The Effect of Limiting Anterior Chest Wall Movement With a Weighted Blanket on Comfort, Oxygenation, and Ventilation Homogeneity in Nonventilated Infants and Children Admitted to Hospital With Lower Respiratory Tract Infections: An Exploratory Pilot Study.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Pulmonology Pub Date : 2025-07-01 DOI:10.1002/ppul.71186

Eleonora Lozano-Ray, Andrew C Argent, Alison Lupton-Smith, Brenda M Morrow

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引用次数: 0

Abstract

Objectives: The objectives of this exploratory study were to describe the safety, comfort, and effects of applying a weighted blanket to restrict anterior chest movement on oxygenation, and regional ventilation in clinically stable, nonventilated infants, and children hospitalized with lower respiratory tract infections (LRTIs). Our hypothesis is that the application of a weighted blanket would not adversely affect comfort levels or oxygenation in nonventilated infants and children with LRTIs.

Method: A prospective, exploratory interventional pilot study of nonventilated children and infants aged 2 months to 9 years of age admitted to hospital for the management of a LRTI. Comfort and pain scores, vital signs (heart rate [HR], respiratory rate [RR], oxygen saturation, and blood pressure), and electrical impedance tomography (EIT) measurements were captured at baseline, immediately and at 5 min, 10 min, and 30 min after application of the blanket.

Results: Thirty children (median interquartile range [IQR] 8.31 months old [2.46-22.27]; 16 [53.30%] males), received the intervention, and were included in the analysis. Just over half of the children recruited were admitted with a clinical diagnosis of pneumonia (n = 17; 56.70%). No adverse events were recorded during the study intervention. Overall, oxygen saturation increased from median (IQR) 97% (91-100) to 100% (93-100) (p < 0.001); COMFORT-B score improved from median (IQR) 13 (6-14) to 11 (6-16) (p = 0.02) from baseline to 30 min postintervention and there was no significant change in the faces, legs, activity, cry, and consolability (FLACC) pain scale.

Conclusion: The application of a weighted blanket in nonventilated infants and children with mild LRTI was well tolerated, with no adverse effects and was associated with improvements in comfort levels and SpO_2.

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加重毛毯限制前胸壁运动对住院下呼吸道感染的非通气婴儿和儿童舒适度、氧合和通气均匀性的影响：一项探索性试点研究

目的：本探索性研究的目的是描述在临床稳定、不通气的婴儿和住院的下呼吸道感染（LRTIs）儿童中，应用加重毯限制前胸运动对氧合和局部通气的安全性、舒适性和影响。我们的假设是，加重毛毯的应用不会对非通气婴儿和下呼吸道感染儿童的舒适度或氧合产生不利影响。方法：一项前瞻性、探索性介入试点研究，研究对象为住院治疗下呼吸道感染的2个月至9岁的非通气儿童和婴儿。在基线、立即以及敷毯后5分钟、10分钟和30分钟采集舒适和疼痛评分、生命体征（心率[HR]、呼吸频率[RR]、血氧饱和度和血压）和电阻抗断层扫描（EIT）测量数据。结果：30例患儿(中位数四分位数范围[IQR] 8.31个月[2.46 ~ 22.27]；16例（53.30%），接受干预，纳入分析。超过一半的被招募的儿童被诊断为肺炎(n = 17；56.70%)。在研究干预期间无不良事件记录。总的来说，氧饱和度从中位数（IQR） 97%（91-100）增加到100% (93-100)(p)。结论：加重毛毯在不通气的婴儿和轻度LRTI儿童中耐受性良好，无不良反应，并与舒适度和SpO2的改善有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Pulmonology 医学-呼吸系统

CiteScore

6.00

自引率

12.90%

发文量

468

审稿时长

3-8 weeks

期刊介绍： Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.