Chest physiotherapy for reducing respiratory morbidity in infants requiring ventilatory support

摘要: BACKGROUND Chest physiotherapy (CPT) has been used in many neonatal nurseries around the world to improve airway clearance and treat lung collapse; however, evidence support its use conflicting. Despite large number of studies there is very little sufficiently good quality on which base current practice. OBJECTIVES To assess effects active CPT techniques, such as percussion vibration followed by suction compared with alone, respiratory system infants receiving mechanical ventilation. Additionally, differences between types techniques were assessed. SEARCH STRATEGY Our search included The Cochrane Library (Issue 2, 2007), MEDLINE (1966 EMBASE (1988 CINAHL, Science Citation Index, previous reviews including cross-references, abstracts, conference proceedings grey literature. SELECTION CRITERIA Trials ventilated newborn up four weeks age randomly or quasi-randomly assigned receive alone. Infants for extubation period excluded. DATA COLLECTION AND ANALYSIS Two review authors independently conducted assessments data extraction trials. We analysed individual trial results using relative risk (RR) mean difference (MD). Results are presented 95% confidence intervals (CI). Due insufficient data, we could not undertake meta-analysis. MAIN RESULTS Three trials involving 106 this review. In one (n = 20) was no better than standard care clearing secretions. No increase intraventricular haemorrhage noted. different CPT. One 56) showed that non-resolved atelectasis reduced more neonates squeezing technique (LST) when postural drainage, (PDPV) (RR 0.25; CI 0.11 0.57). secretion rate periventricular leucomalacia demonstrated. other 30) 'cupping' resulted an increased incidence hypoxaemia 0.53; 0.28 0.99) oxygen requirements (MD -9.68; -14.16 -5.20) contact heel percussion. There information adequately important short longer-term outcomes, adverse effects. AUTHORS' CONCLUSIONS do provide sufficient clinical a need larger randomised controlled address these issues.