_______________________________________________________________

_______________________________________________________________

Report Information from ProQuest

07 December 2016 13:19
_______________________________________________________________

07 December 2016

ProQuest

Table of contents
1. Prone positioning decreases cardiac output and increases systemic vascular resistance in neonates....... 1

07 December 2016

ii

ProQuest

Document 1 of 1

Prone positioning decreases cardiac output and increases systemic vascular resistance in neonates
Author: Ma, M; Noori, S; Maarek, J-m; Holschneider, D P; Rubinstein, E H; Seri, I
ProQuest document link
Abstract (Abstract):
Objective:To evaluate the cardiovascular response to short-term prone positioning in neonates.Study design:In
this prospective study, we continuously monitored heart rate (HR), stroke volume (SV) and cardiac output (CO)
by electrical velocimetry in hemodynamically stable neonates in each of the following positions for 10 min:
supine, prone and back-to-supine position. Skin blood flow (SBF) was also continuously assessed on the
forehead or foot using Laser Doppler technology. Systemic vascular resistance (SVR) index was calculated as
mean blood pressure (BP)/CO. Data were analyzed using repeated measures analysis of
variance.Results:Thirty neonates (gestational age: 354 weeks; postmenstrual age: 363 weeks) were enrolled.
HR did not change in response to positioning. However, in prone position, SV, CO and SBF decreased and
SVR index increased from 1.50.3 to 1.30.3 ml kg -1 (mean s.d., P<0.01), 20644 to 18041 ml kg-1 min-1
(P<0.01), 0.540.30 to 0.440.29 perfusion units (P<0.01) and 0.250.06 to 0.300.07 mm Hg ml-1 kg-1 min-1
(P<0.01), respectively. After placing the infants back-to-supine position, SV, CO, SBF and SVR index returned
to baseline. The above pattern of cardiovascular changes was consistent in vast majority of the studied
neonates.Conclusions:Short-term prone positioning is associated with decreased SV, CO and SBF and
increased calculated SVR index.
Publication title: Journal of Perinatology
Volume: 35
Issue: 6
Pages: 424-427
Number of pages: 4
Publication year: 2015
Publication date: Jun 2015
Year: 2015
Publisher: Nature Publishing Group
Place of publication: New York
Publication subject: Medical Sciences--Obstetrics And Gynecology, Medical Sciences--Pediatrics
ISSN: 07438346
Source type: Scholarly Journals
Language of publication: English
Document type: PERIODICAL
DOI: http://dx.doi.org/10.1038/jp.2014.230
ProQuest document ID: 1683343006
Document URL: http://search.proquest.com/docview/1683343006?accountid=17242

07 December 2016

Page 1 of 2

ProQuest

Copyright: Copyright Nature Publishing Group Jun 2015

Last updated: 2015-09-23
Database: Nursing & Allied Health Database,Health & Medical Collection

_______________________________________________________________
Contact ProQuest

Copyright 2016 ProQuest LLC. All rights reserved. - Terms and Conditions

07 December 2016

Page 2 of 2

ProQuest