Effect of abdominal massage on bowel evacuation in neurosurgical intensive care patients

2020 ◽  
Author(s):  
Gulay Altun Ugras ◽  
Serpil Yüksel ◽  
Meryem Turkan Isik ◽  
Bahar Tasdelen ◽  
Havva Dogan ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Patients ◽  
Neurosurgical Intensive Care ◽  
Abdominal Massage ◽  
Bowel Evacuation

Effect of abdominal massage on prevention of aspiration in intubated and enterally fed patients: A randomized controlled trial

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Mahlagha Dehghan ◽  
Amanollah Fatehi Poor ◽  
Roghayeh Mehdipour-Rabori ◽  
Mehdi Ahmadinejad
Keyword(s):  
Intensive Care ◽  
Confidence Interval ◽  
Endotracheal Tube ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Respiratory Secretion ◽  
Intensive Care Patients ◽  
Randomized Controlled ◽  
Abdominal Massage

AbstractBackgroundAspiration is a serious side effect of delayed gastric emptying and increased residual volume in intensive care patients. Aspiration can increase the risk of pneumonia and death. Currently, pharmaceutical methods are the most commonly used techniques for decreasing aspiration, but non-pharmaceutical methods may also be effective in reducing aspiration. One of these methods is an abdominal massage. The present study aimed to examine the effect of abdominal massage on aspiration incidence in intensive care patients with an endotracheal tube.MethodsThis study was a randomized controlled clinical trial. Seventy intensive care patients with an endotracheal tube were chosen by convenience sampling and allocated to an intervention or a control group by the minimization method. The intervention group was provided with a 15-min abdominal massage twice a day for 3 days, while the control group received only routine cares. The patients’ respiratory secretion was suctioned before and after the intervention, and immediately after suctioning, the incidence of the aspiration was assessed using special strips which are sensitive to respiratory secretion pH and glucose. SPSS 18 was used to analyze data. Descriptive statistics were used. T independent, Mann-Whitney U, χ2, and Fisher exact tests were used to compare two groups.ResultsThe incidence rates of the aspiration were 5.7% (confidence interval: 0.0–14.3%) and 20% (confidence interval: 8.6–34.3%) in the abdominal massage and the control groups, respectively. The incidence of aspiration differed between two groups, but it was not statistically significant (p=0.07).ConclusionAlthough the low rate of aspiration in the abdominal massage group did not differ significantly with that of the control group, it can be clinically important. It is suggested that further studies be conducted to confirm the effect of abdominal massage on the prevention of aspiration in intensive care patients with an endotracheal tube.

Prevalence and Characteristics of Adverse Drug Reactions in Neurosurgical Intensive Care Patients

Neurosurgery ◽  
2006 ◽  
Vol 58 (3) ◽  
pp. 426-433 ◽  
Author(s):  
Kelly M. Smith ◽  
Chad S. Jeske ◽  
Byron Young ◽  
Jimmi Hatton
Keyword(s):  
Intensive Care ◽  
Adverse Drug Reactions ◽  
Hospital Admissions ◽  
Tertiary Care ◽  
Drug Reactions ◽  
Icu Patients ◽  
Comparable Rate ◽  
Intensive Care Patients ◽  
Neurosurgical Patients ◽  
Neurosurgical Intensive Care

Abstract OBJECTIVE: To evaluate the prevalence and characteristics of adverse drug reactions (ADRs) in neurosurgical intensive care patients. METHODS: Retrospective analysis of ADR data obtained from a spontaneous reporting system in a tertiary care university hospital. Reports of suspected ADRs in adult patients admitted emergently or electively to the neurosurgical service were included. RESULTS: Over the 3 year period, 3496 neurosurgical intensive care unit (ICU) patient admissions accounted for 5% of all hospital admissions. A total of 10% of all neurosurgical patients developed a suspected ADR, with three patients experiencing multiple reactions. Other adult ICU patients developed ADRs at a comparable rate (9%, P>0.05). Overall, neurosurgery patients accounted for 12% of all spontaneously reported ADRs. Preventable reactions were observed in 43 (13%) cases, and treatment was required for 76%. The majority (96%) of ADRs resolved or improved at the time of the ADR report. Nausea, pruritus, thrombocytopenia, and vomiting were most frequently noted. Therapies most often associated with reported events were analgesics, antipyretics, antibiotics, anticonvulsants, and histamine H2 antagonists. The relationship between central nervous system disease and adverse event occurrence is not clear. CONCLUSION: Despite the narrow scope of drug regimens in neurosurgical ICU patients, ADRs can complicate therapy in this critically ill population. Neurosurgical ICU patients seem to experience ADRs no more frequently than their adult ICU counterparts.

Secondary insults during intrahospital transport of neurosurgical intensive care patients

1998 ◽  
Vol 21 (2-3) ◽  
pp. 98-101 ◽  
Author(s):  
Ahmet Bekar ◽  
Zeki Ipekoglu ◽  
Kudret Türeyen ◽  
Hülya Bilgin ◽  
Gülsen Korfali ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intrahospital Transport ◽  
Secondary Insults ◽  
Intensive Care Patients ◽  
Neurosurgical Intensive Care
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