Positioning for HFOV
- 0Feb 1, '12 by menemshaInterested if you are doing regular re positioning on these infants, say turning from side to side.
For example month old corrected 28 weeker 900gms.
H/O Klebsiella pneumonia.
On HFOV for a week with right upper lobe collapse.
Do you nurse supine with head mid line or 3hours with right side up & 1hour any other position.
What about chest physio.
- 0Feb 2, '12 by AnonRNCWe flip every 12 hours so they are lying on the other side of their head. Within that 12-hours we may (leaving the head in place) rotate the body to prone or supine (i.e. prone with head to right then supine with head to left - either way they are lying on the left ear). I do not usually have success getting a "good shake" when the patient is sidelying-although I like like it for facilitated tucking. In cases of extreme unilateral lung disease, the physician may order us not to reposition for the first 24 hours of HFOV.
No CPT w/HFOV.
- 0Feb 9, '12 by MegNeoNurseAs long as baby is >28 weeks and a week old, midline positioning is not detrimental for prevention of IVH. If a pt is on HFOV the ETT is ideally a bit higher than normal (still below clavicles!) to decrease risk of right main stemming and associated risks. I wll position my pt on HFOV any which way... Supine, right or left side lying, prone. If your pt has RUL atelectais I would rotate between supine and left side down to promote reinflation of RUL. Hope this helps!