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The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants

Karly Montgomery1, Nancy L Choy, Michael Steele

  • 1Faculty of Health and Medical Sciences, Bond University, Gold Coast, Queensland, Australia.

Journal of Paediatrics and Child Health
|July 22, 2014
PubMed

Insights

Quarter turn from prone positioning improved respiratory rate in premature infants, comparable to prone positioning and superior to supine. This method can be safely used in neonatal care to support infant respiratory function.

Area of Science:

  • Neonatal Medicine
  • Respiratory Physiology
  • Clinical Trials

Background:

  • Premature infants often experience respiratory challenges.
  • Optimal positioning is crucial for respiratory support in neonatal intensive care units.

Purpose of the Study:

  • To evaluate the effectiveness of quarter turn from prone positioning compared to supine and prone positions for maintaining respiratory function in premature infants.

Main Methods:

  • Prospective, randomized, cross-over trial involving 54 infants (≤32 weeks gestation).
  • Assessed respiratory function using electrical impedance tomography and physiological measurements (heart rate, respiratory rate, oxygen saturation).
  • Infants were rotated through supine, prone, and quarter turn from prone positions.

Main Results:

  • Quarter turn from prone significantly reduced respiratory rate compared to supine positioning.
  • No significant differences in other respiratory parameters were observed between the positions.
  • Respiratory rate in quarter turn from prone was comparable to prone positioning.

Conclusions:

  • Quarter turn from prone positioning offers an immediate positive effect on premature infants' respiratory rate.
  • This position is comparable to prone positioning for lung function maintenance and superior to supine positioning for respiratory rate.
  • Quarter turn from prone can be confidently implemented in neonatal nurseries for managing premature infants.
Abstract

Keywords:
electrical impedance tomographyinfantnewbornpositioningventilation distribution

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