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- Title
Facilitated tucking during early neonatologist-performed echocardiography in very preterm neonates.
- Authors
Gautheyrou, Laurène; Durand, Sabine; Jourdes, Emilie; De Jonckheere, Julien; Combes, Clémentine; Cambonie, Gilles
- Abstract
<bold>Aim: </bold>To assess the effect of facilitated tucking (FT), a nonpharmacologic nursing intervention, on echocardiographic parameters and infant comfort collected prospectively during neonatologist-performed echocardiography.<bold>Methods: </bold>Echocardiography was performed twice, in standard conditions and with FT; the order was randomised by computer. Echocardiography provided data on pulmonary artery flow and pressure, right and left ventricular function, and persistent ductus arteriosus. Comfort was assessed by a behavioural scale of pain, variations in heart rate (HR) and SpO2 , and a newborn infant parasympathetic evaluation index based on the high-frequency variability in HR.<bold>Results: </bold>Fifty newborns, with mean gestational age of 28 [26.6-29.0] weeks and mean birthweight of 950 [780-1190] g, were studied at a postnatal age of 13 [9-27] hours. FT was associated with longer acceleration time/right ventricular ejection time in the main pulmonary artery (p = 0.006), reduced averaged HR variations (p = 0.03) and lower pain scores (p < 0.001). The other haemodynamic parameters and the parasympathetic index were not influenced by FT.<bold>Conclusion: </bold>Echocardiography performed soon after birth in very premature neonates may generate mild discomfort. FT during echocardiography is associated with lower pulmonary artery pressures and improves infant's comfort during this examination.
- Subjects
NEONATAL intensive care; PREMATURE infants; ECHOCARDIOGRAPHY; CRITICAL care medicine; GESTATIONAL age
- Publication
Acta Paediatrica, 2018, Vol 107, Issue 12, p2079
- ISSN
0803-5253
- Publication type
journal article
- DOI
10.1111/apa.14555