Original ArticlePositioning Effects on Lung Function and Breathing Pattern in Premature Newborns
Section snippets
Methods
Our study was conducted over a 6-month period in the neonatal intensive care unit at the Regional University Hospital of Lille, France. Inclusion criteria were preterm birth (gestational age 26-30 weeks), spontaneous breathing with nasal continuous positive airway pressure (NCPAP) therapy, and mild respiratory failure, defined as an oxygen requirement of 22%-35% to maintain arterial oxygen saturation (SpO2) between 88% and 95%, pH > 7.24, and PaCO2 <65 mm Hg. Exclusion criteria were circulatory
Results
All 19 preterm infants had received mechanical ventilation at birth for respiratory distress syndrome and received surfactant treatment within the first hour of life. Duration of the mechanical ventilation was less than 24 hours. NCPAP (Infant-Flow; Vyasis, CareFusion, Voisins le Bretonneux, France) was used to wean the infants from mechanical ventilation. At the time of the study, the infants were managed with NCPAP and received caffeine. Mean gestational age was 27 ± 2 weeks, and mean birth
Discussion
We hypothesized that the left lateral position and prone position would improve lung function and breathing strategy in our preterm infants. We found that transcutaneous SpO2 was higher and PaCO2 was lower in the left lateral and prone positions than in the supine position. Furthermore, the left lateral and prone positions were associated with fewer apneic and hypoxic episodes compared with the supine position. Compared with the supine position, the left lateral and prone positions increased
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2022, Journal of Neonatal NursingCitation Excerpt :Infants who spend the majority of time sleeping in a KC hold have enhanced neurosensory development and promotion of long term memory (Graven and Browne 2008). Sleeping in this prone position improves lung function and breathing patterns in these preterm infants (Gouna et al., 2013). A randomised controlled trial (RCT) by Ghavane et al. (2012) showed that even infants as early as 24 weeks gestation and of extremely low birth-weight (ELBW) had no increase in apnoeic and bradycardic episodes during KC.
Eligibility Criteria and Representativeness of Randomized Clinical Trials That Include Infants Born Extremely Premature: A Systematic Review
2021, Journal of PediatricsCitation Excerpt :The flow diagram (Figure 1) summarizes the identified, screened, eligible, and included clinical trials (N = 201). Study characteristics are briefly summarized in Table I, with a list of included clinical trials in Table II (available at www.jpeds.com).27-228 Information on journal impact factor was available for 96.0% (n = 193) of included manuscripts; 54 (26.9%) were published in high-impact journals.
Physiological parameters of preterm infants in different postures: An observational study
2020, Journal of Neonatal NursingCitation Excerpt :However, in the other study, RR was decreased in semi-prone and supine posture after 1 h compared with lateral posture in premature infants (Yin et al., 2016). Similar the present study, some studies did not show any significant or clinically differences in the RR of preterm infants between prone and supine (Brunherotti and Martinez, 2013; Cox et al., 2001) and between prone, supine and lateral postures (Gouna et al., 2013). In the current study, the lowest mean HR value was seen in prone and the highest one was observed in the supine posture, while the HR variability was not significant between different body postures.
The authors declare no conflicts of interest.