Facilitated tucking during early neonatologist-performed echocardiography in very preterm neonates

Abstract : AIM: To assess the effect of facilitated tucking (FT), a nonpharmacologic nursing intervention, on echocardiographic parameters and infant comfort collected prospectively during neonatologist-performed echocardiography. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
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Soumis le : lundi 14 octobre 2019 - 15:04:12
Dernière modification le : mardi 15 octobre 2019 - 01:22:59

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Laurène Gautheyrou, Sabine Durand, Emilie Jourdes, Julien de Jonckheere, Clémentine Combes, et al.. Facilitated tucking during early neonatologist-performed echocardiography in very preterm neonates. Acta Paediatrica, Wiley, 2018, 107 (12), pp.2079-2085. ⟨10.1111/apa.14555⟩. ⟨hal-02315504⟩

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