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  Comparing the effect of prone and supine positions on respiratory status of acute respiratory distress syndrome newborns treated by INSURE protocol     Vafaienejad T [1] , Fakhr-Movahedi A [2] , Salimi T [3] * , Nooripur SH [4]     Received: 19 Jan , 2015 Accepted: 14 Apr , 2015   Abstract   Background & Aims: The basis of treatment in acute respiratory syndrome in neonatal has been the exchange of oxygen and carbon dioxide which was performed by various therapeutic modes such as INSURE protocol. Therefore, this study was performed to compare the prone and supine positions on respiratory status of acute respiratory distress syndrome newborns treated by INSURE protocol.   Materials & Methods: This was an experimental study with crossover design that was performed on 30 newborn with respiratory problems undergoing NCPAP mode after application of INSURE protocol. Research samples were assigned randomly into two groups. Newborns in first group were placed in prone-supine position for three hours in each position. Second groups contrary to first group placed in supine-prone position for three hours in each position as well. In every position, oxygen saturation percentage, respiratory and pulse rate were measured every 15 minutes. Finally, the data were analyzed by descriptive and inferential statistics.   Results: Results showed an increasing of oxygen saturation, and decreasing of respiratory and pulse rate in prone to supine position significantly (p< 0.001). But there were no significant difference between two groups for bradycardia, desaturation and Fio2 alteration.   Conclusion: The finding showed that prone to supine position has useful effects in gas exchange in newborn, which may be considered as an effective and affordable care to establish respiratory status of acute respiratory distress syndrome.   Key words: Prone Position, Supine Position, Respiratory Distress Syndrome, Nasal Continuous Positive Airway Pressure (N.CPAP)     Address: Yazd University of Medical Sciences, Yazd, Iran   Tel: (+98)9132586853   Email: salimi_tahere@yahoo.com   [1] Critical Care Nursing, MSc, University of Medical Sciences, semnan, Iran   [2] Assistant professor of Nursing and Allied Medical School, PhD, University of Medical Sciences, Semnan, Iran   [3] Instructor of Pediatric Nursing and Allied Health Faculty, MSc, University of Medical Sciences, Yazd, Iran (corresponding author)   [4] Associate professor of Community Medicine and Allied Health, Faculty Neonatologist,University of Medical Sciences, Semnan, Iran

Keywords: Prone Position, Supine Position, Respiratory Distress Syndrome, Nasal Continuous Positive Airway Pressure (N.CPAP)

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