TY  - CHAP
M1  - Book, Section
TI  - Chapter 65. Intracranial Pressure: Monitoring and Management
A1  - Frank, Jeffrey I.
A1  - Rosengart, Axel J.
A2  - Hall, Jesse B.
A2  - Schmidt, Gregory A.
A2  - Wood, Lawrence D.H.
PY  - 2005
T2  - Principles of Critical Care, 3e
AB  - Intracranial  hypertension  is  the  final  common  pathway  of  morbidity  and  mortality  for  diverse  neurologic  problems,  and  its  proper  treatment  requires  the  timely  application  of  the  available  therapeutic  alternatives  when  the  clinical  situation  and  prognosis  warrant  and  justify  treatment.Anticipating  patients  at  risk  for  brain  swelling  is  important  and  allows  the  development  of  a  strategic  plan  to  limit  its  severity  and  facilitate  early  intervention  when  possible.The  initial  therapeutic  focus  for  intracranial  pressure  reduction  should  be  the  control  of  factors  that  can  aggravate  intracranial  hypertension,  such  as  inappropriate  head  and  body  position,  elevated  body  temperature,  inadequate  treatment  of  pain  and  agitation,  elevated  airway  pressures,  blood  pressure  fluctuations,  seizures,  and  administration  of  hypotonic  fluids.The  appropriate  conventional  medical  therapies  should  be  selected  based  on  the  details  of  each  specific  case.  It  should  be  clear  that  brain  tissue  displacement  (BTD)  and  intracranial  hypertension  are  not  synonymous,  and  the  treatment  of  each  of  them  can  be  different.  Surgical  removal  of  an  intracranial  mass  lesion  or  expansion  of  the  intracranial  compartment  should  be  considered  in  patients  with  severe  BTD  and/or  evolving  intracranial  hypertension.In  the  end,  the  treatment  of  intracranial  hypertension  is  heuristic,  challenging  the  managing  physician's  thorough  understanding  of  the  cause  of  the  problem  and  his  or  her  ability  to  define  the  human  aspects  that  relate  to  determining  the  appropriate  level  of  care  for  individual  patients.  In  addition,  successful  management  depends  on  a  partnership  with  nurses  founded  on  comprehensive  communication  to  assist  with  the  accurate  translation  of  the  defined  care  priorities.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2023/05/28
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=2292905
ER  -