Efeitos da fisioterapia sobre parâmetros hemodinâmicos em neonatos submetidos à ventilação não invasiva.

Abstract

Background: Noninvasive ventilation (NIV) is widely used in neonatal intensive care units; however, the effects of physiotherapy on hemodynamic parameters in neonates remain poorly understood. Objective: To evaluate the effects of physiotherapy on the hemodynamic parameters of neonates undergoing noninvasive ventilation. Methods: This was a cross-sectional, observational, quantitative, and descriptive study conducted in a Neonatal Intensive Care Unit. Thirteen neonates receiving noninvasive ventilation (NIV) underwent either isolated respiratory physiotherapy or respiratory physiotherapy associated with motor physiotherapy. Heart rate, respiratory rate, peripheral oxygen saturation, blood pressure, and the Silverman-Andersen Score were assessed before and after the interventions. Results: A significant increase in peripheral oxygen saturation and a reduction in respiratory distress were observed, with no significant changes in heart rate or blood pressure. Neonates who underwent combined respiratory and motor physiotherapy showed a tendency toward more pronounced results, particularly regarding reductions in respiratory rate and respiratory distress. Conclusion: Physiotherapy promotes beneficial effects on the clinical and hemodynamic parameters of neonates undergoing NIV, improving oxygenation and respiratory pattern without compromising clinical stability. However, studies with larger samples and more clinically homogeneous groups are needed to confirm these findings.