Physical therapy in premature infants in the intensive care unit and risk of the porencephaly
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Saúde e Desenvolvimento Humano |
Texto Completo: | https://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/article/view/6558 |
Resumo: | Introduction: In the early 1970s, technological improvements provided neonatal mechanical ventilation and there was an increase in survival of very low birth weight preterm infants (VLBW). From this, physiotherapy has been evidenced as a relevant part of the favorable outcome of this population. Encephaloclastic Porencephaly (EP) has been described by Cross et al. and since then her etiology has been studied, focusing on three main risk factors: breech presentation, early hypotension, and amount of respiratory therapy (RT).Objective: To verify whether RT in premature infants VLBW is associated with EP.Methods: The study consists of a bibliographic review, carried out through a search in the Medline / Pubmed database, Scielo lasting six months. Observational studies, cohort, and randomized controlled trials were selected, published between 1929 and 2017, in English, in which the keywords were present in the title or abstract.Results: Eleven articles were identified and three were included because they associated EP and RT in VLBW infants. Of the three articles analyzed, two had cases of EP associated with RT and one did not report any cases.Conclusion: RT alone does not appear to be a risk factor for EP. However, in infants who are associated with other risk factors, RT can be performed, but stabilizing the head of VLBW preterms should be imperative. To define the relationship between RT and adverse neurological outcomes, a randomized and controlled clinical trial would be ideal. |
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Physical therapy in premature infants in the intensive care unit and risk of the porencephalyFisioterapia em prematuros na unidade de terapia intensiva e o risco de porencefaliaRespiratory Therapy; Premature Infant; Neonatal Intensive Care Unit; PorencephalyinterdisciplinarFisioterapia; Prematuro; Unidade de Terapia Intensiva Neonatal; PorencefaliaIntroduction: In the early 1970s, technological improvements provided neonatal mechanical ventilation and there was an increase in survival of very low birth weight preterm infants (VLBW). From this, physiotherapy has been evidenced as a relevant part of the favorable outcome of this population. Encephaloclastic Porencephaly (EP) has been described by Cross et al. and since then her etiology has been studied, focusing on three main risk factors: breech presentation, early hypotension, and amount of respiratory therapy (RT).Objective: To verify whether RT in premature infants VLBW is associated with EP.Methods: The study consists of a bibliographic review, carried out through a search in the Medline / Pubmed database, Scielo lasting six months. Observational studies, cohort, and randomized controlled trials were selected, published between 1929 and 2017, in English, in which the keywords were present in the title or abstract.Results: Eleven articles were identified and three were included because they associated EP and RT in VLBW infants. Of the three articles analyzed, two had cases of EP associated with RT and one did not report any cases.Conclusion: RT alone does not appear to be a risk factor for EP. However, in infants who are associated with other risk factors, RT can be performed, but stabilizing the head of VLBW preterms should be imperative. To define the relationship between RT and adverse neurological outcomes, a randomized and controlled clinical trial would be ideal.Introdução: No início de 1970, as melhorias tecnológicas proporcionaram a ventilação mecânica neonatal e houve um crescimento da sobrevida de prematuros de muito baixo peso. A partir disso, a fisioterapia tem sido evidenciada como parte relevante para o desfecho favorável dessa população. A Porencefalia Encefaloclástica (PE), foi descrita por Cross et al. e desde então tem sido estudada sua etiologia, tendo como enfoque três principais fatores de risco: apresentação pélvica, hipotensão precoce e quantidade de fisioterapia respiratória (FR).Objetivo: Verificar se a FR, em prematuros de muito baixo peso, está associada com a PE.Métodos: O estudo consiste em uma revisão bibliográfica, realizada por meio de pesquisa no banco de dados Medline/Pubmed/ Scielo, com duração de seis meses. Foram selecionados estudos observacionais, coorte e ensaios clínicos randomizados e controlados, publicados no período entre 1929 e 2017, em inglês, nos quais as palavras-chaves estivessem presentes no título ou resumo.Resultados: Foram identificados 11 artigos e, três foram incluídos por associarem PE e a FR em neonatos de muito baixo peso. Dos três artigos analisados, dois tiveram casos de PE associados com a FR e um não relatou nenhum caso.Conclusão: A FR, isoladamente, parece não ser um fator de risco para a PE. No entanto, em recém-nascidos prematuros (RNP) que apresentem associação com outros fatores de risco, o tratamento fisioterapêutico pode ser realizado, mas a estabilização da cabeça do RNP de muito baixo peso deve ser imprescindível. Para definir a relação entre FR e desfechos neurológicos adversos, seria ideal realizar um ensaio clínico randomizado e controlado.Universidade LaSalle - Unilasalle CanoasCaon, GlauberMartins, Cíntia Costa MedeirosHenk, Bárbarada Silva, Denizar Alberto MeloSantos, Andressa Nunes2020-05-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/article/view/655810.18316/sdh.v8i2.6558Saúde e Desenvolvimento Humano; v. 8, n. 2 (2020); p. 129-137Saúde e Desenvolvimento Humano; v. 8, n. 2 (2020); p. 129-1372317-8582reponame:Saúde e Desenvolvimento Humanoinstname:Universidade La Salle (UNILASALLE)instacron:UNILASALLEporhttps://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/article/view/6558/pdfDireitos autorais 2020 Saúde e Desenvolvimento Humanoinfo:eu-repo/semantics/openAccess2022-03-31T12:04:50Zoai:ojs.revistas.unilasalle.edu.br:article/6558Revistahttp://www.revistas.unilasalle.edu.br/index.php/saude_desenvolvimentohttps://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/oaisdh@unilasalle.edu.br2317-85822317-8582opendoar:2022-03-31T12:04:50Saúde e Desenvolvimento Humano - Universidade La Salle (UNILASALLE)false |
dc.title.none.fl_str_mv |
Physical therapy in premature infants in the intensive care unit and risk of the porencephaly Fisioterapia em prematuros na unidade de terapia intensiva e o risco de porencefalia |
title |
Physical therapy in premature infants in the intensive care unit and risk of the porencephaly |
spellingShingle |
Physical therapy in premature infants in the intensive care unit and risk of the porencephaly Caon, Glauber Respiratory Therapy; Premature Infant; Neonatal Intensive Care Unit; Porencephaly interdisciplinar Fisioterapia; Prematuro; Unidade de Terapia Intensiva Neonatal; Porencefalia |
title_short |
Physical therapy in premature infants in the intensive care unit and risk of the porencephaly |
title_full |
Physical therapy in premature infants in the intensive care unit and risk of the porencephaly |
title_fullStr |
Physical therapy in premature infants in the intensive care unit and risk of the porencephaly |
title_full_unstemmed |
Physical therapy in premature infants in the intensive care unit and risk of the porencephaly |
title_sort |
Physical therapy in premature infants in the intensive care unit and risk of the porencephaly |
author |
Caon, Glauber |
author_facet |
Caon, Glauber Martins, Cíntia Costa Medeiros Henk, Bárbara da Silva, Denizar Alberto Melo Santos, Andressa Nunes |
author_role |
author |
author2 |
Martins, Cíntia Costa Medeiros Henk, Bárbara da Silva, Denizar Alberto Melo Santos, Andressa Nunes |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
|
dc.contributor.author.fl_str_mv |
Caon, Glauber Martins, Cíntia Costa Medeiros Henk, Bárbara da Silva, Denizar Alberto Melo Santos, Andressa Nunes |
dc.subject.none.fl_str_mv |
|
dc.subject.por.fl_str_mv |
Respiratory Therapy; Premature Infant; Neonatal Intensive Care Unit; Porencephaly interdisciplinar Fisioterapia; Prematuro; Unidade de Terapia Intensiva Neonatal; Porencefalia |
topic |
Respiratory Therapy; Premature Infant; Neonatal Intensive Care Unit; Porencephaly interdisciplinar Fisioterapia; Prematuro; Unidade de Terapia Intensiva Neonatal; Porencefalia |
description |
Introduction: In the early 1970s, technological improvements provided neonatal mechanical ventilation and there was an increase in survival of very low birth weight preterm infants (VLBW). From this, physiotherapy has been evidenced as a relevant part of the favorable outcome of this population. Encephaloclastic Porencephaly (EP) has been described by Cross et al. and since then her etiology has been studied, focusing on three main risk factors: breech presentation, early hypotension, and amount of respiratory therapy (RT).Objective: To verify whether RT in premature infants VLBW is associated with EP.Methods: The study consists of a bibliographic review, carried out through a search in the Medline / Pubmed database, Scielo lasting six months. Observational studies, cohort, and randomized controlled trials were selected, published between 1929 and 2017, in English, in which the keywords were present in the title or abstract.Results: Eleven articles were identified and three were included because they associated EP and RT in VLBW infants. Of the three articles analyzed, two had cases of EP associated with RT and one did not report any cases.Conclusion: RT alone does not appear to be a risk factor for EP. However, in infants who are associated with other risk factors, RT can be performed, but stabilizing the head of VLBW preterms should be imperative. To define the relationship between RT and adverse neurological outcomes, a randomized and controlled clinical trial would be ideal. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-05-26 |
dc.type.none.fl_str_mv |
|
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://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/article/view/6558 10.18316/sdh.v8i2.6558 |
url |
https://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/article/view/6558 |
identifier_str_mv |
10.18316/sdh.v8i2.6558 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/article/view/6558/pdf |
dc.rights.driver.fl_str_mv |
Direitos autorais 2020 Saúde e Desenvolvimento Humano info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos autorais 2020 Saúde e Desenvolvimento Humano |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade LaSalle - Unilasalle Canoas |
publisher.none.fl_str_mv |
Universidade LaSalle - Unilasalle Canoas |
dc.source.none.fl_str_mv |
Saúde e Desenvolvimento Humano; v. 8, n. 2 (2020); p. 129-137 Saúde e Desenvolvimento Humano; v. 8, n. 2 (2020); p. 129-137 2317-8582 reponame:Saúde e Desenvolvimento Humano instname:Universidade La Salle (UNILASALLE) instacron:UNILASALLE |
instname_str |
Universidade La Salle (UNILASALLE) |
instacron_str |
UNILASALLE |
institution |
UNILASALLE |
reponame_str |
Saúde e Desenvolvimento Humano |
collection |
Saúde e Desenvolvimento Humano |
repository.name.fl_str_mv |
Saúde e Desenvolvimento Humano - Universidade La Salle (UNILASALLE) |
repository.mail.fl_str_mv |
sdh@unilasalle.edu.br |
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1749120544003850240 |