Falcão LFM 2007 (14) |
Transversal and prospective |
60 NB |
Pain (NIPS and NFCS) |
Diaphragmatic stimulation oral or manual vibrocompression TA: 3 times of 5 s each |
Primary: |
- Pain (NIPS > 3): 53% (p = 0,0199) during thoracic vibrocompression |
Falcão FRC 2008 (21) |
7/ Randomized clinical trial |
13 NB |
Pain (NFCS) HR and SpO2 |
Tracheal suction with or without contention TA: 10 s |
Primary: |
-23% contentend patients felt pain; |
- 92% non contented patients felt pain (p = 0,0015). |
Nicolau CM 2008 (5) |
Longitudinal prospective of case series |
30 NBPT |
Pain (NIPS) |
Vibration; postural drainage; passive respiratory exercise; SAW and ETT suction. |
Primary: |
- Pain before physiotherapy: 19,1%; |
- Pain after suction: 71,6% (p < 0,001). |
Nicolau CM 2008 (32) |
Longitudinal prospective of case series |
50 NBPT |
Pain (NIPS); r (chronometer), HR and SpO2 (pulse oximetry) |
Endotracheal suction |
Primary: |
- Pain at T1: 52%; |
- Pain at T5: 40% (p < 0,05) |
Secundary: |
- SpO2 < 90%: 20% NB. |
Moran CA 2009 (18) |
4/ Double blind clinical trial |
06 NBPT |
Pain (NIPS) |
- Vibration; FEF; |
Primary: |
- ETT and SAW suction; |
- T and T1 without pain (p = 0,312). |
-Tatil stimulation; |
|
Castro ACL 2010 (19) |
Observational quantitative and transversal cohort |
09 NBPT |
Pain (NIPS); r; HR, SpO2 (monitor) |
Endotracheal suction |
Primary: |
- Pain: 25% (p = 0,00) Secondary: |
- ↑ HR (p = 0,01); ↑ r (p = 0,32); ↓ SpO2 (p = 0,83); |
Lanza FC 2010 (22) |
Transversal |
NBPT |
Pain (NFCS), HR, SpO2, r |
Vibration TA: 20 min |
Vibration: no pain neither physiological parameters changes (p < 0,05). |
Araújo MC 2010 (10) |
Exploratory field research, observational and non-participative |
10 NBPT |
Pain (PIPP) |
Tracheal cannula suction |
Primary: |
- Pain during suction: 70% NBPT |
Leal SS 2010 (20) |
Analytical, observational transversal cohort |
60 NBPT |
Pain (NIPS); HR, SpO2 (monitor) and r . |
Vibrocompression; |
Primary: |
- Bag-squeezing; |
Pain: |
- FEF; |
- Before: 9 NBPT; |
- OTT suction. |
- During: 38 NBPT; |
TA: 3 min each technique |
- After: 14 NBPT (p = 0,05); |
|
Secondary: |
|
↑ HR (p < 0,05). |
Brazil TB 2010 (11) |
Quantitative, transversal e descriptive exploratory |
56 NB |
HR (neonatal stethoscope), r (direct observation), SpO2 (pulse oximetry monitor). |
OTT suction |
Secondary: |
- During At: SpO2: ↓ 9 NB (17,3%) |
- Immediately after At: HR ↑ 20 NB (35,7%); r ↑ 13 NB (23,2%); Pulse ↑ 18 NB (32,1%). |
Barbosa AL 2011(12) |
Longitudinal, quantitative |
104 NB |
HR (chronometer), r (observation), SpO2 and P (pulse oximetry monitor) |
OTT suction |
Secondary: |
Oxi-Hood (Oxygen hood): |
- T0, T1 and T5 ↓ r (p = 0,002); T1: ↑ HR |
(p = 0,006); T5: ↓ HR (p = 0,006). CPAP: |
- T5 ↓ r (p = 0,009); T1 ↑ HR (p = 0,017). |
Oxi-Hood (p < 0,0001), CPAP (p = 0,04) and MV (p = 0,002) |
Martins R 2013 (17) |
7/ Blinded randomized clinical trial |
60 NBPT |
Pain (NIPS, NFCS e PIPP) |
G1 – Rest |
Primary: |
HR, SpO2, f (cardio respiratory parameters) |
G2 – mechanical vibration and manual compression |
- Pain: |
|
AT: 10 minutes each |
NIPS at G2 group just after intervention. |
|
G3 – Four modalities method TAR |
PIPP at G2 group following conventional physiotherapy. |
|
TA: 5 min each |
|