Chest physiotherapy and post-extubation atelectasis in infants

Al‐Alaiyan, Saleh; Dyer, David; Khan, Bashir Ahmad

doi:10.1002/(sici)1099-0496(199604)21:4<227::aid-ppul4>3.0.co;2-l

Cited by 35 publications

(12 citation statements)

References 13 publications

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“…The number of treatments given per baby decreased in our nursery in 1989. Our usual duration of each treatment (up to four areas treated, with 2 min percussion per area, except for postextubation treatment when only one or two areas were treated) did not change and was shorter than in some reports in the literature 3,6,9,10 . There is only one published study detailing the number of chest physiotherapy treatments actually given 11 .…”

Section: Discussionmentioning

confidence: 79%

Chest physiotherapy and porencephalic brain lesions in very preterm infants

Knight

Bevan

Harding

et al. 2001

J Paediatrics Child Health

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Section: Discussionmentioning

confidence: 79%

Chest physiotherapy and porencephalic brain lesions in very preterm infants

Knight

Bevan

Harding

et al. 2001

J Paediatrics Child Health

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“…With regard to the prevention of post-extubation atelectasis, the strong doubts concerning the actual utility of active respiratory physiotherapy seem to be confirmed; in fact, there is no evidence of a clear benefit in terms of a decreased rate of post-extubation lobar collapse [5-7,12,13]. Besides the scarce benefits, some authors have suggested that ARP might entail the risk of a neurologic damage, especially in neonates whose weight is <1500 grams, a risk which other studies did not confirm [4,8,13-18].…”

Section: Discussionmentioning

confidence: 99%

Chest physiotherapy in preterm infants with lung diseases

et al. 2010

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BackgroundIn neonatology the role of chest physiotherapy is still uncertain because of the controversial outcomes.MethodsThe aim of this study was to test the applicability in preterm infants of 'reflex rolling', from the Vojta method, in preterm neonates with lung pathology, with particular attention to the effects on blood gases and oxygen saturation, on the spontaneous breathing, on the onset of stress or pain. The study included 34 preterm newborns with mean gestational age of 30.5 (1.6) weeks - mean (DS) - and birth weight of 1430 (423) g - mean (DS) -, who suffered from hyaline membrane disease, under treatment with nasal CPAP (continuous positive airways pressure), or from pneumonia, under treatment with oxygen-therapy. The neonates underwent phase 1 of 'reflex rolling' according to Vojta method three times daily. Respiratory rate, SatO2, transcutaneous PtcCO2 e PtcO2 were monitored; in order to evaluate the onset of stress or pain following the stimulations, the NIPS score and the PIPP score were recorded; cerebral ultrasound scans were performed on postnatal days 1-3-5-7, and then weekly.ResultsIn this population the first phase of Vojta's 'reflex rolling' caused an increase of PtcO2 and SatO2 values. No negative effects on PtcCO2 and respiratory rate were observed, NIPS and PIPP stress scores remained unmodified during the treatment; in no patient the intraventricular haemorrhage worsened in time and none of the infants developed periventricular leucomalacia.ConclusionsOur experience, using the Vojta method, allows to affirm that this method is safe for preterm neonates, but further investigations are necessary to confirm its positive effects and to evaluate long-term respiratory outcomes.

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“…Either or both Chapter 16 Respiratory Failure in the Neonate-Preferred Practice Pattern 6G 421 techniques, when combined with postural drainage, have been shown to improve oxygenation, decrease the incidence of postextubation atelectasis, and increase the volume of secretions removed in newborn infants with pulmonary disease. 89 There are many precautions and contraindications for using these manual techniques (especially percussion) with neonates. 89 There are many precautions and contraindications for using these manual techniques (especially percussion) with neonates.…”

Section: Manual Percussion and Vibrationmentioning

confidence: 99%

Respiratory Failure in the Neonate—Preferred Practice Pattern 6G

Tecklin¹

2004

Cardiopulmonary Physical Therapy

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Chest physiotherapy and post-extubation atelectasis in infants

Cited by 35 publications

References 13 publications

Chest physiotherapy and porencephalic brain lesions in very preterm infants

Chest physiotherapy and porencephalic brain lesions in very preterm infants

Chest physiotherapy in preterm infants with lung diseases

Respiratory Failure in the Neonate—Preferred Practice Pattern 6G

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