Infant, Premature
Conditions
Interventions
The sample will consist of 128 RNPT. There will be no group comparison. Respiratory physiotherapy was performed manually. For this, the PTNB must be in the supine position and the physiotherapist perf
H02.010.625
Sponsors
Maternidade Instituto de Saúde Elpídio de Almeida- ISEA
Universidade Federal do Rio Grande do Norte
Eligibility
Age
32 Weeks to 36 Weeks
Inclusion criteria
Inclusion criteria: RNPT; Who are in physiotherapeutic follow-up; indications for bronchial hygiene maneuvers in the presence of auscultation and/or mechanical ventilator charts showing changes suggestive of secretion; Only PTNB that are suitable for aspiration with a 6Fr gauge probe; Mothers aged 18 years and over; Only RNPT that are capable of aspiration with a 6Fr gauge probe. · Mothers aged 18 or over.
Exclusion criteria
Exclusion criteria: Present organic and structural changes, involving: chest deformities, necrotizing enterocolitis, skin lesion on the chest, hyperthermia, hypothermia, abdominal pathologies, congenital diaphragmatic hernia and the presence of a chest tube; PTNBs who do not complete any stage of the research procedure will also be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The first frame will contain expected outcome 1, we will present the outcomes related to the thoracoabdominal synchrony pattern, assessed by means of a breathing transducer - Pneumotrace II ™. The results will be expressed in frequencies and central and dispersion measures. Quantitative values ??will be presented by numerical indicators after inferential comparison analysis.;The second table will contain expected outcome 2. Respiratory mechanics (compliance, resistance, volume and cardiorespiratory hemodynamic signs) evaluated by oximetry, pulse monitor, vital signs monitor by the data collected through the evaluation of mechanical ventilation on the mechanical ventilator. The results will be expressed in frequencies and central and dispersion measures. Quantitative values ??will be presented by numerical indicators after inferential comparison analysis.;The third frame will contain the expected outcome 3. The amount of pulmonary secretion will be assessed by measuring using a high-precision Western brand digital scale, with a sensitivity of up to 0.01 g. The results will be expressed in frequencies and central and dispersion measures. Quantitative values ??will be presented by numerical indicators after inferential comparison analysis. ;The fourth table will contain expected outcome 4. Pain will be assessed using the NIPS scale (Neonatal Infant Pain Scale). Neonates will be assessed before and immediately after the technique and their results will be presented in the table, containing information on the scores obtained in each instrument quantitatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| The fifth frame will include expected outcome 5. In the presence of respiratory distress in the NB, after the technique, this will be assessed using the NIPS scale (Neonatal Infant Pain Scale). this will be evaluated through the Silverman-Andersen Bulletin. Newborns will be evaluated immediately after the technique and their results will be presented in the table, containing information on the scores obtained in each instrument in a quantitative way. | — |
Countries
Brazil
Contacts
Public ContactAdriele Nunes
Outcome results
None listed