Positive End‐Expiratory Pressure in Supine and Sitting Positions: Its Effects on Intrathoracic and Intracranial Pressures
作者:
Sandro Lodrini,
Marcello Montolivo,
Franco Pluchino,
Vittorio Borroni,
期刊:
Neurosurgery
(OVID Available online 1989)
卷期:
Volume 24,
issue 6
页码: 873-877
ISSN:0148-396X
年代: 1989
出版商: OVID
关键词: Positive end‐expiratory pressure;Intracranial pressure;Sitting position;Air embolism
数据来源: OVID
摘要:
&NA;The effects of positive end‐expiratory pressure (PEEP) on central venous and intracranial (ICP) pressures were evaluated in 10 patients with posterior fossa tumors, in both supine and sitting positions. With patients in the supine position, intrathoracic PEEP‐dependent venous hypertension was clearly transmitted to the intracranial compartment but without intracranial hypertension. On the contrary, with patients in the sitting position PEEP had no influence in almost half of our patients. In patients with radiological or clinical signs of increased ICP, however, the combination of head flexion and rotation with institution of PEEP caused a dangerous increase in ICP, even when the patients were in the sitting position. The need for early withdrawal of cerebrospinal fluid in these patients is stressed. (Neurosurgery24:873‐877, 1989)
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