Physiological effects of a single chest physiotherapy session in mechanically ventilated and extubated preterm neonates

Abstract

Chest physiotherapy is safe in preterm neonates. Suctioning causes significant cardio-respiratory parameter changes, but within normal physiological range. Thus, chest physiotherapy should be performed with continuous monitoring only when indicated and not as a routine procedure. More research is needed to study the long term effects of chest physical therapy.

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“…This ascertainment is support by a previous study that has taken place in ER patients, especially in cases of after surgery recovery, where the time period of a physiotherapy intervention range from 10 min minimum to 15 maximum (Browning et al, 2007). In another research it was pointed out that when physiotherapy intervention with the application of respiratory techniques is 15 min and after Endotracheal suction is done, then the level of saturation is improved (Mehta et al, 2016). The respiratory techniques (pressures, vibrations, strokes) are usually used in compilations with the patient's change of position (Spapen et al, 2017).…”

“…According to the research (Browning et al, 2007) conducted, patients' movement in the ISU room was attempted by specialized pediatric physiotherapists for less than 10 to 15 minutes. Based on previous studies, respiratory physiotherapy application for 15 min may lead to decrease of saturation levels, which can be improved with simultaneous change of position after 15 min (Mehta et al, 2016).…”

Benefícios da inserção do fisioterapeuta sobre o perfil de prematuros de baixo risco internados em unidade de terapia intensiva

“…From the results found, it is necessary to reflect on the evidenced of the contribution of physical therapy in the NICU [14][15][16][17] and the time of practice. It is known that neonatal physical therapy assists in the prevention and treatment of respiratory complications [14][15][16] and contributes to airway clearance with improvement of blood gases and vital signs [14][15][16][17] , without altering the cardiopulmonary and/ or neurological function nor causing pain or episodes of gastroesophageal reflux 18,19 . Despite all these advantages, there is still a lack of evidences that bring the description of the profiles according to the assistance times 16 , which gives this study a great relevance.…”

Estrategias de intervención en la UCI neonatal: un enfoque fisioterapéutico

“…La saturación de oxígeno aumentó significativamente después de estimular la vía aérea y succionar, lo que se relacionó con una ausencia significativa en la crepitación a la auscultación. Por otro lado, hubo una mejora significativa tanto en los resultados radiográficos y en el gradiente de PaO2 / FiO2 y A-aDO2 como en la mejora post terapia de tórax en el grupo de la ventilación mecánica 64 . Asimismo, es importante tener en cuenta que el drenaje postural consiste en colocar al neonato en una posición que emplee la gravedad para mover el moco desde la unidad pulmonar que se encuentre con secreciones a las zonas centrales de la vía aérea donde se expectoran más fácilmente; se encuentran 12 diferentes posiciones para realizarlo, 1 por cada segmento pulmonar, su aplicación y la zona a drenar depende de la auscultación y los hallazgos radiográficos.…”