Elevated midline head positioning of extremely low birth weight infants: effects on cardiopulmonary function and the incidence of periventricular-intraventricular hemorrhage.
J Perinatol
; 39(1): 54-62, 2019 01.
Article
en En
| MEDLINE
| ID: mdl-30348960
ABSTRACT
OBJECTIVE:
Changes in cerebrovascular hemodynamics associated with head position may be important in the pathogenesis of periventricular-intraventricular hemorrhage (PIVH) in premature infants. This study evaluated the effect of elevated midline head positioning on cardiopulmonary function and the incidence of PIVH. STUDYDESIGN:
ELBW infants were randomized to FLAT (flat, supine) or ELEV (supine, bed elevated 30 degrees) for 96 h. Cardiopulmonary function, complications of prematurity, and the occurrence of PIVH were documented.RESULTS:
Infants were randomized into FLAT (n = 90) and ELEV groups (n = 90). No significant differences were seen in the incidence of BPD or other respiratory complications. The ELEV group developed significantly fewer grade 4 hemorrhages (p = 0.036) and survival to discharge was significantly higher in the ELEV group (p = 0.037).CONCLUSIONS:
Managing ELBW infants in an elevated midline head position for the first 4 days of life appears safe and may decrease the likelihood of severe PIVH and improve survival.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Hemorragia Cerebral
/
Ventrículos Cerebrales
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Circulación Cerebrovascular
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Movimiento y Levantamiento de Pacientes
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Posicionamiento del Paciente
/
Enfermedades del Prematuro
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
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Incidence_studies
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Prognostic_studies
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Risk_factors_studies
Idioma:
En
Revista:
J Perinatol
Asunto de la revista:
PERINATOLOGIA
Año:
2019
Tipo del documento:
Article