Influence of the respiratory physiotherapy on intracranial pressure in severe head trauma patients |
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| Authors: | Thiesen Rosana A Dragosavac Desanka Roquejani Augusto C Falcão Antônio L E Araujo Sebastião Dantas Filho Venâncio P Oliveira Rosmari A R A Terzi Renato G G |
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| Affiliation: | Unidade de Terapia Intensiva, Hospital das Clinicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. |
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| Abstract: | OBJECTIVE: To evaluate influence of the respiratory physiotherapy on intracranial pressure (ICP) in patients with severe head trauma. METHOD: Thirty five patients with severe head trauma were included in the study.The patients were divided into three groups: ICP 0-10, 11-20 and 21-30 mmHg. The following variables were measured: ICP and mean arterial pressure. Cerebral perfusion pressure was calculated as the difference between mean arterial and intracranial pressure. RESULTS: Endotracheal aspiration increased ICP in all patients. The mean arterial pressure didn't change and cerebral perfusion pressure decreased, but remaining normal value. CONCLUSION: Respiratory physiotherapy maneuvers can be safely applied in patients with severe head trauma with ICP below 30 mmHg. More attention should be taken during endotracheal aspiration. |
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