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Infant position in neonates receiving mechanical ventilation

  1. Albert Balaguer1,*,
  2. Joaquin Escribano2,
  3. Marta Roqué i Figuls3,
  4. May Rivas-Fernandez4

Editorial Group: Cochrane Neonatal Group

Published Online: 28 MAR 2013

Assessed as up-to-date: 15 DEC 2012

DOI: 10.1002/14651858.CD003668.pub3

How to Cite

Balaguer A, Escribano J, Roqué i Figuls M, Rivas-Fernandez M. Infant position in neonates receiving mechanical ventilation. Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD003668. DOI: 10.1002/14651858.CD003668.pub3.

Author Information

  1. 1

    Universitat Internacional de Catalunya, Department of Pediatrics. Hospital General de Catalunya., Barcelona, CATALONIA, Spain

  2. 2

    Hospital Universitari St Joan de Reus, Department of Pediatrics, Reus, Catalonia, Spain

  3. 3

    CIBER Epidemiología y Salud Pública (CIBERESP), Spain, Iberoamerican Cochrane Centre, Institute of Biomedical Research (IIB Sant Pau), Barcelona, Barcelona, Catalunya, Spain

  4. 4

    Hospital General de Cutalunya, Pediatric Service, Barcelona, Spain

*Albert Balaguer, Department of Pediatrics. Hospital General de Catalunya., Universitat Internacional de Catalunya, C/ Pedro I Pons, 1, Sant Cugat de Vallés, Barcelona, CATALONIA, 08195, Spain. abalaguer@uic.es. balaguer.albert@gmail.com.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 28 MAR 2013

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Aly 2008 {published data only}
  • Aly H, Badawy M, El-Kholy A, Nabil R, Mohamed A. Randomized, controlled trial on tracheal colonization of ventilated infants: can gravity prevent ventilator-associated pneumonia?. Pediatrics 2008;122:770-4.
Antunes 2003 {published data only}
  • Antunes LC, Rugolo LM, Crocci AJ. Effect of preterm infant position on weaning from mechanical ventilation. Journal of Pediatrics (Rio J) 2003;79:239-44.
Bjornson 1992 {published data only}
  • Bjornson K, Deitz J, Blackburn S, Billingsley F, Garcia I, Hays R. The effect of body position on the oxygen saturation of ventilated preterm infants. Pediatric Physical Therapy 1992;4:109-15.
Bozynski 1988 {published data only}
  • Bozynski ME, Naglie RA, Nicks JJ, Burpee B, Johnson RV. Lateral positioning of the stable ventilated very-low-birth-weight infant. Effect on transcutaneous oxygen and carbon dioxide. American Journal of Diseases of Children 1988;142:200-2.
Chang 2002 {published data only}
  • Chang YJ, Anderson GC, Dowling D, Lin CH. Decreased activity and oxygen desaturation in prone ventilated preterm infants during the first postnatal week. Heart Lung 2002;31:34-42.
Crane 1990 {published data only}
  • Crane LD, Snyder JE, Knight P, Philips JB, Cassady G. Effects of position changes on transcutaneous carbon dioxide tension in neonates with respiratory distress. Journal of Perinatology 1990;10:35-7.
Fox 1990 {published data only}
  • Fox MD, Molesky MG. The effects of prone and supine positioning on arterial oxygen pressure. Neonatal Network 1990;8:25-9.
Heaf 1983 {published data only}
Mendoza 1991 {published data only}
Mizuno 1995 {published data only}
  • Mizuno K, Itabashi K, Okuyama K. Effect of body position on the blood gases and ventilation volume of infants with chronic lung disease before and after feeding. American Journal of Perinatology 1995;12:275-7.
Mizuno 1999 {published data only}
Schlessel 1993 {published and unpublished data}

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Ancora 2009 {published data only}
  • Ancora G, Maranella E, Aceti A, Pierantoni L, et al. Effect of posture on brain hemodynamics in preterm newborns not mechanically ventilated. Neonatology 2010;97:212-7.
Baird 1991 {published data only}
  • Baird TM, Paton JB, Fisher DE. Improved oxygenation with prone positioning in neonates: stability of increased transcutaneous PO2. Journal of Perinatology 1991;11:315-8.
Curley 2005 {published data only}
Fineman 2006 {published data only}
Ibrahim 2007 {published data only}
  • Ibrahim T, El-Mohamady H. Inhaled nitric oxide and prone position: how far they can improve oxygenation in pediatric patients with acute respiratory distress syndrome?. Journal of Medical Science 2007;7:390-5.
Itakura 1998 {published data only}
  • Itakura Y, Ogawa Y. Effect of body position on tidal volume and minute ventilation in very low birthweight infants. Acta Paediatrica Japonica 1998;40:555-7.
McEvoy 1997 {published data only}
  • McEvoy C, Mendoza ME, Bowling S, Hewlett V, Sardesai S, Durand. Prone positioning decreases episodes of hypoxemia in extremely low birth weight infants (1000 grams or less) with chronic lung disease. Journal of Pediatrics 1997;130:305-9.
Schrod 1993 {published data only}
  • Schrod L, Frauendienst-Egger G, Von Stockhausen HB. Effect of body position and positioning changes on lung function of ventilated premature and newborn infants. Klinische Padiatrie 1993;205:145-9.
Wagaman 1979 {published data only}
Zhu 2010 {published data only}
  • Zhu L, Xu Z, Ji G, Cai X, et al. Effect of prone or spine position on mechanically ventilated neonates after cardiac surgery with acute lung injury. National Medical Journal of China 2010;90:1260-3.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Hough 2012 {published data only}
  • Hough JL, Johnston L, Brauer SG, Woodgate PG, Pham TM, Schibler A. Effect of body position on ventilation distribution in preterm infants on continuous positive airway pressure. Pediatric Critical Care Medicine 2012;13:446-51.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Adams 1994
Bancalari 2001
Brown 2011
Chatte 1997
  • Chatte G, Sab JM, Dubois JM, Sirodot M, Gaussorgues P, Robert D. Prone position in mechanically ventilated patients with severe acute respiratory failure. American Journal of Respiratory and Critical Care Medicine 1997;155:473-8.
Cools 2009
Curley 2000
Davis 1998
Dewey 1998
Douglas 1977
  • Douglas WW, Rehder K, Beynen FM, Sessler AD, Marsh HM. Improved oxygenation in patients with acute respiratory failure: the prone position. American Review of Respiratory Disease 1977;115:559-66.
Elbourne 2002
  • Elbourne D, Altman D, Higgins J, Curtin F, Worthington H, Vail A. Meta-analyses involving cross-over trials: methodological issues. International Journal of Epidemiology 2002;31:140-9.
Fox 1993
  • Fox RE, Viscardi RM, Taciak VL, Niknafs H, Cinoman MI. Effect of position on pulmonary mechanics in healthy preterm newborn infants. Journal of Perinatology 1993;13:205-11.
Fridrich 1996
  • Fridrich P, Krafft P, Hochleuthner H, Mauritz W. The effects of long-term prone positioning in patients with trauma-induced adult respiratory distress syndrome. Anesthesia and Analgesia 1996;83:1206-11.
Gattinoni 2001
  • Gattinoni L, Tognoni G, Pesenti A, Taccone P, Mascheroni D, Labarta V, et al. Effect of prone positioning on the survival of patients with acute respiratory failure. New England Journal of Medicine 2001;345:568-73.
Gattinoni 2010
  • Gattinoni L, Carlesso E, Taccone P, Polli F, Guérin C, Mancebo J. Prone positioning improves survival in severe ARDS: a pathophysiological review and individual patient meta-analysis. Minerva Anestesiologica 2010;76:448-54.
Henderson-Smart 2009
  • Henderson-Smart DJ, De Paoli AG, Clark RH, Bhuta T. High frequency oscillatory ventilation versus conventional ventilation for infants with severe pulmonary dysfunction born at or near term. Cochrane Database of Systematic Reviews 2009, Issue 3. [DOI: 10.1002/14651858.CD002974.pub2]
Hewitt 1976
Higgins 2011
  • Higgins JPT, Green (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011. The Cochrane Collaboration. Available from www.cochrane-handbook.org.
Jantz 1997
  • Jantz JW, Blosser CD, Fruechting LA. A motor milestone change noted with a change in sleep position. Archives of Pediatric and Adolescent Medicine 1997;151:565-8.
Kishan 1981
  • Kishan J, Bhargava SK, Rehman F. Effect of posture on arterial oxygen tension in preterm infants. Indian Pediatrics 1981;18:701-4.
Martin 1979
Masterson 1987
  • Masterson J, Zucker C, Schulze K. Prone and supine positioning effects on energy expenditure and behavior of low birth weight neonates. Pediatrics 1987;80:689-92.
Mizuno 2000
Piehl 1976
Ratliff-Schaub 2001
  • Ratliff-Schaub K, Hunt CE, Crowell D, Golub H, Smok-Pearsall S, Palmer P, et al. Relationship between infant sleep position and motor development in preterm infants. Journal of Developmental and Behavioral Pediatrics 2001;22:293-9.
RevMan 2011
  • The Nordic Cochrane Centre. The Cochrane Collaboration. Review Manager (RevMan). 5.1. Copenhagan: The Nordic Cochrane Centre. The Cochrane Collaboration, 2011.
Schwartz 1975
  • Schwartz FC, Fenner A, Wolfsdorf J. The influence of body position on pulmonary function in low birthweight babies. South African Medical Journal 1975;49:79-81.
Singer 1997
  • Singer L, Yamashita T, Lilien L, Collin M, Baley J. A longitudinal study of developmental outcome of infants with bronchopulmonary dysplasia and very low birth weight. Pediatrics 1997;100:987-93.
Visscher 1998
  • Visscher F, van der Graaf T, Spaans M, van Lingen RA, Fetter WP. Prone position favors motor development of infants. Nederlands Tijdschrift Voor Geneeskunde 1998;142:2879-80.
Walsh 2005
  • Walsh MC, Morris BH, Wrage LA, Vohr BR, Poole WK, Tyson JE, et al. Development Neonatal Research Network. Extremely low birthweight neonates with protracted ventilation: mortality and 18-month neurodevelopmental outcomes. Journal of Pediatrics 2005;146:798-804.
Wheeler 2010
Wolfson 1992
  • Wolfson MR, Greenspan JS, Deoras KS, Allen JL, Shaffer TH. Effect of position on the mechanical interaction between the rib cage and abdomen in preterm infants. Journal of Applied Physiology 1992;72:1032-8.
Yu 1975
  • Yu VYH. Effect of body position on gastric emptying in the neonate. Archives of Disease in Childhood 1975;50:500-4.

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Balaguer 2003
  • Balaguer A, Escribano J, Roque M. Infant position in neonates receiving mechanical ventilation. Cochrane Database of Systematic Reviews 2003, Issue 2. [DOI: 10.1002/14651858.CD003668]