Expiratory Flow Increase Technique and Acid Esophageal Exposure in Infants Born Preterm With Bronchopulmonary Dysplasia
| Autor: | Lia Franco Serrou Camy, Maria Aparecida Marques dos Santos Mezzacappa |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
Esophageal pH Monitoring Time Factors Supine position Physical Therapy Sports Therapy and Rehabilitation Statistics Nonparametric Postprandial Periods law.invention Randomized controlled trial law Supine Position medicine Humans Physical Therapy Modalities Bronchopulmonary Dysplasia Analysis of Variance Cross-Over Studies medicine.diagnostic_test business.industry Infant Newborn Reflux Infant medicine.disease Crossover study Postprandial Bronchopulmonary dysplasia Anesthesia Pediatrics Perinatology and Child Health Gastroesophageal Reflux Female Pulmonary Ventilation Esophageal pH monitoring business Infant Premature |
| Zdroj: | Pediatric Physical Therapy. 23:328-333 |
| ISSN: | 0898-5669 |
| DOI: | 10.1097/pep.0b013e31823565c3 |
| Popis: | Objective: To determine if an expiratory flow increase technique (EFIT) is associated with acid reflux episodes in infants born preterm with bronchopulmonary dysplasia (BPD). Methods: A crossover study was carried out. Eighteen subjects divided into 2 groups were randomly assigned to receive 2 EFIT sessions at 2 postprandial time points. Group 1 started 2 hours after feeding and group 2 started 3 hours after feeding. Esophageal acid exposure was assessed by the reflux index (RI) during EFIT and 20 minutes before EFIT by esophageal pH monitoring. Results: A significant reduction in the RI was observed in group 1 with EFIT performed 2 hours after feeding. Group 2 showed no significant differences in RI values before and during EFIT in both postprandial periods. Conclusion: When EFIT is performed 2 and 3 hours after feeding, it is not associated with an increase in acid reflux episodes in infants born preterm with BPD. |
| Databáze: | OpenAIRE |
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