THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.

Detalhes bibliográficos
Autor(a) principal: Costa , Thayná Peixoto da
Data de Publicação: 2023
Outros Autores: Oliveira , Alex
Tipo de documento: Artigo
Idioma: por
Título da fonte: Brazilian Journal of Implantology and Health Sciences
Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/954
Resumo: Introduction: Atelectasis is a pulmonary dysfunction, where partial or total alveolar collapse occurs in one or more segments of the lung. PTNBs (Pre-Term Newborns) are classified by birth below 37 weeks of gestational age. Preterm infants tend to develop atelectasis in the first days of life and throughout their training, due to the incomplete anatomophysiological formation of the Respiratory System. Preterm premature babies have a smaller number of alveolar units, underdevelopment or absence of contralateral ventilation, insufficient surfactant production, resulting in a compromised ventilation/perfusion relationship. Respiratory physiotherapy is essential within the Neonatal Intensive Care Unit, acting in the prevention, reversal and care of patients with complications and pulmonary dysfunctions. Method: This study aims to systematically review the available literature, and demonstrate the importance of physiotherapy in reversing atelectasis within the Neonatal Intensive Care Unit in PTNB. Results: The review was carried out through eligible studies found in the Pubmed and Scielo databases between the years 2017 to 2023. Discussion: The results brought into discussion by the authors, exclusively physiotherapeutic techniques, such as increased expiratory flow, contralateral pulmonary ventilation, positioning global, use of continuous positive airway pressure and alveolar recruitment, with the purpose of expanding collapsed alveolar areas, reestablishing the ventilation/perfusion relationship, restoring lung volumes. Conclusion: Therefore, the role of physiotherapy is fundamental within this scenario, through manual and/or mechanical techniques, which result in lung expansion, providing comfort to the PTNB and favoring hematosis.
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spelling THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.A IMPORTÂNCIA DA FISIOTERAPIA NA REVERSÃO DE ATELECTASIAS EM RECÉM-NASCIDOS PRÉ TERMO DENTRO DA UNIDADE TERAPIA INTENSIVA NEONATAL.AtelectasiaFisioterapiaNeonatalIntroduction: Atelectasis is a pulmonary dysfunction, where partial or total alveolar collapse occurs in one or more segments of the lung. PTNBs (Pre-Term Newborns) are classified by birth below 37 weeks of gestational age. Preterm infants tend to develop atelectasis in the first days of life and throughout their training, due to the incomplete anatomophysiological formation of the Respiratory System. Preterm premature babies have a smaller number of alveolar units, underdevelopment or absence of contralateral ventilation, insufficient surfactant production, resulting in a compromised ventilation/perfusion relationship. Respiratory physiotherapy is essential within the Neonatal Intensive Care Unit, acting in the prevention, reversal and care of patients with complications and pulmonary dysfunctions. Method: This study aims to systematically review the available literature, and demonstrate the importance of physiotherapy in reversing atelectasis within the Neonatal Intensive Care Unit in PTNB. Results: The review was carried out through eligible studies found in the Pubmed and Scielo databases between the years 2017 to 2023. Discussion: The results brought into discussion by the authors, exclusively physiotherapeutic techniques, such as increased expiratory flow, contralateral pulmonary ventilation, positioning global, use of continuous positive airway pressure and alveolar recruitment, with the purpose of expanding collapsed alveolar areas, reestablishing the ventilation/perfusion relationship, restoring lung volumes. Conclusion: Therefore, the role of physiotherapy is fundamental within this scenario, through manual and/or mechanical techniques, which result in lung expansion, providing comfort to the PTNB and favoring hematosis.Introducción: La atelectasia es una disfunción pulmonar, donde existe un trastorno alveolar parcial o total de uno o más segmentos de la circulación. Los RNPT (recién nacidos prematuros) se clasifican por nacimiento con menos de 37 semanas de edad gestacional. Los bebés prematuros tienden a desarrollar atelectasias en los primeros días de vida y durante toda su formación, debido a la formación anatomofisiológica incompleta del Sistema Respiratorio. Los recién nacidos prematuros tienen un menor número de unidades alveolares, subdesarrollo o ausencia de ventilación contralateral, producción insuficiente de surfactante, lo que resulta en una relación ventilación/perfusión comprometida. La fisioterapia respiratoria es necesaria dentro de la Unidad de Cuidados Intensivos Neonatales, actuando en la prevención, reversión y atención de pacientes con complicaciones y disfunciones pulmonares. Método: Este estudio tiene como objetivo revisar sistemáticamente la literatura disponible y demostrar la importancia de la fisioterapia para revertir la atelectasia dentro de la Unidad de Cuidados Intensivos Neonatales en RNPT. Resultados: La revisión se realizó a través de estudios elegibles encontrados en las bases de datos Pubmed y Scielo entre los años 2017 a 2023. Discusión: Los resultados puestos en discusión por los autores, técnicas exclusivamente fisioterapéuticas, como aumento del flujo espiratorio, ventilación pulmonar contralateral, posicionamiento global, uso de presión positiva continua en las vías respiratorias y reclutamiento alveolar, con el propósito de expandir las áreas alveolares colapsadas, restablecer la relación ventilación/perfusión, restaurar los volúmenes pulmonares. Conclusión: Por lo tanto, el papel de la fisioterapia es fundamental en este escenario, a través de técnicas manuales y/o mecánicas, resultando en expansión pulmonar, comodidad para el RNPT y favoreciendo la hematosis.Introdução: A atelectasia é uma disfunção pulmonar, onde ocorre o colapso alveolar parcial ou total, de um ou mais segmentos do pulmão. Os RNPT (Recém Nascidos Pré Termo) são classificados por nascimento abaixo de 37 semanas de idade gestacional. Os RNPT tendem a desenvolver atelectasias nos primeiros dias de vida e no decorrer de sua formação, devido a formação incompleta anatomofisiológica do Sistema Respiratório. Os prematuros pré termo possuem menor número de unidades alveolares, subdesenvolvimento ou ausência de ventilação contralateral, produção de surfactante insuficiente, resultando na relação ventilação/perfusão comprometida. A fisioterapia respiratória é imprescindível dentro da Unidade de Terapia Intensiva Neonatal, atuando na prevenção, reversão e cuidados sob o paciente com complicações e disfunções pulmonares. Método: Este estudo tem como objetivo revisar sistematicamente dentre a literatura disponível, e demonstrar a importância da fisioterapia na reversão de atelectasias dentro da Unidade de Terapia Intensiva Neonatal em RNPT. Resultados: A revisão foi realizada através de estudos elegíveis encontrados nos bancos de dados Pubmed e Scielo entre os anos 2017 a 2023. Discussão: Os resultados trouxeram em discussão pelos autores, técnicas exclusivamente fisioterapêuticas, como aumento de fluxo expiratório, ventilação pulmonar contralateral, posicionamento global, uso de pressão positiva contínua em vias aéreas e recrutamento alveolar, com propósito de expandir as áreas alveolares colapsadas, restabelecendo a relação ventilação/perfusão, restaurando volumes pulmonar. Conclusão: Sendo assim, a atuação da fisioterapia é fundamental dentro desse cenário, através de técnicas manuais e/ou mecânicas, como resultado têm expansão pulmonar, proporcionando conforto ao RNPT e favorecendo a hematose.Specialized Dentistry Group2023-11-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/95410.36557/2674-8169.2023v5n5p4130-4141Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 4130-4141Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 4130-4141Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 4130-41412674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/954/1092Copyright (c) 2023 Thayná Peixoto da Costa , Alex Oliveira https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCosta , Thayná Peixoto daOliveira , Alex2023-11-29T20:09:39Zoai:ojs.bjihs.emnuvens.com.br:article/954Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-11-29T20:09:39Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false
dc.title.none.fl_str_mv THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.
A IMPORTÂNCIA DA FISIOTERAPIA NA REVERSÃO DE ATELECTASIAS EM RECÉM-NASCIDOS PRÉ TERMO DENTRO DA UNIDADE TERAPIA INTENSIVA NEONATAL.
title THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.
spellingShingle THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.
Costa , Thayná Peixoto da
Atelectasia
Fisioterapia
Neonatal
title_short THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.
title_full THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.
title_fullStr THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.
title_full_unstemmed THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.
title_sort THE IMPORTANCE OF PHYSIOTHERAPY IN REVERSING ATELECTASIA IN PRETERM NEWBORN IN THE NEONATAL INTENSIVE CARE UNIT.
author Costa , Thayná Peixoto da
author_facet Costa , Thayná Peixoto da
Oliveira , Alex
author_role author
author2 Oliveira , Alex
author2_role author
dc.contributor.author.fl_str_mv Costa , Thayná Peixoto da
Oliveira , Alex
dc.subject.por.fl_str_mv Atelectasia
Fisioterapia
Neonatal
topic Atelectasia
Fisioterapia
Neonatal
description Introduction: Atelectasis is a pulmonary dysfunction, where partial or total alveolar collapse occurs in one or more segments of the lung. PTNBs (Pre-Term Newborns) are classified by birth below 37 weeks of gestational age. Preterm infants tend to develop atelectasis in the first days of life and throughout their training, due to the incomplete anatomophysiological formation of the Respiratory System. Preterm premature babies have a smaller number of alveolar units, underdevelopment or absence of contralateral ventilation, insufficient surfactant production, resulting in a compromised ventilation/perfusion relationship. Respiratory physiotherapy is essential within the Neonatal Intensive Care Unit, acting in the prevention, reversal and care of patients with complications and pulmonary dysfunctions. Method: This study aims to systematically review the available literature, and demonstrate the importance of physiotherapy in reversing atelectasis within the Neonatal Intensive Care Unit in PTNB. Results: The review was carried out through eligible studies found in the Pubmed and Scielo databases between the years 2017 to 2023. Discussion: The results brought into discussion by the authors, exclusively physiotherapeutic techniques, such as increased expiratory flow, contralateral pulmonary ventilation, positioning global, use of continuous positive airway pressure and alveolar recruitment, with the purpose of expanding collapsed alveolar areas, reestablishing the ventilation/perfusion relationship, restoring lung volumes. Conclusion: Therefore, the role of physiotherapy is fundamental within this scenario, through manual and/or mechanical techniques, which result in lung expansion, providing comfort to the PTNB and favoring hematosis.
publishDate 2023
dc.date.none.fl_str_mv 2023-11-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/954
10.36557/2674-8169.2023v5n5p4130-4141
url https://bjihs.emnuvens.com.br/bjihs/article/view/954
identifier_str_mv 10.36557/2674-8169.2023v5n5p4130-4141
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/954/1092
dc.rights.driver.fl_str_mv Copyright (c) 2023 Thayná Peixoto da Costa , Alex Oliveira
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Thayná Peixoto da Costa , Alex Oliveira
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Specialized Dentistry Group
publisher.none.fl_str_mv Specialized Dentistry Group
dc.source.none.fl_str_mv Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 4130-4141
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 4130-4141
Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 4130-4141
2674-8169
reponame:Brazilian Journal of Implantology and Health Sciences
instname:Grupo de Odontologia Especializada (GOE)
instacron:GOE
instname_str Grupo de Odontologia Especializada (GOE)
instacron_str GOE
institution GOE
reponame_str Brazilian Journal of Implantology and Health Sciences
collection Brazilian Journal of Implantology and Health Sciences
repository.name.fl_str_mv Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)
repository.mail.fl_str_mv journal.bjihs@periodicosbrasil.com.br
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