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1998, Number 1

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Rev Mex Pediatr 1998; 65 (1)

Posición prona para mejorar la oxigenación en neonatos con dificultad respiratoria sometidos a ventilación mecánica

Escobedo CE, Montesinos VC, Flores NG, López PMG

Language: Spanish
References: 21
Page: 5-8
PDF size: 124.41 Kb.


ABSTRACT

Objective: To determine the utility of the prone position like method in order to improve the oxigenation in neonates with respiratory failure and intermittent mandatory ventilation.
Material and methods: We included neonates with respiratory failure and intermittent mandatory ventilation. Carried out them clinical history and took them vital signs and arterial gases in three several times; first in supine decubitus, then in prone decubitus and later in supine decubitus. We compared results of the PaO2, PaCO2 in each by t Student’s test.
Results: Thirty patients were studied whose age gestational age and birth weight average was from 34.4 weeks and 1,830 grams respectively, the 66% of they were preterm. In the results of the comparative study of the arterial gases we found an increment of the PaO2 in the second time, and decrement in the three time that is; 90.3 ± 37.7 vs 111.9 ± 33.6 vs 91.1 ± 13.9, in the oxygen saturation 90.9 ± 12.4 vs 96.4 ± 4.6 vs 91.1 ± 13.9 with a p ‹ 0.05, in the PaCO2 Conclusions: The change of position of supine decubitus to prone improve oxemia in neonates with respiratory failure who received treatment with intermittent mandatory ventilation, requiring a minor fraction inspired of oxygen, we are suggested maintain these newborn in that position the most possible time, however it is necessary to carry out more studies with more number of patients.


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