Chest physiotherapy and post-extubation atelectasis in infants

Pediatric Pulmonology
S Al-AlaiyanB Khan

Abstract

We investigated the role of chest physiotherapy (CPT) in preventing post-extubation atelectasis (PEA) in infants. Sixty-three infants who were admitted to the neonatal intensive care unit and intubated for more than 24 hours and who showed no evidence of atelectasis by chest x-ray prior to extubation were enrolled in the study. Infants were randomly assigned to 2-hourly CPT, 4-hourly CPT, or a no CPT group. Chest physiotherapy began immediately after extubation and consisted of postural drainage, bilateral chest vibration, and suctioning. A second chest x-ray was obtained on all infants 24 hours following extubation. The three groups were comparable in birth weight, gestational age, and duration of intubation. In the 24-hour period following extubation, the incidence of PEA was not statistically significant in the three groups (P = 0.33). Two infants in the 2-hourly CPT group were placed on nasal continuous positive airway pressure; two in each of the 2-hourly and the no CPT groups required re-intubation and intermittent positive pressure ventilation to treat symptomatic atelectasis. We conclude that post extubation chest physiotherapy as used in this study did not prevent atelectasis in extubated infants.

References

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Citations

Aug 26, 1998·The Journal of Pediatrics·F H BloomfieldJ E Harding
Jan 10, 2006·Journal of Paediatrics and Child Health·C E BagleyA Lamont
Sep 28, 2010·Italian Journal of Pediatrics·Carmen GiannantonioCostantino Romagnoli
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Jun 22, 2002·The Cochrane Database of Systematic Reviews·V J Flenady, P H Gray
Mar 20, 2004·Pediatric Pulmonology. Supplement·Craig D Lapin

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