Speakers - WNSC 2024

Abstract

Objective: To investigate the effect of ventilation in low head and high feet prone positions on improving respiratory function in children with severe and critical swine flu.

Methods:  A total of 33 cases of severe and critically ill children with swine flu who received mechanical ventilation from May 2022 to April 2023 in the pediatric intensive care department of three Grade A hospitals were selected as the study objects. The changes in respiratory function and the incidence of complications in infants with low head and high feet ventilation within 3 hours were compared by self before and after control.

Results: Compared with the prone position, SpO2 and heart rate were significantly increased (P < 0.05) and decreased (P < 0.05) after one h ventilation in the prone position with low head and high feet. After 2 hours and 3 hours of prone lying, the oxygenation index was significantly increased (P < 0.05), and PaCO2 was significantly decreased (P < 0.05). There was no significant difference in the incidence of complications between the prone position with low head and high feet and the prone position without low head and high feet (P > 0.05).

Conclusion: Combining the prone position with the head low and feet high inclined prone position can effectively improve the respiratory function of children with severe and critical swine flu without increasing the risk of complications.