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Early Respiratory Physiotherapy versus an Individualized Postural Care Program for Reducing Mechanical Ventilation in Preterm Infants: A Randomised Controlled Trial

Background: Tactile stimulation manoeuvres stimulate spontaneous breathing in preterm newborns. The aim of this study is to evaluate the effect of early respiratory physiotherapy on the need for mechanical ventilation during the first week of life in preterm infants with respiratory failure. Methods...

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Autores principales: Tana, Milena, Bottoni, Anthea, Cota, Francesco, Papacci, Patrizia, Di Polito, Alessia, Del Vecchio, Arianna, Vento, Anna Laura, Campagnola, Benedetta, Celona, Sefora, Cricenti, Laura, Bastoni, Ilaria, Tirone, Chiara, Aurilia, Claudia, Lio, Alessandra, Paladini, Angela, Nobile, Stefano, Perri, Alessandro, Sbordone, Annamaria, Esposito, Alice, Fattore, Simona, Ferrara, Paola Emilia, Ronconi, Gianpaolo, Vento, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10670353/
https://www.ncbi.nlm.nih.gov/pubmed/38002852
http://dx.doi.org/10.3390/children10111761
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author Tana, Milena
Bottoni, Anthea
Cota, Francesco
Papacci, Patrizia
Di Polito, Alessia
Del Vecchio, Arianna
Vento, Anna Laura
Campagnola, Benedetta
Celona, Sefora
Cricenti, Laura
Bastoni, Ilaria
Tirone, Chiara
Aurilia, Claudia
Lio, Alessandra
Paladini, Angela
Nobile, Stefano
Perri, Alessandro
Sbordone, Annamaria
Esposito, Alice
Fattore, Simona
Ferrara, Paola Emilia
Ronconi, Gianpaolo
Vento, Giovanni
author_facet Tana, Milena
Bottoni, Anthea
Cota, Francesco
Papacci, Patrizia
Di Polito, Alessia
Del Vecchio, Arianna
Vento, Anna Laura
Campagnola, Benedetta
Celona, Sefora
Cricenti, Laura
Bastoni, Ilaria
Tirone, Chiara
Aurilia, Claudia
Lio, Alessandra
Paladini, Angela
Nobile, Stefano
Perri, Alessandro
Sbordone, Annamaria
Esposito, Alice
Fattore, Simona
Ferrara, Paola Emilia
Ronconi, Gianpaolo
Vento, Giovanni
author_sort Tana, Milena
collection PubMed
description Background: Tactile stimulation manoeuvres stimulate spontaneous breathing in preterm newborns. The aim of this study is to evaluate the effect of early respiratory physiotherapy on the need for mechanical ventilation during the first week of life in preterm infants with respiratory failure. Methods: This is a monocentric, randomised controlled trial. Preterm infants (gestational age ≤ 30 weeks) not intubated in the delivery room and requiring non-invasive respiratory support at birth were eligible for the study. The intervention group received early respiratory physiotherapy, while the control group received only a daily physiotherapy program (i.e., modifying the infant’s posture in accordance with the patient’s needs). Results: between October 2019 and March 2021, 133 preterm infants were studied, 68 infants in the study group and 65 in routine care. The study group showed a reduction in the need for mechanical ventilation (not statistically significant) and a statistically significant reduction in hemodynamically significant patent ductus arteriosus with respect to the control group (19/68 (28%) vs. 35/65 (54%), respectively, p = 0.03). Conclusions: early respiratory physiotherapy in preterm infants requiring non-invasive respiratory support at birth is safe and has proven to be protective against haemodynamically significant PDA.
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spelling pubmed-106703532023-10-30 Early Respiratory Physiotherapy versus an Individualized Postural Care Program for Reducing Mechanical Ventilation in Preterm Infants: A Randomised Controlled Trial Tana, Milena Bottoni, Anthea Cota, Francesco Papacci, Patrizia Di Polito, Alessia Del Vecchio, Arianna Vento, Anna Laura Campagnola, Benedetta Celona, Sefora Cricenti, Laura Bastoni, Ilaria Tirone, Chiara Aurilia, Claudia Lio, Alessandra Paladini, Angela Nobile, Stefano Perri, Alessandro Sbordone, Annamaria Esposito, Alice Fattore, Simona Ferrara, Paola Emilia Ronconi, Gianpaolo Vento, Giovanni Children (Basel) Article Background: Tactile stimulation manoeuvres stimulate spontaneous breathing in preterm newborns. The aim of this study is to evaluate the effect of early respiratory physiotherapy on the need for mechanical ventilation during the first week of life in preterm infants with respiratory failure. Methods: This is a monocentric, randomised controlled trial. Preterm infants (gestational age ≤ 30 weeks) not intubated in the delivery room and requiring non-invasive respiratory support at birth were eligible for the study. The intervention group received early respiratory physiotherapy, while the control group received only a daily physiotherapy program (i.e., modifying the infant’s posture in accordance with the patient’s needs). Results: between October 2019 and March 2021, 133 preterm infants were studied, 68 infants in the study group and 65 in routine care. The study group showed a reduction in the need for mechanical ventilation (not statistically significant) and a statistically significant reduction in hemodynamically significant patent ductus arteriosus with respect to the control group (19/68 (28%) vs. 35/65 (54%), respectively, p = 0.03). Conclusions: early respiratory physiotherapy in preterm infants requiring non-invasive respiratory support at birth is safe and has proven to be protective against haemodynamically significant PDA. MDPI 2023-10-30 /pmc/articles/PMC10670353/ /pubmed/38002852 http://dx.doi.org/10.3390/children10111761 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tana, Milena
Bottoni, Anthea
Cota, Francesco
Papacci, Patrizia
Di Polito, Alessia
Del Vecchio, Arianna
Vento, Anna Laura
Campagnola, Benedetta
Celona, Sefora
Cricenti, Laura
Bastoni, Ilaria
Tirone, Chiara
Aurilia, Claudia
Lio, Alessandra
Paladini, Angela
Nobile, Stefano
Perri, Alessandro
Sbordone, Annamaria
Esposito, Alice
Fattore, Simona
Ferrara, Paola Emilia
Ronconi, Gianpaolo
Vento, Giovanni
Early Respiratory Physiotherapy versus an Individualized Postural Care Program for Reducing Mechanical Ventilation in Preterm Infants: A Randomised Controlled Trial
title Early Respiratory Physiotherapy versus an Individualized Postural Care Program for Reducing Mechanical Ventilation in Preterm Infants: A Randomised Controlled Trial
title_full Early Respiratory Physiotherapy versus an Individualized Postural Care Program for Reducing Mechanical Ventilation in Preterm Infants: A Randomised Controlled Trial
title_fullStr Early Respiratory Physiotherapy versus an Individualized Postural Care Program for Reducing Mechanical Ventilation in Preterm Infants: A Randomised Controlled Trial
title_full_unstemmed Early Respiratory Physiotherapy versus an Individualized Postural Care Program for Reducing Mechanical Ventilation in Preterm Infants: A Randomised Controlled Trial
title_short Early Respiratory Physiotherapy versus an Individualized Postural Care Program for Reducing Mechanical Ventilation in Preterm Infants: A Randomised Controlled Trial
title_sort early respiratory physiotherapy versus an individualized postural care program for reducing mechanical ventilation in preterm infants: a randomised controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10670353/
https://www.ncbi.nlm.nih.gov/pubmed/38002852
http://dx.doi.org/10.3390/children10111761
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