Early Physiotherapy by Passive Range of Motion Does Not Affect Partial Brain Tissue Oxygenation in Neurocritical Care Patients
| Autor: | Stefanie Kaestner, Markus Gehling, Jens Kleffmann, Christian L. Roth, Wolfgang Deinsberger, Hubertus Stitz, Andreas Ferbert |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Care Prom Brain tissue 030204 cardiovascular system & hematology Young Adult 03 medical and health sciences Oxygen Consumption 0302 clinical medicine Post-hoc analysis Humans Medicine Range of Motion Articular Cerebral perfusion pressure Physical Therapy Modalities Intracranial pressure Brain Diseases business.industry musculoskeletal neural and ocular physiology Brain Neurointensive care Oxygenation Middle Aged Physical therapy Female Surgery Neurology (clinical) business Range of motion 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurological Surgery Part A: Central European Neurosurgery. 78:42-45 |
| ISSN: | 2193-6323 2193-6315 |
| DOI: | 10.1055/s-0036-1592160 |
| Popis: | Background Studies investigating multimodal cerebral monitoring including partial brain tissue oxygen monitoring (ptiO2) in neuro-intensive care patients during physiotherapy are completely lacking in the literature. Materials and Methods We performed a post hoc analysis of prospectively collected data of patients on multimodal cerebral monitoring by intracranial pressure (ICP) and cerebral perfusion pressure (CPP) measurement as well as ptiO2. Patients with severe brain diseases were treated with passive range of motion (PROM). We recorded ICP, CPP, and ptiO2 continuously every minute at baseline (15 minutes), during treatment (26 minutes), and 15 minutes after treatment with PROM. Results Overall, 25 treatment units with PROM in 10 patients with combined ICP/CPP and ptiO2 monitoring were evaluated. Median ICP, CPP, and ptiO2 at baseline were 12 ± 6.1 mm Hg, 86 ± 17.1 mm Hg, and 27 ± 14.3 mm Hg, respectively. Values for ICP, CPP, and ptiO2 did not change significantly when comparing mean values before, during, and after therapy. Conclusions Based on ptiO2 measurements, our data provide new information about the feasibility and safety of physiotherapy in patients with severe brain diseases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|