REPERCUSSIONS OF ENDOTRACHEAL ASPIRATION IN PREMATURE CHILDREN UNDERGOING PHYSIOTHERAPEUTIC ASSISTANCE: A SERIES OF CASES

• DOI: https://doi.org/10.22533/at.ed.159463242803

• Palavras-chave: Neonatal Intensive Care Units; Intratracheal Intubation; Respiratory Therapy.

• Keywords: Neonatal Intensive Care Units; Intratracheal Intubation; Respiratory Therapy.

• Abstract:

  INTRODUCTION: Endotracheal Aspiration is a multidisciplinary procedure used to optimize the airway clearance process in patients using invasive mechanical ventilation admitted to the Neonatal Intensive Care Unit. OBJECTIVE: To analyze the repercussions caused by endotracheal aspiration undergoing physiotherapeutic assistance. METHODOLOGY: This is a series of cases carried out with 1 neonate (N) and 2 infants (L1 and L2) admitted to the Intensive Care Unit of Maternidade Escola Assis Chateaubriand, using invasive mechanical ventilation and physiotherapeutic intervention, during the period of March to May 2024. A pre-peri- and post-natal characterization form for the studied premature infants and an observation form for vital and neurobehavioral signs recorded before, during and immediately after Endotracheal Aspiration were used as collection instruments. RESULTS: The mothers of the newborns/infants studied were an average of 34.6 years old, were of mixed race, had incomplete secondary education, lived with their partner and did not carry out payed work. The 3 subjects evaluated were with chronological ages of 17,35 and 37 days of life, respectively, 2 were male, very premature, extremely low birth weights and suitable for gestational age. Regarding vital signs, it was observed that 2 had a drop in HR, an increase in respiratory drive (RR) and 3 had a drop in SatO2 during endotracheal aspiration. All those studied during this period showed changes in behavioral states, many signs of withdrawal and few signs of approximation, demonstrating that the use of comfort measures alone did not promote neurobehavioral regulation in this study. CONCLUSION: it is important to carry out more research that addresses ways to prevent toxic stress in premature newborns (PTNB), especially when carried out by health professionals in neonatal hospital units.