title: [Influence of the respiratory physiotherapy on intracranial pressure in severe head trauma patients].
abstract: OBJECTIVE
  To evaluate influence of the respiratory physiotherapy on intracranial pressure (ICP) in patients with severe head trauma.
  
  
  METHODS
  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 remaining normal value.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Unidade de Terapia Intensiva, Hospital das Clinicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.
authors.forename: Rosana A
authors.initials: RA
authors.lastname: Thiesen
authors.forename: Desanka
authors.initials: D
authors.lastname: Dragosavac
authors.forename: Augusto C
authors.initials: AC
authors.lastname: Roquejani
authors.forename: Antônio L E
authors.initials: AL
authors.lastname: Falcão
authors.forename: Sebastião
authors.initials: S
authors.lastname: Araujo
authors.forename: Venâncio P
authors.initials: VP
authors.lastname: Dantas Filho
authors.forename: Rosmari A R A
authors.initials: RA
authors.lastname: Oliveira
authors.forename: Renato G G
authors.initials: RG
authors.lastname: Terzi
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001794:Blood Pressure / Q000502:physiology*; D006259:Craniocerebral Trauma / Q000503:physiopathology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D007427:Intracranial Pressure / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012138:Respiratory Therapy / Q000379:methods*; D013396:Suction / Q000009:adverse effects / Q000379:methods; D015599:Trauma Severity Indices