The Impact of 30-Degree Head-Up Position on Cerebral Perfusion in Moderate Brain Injury Patients

The Impact of 30-Degree Head-Up Position on Cerebral Perfusion in Moderate Brain Injury Patients

Brain Injury, Cerebral Perfusion, Head Up Position

Background: Nursing problems in brain injury patients include the risk of
ineffective perfusion due to reduced oxygen flow to the brain, which, if not
treated immediately, will increase intracranial pressure (ICP). One way to
increase ICP is with 30-degree head-up position intervention. Objective: This
study aimed to analyze the application of 30-degree Head Up Position on
Cerebral Perfusion in Moderate Brain Injury Patients. Method: This research
is an observational study with a case study design. Primary data was obtained
through anamnesis and physical assessment with a sample of a patient being
treated in the Hospital by assessing the effect of the 30-degree head-up
position carried out for 30 minutes for 3 consecutive days. Results: In this
study, the results showed an increase in cerebral perfusion as indicated by
cerebral perfusion indicators, namely blood pressure, MAP, pulse, patient
breathing improved, and the patient's level of consciousness increased until
the final evaluation. Conclusion: From the results of the innovation analysis
in this case, providing a 30-degree head-up position in patients with a risk of
ineffective cerebral perfusion is one form of effectiveness in increasing the
patient's cerebral perfusion so that it can prevent an increase in intracranial
pressure.

Pinky Issabella Nanda Basuki, Siswoyo , Rondhianto , Mustakim

https://ebsina.or.id/journals/index.php/jkmi

Universitas Jember

February 2024

Sri Wahyuni

EISSN 2502-2717

PDF

English

Text