The effect of breath physiotherapeutic maneuvers on cerebral hemodynamics: a clinical trial.
OBJECTIVE
To observe the repercussion of respiratory physiotherapy techniques on the mean arterial pressure (MBP), intracranial pressure (ICP), cerebral perfusion pressure (CPP), jugular venous oxygen pressure (PjvO2) and jugular venous oxygen saturation (SjvO2).


METHODS
The sample consisted of 20 patients with head trauma. The protocol consisted of physiotherapy techniques application of vibrocompression (VBC), expiratory flow increase (EFI) and suction.


RESULTS
The results show the maintenance on variables of cerebral hemodynamics during the techniques of VBC and EFI. However, in relation to suction, there was an increase of MBP, ICP, with maintenance of CPP, PjvO2 and SjvO2 and return to baseline of MBP and ICP 10 minutes after the end of suction.


CONCLUSIONS
The respiratory physiotherapy techniques (VBC, EFI) do not promote cerebral hemodynamic repercussion, unlike suction, in severe head injury patients, mechanically ventilated, sedated and paralyzed.
Cerqueira-Neto
Manoel Luiz de
ML
Departament Medicine, University Federal of Paraná, Curitiba, PR, Brazil. mlcerqueiraneto@gmail.com
Moura
Alvaro Vieira
AV
Scola
Rosana Herminia
RH
Aquim
Esperidião Elias
EE
Rea-Neto
Alvaro
A
Oliveira
Mirela Cristine
MC
Cerqueira
Telma Cristina Fontes
TC
D000328:Adult; D001794:Blood Pressure / Q000502:physiology*; D001921:Brain / Q000098:blood supply*; D006259:Craniocerebral Trauma / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D007427:Intracranial Pressure / Q000502:physiology*; D007601:Jugular Veins / Q000502:physiology*; D008297:Male; D010100:Oxygen / Q000097:blood*; D011446:Prospective Studies; D012138:Respiratory Therapy / Q000379:methods*; D014636:Valsalva Maneuver
D010100:Oxygen