Pregnancy Preterm
Conditions
Keywords
patient positioning, premature infant, mechanical ventilation, airway extubation
Brief summary
The purpose of this study is to determine whether patient positioning (prone and supine positioning) contributes to the success of extubation in the immediate postextubation period of preterm infants.
Detailed description
This study is double-blinded randomized controlled trial, whose aim is to compare the proportion of successful extubation of preterm infants immediately after the extubation. Methods: Participants will be recruited from neonatal intensive care unit (NICU) and they will be divided into two groups (supine and prone) and positioned in their respective groups after extubation. A clinical evaluation form and a parameters collection form (respiratory rate, heart rate, saturation of peripheral oxygen, fraction of inspired oxygen and temperature) will be used and filled before extubation and 48 hours after by the professional staff of the NICU. It will be considered a successful extubation all participants who staying extubated for 48 hours after extubation.
Interventions
OTHERProne position
Participants of intervention group will be placed in prone position immediately after extubation and positioned over a roll to raise the chest and facilitate diaphragmatic dynamic, with lateralized head and aligned with the trunk, upper and lower limbs flexed and hands near the face, facilitating hand-mouth access.
OTHERSupine position
Participants of control group remain in supine position after extubation and positioned with the head in the midline, with the upper side of the thorax and brought forward and rolls down the legs to promote slight flexion (30-40º) in the hips and knees.
Sponsors
Uniao Metropolitana de Educacao e Cultura
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
No minimum to 36 Weeks
Healthy volunteers
No
Inclusion criteria
* Newborns less than 37 weeks of gestation age (calculated by doctor using the method of Capurro/Ballard) * Newborns undergone to invasive mechanical ventilation in the first week of life, for more than 48 hours
Exclusion criteria
* Newborns who present malformations and clinical or surgical conditions that preclude the positioning in prone or supine after extubation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful extubation | 48 hours after extubation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of parameters | 48 hours after extubation | Improvement of parameters (respiratory rate, heart rate, saturation of peripheral oxygen, fraction of inspired oxygen and temperature) |
Other
| Measure | Time frame |
|---|---|
| Decrease complications of mechanical ventilation | 48 hours after extubation |
Countries
Brazil
Outcome results
None listed