Does supine positioning increase apnea, bradycardia, and desaturation in preterm infants?

被引：25

作者：

Keene D.J. ^{[1
]}

Wimmer Jr. J.E. ^{[1
]}

Mathew O.P. ^{[1
,2
]}

机构：

[1] Department of Pediatrics, East Carolina University, School of Medicine, Greenville, NC

[2] East Carolina University, School of Medicine, Department of Pediatrics-Neonatology, Greenville, NC 27858-4354

来源：

Journal of Perinatology | 2000年 / 20卷 / 1期

关键词：

D O I：

10.1038/sj.jp.7200301

中图分类号：

学科分类号：

摘要：

OBJECTIVE: The purpose of this study was to determine the effects of prone and supine positioning on the cardiorespiratoiy stability of preterm infants with apnea and bradycardia. METHODS: A total of 22 preterm infants with symptomatic apnea and bradycardia (gestational age of 26.9 ± 1.8 weeks and birth weight of 865 ± 235 gm) were monitored for 24 hours (in four sequential 6-hour blocks) for apnea, bradycardia, and oxygen desaturation in alternating positions (prone or supine) following randomization. Postconceptional age at the time of study was 31.9 ± 3.0 weeks. Respiratory rate, heart rate, and transcutaneous oxygen saturation were continuously monitored. All episodes of apnea (≥10 seconds), bradycardia (<100 beats per minute), and oxygen desaturation (<90%) were recorded on an event monitor. Episodes of apnea, bradycardia, and oxygen desaturation were defined as clinically significant if the following criteria were met: apnea, ≥15 seconds; bradycardia, <90 beats per minute; and oxygen desaturation, <80%. All other recorded episodes were considered mild. The episodes were analyzed for statistical significance using the paired t-test. RESULTS: No significant differences (p > 0.05) in the incidence of clinically significant apnea, bradycardia, or desaturation between supine and prone positions were seen in these preterm infants. CONCLUSION: Our results suggest that the cardiorespiratory stability of preterm infants is not significantly compromised by supine positioning.

引用

页码：17 / 20

页数：3

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