Details

Autor(en) / Beteiligte

• Anderson, Craig S
• Arima, Hisatomi
• Lavados, Pablo
• Billot, Laurent
• Hackett, Maree L
• Olavarría, Verónica V
• Muñoz Venturelli, Paula
• Brunser, Alejandro
• Peng, Bin
• Cui, Liying
• Song, Lily
• Rogers, Kris
• Middleton, Sandy
• Lim, Joyce Y
• Forshaw, Denise
• Lightbody, C. Elizabeth
• Woodward, Mark
• Pontes-Neto, Octavio
• De Silva, H. Asita
• Lin, Ruey-Tay
• Lee, Tsong-Hai
• Pandian, Jeyaraj D
• Mead, Gillian E
• Robinson, Thompson
• Watkins, Caroline

Titel

Cluster-Randomized, Crossover Trial of Head Positioning in Acute Stroke

Ist Teil von

• The New England journal of medicine, 2017-06, Vol.376 (25), p.2437-2447

Ort / Verlag

United States: Massachusetts Medical Society

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• A trial involving patients with various types of acute stroke and in a variety of health care settings compared a lying-flat position with a sitting-up position (with head elevated to ≥30 degrees) for 24 hours. Results showed no between-group difference in disability outcomes. The prognosis in patients with acute ischemic stroke is determined according to the location and size of the occluded cerebral vessel, 1 the extent of collateral blood flow, 1 – 3 and the time to reperfusion therapy. 4 Small, nonrandomized studies have indicated that the lying-flat position (i.e., fully supine with the back horizontal and the face upwards) increases blood flow in major arteries 5 , 6 and improves oxygenation of the brain, 7 , 8 whereas a sitting-up body position with the head elevated (hereafter referred to as the “sitting-up position”) may reduce intracranial pressure in patients with large hemispheric ischemic stroke. 9 Uncertainty over the role of . . .