Preterm infant, intensive Care Units, Neonatal, Respiration Disorders.
Conditions
Interventions
Each participant underwent two respiratory physiotherapy modalities: Conventional Respiratory Physiotherapy (CRF) and Thoracoabdominal Rebalancing (RTA).
RTA protocol (n = 24): In this service, the fo
vital signs and respiratory mechanics: heart rate (HR) and peripheral oxygen s
E02.190.525.186
E02.779
Sponsors
Universidade Federal do Rio grande do Norte/Maternidade Escola Januário Cicco
Universidade Federal do Rio grande do Norte/Maternidade Escola Januário Cicco
Eligibility
Age
No minimum to 28 Days
Inclusion criteria
Inclusion criteria: Preterm newborns of both sexes; corrected gestational age less than 37 weeks; age over 72 hours of life; no contraindications to respiratory physiotherapy; have the free and informed consent of the parent or legal guardian; use invasive ventilatory support for orotracheal cannula with ventilation period longer than 48 hours; present clinical or radiological evidence of pulmonary secretion.
Exclusion criteria
Exclusion criteria: Hemodynamic instability; carriers of congenital and cardiac malformations; complication or complications during collection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Greater amount of aspirated tracheal secretion after performing the RTA method in relation to FRC. Statistical analysis was performed with the paired T test, based on the difference in grams between the masses of the secretion samples collected after the performance of each modality (RTA x FRC). | — |
Secondary
| Measure | Time frame |
|---|---|
| Significant reduction in respiratory rate after RTA when compared to CRF. Statistical analysis was performed with the paired T test, based on the difference between the number of respiratory incursions observed during 1 minute (RF) after the performance of each modality (RTA x FRC).;Higher peripheral oxygen saturation after treatment with RTA compared to FRC. Statistical analysis was performed with the paired T test, based on the difference between peripheral oxygen saturations, expressed as a percentage observed after the performance of each modality (RTA x FRC).;Higher tidal volume after RTA compared to FRC. Statistical analysis was performed with the paired T test, based on the difference between the values ??of tidal volume, expressed in milliliters observed in the mechanical ventilator after the performance of each modality (RTA x FRC).;Less association of RTA with the presence of respiratory distress when compared to FRC. Statistical analysis was performed using the McNemar association test. The presence of discomfort was defined based on the number of points observed in the Silverman-Andersen Bulletin after the performance of each modality (RTA x FRC). | — |
Countries
Brazil
Contacts
Public ContactBruno Souza
Universidade Federal do Rio Grande do Norte
Outcome results
None listed