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.contributor.authorUgras, Gulay Altun
dc.contributor.authorYuksel, Serpil
dc.contributor.authorTemiz, Zeynep
dc.contributor.authorEroglu, Selin
dc.contributor.authorSirin, Keziban
dc.contributor.authorTuran, Yuksel
dc.date.accessioned2024-02-23T14:21:12Z
dc.date.available2024-02-23T14:21:12Z
dc.date.issued2018
dc.departmentNEÜen_US
dc.description.abstractPurpose: The 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 3-8 were at degree of 15 right and left lateral positions and 45 right lateral position; and when patients with a GCS score of 13-15 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.en_US
dc.identifier.doi10.1097/JNN.0000000000000386
dc.identifier.endpage251en_US
dc.identifier.issn0888-0395
dc.identifier.issn1945-2810
dc.identifier.issue4en_US
dc.identifier.pmid29985278en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage247en_US
dc.identifier.urihttps://doi.org/10.1097/JNN.0000000000000386
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13488
dc.identifier.volume50en_US
dc.identifier.wosWOS:000438535200013en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Neuroscience Nursingen_US
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.typeArticleen_US

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