- Acıbadem Üniversitesi Sağlık Bilimleri Dergisi
- Issue: 1
- Hemşirelik Girişimleri İkincil Beyin Hasarına Neden Olabilir mi?
Hemşirelik Girişimleri İkincil Beyin Hasarına Neden Olabilir mi?
Authors : Gülay Altun Uğraş, Canan Kanat
Pages : 13-19
View : 29 | Download : 21
Publication Date : 2019-03-01
Article Type : Other
Abstract :As a result of increase in intracranial pressure, decrease in cerebral perfusion pressure, hypotension and decrease in cerebral blood flow secondary brain insult may occur. The main focus of treatment and nursing care in neurosurgical patients is to prevent intracranial pressure increase. But some nursing interventions can also cause secondary brain damage. Routine nursing interventions such as endotracheal suction, oral care, body bath, rotationing and repositioning of patients and clusteringof nursing interventions may cause secondary brain insult by increasing cerebral metabolism rate, decreasing cerebral perfusion pressure and affecting cerebral blood flow. This systematic review aims to provide guidance to nurses about the prevention of secondary brain insult by reviewing the nursing interventions that may cause secondary brain insult in neurosurgical patients in the light of current literatureKeywords : Secondary brain insult, nursing interventions, intracranial pressure, cerebral perfusion pressure