Abstract
To study the efficacy of CPT (vibration, percussion and suction) on the first postnatal day, 20 infants (mean±S.D. B.W. 1.2±0.4 kg, G.A. 30±2 wks, Postn. A. 4.9±3.5 hr) with RDS and on asst. vent. shortly after birth were randomly assigned to two grs. Gr. I (10) with CPT, Gr. II (10) ET suction only. CPT or suction were performed every 2 hrs. Vibration and percussion were performed for 15 seconds in 4 different postures, followed by ET suction. The parameters evaluated included: blood gases, pH, mean airway pressure (MAP), ET secretion, incidence of air leaks, IVH, PDA.
Infants in Gr I had sign. (p<0.05) lower MAP than Gr II at 16 hrs. The blood gases and pH were comparable. There was no sign. difference between the groups in ET secretions per suction at 0-8, 8-16 and 16-24 hrs (Gr I 0.1±0.1, 0.1±0.1, 0.1±0.1 gm vs Gr II 0.1±0.2, 0.1±0.1, 0.1+±0.1 gm respectively) and in incidence of air leaks (2/10 vs 3/10), IVH (7/10 vs 3/10), PDA (4/10 vs 5/10) and duration of O2 and IMV therapy. However, Gr I infants had sign. (p<0.05) higher incidence (5/10) of severe IVH (≥Grade II) than Gr II (0/10). We conclude that vibration and percussion are not beneficial and may be detrimental during the first postnatal day.
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Raval, D., Cuevas, P., Mora, A. et al. 1493 THE EFFICACY OF CHEST PHYSIOTHERAPY (CPT) ON THE FIRST POSTNATAL DAY IN INFANTS WITH RDS. Pediatr Res 19, 359 (1985). https://doi.org/10.1203/00006450-198504000-01517
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DOI: https://doi.org/10.1203/00006450-198504000-01517