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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-10670353 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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