Bag-squeezing technique in neonatal and pediatric intensive care unit: a systematic review
DOI:
https://doi.org/10.5902/2236583469162Keywords:
Neonatology, Pediatric, Bag-squeezing, Respirathory physiotherapyAbstract
Manual Hyperinflation (MH) or Bag-Squeezing is a resource used in intensive care units in patients who present conditions of pulmonary hypersecretion, mucous plugs and consequently impaired gas exchange. The technique promotes expiratory flow acceleration and, consequently, a turbulent flow that helps in the mobilization of bronchial secretions, associated with thoracic vibration compression maneuvers. The aim of this study was to carry out a systematic review in order to elucidate the effectiveness of the MH technique in the population of neonates and children up to 6 years of age. A search strategy was conducted by two independent reviewers, applied in the Pubmed / Medline, Lilacs, Cochrane, Pedro, SciELO databases. The review was conducted in accordance with PRISMA and Cochrane Handbook standards and was recorded on the PROSPERO platform. Forty studies were found, of which, based on the selection criteria, 5 were included in the analysis. The results demonstrate that the technique is effective in bronchial clearance and improvement of hemodynamic parameters in neonatal and pediatric patients.
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