Clinical application of positioning management under ultrasound guidance in neonatal ventilator-associated pneumonia
HUANG Xi-hua
MAI Xiao-wei
LI Hui-yi
LI Lin
MENG Qiong
LIANG Zhen-yu
Abstract：Objective To explore the clinical effects of positioning management under ultrasound guidance in neonatal ventilator-associated pneumonia(VAP).Methods Fifty neonates with gestational age＞32 weeks diagnosed with VAP and admitted to the Department of Pediatrics were randomly divided into the ultrasound-guided positioning management group(experimental group)and the conventional positioning management group(control group).The lung ultrasound manifestations,blood gas analysis,oxygenation index,lung ultrasound scores,ventilator usage,length of hos-pital stay,and complications were compared between the two groups.Results The back ultrasound scores in both groups were higher than the front or lateral chest scores.After 7 days of intervention,the front,lateral chest,and back ultrasound scores in the experimental group were significantly lower than those in the control group(P＜0.05).Among them,the back ultrasound score was higher than the front and lateral chest scores and showed significant changes(P＜0.05).The total ultrasound scores in the experimental group were significantly lower than those in the control group after 3 and 7 days of intervention(P＜0.05).The total ultrasound score in the experimental group significantly decreased after 7 days of in-tervention compared to before the intervention(P＜0.05).The oxygenation index on the 7th day after intervention in the experimental group was significantly lower than before the intervention and lower than that in the control group(P＜0.05).There were statistically significant differences between the experimental and control groups in ventilator usage time,and time to removal of nasogastric tube(P＜0.05).Conclusion Pulmonary ultrasound can serve as a monitoring tool to guide the position management of neonatal VAP,which helps to shorten the time of ventilator use in neonatal VAP patients and is worthy of clinical promotion and application.
Keywords：pulmonary ultrasoundpositioning managementneonatal ventilator-associated pneumonianeo-natal mechanical ventilation
Publication Date：2024-05-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 577-582 )