Does prolonged prone position affect intracranial pressure? prospective observational study employing Optic nerve sheath diameter measurements

DEMİR, Ufuk; TAŞKIN, Öztürk; YILMAZ, Ayşe; SOYLU, Veysel Garani; DOĞANAY, Zahide

doi:10.1186/s12871-023-02037-9

Does prolonged prone position affect intracranial pressure? prospective observational study employing Optic nerve sheath diameter measurements

Yazarlar (5)

Doç. Dr. Ufuk DEMİR Kastamonu Üniversitesi, Türkiye

Doç. Dr. Öztürk TAŞKIN Kastamonu Üniversitesi, Türkiye

Doç. Dr. Ayşe Yılmaz Kastamonu Üniversitesi, Türkiye

Doç. Dr. Veysel Garani SOYLU Kastamonu Üniversitesi, Türkiye

Prof. Dr. Zahide DOĞANAY Kastamonu Üniversitesi, Türkiye

Makale Türü	Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı	BMC Anesthesiology (Q3)
Dergi ISSN	1471-2253 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler	SCI-Expanded
Makale Dili	İngilizce	Basım Tarihi	03-2023
Cilt / Sayı / Sayfa	23 / 1 / –	DOI	10.1186/s12871-023-02037-9
Makale Linki	https://doi.org/10.1186/s12871-023-02037-9

Özet

Background: Our aim in this observational prospective study is to determine whether the prone position has an effect on intracranial pressure, by performing ultrasound-guided ONSD (Optic Nerve Sheath Diameter) measurements in patients with acute respiratory distress syndrome (ARDS) ventilated in the prone position. Methods: Patients hospitalized in the intensive care unit with a diagnosis of ARDS who were placed in the prone position for 24 h during their treatment were included in the study. Standardized sedation and neuromuscular blockade were applied to all patients in the prone position. Mechanical ventilation settings were standardized. Demographic data and patients’ pCO2, pO2, PaO2/FiO2, SpO2, right and left ONSD data, and complications were recorded at certain times over 24 h. Results: The evaluation of 24-hour prone-position data of patients with ARDS showed no significant increase in ONSD. There was no significant difference in pCO2 values either. PaO2/FiO2 and pO2 values demonstrated significant cumulative increases at all times. Post-prone SPO2 values at the 8th hour and later were significantly higher when compared to baseline (p < 0.001). Conclusion: As a result of this study, it appears that the prone position does not increase intracranial pressure during the first 24 h and can be safely utilized, given the administration of appropriate sedation, neuromuscular blockade, and mechanical ventilation strategy. ONSD measurements may increase the safety of monitoring in patients ventilated in the prone position.

Anahtar Kelimeler

BM Sürdürülebilir Kalkınma Amaçları

Atıf Sayıları
Scopus	2

Does prolonged prone position affect intracranial pressure? prospective observational study employing Optic nerve sheath diameter measurements

Dergi Adı	BMC Anesthesiology
Yayıncı	BioMed Central Ltd
Açık Erişim	Evet
ISSN	1471-2253
E-ISSN	1471-2253
CiteScore	3,9
SJR	0,753
SNIP	1,040

Does prolonged prone position affect intracranial pressure? prospective observational study employing Optic nerve sheath diameter measurements

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