Effect of head elevation on cerebral blood flow velocity in post-cerebral operation patients.
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.
Yang
Jui-Ling
JL
Surgery-Neurosurgery Intensive Care Unit, Tri-Service General Hospital.
Wang
Kwua-Yun
KY
Chiang
Yung-Hsiao
YH
Peng
Giia-Sheun
GS
D000704:Analysis of Variance; D001783:Blood Flow Velocity; D001927:Brain Diseases / Q000000981:diagnostic imaging / Q000451:nursing / Q000503:physiopathology / Q000601:surgery*; D002560:Cerebrovascular Circulation; D015400:Clinical Nursing Research; D006259:Craniocerebral Trauma / Q000000981:diagnostic imaging / Q000451:nursing / Q000503:physiopathology / Q000601:surgery*; D003971:Diastole; D005260:Female; D006257:Head / Q000098:blood supply*; D006706:Homeostasis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods* / Q000451:nursing; D011187:Posture; D013318:Stroke Volume; D013599:Systole; D013997:Time Factors; D014463:Ultrasonography