Effects of Backrest Position on Central Venous Pressure and Intracranial Pressure in Brain Surgery Patients.
10.4040/jkan.2006.36.2.353
- Author:
Hyun Ju KIM
1
;
Kyeong Yae SOHNG
Author Information
1. NSICU Unit, The Catholic University St. Mary's Hospital, Korea.
- Publication Type:Original Article ; English Abstract ; Clinical Trial
- Keywords:
Position;
Central venous pressure;
Brain Surgery
- MeSH:
Adult;
Aged;
Back;
Bed Rest/*methods/nursing;
Brain Injuries/nursing/*rehabilitation/surgery;
*Central Venous Pressure;
Clinical Nursing Research;
Female;
Hospitals, University;
Humans;
*Intracranial Pressure;
Male;
Middle Aged;
*Posture
- From:
Journal of Korean Academy of Nursing
2006;36(2):353-360
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was done to investigate the effects of backrest elevation of 0 degree and 30 degrees that minimize the risk of increasing ICP when CVP is measured. METHODS: Subjects were sixty-four patients who stayed in the neurosurgical intensive care unit after brain surgery at two university-based hospitals. CVP, blood pressure, heart rate and ICP were measured along with position changes in order of backrest position with primary 30 degrees backrest position, 0 degree backrest position and secondary 30 degrees backrest position. For data analysis, one-group, repeated-measures analysis of variance design was used in SAS program. RESULTS: Backrest elevations from 0 degree to 30 degrees did not alter the CVP without increasing the ICP. Therefore, 30 degrees backrest position is a preventive position without increasing ICP. CONCLUSION: 30 degrees backrest position might be appropriate for brain injury patients when CVP is measured.