginous and horizontal ribs and greater airway resistance and ribcage compliance. Therefore, this population is more susceptible to muscle fatigue, requiring ventilatory support, hospitalisation and respiratory physiotherapy 1–3…”

Section: Introductionmentioning

confidence: 99%

Effects of respiratory physiotherapy interventions on pulmonary mechanics of newborns: a protocol for a systematic review

et al. 2022

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IntroductionAlthough respiratory physiotherapy techniques may reduce respiratory load in newborns, manual contact with the ribcage may interfere with pulmonary mechanics. Therefore, this systematic review aims to evaluate the effects of conventional and non-conventional respiratory physiotherapies on pulmonary mechanics of newborns.Methods and analysisWe will search PubMed, LILACS, SciELO, ScienceDirect, Cochrane Central and Web of Science databases. Searches will be conducted from September 2022. We will include randomised clinical trials reporting thoracoabdominal synchrony, lung volumes and capacities, respiratory discomfort and pain in newborns aged between 1 hour and 28 days and admitted to neonatal intensive care units. We will exclude studies not fully available or incomplete and studies conducted with newborns presenting structural alterations. Two independent researchers will perform the study selection, data extraction and quality assessment. After consensus, one reviewer will proceed with the process. We will include studies published in English or Portuguese, without publication date restriction. An overview of the included studies and extracted information will be reported and the quality of studies will be assessed. A meta-analysis will be conducted if data regarding between-group comparisons are available.Ethics and disseminationEthics approval is not required for this systematic review. Results will be presented in journals and national and international conferences, and findings will be shared on social media using accessible language.PROSPERO registration numberCRD42021266729.

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Respiratory distress syndrome: influence of management on the hemodynamic status of ≤ 32-week preterm infants in the first 24 hours of life

Cited by 6 publications

References 25 publications

Effect of Lateral Positions versus Prone Position on Cardiorespiratory Parameters among Preterm Neonates with Respiratory Distress Syndrome

Effect of Lateral Positions versus Prone Position on Cardiorespiratory Parameters among Preterm Neonates with Respiratory Distress Syndrome

Os efeitos do CPAP selo d'água em recém nascidos prematuros: Uma revisão integrativa

Effects of respiratory physiotherapy interventions on pulmonary mechanics of newborns: a protocol for a systematic review

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