Hostname: page-component-7479d7b7d-8zxtt Total loading time: 0 Render date: 2024-07-10T17:36:43.022Z Has data issue: false hasContentIssue false

Raising the head-of-bed by 30 degrees reduces ICP and improves CPP without compromising cardiac output in euvolemic patients with traumatic brain injury and subarachnoid haemorrhage: a practice audit

Published online by Cambridge University Press:  20 January 2006

S. Schulz-Stübner
Affiliation:
Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
R. Thiex
Affiliation:
Klinik für Neurochirurgie am Universitätsklinikum, der RWTH Aachen, Aachen, Germany
Get access

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Correspondence
Copyright
© 2006 European Society of Anaesthesiology

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Rosner MJ, Coley IB. Cerebral perfusion pressure, intracranial pressure, and head elevation. J Neurosurg 1986; 65: 636641.Google Scholar
March K, Mitchell P, Grady S, Winn R. Effect of backrest position on intracranial and cerebral perfusion pressures. J Neurosci Nurs 1990; 22: 375381.Google Scholar
Fan JY. Effect of backrest position on intracranial pressure and cerebral perfusion pressure in individuals with brain injury: a systematic review. J Neurosci Nurs 2004; 36: 278288.Google Scholar
Ng I, Lim J, Wong HB. Effects of head posture on cerebral hemodynamics: its influences on intracranial pressure, cerebral perfusion pressure, and cerebral oxygenation. Neurosurgery 2004; 54: 593597; discussion 598.Google Scholar
Feldman Z, Kanter MJ, Robertson CS et al. Effect of head elevation on intracranial pressure, cerebral perfusion pressure, and cerebral blood flow in head-injured patients. J Neurosurg 1992; 76: 207211.Google Scholar
Ludwig HC, Klingler M, Timmermann A et al. The influence of airway pressure changes on intracranial pressure (ICP) and the blood flow velocity in the middle cerebral artery (VMCA). Anasthesiol Intensivmed Notfallmed Schmerzther 2000; 35: 141145.Google Scholar
Toung TJ, Aizawa H, Traystman RJ. Effects of positive end-expiratory pressure ventilation on cerebral venous pressure with head elevation in dogs. J Appl Physiol 2000; 88: 655661.Google Scholar
McGuire G, Crossley D, Richards J, Wong D. Effects of varying levels of positive end-expiratory pressure on intracranial pressure and cerebral perfusion pressure. Crit Care Med 1997; 25: 10591062.Google Scholar
Huseby JS, Pavlin EG, Butler J. Effect of positive end-expiratory pressure on intracranial pressure in dogs. J Appl Physiol 1978; 44: 2527.Google Scholar
Huseby JS, Luce JM, Cary JM et al. Effects of positive end-expiratory pressure on intracranial pressure in dogs with intracranial hypertension. J Neurosurg 1981; 55: 704705.Google Scholar
Weyland A, Buhre W, Grund S et al. Cerebrovascular tone rather than intracranial pressure determines the effective downstream pressure of the cerebral circulation in the absence of intracranial hypertension. J Neurosurg Anesthesiol 2000; 12: 210216.Google Scholar