Análise das técnicas de expiração lenta em recém nascidos internos na UTI neonatal

Abstract

Neonatal respiratory physiotherapy has contributed substantially to the qualification of neonatal care, which requires organization and qualification in health policies. Among the various lung diseases in neonates, respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD) are the most common and responsible for the causes of this type of hospitalization due to pulmonary immaturity due to the performance of the surfactant. The exposed study reflects on the high rate of hospitalization and the permanence of these children for a prolonged period. It aims to analyze the techniques of slow expiration in newborn infants in the neonatal ICU. To this end, a validated questionnaire model adapted from the Children's Institute of HC - FMUSP was applied, made by Viana DL, 2006, Martins, 2013, Campos et al; 2007; Barros et al; 2018, containing personal and clinical information, where it was possible to analyze the social and clinical profile of these children admitted to the Lauro Wanderley Hospital (HULW), in the city of João Pessoa - This is a descriptive, exploratory study with a quantitative approach in neonates with RDS (n = 10), carried out from July 2019 to February 2020, with CAAE registration number 84301318.800015183 from CEP / HULW / UFPB .. The data were tabulated and made possible through the Statistical Package for the Social Sciences 21.0 program ( SPSS) for Windows observing the variables Sto2, FR, FC, PA and sociodemographic characteristics through the Wilcoxon significance test for dependent dependents with a 5% level of significance, analysis and association of the data. Ten children were evaluated who had similar results in relation to the first two techniques, but with a better result in the third. Recognizing the AFEL techniques as slow expiratory flow and prolonged slow expiration has a very important characteristic of alteration in the hemodynamics of the newborn, that is, in the vital signs obtained, so that, compared to assisted autogenous drainage, because it is a maneuver more conservative, in addition to the removal of secretions, it stabilizes hemodynamic parameters, offering greater safety during application in this child audience.