scholarly journals Effect of Tactile Stimulation on Termination and Prevention of Apnea of Prematurity: A Systematic Review

2018 ◽  
Vol 6 ◽  
Author(s):  
Sophie J. E. Cramer ◽  
Janneke Dekker ◽  
Jenny Dankelman ◽  
Steffen C. Pauws ◽  
Stuart B. Hooper ◽  
...  
Author(s):  
Bayane Sabsabi ◽  
Ava Harrison ◽  
Laura Banfield ◽  
Amit Mukerji

Objective The study aimed to systematically review and analyze the impact of nasal intermittent positive pressure ventilation (NIPPV) versus continuous positive airway pressure (CPAP) on apnea of prematurity (AOP) in preterm neonates. Study Design In this systematic review and meta-analysis, experimental studies enrolling preterm infants comparing NIPPV (synchronized, nonsynchronized, and bi-level) and CPAP (all types) were searched in multiple databases and screened for the assessment of AOP. Primary outcome was AOP frequency per hour (as defined by authors of included studies). Results Out of 4,980 articles identified, 18 studies were included with eight studies contributing to the primary outcome. All studies had a high risk of bias, with significant heterogeneity in definition and measurement of AOP. There was no difference in AOPs per hour between NIPPV versus CPAP (weighted mean difference = −0.19; 95% confidence interval [CI]: −0.76 to 0.37; eight studies, 456 patients). However, in a post hoc analysis evaluating the presence of any AOP (over varying time periods), the pooled odds ratio (OR) was lower with NIPPV (OR: 0.46; 95% CI: 0.32–0.67; 10 studies, 872 patients). Conclusion NIPPV was not associated with decrease in AOP frequency, although demonstrated lower odds of developing any AOP. However, definite recommendations cannot be made based on the quality of the published evidence. Key Points


2019 ◽  
Vol 8 (3) ◽  
pp. 162
Author(s):  
Manoj Kumar ◽  
Mohammed Bahari ◽  
JoseCarlos Aldana ◽  
Robin Featherstone

2018 ◽  
Vol 53 (4) ◽  
pp. 675-688 ◽  
Author(s):  
Maria Schwarz ◽  
Elizabeth C. Ward ◽  
Jane Ross ◽  
Adam Semciw

Neonatology ◽  
2016 ◽  
Vol 111 (2) ◽  
pp. 162-171 ◽  
Author(s):  
Roseanne J.S. Vliegenthart ◽  
Christine H. ten Hove ◽  
Wes Onland ◽  
Anton H.L.C. van Kaam

2009 ◽  
Vol 28 (1) ◽  
pp. 11-29 ◽  
Author(s):  
Angela Underdown ◽  
Jane Barlow ◽  
Sarah Stewart‐Brown

2004 ◽  
Vol 24 (3) ◽  
pp. 158-163 ◽  
Author(s):  
Manoj Kumar ◽  
Nandkishor S Kabra ◽  
Bosco Paes

2021 ◽  
Vol 8 (5) ◽  
pp. 933
Author(s):  
Sriram Pothapregada ◽  
Umamaheswari K. ◽  
Soumya Ram

Apnea of prematurity (AOP) is an extremely common problem in preterm babies. Several invasive and non-invasive methods of treatment have been studied. We present a novel non-invasive method of managing intractable apnea in preterm neonates.


2021 ◽  
Vol 2 ◽  
Author(s):  
Tania Augière ◽  
Audrey Desjardins ◽  
Emmanuelle Paquette Raynard ◽  
Clémentine Brun ◽  
Anne Marie Pinard ◽  
...  

Fibromyalgia is a chronic pain syndrome characterized by sensorimotor deficits and distortions of body representation, that could both be caused by alterations in sensory processing. Several studies suggest a hypersensitivity to various sensory stimulations in fibromyalgia but results on detection of both noxious and non-noxious tactile stimulation, which are particularly relevant for body representation and motor control, remain conflicting. Therefore, the aim of this study is to systematically review and quantify the detection thresholds to noxious and non-noxious tactile stimuli in individuals with fibromyalgia compared to pain-free controls. A systematic review and a meta-analysis were performed in the MEDLINE, EMBASE, CINAHL, Cochrane, PsycInfo and Web of Science databases using keywords related to fibromyalgia, tactile pain detection threshold, tactile detection threshold and quantitative sensory testing. Nineteen studies were included in the review, with 12 in the meta-analysis. Despite the heterogeneity of the results, the data from both the review and from the meta-analysis suggest a trend toward hyperalgesia and no difference of sensitivity to non-noxious tactile stimuli in participants with fibromyalgia compared to healthy controls. This contradicts the hypothesis of a general increase in responsiveness of the central nervous system to noxious and non-noxious stimulations in fibromyalgia. This study shows no alteration of the sensitivity to non-noxious tactile stimulation in fibromyalgia, suggesting that an altered unimodal processing is not sufficient to explain symptoms such as sensorimotor impairments and body representation distortions. Future research should investigate whether alterations in multisensory integration could contribute to these symptoms.


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