Effects of different head-of-bed elevations and body positions on intracranial pressure and cerebral perfusion pressure in neurosurgical patients

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dc.authorid0000-0001-6881-8288en_US
dc.contributor.authorUğraş, Gülay Altun
dc.contributor.authorYüksel, Serpil
dc.contributor.authorTemiz, Zeynep
dc.contributor.authorEroğlu, Selin
dc.contributor.authorŞirin, Keziban
dc.contributor.authorYüksel, Turan
dc.date.accessioned2020-06-26T13:08:57Z
dc.date.available2020-06-26T13:08:57Z
dc.date.issued2018
dc.departmentAÇÜ, Sağlık Bilimleri Fakültesien_US
dc.description.abstractThe aim of this study was to evaluate the effects of different head of bed (HOB) elevations and body positions on intracranial pressure (ICP) and cerebral perfusion pressure (CPP) and to identify safe positions for neurosurgical patients with different Glasgow Coma Scale (GCS) scores. Methods: This study with a quasi-experimental, prospective repeated measures is designed with control over the intervention consisted of 30 patients hospitalized in the neurocritical care units (NCU). Patients’ HOB was elevated (degree of 15,30,45) and the patients were at supine, left lateral and right lateral positions. ICP and CPP were recorded for each patient. Results: It was found that ICP increased and CPP decreased at supine, left and right lateral positions with different HOB elevations, which, however, did not reach statistical significance. When patients with a GCS score of 3Y8 were at degree of 15 right and left lateral positions and 45 right lateral position; and when patients with a GCS score of 13Y15 were positioned at degree of 15 left lateral, ICP and CPP changed significantly. Conclusion: The results of this study showed that different positions the patients’ HOB (degree of 15,30,45) led to slight insignificant changes in ICP and CPP; and these values were maintained within the ranges established by recent guidelines.
dc.identifier.citationUğraş, G. A., Yüksel, S., Temiz, Z., Eroğlu, S., Şirin, K., & Turan, Y. (2018). Effects of different head-of-bed elevations and body positions on intracranial pressure and cerebral perfusion pressure in neurosurgical patients. Journal of Neuroscience Nursing, 50(4), 247-251. doi. 10.1097/JNN.0000000000000386.en_US
dc.identifier.doi10.1097/JNN.0000000000000386
dc.identifier.endpage251en_US
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage247en_US
dc.identifier.urihttps://hdl.handle.net/11494/2126
dc.identifier.volume50en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTemiz, Zeynep
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Neuroscience Nursing
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBody positionen_US
dc.subjectCerebral perfusion pressureen_US
dc.subjectGlasgow coma scaleen_US
dc.subjectHead of bed elevationen_US
dc.subjectIntracranial pressureen_US
dc.titleEffects of different head-of-bed elevations and body positions on intracranial pressure and cerebral perfusion pressure in neurosurgical patientsen_US
dc.typeArticle

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