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Effect of Tactile Stimulation on Termination and Prevention of Apnea of Prematurity: A Systematic Review.
Cramer, Sophie J E; Dekker, Janneke; Dankelman, Jenny; Pauws, Steffen C; Hooper, Stuart B; Te Pas, Arjan B.
Afiliación
  • Cramer SJE; Department of Instrumental Affairs, Leiden University Medical Center, Leiden, Netherlands.
  • Dekker J; Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, Netherlands.
  • Dankelman J; Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, Netherlands.
  • Pauws SC; Department of Biomedical Engineering, Delft University of Technology, Delft, Netherlands.
  • Hooper SB; Tilburg center for Cognition and Communication (TiCC), Tilburg University, Tilburg, Netherlands.
  • Te Pas AB; The Ritchie Center, MIMR-PHI Institute of Medical Research, Melbourne, VIC, Australia.
Front Pediatr ; 6: 45, 2018.
Article en En | MEDLINE | ID: mdl-29552548
Apnea of prematurity (AOP) is one of the most common diagnoses in preterm infants. Severe and recurrent apneas are associated with cerebral injury and adverse neurodevelopmental outcome. Despite pharmacotherapy and respiratory support to prevent apneas, a proportion of infants continue to have apneas and often need tactile stimulation, mask, and bag ventilation and/or extra oxygen. The duration of the apnea and the concomitant hypoxia and bradycardia depends on the response time of the nurse. We systematically reviewed the literature with the aim of providing an overview of what is known about the effect of manual and mechanical tactile stimulation on AOP. Tactile stimulation, manual or mechanical, has been shown to shorten the duration of apnea, hypoxia, and or bradycardia or even prevent an apnea. Automated stimulation, using closed-loop pulsating or vibrating systems, has been shown to be effective in terminating apneas, but data are scarce. Several studies used continuous mechanical stimulation, with pulsating, vibrating, or oscillating stimuli, to prevent apneas, but the reported effect varied. More studies are needed to confirm whether automated stimulation using a closed loop is more effective than manual stimulation, how and where the automated stimulation should be performed and the potential side effects.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Systematic_reviews Idioma: En Revista: Front Pediatr Año: 2018 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Systematic_reviews Idioma: En Revista: Front Pediatr Año: 2018 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Suiza