Effect of head elevation on cerebral blood flow velocity in post-cerebral operation patients. 2003

Jui-Ling Yang, and Kwua-Yun Wang, and Yung-Hsiao Chiang, and Giia-Sheun Peng
Surgery-Neurosurgery Intensive Care Unit, Tri-Service General Hospital.

This pre-experimental research measured patients' mean blood velocity (MV), peak systolic velocity (PSV), and end-diastolic velocity (EDV) of the middle cerebral arteries by using transcranial Doppler (TCD) to understand the immediate changes in cerebral blood flow (CBF) when head elevation degree changed, and whether CBF will return to stability after 10 minutes of elevation. Ten patients who underwent cerebral surgery were selected from one medical centre by purposeful sampling within five months. One-way ANOVA was used to analyze the data. The study results showed that MV, PSV, and EDV had obviously changed when head elevation was 15 degrees, 30 degrees, or 45 degrees from the horizontal at 10 seconds, and then recovered gradually. This study examined four head elevation degrees that affected cerebral blood flow. The results are likely to help nurses in caring for these patients.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011182 Postoperative Care The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed) Care, Postoperative,Postoperative Procedures,Procedures, Postoperative,Postoperative Procedure,Procedure, Postoperative
D011187 Posture The position or physical attitude of the body. Postures
D001783 Blood Flow Velocity A value equal to the total volume flow divided by the cross-sectional area of the vascular bed. Blood Flow Velocities,Flow Velocities, Blood,Flow Velocity, Blood,Velocities, Blood Flow,Velocity, Blood Flow
D001927 Brain Diseases Pathologic conditions affecting the BRAIN, which is composed of the intracranial components of the CENTRAL NERVOUS SYSTEM. This includes (but is not limited to) the CEREBRAL CORTEX; intracranial white matter; BASAL GANGLIA; THALAMUS; HYPOTHALAMUS; BRAIN STEM; and CEREBELLUM. Intracranial Central Nervous System Disorders,Brain Disorders,CNS Disorders, Intracranial,Central Nervous System Disorders, Intracranial,Central Nervous System Intracranial Disorders,Encephalon Diseases,Encephalopathy,Intracranial CNS Disorders,Brain Disease,Brain Disorder,CNS Disorder, Intracranial,Encephalon Disease,Encephalopathies,Intracranial CNS Disorder
D002560 Cerebrovascular Circulation The circulation of blood through the BLOOD VESSELS of the BRAIN. Brain Blood Flow,Regional Cerebral Blood Flow,Cerebral Blood Flow,Cerebral Circulation,Cerebral Perfusion Pressure,Circulation, Cerebrovascular,Blood Flow, Brain,Blood Flow, Cerebral,Brain Blood Flows,Cerebral Blood Flows,Cerebral Circulations,Cerebral Perfusion Pressures,Circulation, Cerebral,Flow, Brain Blood,Flow, Cerebral Blood,Perfusion Pressure, Cerebral,Pressure, Cerebral Perfusion
D003971 Diastole Post-systolic relaxation of the HEART, especially the HEART VENTRICLES. Diastoles
D005260 Female Females
D006257 Head The upper part of the human body, or the front or upper part of the body of an animal, typically separated from the rest of the body by a neck, and containing the brain, mouth, and sense organs. Heads

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