2005
DOI: 10.1590/s0004-282x2005000100020
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Abstract: RESUMO -O b j e t i v o:Estudar a influência das manobras de fisioterapia respiratória na pressão intracraniana (PIC) dos pacientes com trauma craniencefálico grave. Método: Trinta e cinco pacientes com trauma craniencefálico grave foram incluídos no estudo, sendo divididos em três grupos: com PIC < 10, 11-20 e 21-30 mmHg. As variáveis monitorizadas foram: PIC e pressão arterial média. A pressão de perfusão cerebral foi calculada pela diferença de pressão arterial média e PIC. Resultados: A manobra de aspiraçã… Show more

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Cited by 18 publications
(20 citation statements)
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“…(12,13) Theoretically, respiratory physiotherapy measures applied on the chest, increase intrathoracic pressure (ITP) with drop of cerebral venous return and implies increase of ICP. (3,10) Results of this study disclosed that the manual vibrocompression maneuver did not determine an increase of ICP or CPP on any of the assessed days. On the contrary, on the third day of intervention a significant drop of ICP followed the maneuver.…”
Section: Discussionmentioning
confidence: 74%
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“…(12,13) Theoretically, respiratory physiotherapy measures applied on the chest, increase intrathoracic pressure (ITP) with drop of cerebral venous return and implies increase of ICP. (3,10) Results of this study disclosed that the manual vibrocompression maneuver did not determine an increase of ICP or CPP on any of the assessed days. On the contrary, on the third day of intervention a significant drop of ICP followed the maneuver.…”
Section: Discussionmentioning
confidence: 74%
“…It was reported that respiratory physiotherapy may be safely used in patients with a ICP lower than 30 mm Hg, but that the intratracheal aspiration (ITA) maneuver significantly rises the ICP. (10,11) The objective of our study was to assess the effects of manual vibrocompression maneuvers and of ITA, on the measurements of ICP and CPP at the acute stage of BI.…”
Section: Discussionmentioning
confidence: 99%
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“…Endotracheal aspiration is the technique that will promote the greatest transient increase in ICP, so the real need for its application must be evaluated and it must be performed with caution in the shortest possible time. [17][18][19][20][21] -Attention to ICP values and ICP catheter care and external ventricular drain (EVD). During the manipulation of the patient always monitor the variations of the ICP and be careful not to externalize the ICP or EVD catheter.…”
Section: Resultsmentioning
confidence: 99%