Application of expiratory flow increased technique in the respiratory therapy of premature neonates: a systematic review

Expiratory flow increased technique (EFIT) in respiratory therapy is a treatment strategy for neonates in neonatology departments. The purpose of this study was to present the current understanding of the application of the EFIT in respiratory therapy for premature neonates. The first part describes an overview of the literature on EFIT. PubMed, Medline, Embase, Scopus, and Google Scholar databases were searched for trial studies on EFIT therapy in infants published from January 2020 to September 2024. The second part presents the EFIT technique for newborns, along with its indications and contraindications. There were 5 papers concerning the respiratory therapy of neonates and related solely to EFIT. Literature shows that EFIT therapy improves the respiratory parameters. The knowledge and experience that has been gained concerning the impact of therapy on the respiratory system of premature neonates encourages the use of the EFIT therapy in neonatology.

REFERENCES (12)

Postiaux G, Lens E. Forced is... fast (expiration technique – FET). Ann Kinésithér 1992; 19: 411-427.

Google Scholar

Bailleux S, Lopes D, Geoffroy A, Josse N, Labrune P, Gajdos V. What evidence for chest physiotherapy in infants hospitalized for acute viral bronchiolitis? Arch Pédiatr 2011; 18: 472-475.

Google Scholar

Macedo JC, Olivo CR. Short – term effects of conventional chest physiotherapy and expiratory flow increase technique on respiratory parameters, heart rate, and pain in mechanically ventilated premature neonates: a randomised controlled trial. Healthcare 2024; 12: 2408.

Google Scholar

Antunes LCO, Silva EG, Bocardo P, Daher DR, Faggiotto RD, Rugolo LMS. Effects of conventional chest physical therapy versus increased expiratory flow on oxygen saturation, heart rate and respiratory rate in premature infants following extubation. Braz J Phys Ther 2005; 10: 97-103.

Google Scholar

Almeida CCB, Ribeiro JD, Almeida-Júnior AA, Zeferino AMB. Effect of expiratory flow increase technique on pulmonary function of infants on mechanical ventilation. Physiother Res Int 2005; 10: 213-221.

Google Scholar

Aberaro S, Sharath HV. Effect of thoracic squeezing technique and expiratory flow increase technique on neonates with neonatal respiratory distress syndrome. A case report. Cureus 2024; 16: e68702.

Google Scholar

Bassani MA, Caldas JPS, Netto AA, Marba STM. Cerebral blood flow assessment of preterm infants during respiratory therapy with the expiratory flow increase technique. Rev Paul Pediatr 2016; 34: 178-183.

Google Scholar

Demont B, Vinçon C, Bailleux S, Cambas CH, Dehan M, Lacaze- Masmonteil T. Chest physiotherapy using the expiratory flow increase procedure in ventilated newborns: a pilot study. Physiotherapy 2007; 93: 12-16.

Google Scholar

Camy LFS, Mezzacappa MA. Expiratory flow increase technique and acid esophageal exposure in infants born preterm with bronchopulmonary dysplasia. Pediatr Phys Ther 2011; 23: 328-333.

Google Scholar

10.

Demont B. La kinésithérapie respiratoire en Service de Réanimation Néonatale. KinéR 2007; 47: 13-17.

Google Scholar

11.

Vincon C. Kinesitherapie respiratoire du nouveau-né iD. In: Miche-li JL (ed.). Le Poumon du Nouveau-Né, Paris: Doin 2002, 341-344.

Google Scholar

12.

Raghu V, Vatsa DR. Early neurodevelopmental supportive care: approach to enhance the neurodevelopmental outcome in premature and low birth weight infant”. J Integrated Health Science 2022; 9: 99-106.

Google Scholar

SUBMIT YOUR PAPER