Efeitos de intervenções fisioterapêuticas respiratórias na mecânica pulmonar, parâmetros vitais e dor em recém-nascidos: revisão sistemática

Abstract

Objective: To evaluate the effects of conventional respiratory therapy, pulmonary mechanical therapy, conventional and unconventional therapy in the neonatal intensive care unit. Design: This is a systematic review prepared in accordance with the International Trial Registration Platform; PRISMA, preferred reporting items for systematic reviews and meta-analyses. Search strategies: Searches were performed in PubMed, LILACS, SciELO, Science Direct, Cochrane Central and Web of Science databases. Search strategies: Searches were performed in PubMed, LILACS, SciELO, Science Direct, Cochrane Central and Web of Science databases. Eligibility criteria and selection of studies: Randomized clinical trials that evaluated aspects such as: pulmonary mechanics, vital parameters and pain were included in newborns aged between 1 hour and 28 days admitted to units were included. of neonatal intensive care. Data Extraction and Synthesis: Two reviewers (AMN and ATCS) independently examined the titles and abstracts of search results, coded as eligible or potentially eligible/unclear, and assessed risk of bias using the PEDro scale domains. The analysis was performed descriptively, presenting mean, standard deviation, median and quartiles when available from the studies. Results: 5334 articles were found and four were included. Of the four studies included, two reported a significant increase in Peripheral Oxygen Saturation after both chest physiotherapy techniques. One reduced Respiratory Rate, one increased heart rate, and no technique, conventional or unconventional, promoted pain. Conclusion: Both chest physiotherapy techniques, are not intensive in therapy effects on conventional devices and on newborns in neonatal care. It is worth mentioning that the lack of studies and the existing variability make a more detailed analysis of the results difficult.