Influence of body position on intracranial pressure and cerebral hemodynamic in non-traumatic intracranial hemorrhages
Gorbachev, V.I.; Likholetova, N.V.; Sedova, E.Iu.; Gorbachev, S.V.; Soprykina, M.S.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 114(4): 25-28
2014
ISSN/ISBN: 1997-7298 PMID: 24874313 Document Number: 671869
Patient's body position is one of the most important principles of intensive therapy of intracranial hypertension syndrome. It is considered that the provision of the head end of a bed of 15-30 degrees is preferable for the majority of patients with cerebral pathology. We studied hemodynamic parameters at various tilt angles of the body in patients with non-traumatic intracranial hemorrhages. Hemodynamic parameters (intracerebral pressure, cerebral perfusion, mean arterial pressure ) at various tilt angles were measured in 35 patients with intracranial hemorrhages. Using continuous monitoring of intracranial, cerebral perfusion and mean arterial pressure, we revealed the relationship between hemodynamic indicators and various tilt angles in patients with intracranial hemorrhages of non-traumatic genesis. Optimal positions of the head-end of a bed in different periods from disease onset are defined.