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Effect of body position on preterm newborns receiving continuous positive airway pressure
Author(s) -
Brunherotti Marisa AA,
Martinez Edson Z,
Martinez Francisco E
Publication year - 2014
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12504
Subject(s) - supine position , medicine , cardiorespiratory fitness , continuous positive airway pressure , heart rate , body position , anesthesia , oxygen saturation , gestational age , airway , prone position , respiratory rate , respiratory system , crossover study , blood pressure , oxygen , pregnancy , physical medicine and rehabilitation , chemistry , alternative medicine , organic chemistry , pathology , biology , obstructive sleep apnea , genetics , placebo
Aim To evaluate the effect of body position on the cardiorespiratory indicators of preterm newborns receiving nasal continuous positive airway pressure ( CPAP ). Methods Analytical, observational, prospective, cross‐sectional, randomised crossover study was carried out on sixteen newborns that received nasal CPAP . The infants had a mean gestational age of 29.7 ± 2 weeks and birthweight of 1353 ± 280 g. Cardiorespiratory indicators (respiratory rate, heart rate and oxygen saturation) were evaluated in each infant in the supine, prone and right and left lateral decubitus positions at intervals of 10 min over a period of 60 min. Results The cardiorespiratory indicators were similar and within the normal range in the four decubitus positions. There was no difference in respiratory or heart rate between body positions. Although they showed desirable values, oxygen saturation was significantly lower in left lateral decubitus (96.6 ± 1.7%) when compared to the supine (97.1 ± 1.3%) and prone positions (97.4 ± 1.1%) (p = 0.00) and was also significantly lower in right lateral decubitus (96.9 ± 1.4%) when compared to the prone position (p = 0.00). Conclusion We found no preferential decubitus position for preterm newborns receiving nasal CPAP , the supine position may be a choice, but the left and right lateral positions were less advantageous in terms of oxygen saturation.