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https://ahro.austin.org.au/austinjspui/handle/1/23233
Full metadata record
DC Field | Value | Language |
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dc.contributor.author | Harrois, Anatole | - |
dc.contributor.author | Anstey, James | - |
dc.contributor.author | Deane, Adam M | - |
dc.contributor.author | Craig, Sally | - |
dc.contributor.author | Udy, Andrew | - |
dc.contributor.author | McNamara, Robert | - |
dc.contributor.author | Bellomo, Rinaldo | - |
dc.date | 2020-05-13 | - |
dc.date.accessioned | 2020-05-18T06:53:42Z | - |
dc.date.available | 2020-05-18T06:53:42Z | - |
dc.date.issued | 2020-05-13 | - |
dc.identifier.citation | Journal of neurotrauma 2020; online first: 13 May | - |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/23233 | - |
dc.description.abstract | Patient position change and tracheal suctioning are routine interventions in mechanically ventilated traumatic brain injury (TBI) patients. We sought to better understand the impact of these interventions on intracranial pressure (ICP) and intracerebral hemodynamics. We conducted a prospective study in TBI patients requiring ICP monitoring. The timing of position changes and suctioning episodes was recorded with concurrent blood pressure and ICP measurements. 460 patient position changes and 204 suctioning episodes over 2404 hours were recorded in 18 ventilated patients (mean age 34 (13) years, median Glasgow Coma Score 4 [3-7]). 24 [20-31] positioning and 11 [6-18] suctioning episodes were recorded per patient, with 54% and 39% of position changes associated with ICP ≥ 22mmHg and CPP <60 mmHg respectively, and 22% and 27% of suctioning episodes associated with ICP ≥ 22mmHg and CPP <60 mmHg. Median change in ICP was 11 [6-16] mmHg after position change and 3 [1-9] mmHg after suctioning. Reduction in CPP to <60 mmHg lasted ≥ 10 minutes in 17% of positioning and 11% of suctioning episodes. The baseline ICP and its amplitude were both predictive of a rise in ICP 22 mmHg after positioning and suctioning episodes, whereas cerebral autoregulation was not. Baseline CPP was predictive of a decrease in CPP <60 mmHg after both interventions. Increases in ICP and reductions in CPP are common following patient positioning and tracheal suctioning episodes. Frequently, these changes are substantial and sustained. | - |
dc.language.iso | eng | - |
dc.subject | HEAD TRAUMA | - |
dc.subject | INTRACRANIAL PRESSURE | - |
dc.subject | SECONDARY INSULT | - |
dc.subject | TRAUMATIC BRAIN INJURY | - |
dc.subject | VASCULAR REACTIVITY | - |
dc.title | Effects of routine position changes and tracheal suctioning on intracranial pressure in traumatic brain injury patients. | - |
dc.type | Journal Article | - |
dc.identifier.journaltitle | Journal of neurotrauma | - |
dc.identifier.affiliation | Hopitaux Universitaires Paris-Sud, 378965, Department of Anesthesia and Intensive Care, Le Kremlin-Bicetre, Île-de-France, France | en |
dc.identifier.affiliation | Royal Perth Hospital, 6508, Department of Intensive Care Medicine, Perth, Western Australia, Australia | en |
dc.identifier.affiliation | Royal Melbourne Hospital, 90134, Intensive Care Unit, Parkville, Melbourne, Victoria, Australia | en |
dc.identifier.affiliation | Monash University, ANZIC-RC, Melbourne, Victoria, Australia | en |
dc.identifier.affiliation | Department of Intensive Care, Austin Health, Heidelberg, Victoria, Australia | en |
dc.identifier.affiliation | The Alfred, Department of Intensive Care and Hyperbaric Medicine, Melbourne, Victoria, Australia | en |
dc.identifier.affiliation | Monash University, 2541, Clayton, Victoria, Australia | en |
dc.identifier.affiliation | The University of Melbourne, 2281, Center for Integrated Critical Care, Melbourne, Victoria, Australia | en |
dc.identifier.doi | 10.1089/neu.2019.6873 | - |
dc.identifier.orcid | 0000-0002-1650-8939 | - |
dc.identifier.pubmedid | 32403976 | - |
dc.type.austin | Journal Article | - |
local.name.researcher | Bellomo, Rinaldo | |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.grantfulltext | none | - |
item.openairetype | Journal Article | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
crisitem.author.dept | Intensive Care | - |
crisitem.author.dept | Data Analytics Research and Evaluation (DARE) Centre | - |
Appears in Collections: | Journal articles |
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