Effect of prone versus supine position on oxygen saturation in patients with respiratory distress in neonates
Abstract
Objective: To analyze the effect of prone versus supine position on oxygen saturation in neonates with respiratory distress.
Methodology: This comparative study was conducted in the department of paediatric medicine at Liaquat University Hospital Hyderabad during the period of six months. Total numbers of the patients enrolled were one hundred with age ranging three hours to 28 days. All the newborns with respiratory distress (RD) were kept in supine position for three hours after all necessary resuscitation measures and oxygen saturation was recorded with pulse oximeter. Then they were kept in prone position for six hours and oxygen saturation and respiratory rate was measured with two hour interval respectively for six hours.
Results: One hundred patients were enrolled in the study with age range 3 hours - 28 days, out of them 87 (87%) term, 9 (9%) preterm and 4 (4%) were post term respectively, male to female ratio was 1.2:1. The oxygen saturation in supine position was 84.84 + 4.20. After 2 hour in prone position saturation was 91.05 + 3.29, after 4 hour 91.62 + 3.89 and after 6 hours it was 92.63 + 3.02 respectively with P value of < 0.001 which is statistically highly significant. It shows that Oxygen saturation is increased by about 7%, and maximum oxygen saturation increases in first 2 hours. Similar trend was seen in respiratory rate with reduction of respiratory rate by 6 breaths / min in first two hours.
Conclusion: Prone position improves oxygenation saturation and decreases respiratory distress as compared to supine position in neonates with respiratory distress.
Methodology: This comparative study was conducted in the department of paediatric medicine at Liaquat University Hospital Hyderabad during the period of six months. Total numbers of the patients enrolled were one hundred with age ranging three hours to 28 days. All the newborns with respiratory distress (RD) were kept in supine position for three hours after all necessary resuscitation measures and oxygen saturation was recorded with pulse oximeter. Then they were kept in prone position for six hours and oxygen saturation and respiratory rate was measured with two hour interval respectively for six hours.
Results: One hundred patients were enrolled in the study with age range 3 hours - 28 days, out of them 87 (87%) term, 9 (9%) preterm and 4 (4%) were post term respectively, male to female ratio was 1.2:1. The oxygen saturation in supine position was 84.84 + 4.20. After 2 hour in prone position saturation was 91.05 + 3.29, after 4 hour 91.62 + 3.89 and after 6 hours it was 92.63 + 3.02 respectively with P value of < 0.001 which is statistically highly significant. It shows that Oxygen saturation is increased by about 7%, and maximum oxygen saturation increases in first 2 hours. Similar trend was seen in respiratory rate with reduction of respiratory rate by 6 breaths / min in first two hours.
Conclusion: Prone position improves oxygenation saturation and decreases respiratory distress as compared to supine position in neonates with respiratory distress.
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