Changes in intracranial pressure associated with chest physiotherapy

DaiWai M. Olson, Suzanne M. Thoyre, Dennis A. Turner, Stacey Bennett, Carmelo Graffagnino

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction: Management of intracranial hypertension is pivotal in the care of brain-injured patients. Summary of Case: We report the case of a patient with both a closed head injury and anoxic encephalopathy, who subsequently experienced episodes of refractory intracranial hypertension. The patient's care was complicated by the development of a pneumonia, which required frequent turning of the patient and chest physiotherapy. Conventional wisdom suggests that these interventions may stimulate the patient and worsen intracranial pressure, and therefore should be avoided. Results: Our observations on this patient, however, contradict this belief. This single-subject study presents data to support the use of chest physiotherapy in patients at risk for intracranial hypertension. Conclusions: Further, the evidence is compelling that a randomized-controlled trial is indicated to test the hypothesis that chest physiotherapy may actually result in short-term resolution of high intracranial pressure, and thus provide one more clinical tool in the management of elevated intracranial pressure.

Original languageEnglish (US)
Pages (from-to)100-103
Number of pages4
JournalNeurocritical Care
Volume6
Issue number2
DOIs
StatePublished - Apr 2007

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Intracranial Pressure
Intracranial Hypertension
Thorax
Closed Head Injuries
Brain Hypoxia
Pneumonia
Patient Care
Randomized Controlled Trials
Brain

Keywords

  • Brain injury
  • Chest physiotherapy
  • Intracranial hypertensions

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

Cite this

Changes in intracranial pressure associated with chest physiotherapy. / Olson, DaiWai M.; Thoyre, Suzanne M.; Turner, Dennis A.; Bennett, Stacey; Graffagnino, Carmelo.

In: Neurocritical Care, Vol. 6, No. 2, 04.2007, p. 100-103.

Research output: Contribution to journalArticle

Olson, DM, Thoyre, SM, Turner, DA, Bennett, S & Graffagnino, C 2007, 'Changes in intracranial pressure associated with chest physiotherapy', Neurocritical Care, vol. 6, no. 2, pp. 100-103. https://doi.org/10.1007/s12028-007-0015-y
Olson, DaiWai M. ; Thoyre, Suzanne M. ; Turner, Dennis A. ; Bennett, Stacey ; Graffagnino, Carmelo. / Changes in intracranial pressure associated with chest physiotherapy. In: Neurocritical Care. 2007 ; Vol. 6, No. 2. pp. 100-103.
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