Expiratory Flow Increase Technique and Acid Esophageal Exposure in Infants Born Preterm With Bronchopulmonary Dysplasia

Autor(es)

Serrou Camy, Lia Franco ^[1] ; Mezzacappa, Maria Aparecida ^[2]

Afiliação do(s) autor(es)

^[1] Univ Campinas UNICAMP, Ctr Integral Attent Womens Health CAISM, Sao Paulo - Brazil

^[2] Univ Campinas UNICAMP, Dept Pediat, Sch Med Sci, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PEDIATRIC PHYSICAL THERAPY; v. 23, n. 4, p. 328-333, WIN 2011.
• Citações Web of Science: 2

Resumo

Objective: To determine if an expiratory flow increase technique (EFIT) is associated with acid reflux episodes in infants born preterm with bronchopulmonary dysplasia (BPD). Methods: A crossover study was carried out. Eighteen subjects divided into 2 groups were randomly assigned to receive 2 EFIT sessions at 2 postprandial time points. Group 1 started 2 hours after feeding and group 2 started 3 hours after feeding. Esophageal acid exposure was assessed by the reflux index (RI) during EFIT and 20 minutes before EFIT by esophageal pH monitoring. Results: A significant reduction in the RI was observed in group 1 with EFIT performed 2 hours after feeding. Group 2 showed no significant differences in RI values before and during EFIT in both postprandial periods. Conclusion: When EFIT is performed 2 and 3 hours after feeding, it is not associated with an increase in acid reflux episodes in infants born preterm with BPD. (Pediatr Phys Ther 2011; 23: 328-334) (AU)

• Processo FAPESP: 06/54414-7 - A fisioterapia respiratoria e os episodios de refluxo gastroesofagico em recem-nascidos prematuros com doenca respiratoria.
• Beneficiário: Maria Aparecida Marques dos Santos Mezzacappa
• Modalidade de apoio: Auxílio à Pesquisa - Regular