{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:34:34Z","timestamp":1747186474874,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"11-12","license":[{"start":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T00:00:00Z","timestamp":1648684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006002","name":"Zonguldak B\u00fclent Ecevit \u00dcniversitesi","doi-asserted-by":"publisher","award":["2019\u201019093093\u201001"],"award-info":[{"award-number":["2019\u201019093093\u201001"]}],"id":[{"id":"10.13039\/501100006002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the effect of endotracheal aspiration at different head heights on oxygenation brain by non\u2010invasive method in neurosurgery intensive care patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Head elevation of mechanical ventilator\u2010dependent neurosurgery patients and the possible risks of endotracheal aspiration are closely related to the clinical conditions of the patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A prospective quasi\u2010experimental study with repetitive measurements in a single group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the study, neurosurgery intensive care patients were adjusted to a head height of 15, 30 and 45\u00b0 (<jats:italic>n<\/jats:italic>\u00a0=\u00a046, power analysis %90). Cerebral oxygenation levels were determined with a non\u2010invasive device at each head height before and in the 1st, 5th and 30th min of endotracheal aspiration. Data were collected with Patient Information Form and cerebral oxygenation device based on NIRS technology. This study performed according to the TREND reporting guidelines for non\u2010randomized\/quasi experimental study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The highest cerebral oxygenation value was obtained at 30\u00a0min. The decrease in the cerebral oxygenation levels of the patients was highest in the 1st min after endotracheal aspiration, at a head height of 15 degrees for the right cerebral region and at a head height of 30 degrees for the left cerebral region. The increase in oxygenation of the right and left cerebral regions occurred highest at a head height of 45 degrees.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ideal head height should be 45 degrees during and after endotracheal aspiration in regard to maintaining cerebral oxygenation in neurosurgery intensive care patients. It is extremely important to monitor the cerebral oxygenation status of patients, with non\u2010invasive measurement tools during and after endotracheal aspiration, to prevent secondary complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This study reveals the importance of raising the head 45 degrees in the best preservation of cerebral oxygenation values in neurosurgery intensive care patients. Intensive care nurses should pay attention to maintaining this head height.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16314","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T05:30:05Z","timestamp":1648791005000},"page":"1709-1720","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of the effect of endotracheal aspiration at different head heights on oxygenation of the brain by non\u2010invasive method in intensive care patients"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9392-2423","authenticated-orcid":false,"given":"Sibel","family":"K\u00f6stekli","sequence":"first","affiliation":[{"name":"Department of Nursing Bart\u0131n University Faculty of Health Sciences  Bart\u0131n Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2016-5828","authenticated-orcid":false,"given":"Sevim","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Department of Nursing Bart\u0131n University Faculty of Health Sciences  Bart\u0131n Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5326-741X","authenticated-orcid":false,"given":"Emrah","family":"Keskin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Zonguldak Bulent Ecevit University Faculty of Medicine  Zonguldak Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009986.pub2"},{"issue":"1","key":"e_1_2_13_3_1","first-page":"13","article-title":"Could nurs\u0131ng \u0131ntervent\u0131ons cause secondary bra\u0131n \u0131nsult?","volume":"10","author":"Altun U\u011fra\u015f G.","year":"2019","journal-title":"Ac\u0131badem University Health Sciences Journal"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0000000000000386"},{"issue":"6","key":"e_1_2_13_5_1","first-page":"758","article-title":"AARC clinical practice guideline: Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010","volume":"55","author":"American Association of Respiratory Care (AARC)","year":"2010","journal-title":"Respiratory Care"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2017.1287956"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnc.2014.10.002"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000001432"},{"issue":"1","key":"e_1_2_13_9_1","first-page":"19","article-title":"Patient care in mechanical ventilation","volume":"10","author":"\u00c7elik S.","year":"2006","journal-title":"Journal of Intensive Care Nursing"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001377"},{"issue":"2","key":"e_1_2_13_11_1","first-page":"155","article-title":"The Effect of head up position and tracheal suctioning on cerebral blood flow in stroke patients","volume":"28","author":"Co\u015fkun H.","year":"2011","journal-title":"Journal of Neurological Sciences"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.5812\/aapm.38337"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.3.361"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkt010"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12679"},{"issue":"1","key":"e_1_2_13_16_1","first-page":"125","article-title":"Regional cerebral oxygen saturation measured by near\u2010infrared spectroscopy: A systematic review","volume":"8","author":"Kaya C.","year":"2018","journal-title":"Bozok Medical Journal"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028\u2010013\u20109849\u20107"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2012.04134.x"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0b013e3181ecafd4"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0973\u20100508(10)80004\u20108"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000108639.16783.39"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0000000000000260"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1159\/000362533"},{"issue":"5","key":"e_1_2_13_24_1","first-page":"289","article-title":"Effect of head elevation on intracranial pressure, cerebral perfusion pressure, and regional cerebral oxygen saturation in patients with cerebral hemorrhage","volume":"55","author":"Palaz\u00f3n J. 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