Influence of the selective inflation technique on cerebral blood flow in preterm infants

Detalhes bibliográficos
Autor(a) principal: Gomes, Évellin de Oliveira
Data de Publicação: 2023
Outros Autores: Andreazza, Marimar Goretti, Antoniuk, Sérgio Antonio, Valderramas, Silvia Regina, Cavalcante-Silva, Regina Paula Guimarães Vieira
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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spelling 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
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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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