PEDIATRICS Vol. 63 No. 4 April 1979, pp. 528-531
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Martin, R. J.
Right arrow Articles by Fanaroff, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Martin, R. J.
Right arrow Articles by Fanaroff, A.

Effect of Supine and Prone Positions on Arterial Oxygen Tension in the Preterm Infant

Richard J. Martin M.B., F.R.A.C.P.1, Nancy Herrell M.D.1, Dov Rubin M.Sc.1, and Avroy Fanaroff M.B., M.R.C.P.E.1

1 Department of Pediatrics, Case Western Reserve University School of Medicine, and the Rainbow Babies and Children's Hospital, Cleveland

To determine the optimal position for the preterm infant, arterial oxygen tension (Pao2) was monitored in 16 preterm infants by the transcutaneous method with the infants in both supine and prone positions. When the infants were prone, Pao2 rose by a mean of 7.4 mm Hg (P < .001), an increase of 15%. In those infants with residual cardiopulmonary disease, a 25% increase was noted. The higher Pao2 in the prone position was accompanied by a significant decrease in the amount of time the chest wall moved asynchronously. This improved oxygenation in the prone position appears to be the result of enhanced ventilation/ perfusion ratios and not merely secondary to an alteration in sleep state with positioning of the infant. These findings may have important implications in the management of preterm infants requiring neonatal intensive care.

Submitted on July 1, 1978
Accepted on September 6, 1978




This article has been cited by other articles:


Home page
 Arch. Dis. Child. Fetal Neonatal Ed.Home page
C. F Poets and A. von Bodman
Placing preterm infants for sleep: first prone, then supine
Arch. Dis. Child. Fetal Neonatal Ed., September 1, 2007; 92(5): F331 - F332.
[Full Text] [PDF]

Home page
 PediatricsHome page
R. Y. Bhat, J. A. Leipala, N. R.-P. Singh, G. F. Rafferty, S. Hannam, and A. Greenough
Effect of Posture on Oxygenation, Lung Volume, and Respiratory Mechanics in Premature Infants Studied Before Discharge
Pediatrics, July 1, 2003; 112(1): 29 - 32.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
E. W. Adams, S. J. Counsell, J. V. Hajnal, P. N. Cox, N. L. Kennea, A. S. Thornton, A. C. Bryan, and A. D. Edwards
Magnetic Resonance Imaging of Lung Water Content and Distribution in Term and Preterm Infants
Am. J. Respir. Crit. Care Med., August 1, 2002; 166(3): 397 - 402.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child. Fetal Neonatal Ed.Home page
G Dimitriou, A Greenough, L Pink, A McGhee, A Hickey, and G F Rafferty
Effect of posture on oxygenation and respiratory muscle strength in convalescent infants
Arch. Dis. Child. Fetal Neonatal Ed., May 1, 2002; 86(3): F147 - F150.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child.Home page
V. K Rehan, J. M Nakashima, A. Gutman, L. P Rubin, and F D. McCool
Effects of the supine and prone position on diaphragm thickness in healthy term infants
Arch. Dis. Child., September 1, 2000; 83(3): 234 - 238.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
A. H. NUMA, J. HAMMER, and C. J. L. NEWTH
Effect of Prone and Supine Positions on Functional Residual Capacity, Oxygenation, and Respiratory Mechanics in Ventilated Infants and Children
Am. J. Respir. Crit. Care Med., October 1, 1997; 156(4): 1185 - 1189.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
L. Hunt, P. Fleming, J. Golding, and the ALSPAC Study Team
Does the Supine Sleeping Position Have Any Adverse Effects on the Child?: I. Health in the First Six Months
Pediatrics, July 1, 1997; 100(1): e11 - e11.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
S. R. Orenstein, J. F. Cohn, T. M. Shalaby, and R. Kartan
Reliability and Validity of an Infant Gastroesophageal Reflux Questionnaire
Clinical Pediatrics, August 1, 1993; 32(8): 472 - 484.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
S. R. Orenstein
Throwing Out the Baby with the Bedding: A Commentary on the A.A.P. Statement on Positioning and SIDS
Clinical Pediatrics, September 1, 1992; 31(9): 546 - 548.
[PDF]

Home page
 ANGIOLOGYHome page
S. Ohgi, K. Ito, H. Hara, and T. Mori
Continuous Measurement of Transcutaneous Oxygen Tension on Stress Test in Claudicants and Normals
Angiology, January 1, 1986; 37(1): 27 - 35.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
W. C. L. Yip, J. S. H. Tay, H.B. Wong, and T.F. Ho
Reliability of Transcutaneous Oxygen Monitoring of Critically III Children in a General Pediatric Unit
Clinical Pediatrics, June 1, 1983; 22(6): 431 - 435.
[Abstract] [PDF]