[Influence of body position on intracranial pressure and cerebral hemodynamic in non-traumatic intracranial hemorrhages]. 2014

V I Gorbachev, and N V Likholetova, and E Iu Sedova, and S V Gorbachev, and M S Soprykina

OBJECTIVE 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. METHODS Hemodynamic parameters (intracerebral pressure, cerebral perfusion, mean arterial pressure ) at various tilt angles were measured in 35 patients with intracranial hemorrhages. RESULTS 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. CONCLUSIONS Optimal positions of the head-end of a bed in different periods from disease onset are defined.

UI MeSH Term Description Entries
D007427 Intracranial Pressure Pressure within the cranial cavity. It is influenced by brain mass, the circulatory system, CSF dynamics, and skull rigidity. Intracerebral Pressure,Subarachnoid Pressure,Intracerebral Pressures,Intracranial Pressures,Pressure, Intracerebral,Pressure, Intracranial,Pressure, Subarachnoid,Pressures, Intracerebral,Pressures, Intracranial,Pressures, Subarachnoid,Subarachnoid Pressures
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011187 Posture The position or physical attitude of the body. Postures
D001921 Brain The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM. Encephalon
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
D005260 Female Females
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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