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Effect of sitting position on respiratory status in preterm infants
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Mika Shiraishi
Published/Copyright:
March 23, 2009
Abstract
Objective: To evaluate whether using a sitting-type car safety seats for preterm infants is advisable.
Patients and methods: A total of 65 preterm infants underwent polysomnography in the supine and sitting positions. The infants with <95% of SpO2 were assigned to the desaturation (DS) group. Their backgrounds, breathing patterns, and breathing types were analyzed.
Results: Of the 65 cases, 18 were assigned to the DS group. No significant differences were observed between the DS and non-DS groups in their background characteristics. Of the 18 DS cases, 15 were included in the non-obstructive group (8, periodic breathing; 6, tachypnea; 1, irregular breathing).
Conclusions: Immaturity of the respiratory center and decompensation for the respiratory changes caused by the sitting position were suspected to cause DS in infants. Sitting-type car safety seats should be used with caution for preterm infants, and all preterm infants need to be screened by polysomnographic examination in the sitting position.
Keywords: Car safety seat (CS); desaturation (DS); preterm infants; polysomnography; sitting position
Received: 2008-7-6
Revised: 2008-12-17
Accepted: 2009-1-26
Published Online: 2009-03-23
Published Online: 2009-03-23
Published in Print: 2009-07-01
©2009 by Walter de Gruyter Berlin New York
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Keywords for this article
Car safety seat (CS);
desaturation (DS);
preterm infants;
polysomnography;
sitting position
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- Coagulation and fibrinolysis related cytokine imbalance in preeclampsia: the role of placental trophoblasts
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