[Effects of backrest position on central venous pressure and intracranial pressure in brain surgery patients].
OBJECTIVE
This study was done to investigate the effects of backrest elevation of 0 degree and 30 degrees that minimize the risk of increasing ICP when CVP is measured.


METHODS
Subjects were sixty-four patients who stayed in the neurosurgical intensive care unit after brain surgery at two university-based hospitals. CVP, blood pressure, heart rate and ICP were measured along with position changes in order of backrest position with primary 30 degrees backrest position, 0 degree backrest position and secondary 30 degrees backrest position. For data analysis, one-group, repeated-measures analysis of variance design was used in SAS program.


RESULTS
Backrest elevations from 0 degree to 30 degrees did not alter the CVP without increasing the ICP. Therefore, 30 degrees backrest position is a preventive position without increasing ICP.


CONCLUSIONS
30 degrees backrest position might be appropriate for brain injury patients when CVP is measured.
Kim
Hyun-Ju
HJ
NSICU Unit, The Catholic University of Korea, St. Mary's Hospital, 505 Banpo-dong, Socho-gu, Seoul 137-701, Korea.
Sohng
Kyeong-Yae
KY
D000328:Adult; D000368:Aged; D001415:Back; D001510:Bed Rest / Q000379:methods* / Q000451:nursing; D001930:Brain Injuries / Q000451:nursing / Q000534:rehabilitation* / Q000601:surgery; D002496:Central Venous Pressure; D015400:Clinical Nursing Research; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007427:Intracranial Pressure; D008297:Male; D008875:Middle Aged; D011187:Posture