Evaluation of physiological parameters before and after respiratory physiotherapy in newborns with acute viral bronchiolitis

Abstract

BackgroundAcute viral bronchiolitis is a respiratory disease with high morbidity that affects newborn in the first two years of life. Its treatment with physiotherapy has been highlighted as an important tool, however, there is no consensus regarding its effects on patients improvement. We aimed to evaluate the physiological parameters before and after the procedure respiratory therapy in newborn with acute viral bronchiolitis.MethodThis was a cross sectional observational study in 30 newborns with acute viral bronchiolitis and indicated for physiotherapy care in a hospitalized Urgency and Emergency Unit. It was collected the clinical data of newborn through evaluation form, and we measured heart rate (HR), oxygen saturation (SpO2) and respiratory rate (RR). We measured the variables before physiotherapy treatment, 3, 6 and 9 minutes after the physiotherapy treatment.ResultsThere has been no change in HR, however, we observed a decrease in RR at 6 and 9 min compared to 3 min and increase in SpO2 at 3, 6 and 9 min compared to before physiotherapy.ConclusionRespiratory physiotherapy may be an effective therapy for the treatment of newborn with Acute Viral Bronchitis.

Rhinopharyngeal Retrograde Clearance Induces Less Respiratory Effort and Fewer Adverse Effects in Comparison With Nasopharyngeal Aspiration in Infants With Acute Viral Bronchiolitis

“…These results support the idea of a decrease in respiratory effort parameters after respiratory physiotherapy is performed, particularly when using more contemporary techniques. 8,14,16 Regarding the main adverse effects assessed, the results of the present study show that the number of nasal bleeding and vomiting episodes, during the day of collection, were higher in the aspiration group when compared with the clearance group. The presence of complications after a respiratory physiotherapy intervention was performed in infants with acute viral bronchiolitis was previously reported in only one study, 17 in which a higher rate of vomiting during the session in children submitted to airway clearance maneuvers (increased exhalation technique and assisted cough) was identified through reports from physiotherapists.…”

“…Regarding the breathing frequency, as shown in other studies, 7,8 there was no significant difference in both groups, although there is evidence in the literature that showed a reduction in the breathing frequency after the use of chest physiotherapy techniques. 15,16 In general, the use of retrograde rhinopharyngeal clearance, as well as other respiratory therapy techniques, did not induce cardiorespiratory distress in children with acute viral bronchiolitis. Moreover, the present results showed an increase of 6.7 and 19.5% of children who started to have wheezing and retractions, respectively, after the nasopharyngeal aspiration.…”

Efeito agudo do método reequilíbrio toracoabdominal em lactentes com diagnóstico de bronquiolite

“…De acordo com os nossos achados observamos lactentes com idade média 13,7 e 13,3 semanas no grupo FT e no grupo RTA respectivamente. Em contrapartida Gonçalves et al [15] observaram em seu estudo, realizado nos meses de outubro a novembro de 2014, na Unidade de Emergência de São Bernardo do Campo/SP, com uma amostra de 30 lactentes com idade entre 29 dias e 6 meses, uma média de 3,4 semanas (± 1,63). Verificando-se assim um perfil de lactentes com idade menor quando Fisioterapia Brasil 2021;22 (6):837-849 comparado ao nosso estudo.…”

Evidência cientí­fica das técnicas atuais e convencionais de fisioterapia respiratória em pediatria

“…Autor /ano Pontuação Pedro McIlwaine PM et al [14] 6/10 Herry S et al [15] NA Paludo C et al [16] 6/10 Lanza FC et al [17] 5/10 Pupin MK et al [18] 4/10 Gajdos et al [19] 6/10 Postiaux et al [20] 6/10 Rochat I et al [21] 5/10 Castro G et al [22] NA Gomes ELF et al [23] 8/10 Lukrafka JL et al [24] 7/10 Bayle MS et al [25] 6/10 Reix P et al [26] 7/10 Castro-Rodriguez JAC et al [27] 6/10 Gonçalves RAS et al [28] NA…”

“…Associada a outras técnicas ela tem o efeito de drenar as secreções para as vias aéreas proximais, facilitando assim sua remoção. Gonçalves et al [28] avaliaram 30 lactentes com BVA, usando a técnica de DP associada à vibração. Observou--se uma diminuição da FR em 6 e 9 minutos após a terapia e aumento da SpO2 aos 6 e 9 minutos comparados antes da fisioterapia.…”