TY - CHAP M1 - Book, Section TI - Intracranial Pressure: Monitoring and Management A1 - Mariano, Geraldine Siena L. A1 - Fink, Matthew E. A1 - Hoffman, Caitlin A1 - Rosengart, Axel A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Kress, John P. Y1 - 2015 N1 - T2 - Principles of Critical Care, 4e AB - To gain an understanding of the mechanisms and anticipatory management of brain tissue displacement (herniation) and intracranial hypertension.To understand available brain monitoring devices in measuring ICP and to appreciate their role in guiding early interventions to avoid secondary brain injury as hesitation to monitor intracranial pressure dynamics, and to aggressively pursue ICP management likely accounts for the vast majority of secondary brain injury in patients with reduced level of consciousness.To foster an individualized patient approach in addressing abnormal ICP and flow dynamics within the practice of neurocritical care. Understanding the indications for brain monitoring via real-time parenchymal blood flow, oxygen tension, and chemistry surveillance, as well as mastering the current recommendations in aggressive management approaches toward elevated ICP such as induced hypothermia, suppression of abnormal electrical discharges, and early surgical decompression are necessary tools for the neurocritical care clinician. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1107722323 ER -