EFFECT OF AIRWAY PRESSURE RELEASE VENTILATION MODE ON INTRACRANIAL PRESSURE AND CEREBRAL HEMODYNAMIC IN PATIENTS WITH TRAUMATIC BRAIN INJURIES

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MALEKADEH JAVAD; PASANDIDEH ALIYEH; EHSAEE MOHAMADREZA; MAZLUM SEYYED REZA; ABOUEE MOHAMAD; YAZDANI MAHBUBE

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Journal: Journal of Mazandaran University of Medical Sciences Year:2017 | Volume:26 | Issue:144 Page(s): 240-249

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Title

EFFECT OF AIRWAY PRESSURE RELEASE VENTILATION MODE ON INTRACRANIAL PRESSURE AND CEREBRAL HEMODYNAMIC IN PATIENTS WITH TRAUMATIC BRAIN INJURIES

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Keywords

TRAUMATIC BRAIN INJURYQ1

INTRACRANIAL PRESSUREQ1

AIRWAY PRESSURE RELEASE VENTILATIONQ1

CEREBRAL PERFUSION PRESSUREQ1

Abstract

Background and purpose: This study aimed at comparing the influences of AIRWAY PRESSURE RELEASE VENTILATION (APRV) and Synchronized Intermittent Mechanical Ventilation (SIMV) on cerebral hemodynamic and INTRACRANIAL PRESSURE in patients with traumatic brain injuries.Materials and methods: A clinical trial was carried out in 40 patients with traumatic brain injuries in the intensive care unit in Kamyab neurosurgery Hospital, Mashhad, Iran. The patients meeting the study inclusion criteria were randomly assigned into two groups; intervention (APRV, n=20) and control (SIMV, n=20). The ICP, CPP, MAP, pulse pressure and heart rate in both groups were measured before and after conditioning. Analysis of data was done using independent t-test in SPSS V.22.Results: The mean ICP remained unchanged in both groups (P=0.421). After the intervention, the CPP, MAP, heart rate, and pulse pressure in APRV group were not significantly different compared with those in the two groups before the intervention (P>0.05).Conclusion: The results showed APRV as a safe mode that can be beneficial in patients with TRAUMATIC BRAIN INJURY without concerns for increased INTRACRANIAL PRESSURE and hemodynamic disorders.

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APA: Copy

MALEKADEH, JAVAD, PASANDIDEH, ALIYEH, EHSAEE, MOHAMADREZA, MAZLUM, SEYYED REZA, ABOUEE, MOHAMAD, & YAZDANI, MAHBUBE. (2017). EFFECT OF AIRWAY PRESSURE RELEASE VENTILATION MODE ON INTRACRANIAL PRESSURE AND CEREBRAL HEMODYNAMIC IN PATIENTS WITH TRAUMATIC BRAIN INJURIES. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 26(144), 240-249. SID. https://sid.ir/paper/45399/en

Vancouver: Copy

MALEKADEH JAVAD, PASANDIDEH ALIYEH, EHSAEE MOHAMADREZA, MAZLUM SEYYED REZA, ABOUEE MOHAMAD, YAZDANI MAHBUBE. EFFECT OF AIRWAY PRESSURE RELEASE VENTILATION MODE ON INTRACRANIAL PRESSURE AND CEREBRAL HEMODYNAMIC IN PATIENTS WITH TRAUMATIC BRAIN INJURIES. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2017;26(144):240-249. Available from: https://sid.ir/paper/45399/en

IEEE: Copy

JAVAD MALEKADEH, ALIYEH PASANDIDEH, MOHAMADREZA EHSAEE, SEYYED REZA MAZLUM, MOHAMAD ABOUEE, and MAHBUBE YAZDANI, “EFFECT OF AIRWAY PRESSURE RELEASE VENTILATION MODE ON INTRACRANIAL PRESSURE AND CEREBRAL HEMODYNAMIC IN PATIENTS WITH TRAUMATIC BRAIN INJURIES,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 26, no. 144, pp. 240–249, 2017, [Online]. Available: https://sid.ir/paper/45399/en

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