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Annales françaises d'anesthésie et de réanimation, v.17 no.2, 1998년, pp.149 - 156
Porchet, F (Service de neurochirurgie, CHU Vaudois, CH-1011 Lausanne, Suisse, France) , Bruder, N (dé) , Boulard, G (partement d'anesthé) , Archer, DP (sie-ré) , Ravussin, P (animation, CHU Timone, F-13385 Marseille, France)
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AbstractThe question as to whether the head and trunk of neurosurgery patients should be elevated remains controversial. This question is particularly important when intracranial hypertension is present. Head up position may have beneficial effects on intracranial pressure (ICP) via changes in mean ...
RésuméL'effet de la position sur la pression intracrânienne (PIC) reste encore un sujet de controverses. La PIC et la pression de perfusion cérébrale (PPC) se modifient lors de changements de position de manière variable, selon des mécanismes non encore entièrement élucidés. Il est donc nécessaire d'adapter le positionnement des patients en fonction d'une situation clinique donnée. Dans tous les cas, une position proclive de plus de 30° est déconseillée. Chez la plupart des patients, l'élévation de la tête jusqu'à 30° permet de diminuer la PIC, sans altérer de manière notable la PPC et le débit sanguin cérébral. Toutefois, une élévation paradoxale de la PIC lors de l'élévation modérée de la tête et du tronc peut être observée dans certains cas. Ceci nécessite un suivi méticuleux de l'évolution de la PPC (et donc de la PIC et de la pression artérielle moyenne) par examen doppler transcrânien et/ou monitorage de la saturation en O2 du sang veineux jugulaire. Une position à plat semble préférable chez tous les patients dont l'état hémodynamique est précaire et lors de toute baisse de la pression artérielle.
Cushing 19 1926 Studies in intracranial physiology and surgery
Arch Surg Weed 18 1049 1929 10.1001/archsurg.1929.01140130137006 Some limitations of the Monro-Kellie hypothesis
N Engl J Med Toole 279 307 1968 10.1056/NEJM196808082790609 Effects of change of head, limb and body position on cephalic circulation
Neurosurgery Wilder 4 530 1982 10.1227/00006123-198210000-00014 Hypothesis: the etiology of midcervical quadriplegia after operation with the patient in the sitting position
J Clin Invest Henry 30 292 1951 10.1172/JCI102443 Factors maintaining cerebral circulation during gravitational stress
Acta Anaesthesiol Scand Armstrong 38 229 1994 10.1111/j.1399-6576.1994.tb03879.x The effect of position and different manoeuvres on internal jugular vein size
Anesthesiohgy Toung 68 53 1988 10.1097/00000542-198801000-00009 Effect of PEEP and jugular venous compression on canine cerebral blood flow and oxygen consumption in head elevated position
J Cereb Blood Flow Metab Nilsson 11 861 1991 10.1038/jcbfm.1991.146 Simultaneous and continuous measurement of choroid plexus blood flow and cerebrospinal fluid production: effects of vasoactive intestinal polypeptide
J. Neurosurg Shapira 63 69 1985 10.3171/jns.1985.63.1.0069 Biomechanical and hydrodynamic characterization of the hydrocephalic infant
Neurosurgery Sklar 8 525 1981 10.1227/00006123-198105000-00003 Significance of the so-called absorptive reserve in communicating hydrocephalus: a preliminary report
Anesthesiohgy Artru 69 541 1988 10.1097/00000542-198810000-00014 Dose-related changes in the rate of cerebrospinal fluid formation and resistance to reabsorption of cerebrospinal fluid following administration of thiopental, midazolam, and etomiate in dogs
J Physiol Pullen 362 273 1985 10.1113/jphysiol.1985.sp015676 Effect of ventricular tonicity upon cerebrospinal fluid production in rabbits
J Neurosurg Magnaes 44 687 1976 10.3171/jns.1976.44.6.0687 Body position cerebrospinal fluid pressure. Part 1. Clinical studies on the effect of rapid postural changes
Rev Neurol Guillaume 84 131 1951 Manometrie intracranienne continue. Interet de la methode et premiers resultats
J Neurosurg Marmarou 43 523 1975 10.3171/jns.1975.43.5.0523 Compartmental analysis of compliance and outflow resistance of the cerebrospinal fluid system
Neurosurgery Burchiel 8 443 1981 10.1227/00006123-198104000-00007 Intracranial pressure changes in brain injured patients requiring positive end-expiratory pressure ventilation
Neurosurgery Lodrini 24 873 1989 10.1227/00006123-198906000-00013 Positive end expiratory pressure in supine and sitting positions, its effects on intrathoracic and intracranial pressures
Edouard 151 1991 La pression arterielle en anesthesie Influence de l'anesthesie sur le controle reflexe de la pression arterielle
Surg Neurol Kenning 15 148 1981 10.1016/0090-3019(81)90037-9 Upright patient positioning in the management of intracranial hypertension
J Neurosurg Feldman 76 207 1992 10.3171/jns.1992.76.2.0207 Effect of head elevation on intracranial pressure, cerebral perfusion pressure and cerebral blood flow in head injured patients
J Neurosurg Durward 59 938 1983 10.3171/jns.1983.59.6.0938 I Cerebral and cardiovascular responses to changes in head elevation in patients with intracranial hypertension
J Neurosurg Rosner 65 636 1986 10.3171/jns.1986.65.5.0636 Cerebral perfusion pressure, intracranial pressure and head elevation
J Trauma Rosner 30 933 1990 10.1097/00005373-199008000-00001 Cerebral perfusion pressure management in head injury
Yoshida 433 1993 Intracranial pressure VIII Effects of postural changes on epidural pressure , cerebral perfusion pressure in patients with serious intracranial lesions
Care Med Davenport 18 286 1990 10.1097/00003246-199003000-00008 Effect of posture on intracranial pressure and cerebral perfusion pressure in patients with fulminant hepatic and renal failure after acetaminophen self poisoning Cm
Neurology Ropper 32 286 1982 10.1212/WNL.32.11.1288 Head position, intracranial pressure, and compliance
J Neurosurg Chan 77 55 1992 10.3171/jns.1992.77.1.0055 The effect of changes in cerebral perfusion pressure upon middle cerebral artery blood flow velocity and jugular venous oxygen saturation after severe brain injury
J Neurosurg Bouma 77 15 1992 10.3171/jns.1992.77.1.0015 Blood pressure and intracranial pressure-volume dynamics in severe head injury: relationship with cerebral blood flow
Neurosurgery Chan 32 547 1993 10.1227/00006123-199304000-00009 Multimodality monitoring as a guide to treatment of intracranial hypertension after severe head injury
J Neurosurg Robertson 70 222 1989 10.3171/jns.1989.70.2.0222 Cerebral arteriovenous oxygen differences as an estimate of cerebral blood flow in comatose patients
Br J Anaesth Mavrocordatos 74 Suppl 1 70 1995 Effect of head position on intracranial pressure in anaesthetized neurosurgical patients [abstract]
J Neurol Neurosurg Psychiatry Pickard 56 845 1993 10.1136/jnnp.56.8.845 Management of raised intracranial pressure
Lancet Wyatt ii 1063 1986 10.1016/S0140-6736(86)90467-8 Quantification of cerebral oxygenation and haemodynamics in sick newborn infants by near infrared spectroscopy
Crit Care Med McCormick 19 89 1991 10.1097/00003246-199101000-00020 Noninvasive cerebral optical spectroscopy for monitoring cerebral oxygen delivery and hemodynamics
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