Cardiorespiratory parameters in infants cardiopathy: variations during feeding.

Vanessa Souza Gigoski De Miranda,Lisiane De Rosa Barbosa,Camila Lúcia Etges,Paula Colvara De Souza

doi:10.1590/2317-1782/20182018153

Abstract

To evaluate the variation of cardiorespiratory parameters in the feeding of cardiopathy infants. A cross-sectional, controlled study was performed on infants from 0 to 6 months of age, both genders, at a referral hospital for pediatric cardiac surgery. They were divided into a group study of infants with a medical diagnosis of congenital heart disease, post-cardiac surgery and in a control group composed of infants with no co-morbidities pre-established as risk factors for dysphagia. Vital signs monitoring and pulse oximetry were performed before, during and after clinical evaluation of swallowing in both groups. There was a significant difference in heart rate between the two groups prior to the evaluation, however, a marked increase was observed in the study group during the oral route. The respiratory rate variation was significant during the maternal breast offer in the study group, which also showed a greater decrease in saturation when compared to the control group. There is variation of cardiorespiratory parameters during feeding of cardiopathy infants.

Highlights

Congenital heart disease (CD) is the set of diseases that affect the cardiovascular system including heart, pericardium, arteries, veins and capillaries[1], defined as an abnormality either in structure or in cardiovascular function which is present at birth[2]
Heart rate (HR), respiratory rate (RF) and pulse oximetry data measured by peripheral oxygen saturation (POS) can be observed during swallowing[5,6] and allow the clinical evaluation of deglutition to be more measurable and less subjective[7]
Participants in the study group (SG) were babies from 0 to 6 months of age, of both genders, with a medical diagnosis of congenital heart disease, post-cardiac surgery, with clinical stability for reintroduction or introduction of oral route - identified by medical staff - who were hospitalized in a Pediatric Intensive Care Unit (PICU) and met the in speech and hearing conditions for oral testing[15]

Summary

Introduction

Congenital heart disease (CD) is the set of diseases that affect the cardiovascular system including heart, pericardium, arteries, veins and capillaries[1], defined as an abnormality either in structure or in cardiovascular function which is present at birth[2] They may occur at any age and may have symptoms and physical signs such as: bloating, cyanosis, low weight gain, tiredness, sweating, tachycardia, cardiomegaly, abnormal blood pressure, pulse changes, recurrent pulmonary infections, chest pain, syncope and difficulty in eating, among others[3]. The diagnosis of heart diseases has become more precise and can be done through clinical manifestations, echocardiographic and radiological studies In this way, hemodynamic changes can be better understood, allowing knowledge of the general conditions of the child[4]. Heart rate (HR), respiratory rate (RF) and pulse oximetry data measured by peripheral oxygen saturation (POS) can be observed during swallowing[5,6] and allow the clinical evaluation of deglutition to be more measurable and less subjective[7]

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Conclusion