Application of the semi-Fowler position to reduce increased intracranial pressure in adult patients with traumatic brain injury without intracranial hemorrhage

Abstrak

Background: Traumatic Brain Injury (TBI) is an increase in intracranial pressure (ICP) that can lead to impaired cerebral perfusion. This study aimed to determine the effectiveness of applying the semi-Fowler's position on improving cerebral perfusion in patients with TBI and linear fractures of the left parietotemporal bone at the Installation. The case study method used a maintenance process approach. After 24 hours of intervention, the patient showed improvement with a decrease in headache complaints, no recurrence of vomiting, and a calmer appearance. The GCS score remained stable (E4 V5 M6), vital signs were within normal limits (BP 98/x mmHg, RR 22x/min, temperature 36.8°C, SpO₂ 98%), and no signs of increased ICP were found. The semi-Fowler's position has been shown to help facilitate cerebral venous flow, thereby improving cerebral perfusion. Applying the semi-Fowler's position is effective in helping to reduce intracranial pressure and improve cerebral perfusion in patients with TBI and linear fractures of the left parietotemporal bone.