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Effects of nursing interventions on intracranial pressure.

Publication ,  Journal Article
Olson, DM; McNett, MM; Lewis, LS; Riemen, KE; Bautista, C
Published in: American journal of critical care : an official publication, American Association of Critical-Care Nurses
September 2013

Intracranial pressure is a frequent target for goal-directed therapy to prevent secondary brain injury. In critical care settings, nurses deliver many interventions to patients having intracranial pressure monitored, yet few data documenting the immediate effect of these interventions on intracranial pressure are available.To examine the relationship between intracranial pressure and specific nursing interventions observed during routine care.Secondary analysis of prospectively collected observational data.During 3118 minutes of observation, 11 specific nursing interventions were observed for 28 nurse-patient dyads from 16 hospitals. Family members talking in the room, administering sedatives, and repositioning the patient were associated with a significantly lower intracranial pressure. However, intracranial pressure was sometimes higher, lower, or unchanged after each intervention observed.Response of intracranial pressure to nursing interventions is inconsistent. Most interventions were associated with inconsistent changes in intracranial pressure at 1 or 5 minutes after the intervention.

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Published In

American journal of critical care : an official publication, American Association of Critical-Care Nurses

DOI

EISSN

1937-710X

ISSN

1062-3264

Publication Date

September 2013

Volume

22

Issue

5

Start / End Page

431 / 438

Related Subject Headings

  • Nursing Staff, Hospital
  • Nursing
  • Monitoring, Physiologic
  • Middle Aged
  • Male
  • Intracranial Pressure
  • Humans
  • Female
  • Critical Illness
  • Critical Care
 

Citation

APA
Chicago
ICMJE
MLA
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Olson, D. M., McNett, M. M., Lewis, L. S., Riemen, K. E., & Bautista, C. (2013). Effects of nursing interventions on intracranial pressure. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, 22(5), 431–438. https://doi.org/10.4037/ajcc2013751
Olson, DaiWai M., Molly M. McNett, Lisa S. Lewis, Kristina E. Riemen, and Cynthia Bautista. “Effects of nursing interventions on intracranial pressure.American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses 22, no. 5 (September 2013): 431–38. https://doi.org/10.4037/ajcc2013751.
Olson DM, McNett MM, Lewis LS, Riemen KE, Bautista C. Effects of nursing interventions on intracranial pressure. American journal of critical care : an official publication, American Association of Critical-Care Nurses. 2013 Sep;22(5):431–8.
Olson, DaiWai M., et al. “Effects of nursing interventions on intracranial pressure.American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, vol. 22, no. 5, Sept. 2013, pp. 431–38. Epmc, doi:10.4037/ajcc2013751.
Olson DM, McNett MM, Lewis LS, Riemen KE, Bautista C. Effects of nursing interventions on intracranial pressure. American journal of critical care : an official publication, American Association of Critical-Care Nurses. 2013 Sep;22(5):431–438.

Published In

American journal of critical care : an official publication, American Association of Critical-Care Nurses

DOI

EISSN

1937-710X

ISSN

1062-3264

Publication Date

September 2013

Volume

22

Issue

5

Start / End Page

431 / 438

Related Subject Headings

  • Nursing Staff, Hospital
  • Nursing
  • Monitoring, Physiologic
  • Middle Aged
  • Male
  • Intracranial Pressure
  • Humans
  • Female
  • Critical Illness
  • Critical Care