Arquivos de Neuro-Psiquiatria (Mar 2005)

Influência da fisioterapia respiratória na pressão intracraniana em pacientes com traumatismo craniencefálico grave Influence of the respiratory physioterapy on intracranial pressure in severe head trauma patients

  • Rosana A. Thiesen,
  • Desanka Dragosavac,
  • Augusto C. Roquejani,
  • Antônio L.E. Falcão,
  • Sebastião Araujo,
  • Venâncio P. Dantas Filho,
  • Rosmari A.R.A. Oliveira,
  • Renato G.G. Terzi

DOI
https://doi.org/10.1590/S0004-282X2005000100020
Journal volume & issue
Vol. 63, no. 1
pp. 110 – 113

Abstract

Read online

OBJETIVO: 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 OBJECTIVE: To evaluate influence of the respiratory physiotherapy on intracranial pressure (ICP) in patients with severe head trauma. METHOD: Thirty five patients with severe head trauma were included in the study.The patients were divided into three groups: ICP 0-10, 11-20 and 21-30 mmHg. The following variables were measured: ICP and mean arterial pressure. Cerebral perfusion pressure was calculated as the difference between mean arterial and intracranial pressure. RESULTS: Endotracheal aspiration increased ICP in all patients. The mean arterial pressure didn't change and cerebral perfusion pressure decreased, but remaning normal value. CONCLUSION: Respiratory physiotherapy maneuvers can be safely applied in patients with severe head trauma with ICP below 30 mmHg. More attention should be taken during endotracheal aspiration .

Keywords