Effect of Body Position on Cerebral Oxygenation in Patients With Acute Neurological Conditions (Lippingcott)
SJCRG: One can find in nursing journal information not readily avalaible in medical research papers. A good example here is this article about the effect of body position on brain oxygenation
Quoting the Lippingcott Nursing Center :
“…Current positioning practices in neurocritical care units are largely based on studies that suggest head of bed (HOB) elevation may reduce ICP. However, there is no consensus on the degree of elevation for best practice. Although 30[degrees] of head elevation is believed to be associated with improvements in ICP (intercranial Pressure and and CPP (cerebral perfusion Pressure)….study to examine the effects of patient positioning, including a combination of head elevation and side lying on PbtO2 ICP, CPP, and MAP after severe brain injury…..Our data suggest that there is no single optimal body position and that the lateral position should be used with caution….”
The study still shows that body position matters..so the nurses should monitor the impact of patients position.
Here is a YouTube video showing a hightech hospital bed (Striker InTouch) that could help in find optimum positionning of patients [not endorsed] :
SJCRG: This study was for patients with major accute problems. But it begs the following question: what about long term the effect of body position on chronically ill such as quadraplegics or even paraplegics in their chairs or beds? Any?
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