The effect of respiratory physiotherapy on intracranial pressure, mean arterial pressure, cerebral perfusion pressure and end tidal carbon dioxide in ventilated neurosurgical patients

Paratz J. and Burns Y. (1993) The effect of respiratory physiotherapy on intracranial pressure, mean arterial pressure, cerebral perfusion pressure and end tidal carbon dioxide in ventilated neurosurgical patients. Physiotherapy Theory and Practice, 9 1: 3-11. doi:10.3109/09593989309036480


Author Paratz J.
Burns Y.
Title The effect of respiratory physiotherapy on intracranial pressure, mean arterial pressure, cerebral perfusion pressure and end tidal carbon dioxide in ventilated neurosurgical patients
Journal name Physiotherapy Theory and Practice   Check publisher's open access policy
ISSN 0959-3985
Publication date 1993-01-01
Sub-type Article (original research)
DOI 10.3109/09593989309036480
Volume 9
Issue 1
Start page 3
End page 11
Total pages 9
Publisher Informa Healthcare
Subject 3612 Physical Therapy, Sports Therapy and Rehabilitation
Abstract Twenty acute, ventilated, head-injured patients were studied in order to investigate the effect of respiratory physiotherapy on intracranial pressure (ICP), mean arterial blood pressure (MAP), end tidal carbon dioxide (PetCO2) and cerebral perfusion pressure (CPP). The subjects were studied during periods of no intervention (control) and during respiratory physiotherapy treatment. A full respiratory treatment consisting of percussion (5 min), manual hyperinflation/expiratory vibrations interspersed with two endotracheal suctions (4 min) and manual hyperinflation (2 min) produced a significant increase (P < 0.001) in all variables excepting CPP as compared with control values. The effect of the individual techniques of percussion and manual hyperinflation produced varying results. Percussion had no effect on the variables apart from ICP, which decreased (P<0.01). Manual hyperinflation increased all parameters (P<0.01) except for CPP. There was no significant change in those subjects whose ICP and systolic arterial pressure (SAP) were in the normal range (ICP ≥15 mmHg; SAP ≤ 120 mmHg) prior to treatment. This study shows that respiratory physiotherapy may cause adverse effects on some intracranial and cardiovascular parameters in head-injured patients.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: Scopus Import
 
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