Multicenter pilot study: Safety of automated chest percussion in patients at risk for intracranial hypertension

Daiwai M. Olson, Mary Kay Bader, Christina Dennis, Dea Mahanes, Kristina Riemen

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

In the critical care setting, the focus of care during the first few weeks following acute brain injury is prevention of secondary brain injury by optimizing cerebral perfusion. Ensuring adequate oxygenation and perfusion of cerebral tissues requires attention to all of the body systems. Chest percussion therapy (CPT) promotes pulmonary hygiene and optimizes gas exchange by opening the alveoli. However, many patients with brain injury have intracranial pressure (ICP) monitoring, and conventional wisdom supports limiting activities such as CPT that may stimulate the patient and increase ICP. The purpose of this study was to explore the effects of CPT on ICP. Thirty participants were enrolled over a 6-month period. Data were collected at 1-minute intervals for 1 hour. Each patient was randomized to receive automated CPT (using specialty beds) for 10 minutes, starting at 10, 20, 30, or 40 minutes into the hour. There were no differences in mean ICP values before, during, or after CPT. This study provides evidence that it is safe to perform CPT in patients with ICP monitoring in situ.

Original languageEnglish (US)
Pages (from-to)119-127
Number of pages9
JournalJournal of Neuroscience Nursing
Volume42
Issue number3
DOIs
StatePublished - Jun 2010

Fingerprint

Percussion
Intracranial Hypertension
Multicenter Studies
Thorax
Intracranial Pressure
Safety
Brain Injuries
Therapeutics
Perfusion
Critical Care
Secondary Prevention
Hygiene
Gases
Lung

ASJC Scopus subject areas

  • Clinical Neurology
  • Endocrine and Autonomic Systems
  • Medical–Surgical
  • Surgery

Cite this

Multicenter pilot study : Safety of automated chest percussion in patients at risk for intracranial hypertension. / Olson, Daiwai M.; Bader, Mary Kay; Dennis, Christina; Mahanes, Dea; Riemen, Kristina.

In: Journal of Neuroscience Nursing, Vol. 42, No. 3, 06.2010, p. 119-127.

Research output: Contribution to journalArticle

Olson, Daiwai M. ; Bader, Mary Kay ; Dennis, Christina ; Mahanes, Dea ; Riemen, Kristina. / Multicenter pilot study : Safety of automated chest percussion in patients at risk for intracranial hypertension. In: Journal of Neuroscience Nursing. 2010 ; Vol. 42, No. 3. pp. 119-127.
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