Tactile stimulation during neonatal transition and its effect on vital parameters in neonates during neonatal transition

Baik‐Schneditz, Nariae; Urlesberger, Berndt; Schwaberger, Bernhard; Mileder, Lukas P.; Schmölzer, Georg M.; Avian, Alexander; Pichler, Gerhard

doi:10.1111/apa.14239

Cited by 25 publications

(41 citation statements)

References 12 publications

(12 reference statements)

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“…Although the locations of these methods are similar to the most stimulated locations in this study, the selection of these locations is not scientifically underpinned. Recently, it has been shown that the methods and timing of tactile stimulation to initiate breathing at birth also vary considerably between caregivers and centres 7‐12 . It has been suggested that rubbing the thorax region is most effective in providing timely initiation of breathing, but this was based on observations in small cohort studies 9,11 …”

Section: Discussionmentioning

confidence: 99%

High variability in nurses’ tactile stimulation methods in response to apnoea of prematurity—A neonatal manikin study

et al. 2020

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Aim Neonatal intensive care unit (NICU) nurses provide tactile stimulation to terminate apnoea in preterm infants, but guidelines recommending specific methods are lacking. In this study, we evaluated current methods of tactile stimulation performed by NICU nurses. Methods Nurses were asked to demonstrate and explain their methods of tactile stimulation on a manikin, using an apnoea scenario. All nurses demonstrated their methods three times in succession, with the manikin positioned either prone, supine or lateral. Finally, the nurses were asked how they decided on the methods of tactile stimulation used. The stimulation methods were logged in chronological order by describing both the technique and the location. The nurses' explanations were transcribed and categorised. Results In total, 47 nurses demonstrated their methods of stimulation on the manikin. Overall, 57 different combinations of technique and location were identified. While most nurses (40/47, 85%) indicated they learned how to stimulate during their training, 15/40 (38%) of them had adjusted their methods over time. The remaining 7/47 (15%) stated that their stimulation methods were self‐developed. Conclusion Tactile stimulation performed by NICU nurses to terminate apnoea was highly variable in both technique and location, and these methods were based on either prior training or intuition.

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Section: Discussionmentioning

confidence: 99%

High variability in nurses’ tactile stimulation methods in response to apnoea of prematurity—A neonatal manikin study

et al. 2020

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“…Data from four different centres was compared 2–5. Tactile stimulation was frequently used in three out of four centres, ranging from 63% to 96%.…”

mentioning

confidence: 99%

Tactile stimulation in the delivery room: do we practice what we preach?

Henten

Dekker

Pas

et al. 2019

Arch Dis Child Fetal Neonatal Ed

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“…The reported incidence of stimulation varies between 35% in the study of Baik-Schneditz et al and 90% in the study of van Henten et al [41][42][43][44] Lower percentages of stimulation were reported in infants <30 weeks of gestation, who are wrapped in a polyethylene bag. 42,43 The polyethylene bag might form a physical barrier and thereby contributes to the omission of stimulation. 49,50 However, these infants usually need more (respiratory) support and could benefit from receiving tactile stimulation.…”

Section: Stimulating Spontaneous Breathing At Birth Tactile Stimulationmentioning

confidence: 95%

“…39,40 However, the guidelines do not specifically indicate timing and methods of stimulation, which is probably the reason why in recent studies a wide variety of practices have been used. [41][42][43][44] Dekker et al and Baik-Schneditz et al observed that the primary method of stimulation varied from rubbing the soles of the feet to rubbing the chest and/or back. [41][42][43] Activation of different sensory pathways could be involved in these methods of application (Fig.…”

Section: Stimulating Spontaneous Breathing At Birth Tactile Stimulationmentioning

confidence: 99%

Stimulating and maintaining spontaneous breathing during transition of preterm infants

et al. 2019

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Most preterm infants breathe at birth, but need additional respiratory support due to immaturity of the lung and respiratory control mechanisms. To avoid lung injury, the focus of respiratory support has shifted from invasive towards non-invasive ventilation. However, applying effective non-invasive ventilation is difficult due to mask leak and airway obstruction. The larynx has been overlooked as one of the causes for obstruction, preventing face mask ventilation from inflating the lung. The larynx remains mostly closed at birth, only opening briefly during a spontaneous breath. Stimulating and supporting spontaneous breathing could enhance the success of non-invasive ventilation by ensuring that the larynx remains open. Maintaining adequate spontaneous breathing and thereby reducing the need for invasive ventilation is not only important directly after birth, but also in the first hours after admission to the NICU. Respiratory distress syndrome is an important cause of respiratory failure. Traditionally, treatment of RDS required intubation and mechanical ventilation to administer exogenous surfactant. However, new ways have been implemented to administer surfactant and preserve spontaneous breathing while maintaining non-invasive support. In this narrative review we aim to describe interventions focused on stimulation and maintenance of spontaneous breathing of preterm infants in the first hours after birth.

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Tactile stimulation during neonatal transition and its effect on vital parameters in neonates during neonatal transition

Abstract: Tactile stimulation was applied in different ways to preterm and term infants during neonatal transition and SpO showed a significant increase in preterm infants.

Cited by 25 publications

References 12 publications

High variability in nurses’ tactile stimulation methods in response to apnoea of prematurity—A neonatal manikin study

High variability in nurses’ tactile stimulation methods in response to apnoea of prematurity—A neonatal manikin study

Tactile stimulation in the delivery room: do we practice what we preach?

Stimulating and maintaining spontaneous breathing during transition of preterm infants

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