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). METHOD: 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. CONCLUSION: The respiratory physiotherapy techniques (VBC, EFI) do not promote cerebral hemodynamic repercussion, unlike suction, in severe head injury patients, mechanically ventilated, sedated and paralyzed.
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Academia Brasileira de Neurologia - ABNEURO
2010
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oai:scielo:S0004-282X20100004000172010-08-11The effect of breath physiotherapeutic maneuvers on cerebral hemodynamics: a clinical trialCerqueira-Neto,Manoel Luiz deMoura,Álvaro VieiraScola,Rosana HerminiaAquim,Esperidião EliasRea-Neto,ÁlvaroOliveira,Mirela CristineCerqueira,Telma Cristina Fontes physical therapy respiratory brain 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). METHOD: 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. CONCLUSION: The respiratory physiotherapy techniques (VBC, EFI) do not promote cerebral hemodynamic repercussion, unlike suction, in severe head injury patients, mechanically ventilated, sedated and paralyzed.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.68 n.4 20102010-08-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000400017en10.1590/S0004-282X2010000400017 |
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Cerqueira-Neto,Manoel Luiz de Moura,Álvaro Vieira Scola,Rosana Herminia Aquim,Esperidião Elias Rea-Neto,Álvaro Oliveira,Mirela Cristine Cerqueira,Telma Cristina Fontes |
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Cerqueira-Neto,Manoel Luiz de Moura,Álvaro Vieira Scola,Rosana Herminia Aquim,Esperidião Elias Rea-Neto,Álvaro Oliveira,Mirela Cristine Cerqueira,Telma Cristina Fontes The effect of breath physiotherapeutic maneuvers on cerebral hemodynamics: a clinical trial |
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Cerqueira-Neto,Manoel Luiz de Moura,Álvaro Vieira Scola,Rosana Herminia Aquim,Esperidião Elias Rea-Neto,Álvaro Oliveira,Mirela Cristine Cerqueira,Telma Cristina Fontes |
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Cerqueira-Neto,Manoel Luiz de |
title |
The effect of breath physiotherapeutic maneuvers on cerebral hemodynamics: a clinical trial |
title_short |
The effect of breath physiotherapeutic maneuvers on cerebral hemodynamics: a clinical trial |
title_full |
The effect of breath physiotherapeutic maneuvers on cerebral hemodynamics: a clinical trial |
title_fullStr |
The effect of breath physiotherapeutic maneuvers on cerebral hemodynamics: a clinical trial |
title_full_unstemmed |
The effect of breath physiotherapeutic maneuvers on cerebral hemodynamics: a clinical trial |
title_sort |
effect of breath physiotherapeutic maneuvers on cerebral hemodynamics: a clinical trial |
description |
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). METHOD: 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. CONCLUSION: The respiratory physiotherapy techniques (VBC, EFI) do not promote cerebral hemodynamic repercussion, unlike suction, in severe head injury patients, mechanically ventilated, sedated and paralyzed. |
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Academia Brasileira de Neurologia - ABNEURO |
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2010 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000400017 |
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