Poster Presentation

Friday, July 13, 2007
9:30 AM - 10:15 AM

Friday, July 13, 2007
3:15 PM - 4:00 PM
This presentation is part of : Poster Presentation III
Intracranial pressure and body mobilization in neurological patients
Luciana M. Fernandes, PhD, RN, Nursing Department, Paraná's West State University, Cascavel - Paraná, Brazil and Elizabeth Braz, MSN, RN, Nursing Department, Universidade Estadual do Oeste do Paraná, Cascavel - Paraná, Brazil.
Learning Objective #1: The learner will be able to discuss about the body mobilization effects on the neurologica patients intracranial pressure
Learning Objective #2: The learner will be able to identify the results of a study done in Brazil related to intracranial pressure and body mobilization

Neurological patients are propenses to develop imobility complications. Body position can increase intracranial pressure, and, because of this, neurological patients are maintained in the bed for a long periods of time without body mobilization. Several studies on literature relate the intracranial pressure increase with head elevation and monitoring ways to this problem. The aim this study was to determine the intracranial pressures values during body repositioning in neurological patients admited in intensive care unit. Permission was obtained from the ethical committee. A quasi-experimental repeated-measures design was used to this study, done in an intensive care unit of the brasilian university hospital. The population was 20 patients with critical neurological desease. All patients had sedation and mechanical ventilation, intracranial pressure monitoring and head elevation on 30 grade. Relative's patients informed consent for enrollment in the study. Data were collected by researchers. The variables studied were: type of patology; type of mechanical ventilation; sedation medicines; cardiac rates; arterial blood pressure; intracranial pressure and oxigen saturation. All patients were positioned, by 15 minuts each position, on this body position sequence: dorsal decubitus; right lateral decubitus (30 grade); dorsal decubitus; left lateral decubitus (30 grade) and dorsal decubitus. During the data collecte, the patients were maintained in 30 grade head elevation and neutral head position. The data will be analised by researchers to statistical tests application. The results of this study can help nursing team to improve the quality care nursing about the patient body mobilization and complications prevention.