Risk Management of Ineffective Cerebral Perfusion in Children with Hydrocephalus

  • Ade Haniah Sya'adah Rahmaniah Universitas Padjadjaran
  • Ema Arum Rukmasari Paediatric Nursing Departement, Faculty of Nursing, Padjadjaran University, Bandung, Indonesia.
Keywords: Cerebral, Children, Hydrocephalus, Respiration, Nursing, Intracranial Pressure


Hydrocephalus is accumulation of cerebrospinal fluid in the brain ventricles caused by impaired absorption of cerebrospinal fluid or obstructions of cerebrospinal fluid flow. Ventriculo Peritoneal Shunt is a treatment for hydrocephalus. The main nursing problems is the risk of ineffective cerebral perfusion. This case study reports on the risk management of ineffective cerebral perfusion. The research subject is a baby  (7 months 14 days) with acute hydrocephalus post ventriculo-peritoneal shunt post operative day 0. Case study method with  nursing care approach starting from assessment, nursing care plan, implementation and evaluation was used. Data collection methods were observation, physical and diagnostic examination, and interviews. The results found that risk management of ineffective cerebral perfusion which included identifying the causes of increased intracranial pressure , monitoring signs and symptoms of increased intracranial pressure, monitoring mean arterial pressure, monitoring respiratory status, monitoring fluid intake and output, positioning semi fowler 30-45Ëš, and drug collaboration. The implementation was carried out for 3 days (30 May-1 June 2022). The evaluation results showed that for 3 days the blood pressure and mean arterial pressure values were in the normal range and consciousness did not increase. Risk management of ineffective cerebral perfusion can maintain stable mean arterial pressure  but cannot increase cerebral perfusion.

How to cite this article:
Rahmaniah AHS, Rukmasari EA. Risk Management of Ineffective Cerebral Perfusion In Children With Hydrocephalus. Int J Nurs Midwif Res.2023;10(4):19-27.

DOI: https://doi.org/10.24321/2455.9318.202317


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Republik Indonesia website: https://yankes.kemkes. go.id/view_artikel/1598/patofisiologi-hidrosefalus