Effects of Nursing Interventions on Intracranial Pressure

Abstract

Background Intracranial pressure is a frequent target for goaldirected therapy to prevent secondary brain injury. In critical care settings, nurses deliver many interventions to patients having intracranial pressure monitored, yet few data documenting the immediate effect of these interventions on intracranial pressure are available. Objective To examine the relationship between intracranial pressure and specific nursing interventions observed during routine care. Methods Secondary analysis of prospectively collected observational data. Results During 3118 minutes of observation, 11 specific nursing interventions were observed for 28 nurse-patient dyads from 16 hospitals. Family members talking in the room, administering sedatives, and repositioning the patient were associated with a significantly lower intracranial pressure. However, intracranial pressure was sometimes higher, lower, or unchanged after each intervention observed. Conclusion Response of intracranial pressure to nursing interventions is inconsistent. Most interventions were associated with inconsistent changes in intracranial pressure at 1 or 5 minutes after the intervention.

Management of intracranial hypertension in patients neurocriticos: integrative review

“…In summary the possible effects adeversos stand out as isquemia cerebral, 6,13 hypoxia/hypoxemia cerebral, [14][15][16][17][18][19][20][21][22] The main secondary causes (extracranial) are airway obstruction; Hypoxia or hypercapnia or hypercarbia (hypoventilation); Hypertension (pain / cough) and hypotension (hypovolemia / sedation); Posture of the patient (head rotation); hyperpyrexia; seizures; And metabolic drugs (e.g., tetracycline, rofecoxib, divalproex sodium, lead poisoning); Others (eg, cerebral edema high altitude, liver failure). The causes of HIC postoperative can present as a mass lesion (hematoma); Edema; Increased cerebral blood volume (vasodilation); LCR disorders.…”

“…The causes of HIC postoperative can present as a mass lesion (hematoma); Edema; Increased cerebral blood volume (vasodilation); LCR disorders. 5,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] The most commonly used technique in clinical practice to monitor the peak involves an intraventricular or intraparenchymal catheter system, which is still considered the gold standard for monitoring ICP. These advances in PIC monitoring technique provides a variety of methods to assess ICP.…”

“…40 Subarachnoid hemorrhages and cerebral herniation, have also been reported in the studies analyzed. Olson and his colleagues 18 indicate that diffuse or localized increase in the brain volume tends to displace some part of the brain in relation to the compartments of intracranial dural folds. This compression causes part of the brain exceed the falx and the tent cerebellum compressing vital structures.…”

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“…In summary the possible effects adeversos stand out as isquemia cerebral, 6,13 hypoxia/hypoxemia cerebral, [14][15][16][17][18][19][20][21][22] febre, 6,15 cerebral, [13][14][15][23][24][25] herniation, interference bloodstream/delay intracraniano, 14 blood flow, decreased perfusão, 14 pressure obstruction venoso, 14 reflux renal, 15 failure, hiperglicemia, [26][27][28][29][30][31] hipoglicemia, 26 death/ encefálica, 15,19,22 death, infection due to insertion of the catheter for monitoring PIC, 17,20,29 line offset média, 17 Hematoma, 17,19,29 intracerebral hemorrhage, 17,18,[20][21][22][23]30,31 secundária brain injury, 18 edema ...…”

Data quality assessment and anomaly detection via map/reduce and linked data: A case study in the medical domain

“…Additionally, inaccuracies are introduced due to the nature by which the data is collected and can manifest as unintentional patterns recorded in datasets. In clinical settings, these artefacts are often a result of nursing or medical interventions which are caused by patient movement or by the administration of treatments [2]. It is important to understand and remove such irregularities from the data so that they do not adversely affect interpretation and analysis.…”