Real-time changes in rib cage expansion and use of abdominal mechanical stimulation in newborns: a quasi-experimental study

• Published in: Revista Paulista de Pediatria Vol. 42; p. e2023032
• Main Authors: Santos, Jaiana Xavier, Silva, Pedro Ykaro Fialho, Cruz, Maria Clara Lima da, Silva, Bianca Fernandes Vasconcelos E, Azevedo, Ingrid Guerra, Pereira, Silvana Alves
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade de Pediatria de São Paulo 01-01-2024
• Subjects: Abdomen - physiology; Abdomen - surgery; Abdominal Muscles; Female; Humans; Infant; Infant, Newborn; Male; newborn; Pulmonary ventilation; Respiration; Respiratory mechanics; Respiratory Mechanics - physiology; Rib Cage
• ISSN: 0103-0582; 1984-0462
• DOI: 10.1590/1984-0462/2024/42/2023032

To assess the rib cage expansion and respiratory rate in newborns using an abdominal stabilization band.
The study included 32 newborns of both genders, with gestational age between 35 and 41 weeks. The abdominal stabilization band was used for 15 minutes between the xiphoid process and the anterosuperior iliac crest, with an abdominal contention 0.5cm smaller than the abdominal circumference. The rib cage expansion was evaluated by a breathing transducer (Pneumotrace II™) three minutes before using the band, during the use (15 minutes), and ten minutes after removing the band. The Shapiro-Wilk test verified data normality, and the Wilcoxon test compared the variables considering rib cage expansion and respiratory rate. Significance was set to p<0.05.
There was an increase in respiratory rate when comparing before and ten minutes after removing (p=0.008) the abdominal stabilization band, as well as when comparing during its use and ten minutes after its removal (p=0.001). There was also an increase in rib cage expansion when comparing before and during the use of the abdominal stabilization band (p=0.005).
The use of the abdominal stabilization band promoted an increase in the rib cage expansion and respiratory rate in the assessed newborns and may be a viable option to improve the respiratory kinematics of this population.