Influence of the selective inflation technique on cerebral blood flow in preterm infants
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/30405 |
Resumo: | Introduction: The intervention of respiratory physiotherapy in neonatal units is in continuous development, having its own care characteristics related to the weight and gestational age of the newborn, respecting the immaturity of the organs and systems and the diseases of this patient. Through techniques, the objective is to optimize the respiratory function, assisting in the clearance of secretions, and the restoration of lung volumes. Objective: To verify if the respiratory physiotherapy technique of selective insufflation alters the cerebral blood flow in premature infants under 34 weeks of gestational age. Methods: This is an uncontrolled clinical trial, conducted in a Neonatal Intensive Care Unit of a level III hospital, between January 2019 and March 2020, with participation of premature newborns under 34 weeks of gestational age. All were submitted to transfontanellar Doppler ultrasonography to assess cerebral blood flow measurements, mainly the resistance index, before and after the application of the selective insufflation respiratory physiotherapy technique. Results: Sixty-two newborns were included, with a mean gestational age of 29.3 ± 2.2 weeks and birth weight of 1,259 ± 388 grams. The resistance index did not change significantly (RI before: 0.55 ± 0.07; after: 0.54 ± 0.07; p = 0.06) before and after the intervention and no studied variables such as, gender, gestational age, weight, Apgar score or SNAPPE II score had an influence on cerebral blood flow measurements. Conclusion: The selective insufflation technique did not alter cerebral blood flow in premature newborn infants under 34 weeks gestational age. |
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Influence of the selective inflation technique on cerebral blood flow in preterm infantsInfluência da técnica de insuflação seletiva no fluxo sanguíneo cerebral de prematurosIntroduction: The intervention of respiratory physiotherapy in neonatal units is in continuous development, having its own care characteristics related to the weight and gestational age of the newborn, respecting the immaturity of the organs and systems and the diseases of this patient. Through techniques, the objective is to optimize the respiratory function, assisting in the clearance of secretions, and the restoration of lung volumes. Objective: To verify if the respiratory physiotherapy technique of selective insufflation alters the cerebral blood flow in premature infants under 34 weeks of gestational age. Methods: This is an uncontrolled clinical trial, conducted in a Neonatal Intensive Care Unit of a level III hospital, between January 2019 and March 2020, with participation of premature newborns under 34 weeks of gestational age. All were submitted to transfontanellar Doppler ultrasonography to assess cerebral blood flow measurements, mainly the resistance index, before and after the application of the selective insufflation respiratory physiotherapy technique. Results: Sixty-two newborns were included, with a mean gestational age of 29.3 ± 2.2 weeks and birth weight of 1,259 ± 388 grams. The resistance index did not change significantly (RI before: 0.55 ± 0.07; after: 0.54 ± 0.07; p = 0.06) before and after the intervention and no studied variables such as, gender, gestational age, weight, Apgar score or SNAPPE II score had an influence on cerebral blood flow measurements. Conclusion: The selective insufflation technique did not alter cerebral blood flow in premature newborn infants under 34 weeks gestational age.Introdução: A intervenção da fisioterapia respiratória nas unidades neonatais está em contínuo desenvolvimento, tendo características próprias de atendimento relacionadas ao peso e à idade gestacional do recém-nascido, respeitando a imaturidade dos órgãos e sistemas e as doenças desse paciente. Por meio de técnicas, objetiva-se otimizar a função respiratória, auxiliando na depuração de secreções, e a restauração dos volumes pulmonares. Objetivo: Verificar se a técnica de fisioterapia respiratória de insuflação seletiva altera o fluxo sanguíneo cerebral de prematuros menores de 34 semanas de idade gestacional. Métodos: Trata-se de um ensaio clínico não controlado, realizado em uma Unidade de Terapia Intensiva Neonatal de um hospital nível III, entre janeiro de 2019 e março de 2020, com participação de recém-nascidos prematuros menores de 34 semanas de idade gestacional. Todos foram submetidos ao exame de ultrassonografia transfontanela com Doppler para avaliar as medidas de fluxo sanguíneo cerebral, principalmente o índice de resistência, antes e depois da aplicação da técnica de fisioterapia respiratória de insuflação seletiva. Resultados: Sessenta e dois recém-nascidos foram incluídos, com média de idade gestacional de 29,3 ± 2,2 semanas e de peso de nascimento de 1259 ± 388 gramas. O índice de resistência não se modificou de forma significativa antes e depois da intervenção (IR antes: 0,55 ± 0,07; depois: 0,54 ± 0,07; p = 0,06) e nenhuma variável estudada, como sexo, idade gestacional, peso, escore de Apgar ou escore SNAPPE II, teve influência nas medidas de fluxo sanguíneo cerebral. Conclusão: A técnica de insuflação seletiva não alterou o fluxo sanguíneo cerebral de recém-nascidos prematuros menores de 34 semanas de idade gestacional.Editora PUCPRESS2023-07-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/3040510.1590/fm.2023.36117Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 36 (2023): n. cont.Fisioterapia em Movimento; v. 36 (2023): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/30405/26179https://periodicos.pucpr.br/fisio/article/view/30405/26180Copyright (c) 2023 PUCPRESSinfo:eu-repo/semantics/openAccessGomes, Évellin de OliveiraAndreazza, Marimar GorettiAntoniuk, Sérgio AntonioValderramas, Silvia ReginaCavalcante-Silva, Regina Paula Guimarães Vieira2023-12-04T14:30:26Zoai:ojs.periodicos.pucpr.br:article/30405Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2023-12-04T14:30:26Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Influence of the selective inflation technique on cerebral blood flow in preterm infants Influência da técnica de insuflação seletiva no fluxo sanguíneo cerebral de prematuros |
title |
Influence of the selective inflation technique on cerebral blood flow in preterm infants |
spellingShingle |
Influence of the selective inflation technique on cerebral blood flow in preterm infants Gomes, Évellin de Oliveira |
title_short |
Influence of the selective inflation technique on cerebral blood flow in preterm infants |
title_full |
Influence of the selective inflation technique on cerebral blood flow in preterm infants |
title_fullStr |
Influence of the selective inflation technique on cerebral blood flow in preterm infants |
title_full_unstemmed |
Influence of the selective inflation technique on cerebral blood flow in preterm infants |
title_sort |
Influence of the selective inflation technique on cerebral blood flow in preterm infants |
author |
Gomes, Évellin de Oliveira |
author_facet |
Gomes, Évellin de Oliveira Andreazza, Marimar Goretti Antoniuk, Sérgio Antonio Valderramas, Silvia Regina Cavalcante-Silva, Regina Paula Guimarães Vieira |
author_role |
author |
author2 |
Andreazza, Marimar Goretti Antoniuk, Sérgio Antonio Valderramas, Silvia Regina Cavalcante-Silva, Regina Paula Guimarães Vieira |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Gomes, Évellin de Oliveira Andreazza, Marimar Goretti Antoniuk, Sérgio Antonio Valderramas, Silvia Regina Cavalcante-Silva, Regina Paula Guimarães Vieira |
description |
Introduction: The intervention of respiratory physiotherapy in neonatal units is in continuous development, having its own care characteristics related to the weight and gestational age of the newborn, respecting the immaturity of the organs and systems and the diseases of this patient. Through techniques, the objective is to optimize the respiratory function, assisting in the clearance of secretions, and the restoration of lung volumes. Objective: To verify if the respiratory physiotherapy technique of selective insufflation alters the cerebral blood flow in premature infants under 34 weeks of gestational age. Methods: This is an uncontrolled clinical trial, conducted in a Neonatal Intensive Care Unit of a level III hospital, between January 2019 and March 2020, with participation of premature newborns under 34 weeks of gestational age. All were submitted to transfontanellar Doppler ultrasonography to assess cerebral blood flow measurements, mainly the resistance index, before and after the application of the selective insufflation respiratory physiotherapy technique. Results: Sixty-two newborns were included, with a mean gestational age of 29.3 ± 2.2 weeks and birth weight of 1,259 ± 388 grams. The resistance index did not change significantly (RI before: 0.55 ± 0.07; after: 0.54 ± 0.07; p = 0.06) before and after the intervention and no studied variables such as, gender, gestational age, weight, Apgar score or SNAPPE II score had an influence on cerebral blood flow measurements. Conclusion: The selective insufflation technique did not alter cerebral blood flow in premature newborn infants under 34 weeks gestational age. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-03 |
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://periodicos.pucpr.br/fisio/article/view/30405 10.1590/fm.2023.36117 |
url |
https://periodicos.pucpr.br/fisio/article/view/30405 |
identifier_str_mv |
10.1590/fm.2023.36117 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/30405/26179 https://periodicos.pucpr.br/fisio/article/view/30405/26180 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 PUCPRESS info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 PUCPRESS |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 36 (2023): n. cont. Fisioterapia em Movimento; v. 36 (2023): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
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1799138750021763072 |