Thoracoabdominal rebalancing is not superior to manual hyperinflation to increase the amount of pulmonary secretion removed in preterm newborns: A randomized crossover trial

datacite.alternateIdentifier.citationHEALTH SCIENCE REPORTS,Vol.6,2023
datacite.alternateIdentifier.doi10.1002/hsr2.1367
datacite.creatorde Souza, Bruno Henrique Silva
datacite.creatorSampaio, Sabrinne Suelen Santos
datacite.creatorMoura, Julia Raffin
datacite.creatorHolanda, Hesli
datacite.creatorTorres, Vanessa Braga
datacite.creatorAzevedo, Ingrid Guerra
datacite.creatorBezerra, Ingrid Fonseca Damasceno
datacite.creatorPereira, Silvana Alves
datacite.date2023
datacite.subject.englishphysical therapy modalities
datacite.subject.englishpremature infant
datacite.subject.englishrespiration
datacite.subject.englishsuction
datacite.titleThoracoabdominal rebalancing is not superior to manual hyperinflation to increase the amount of pulmonary secretion removed in preterm newborns: A randomized crossover trial
dc.date.accessioned2024-05-27T18:26:05Z
dc.date.available2024-05-27T18:26:05Z
dc.description.abstractBackground and Aims: Respiratory physical therapy is recommended to prevent complications of accumulated secretion in mechanical ventilated infants, but no consensus about the best technique is available.Aims: To evaluate the effects of manual hyperinflation maneuver (MHM) and thoracoabdominal rebalancing method (TRM) in preterm newborns (PTNB) for bronchial hygiene.Methods: Single-blind randomized crossover trial with intention-to-treat analysis was carried out with 24 PTNB (<37 weeks of gestation) under invasive ventilatory support via orotracheal cannula received both interventions (MHM and TRM) with an interval of 4 h, followed by tracheal suctioning. The primary outcome was the amount of pulmonary secretion, while secondary outcomes were the response of the autonomous (heart rate, respiratory rate [RR], tidal volume [TV], and oxygen saturation [SpO(2)]), motor (classification of general movements), and regulatory (pain and respiratory discomfort) systems pre and postintervention.Results: Although the amount of secretion was not different after the MHM and TRM interventions (0.10 and 0.09 g, respectively, p = 0.47), a difference was observed in the increase of SpO(2) (p = 0.001), and in the decrease of RR (p = 0.001) for TRM. The poor repertoire pattern was predominant (23 PTNB), and it did not alter after interventions. Pain was not observed during interventions, the respiratory discomfort decreased after both interventions (p = 0.50).Conclusion: The amount of secretion removed was similar after MHM and TRM and both maneuvers did not negatively alter the response of the autonomous, motor, and regulatory systems.
dc.identifier.urihttps://repositoriodigital.uct.cl/handle/10925/5642
dc.language.isoen
dc.publisherWILEY
dc.sourceHEALTH SCIENCE REPORTS
oaire.resourceTypeArticle
uct.indizacionESCI
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