Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of Backrest Position on Central Venous Pressure and Intracranial Pressure in Brain Surgery Patients

뇌수술환자에서 두부상승체위가 중심정맥압과 두개강내압에 미치는 영향

  • Kim, Hyun-Ju (NSICU Unit, The Catholic University St. Mary's Hospital) ;
  • Sohng, Kyeong-Yae (College of Nursing, The Catholic University of Korea)
  • 김현주 (가톨릭대학교 성모병원 신경외과중환자실) ;
  • 송경애 (가톨릭대학교 간호대학)
  • Published : 2006.04.01
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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.

Keywords

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