A Study to Describe Cerebral Perfusion Pressure Optimization Practice among ICU Patients of Tertiary Hospital of South India

Chakrabarty, Jyothi and Sequira, Leena (2018) A Study to Describe Cerebral Perfusion Pressure Optimization Practice among ICU Patients of Tertiary Hospital of South India. International Journal of Caring Sciences, 11 (1). pp. 296-301.

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Abstract

Background: The maximum numbers of ICU admission are due to traumatic cases leading to physiological insult to the brain directing to impaired cerebral perfusion. Thus maintenance of cerebral perfusion is an important area to be looked into among ICU patients Aims: Assessing the practice of cerebral perfusion pressure optimization.Methodology: A descriptive survey study was done by cerebral perfusion pressure maintenance checklist and was used for 29 patients of Neurosciences ICU to observe the practice Kasturba Hospital, Manipal. Data was collected for the period of three month from January to March 2014. Descriptive statistics were used to explain the findings.Results: The observation of cerebral perfusion maintenance practice revealed that there was 100% monitoring of vital signs, GCS and pupillary reaction. The blood pressure was maintained among 86.20% and 13.79% were given vasopressure agent. Majority 65.75% used mechanical ventilation through endotracheal tube. Inj Mannitol was used among 75.86% and Inj Lasix among 79.31% of patients in Neuro ICU for osmotherapy; hypertonic saline was not practiced. Most of patients received Inj Phenytoin for anti seizure measure whereas use of sedation and muscle relaxant was not observed. Among surgical management 24.13% was managed with extra ventricular drainage and 51.72 % underwent craniotomy.Conclusion: The standardized guideline for cerebral perfusion pressure maintenance for uniformity and effective case management and improve outcome is essential to be established.

Item Type: Article
Uncontrolled Keywords: Cerebral perfusion pressure; CPP optimization practice; ICU patient
Subjects: Nursing > MCON Manipal > Medical Surgical
Depositing User: KMC Library
Date Deposited: 08 Aug 2018 05:42
Last Modified: 08 Aug 2018 05:42
URI: http://eprints.manipal.edu/id/eprint/151711

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