Acute Blood Pressure Management in Neurocritically Ill Patients

被引：5

作者：

Der-Nigoghossian, Caroline ^{[1
]}

Levasseur-Franklin, Kimberly ^{[2
]}

Makii, Jason ^{[3
]}

机构：

[1] Columbia Univ, New York Presbyterian Hosp, Irving Med Ctr, New York, NY USA

[2] Tufts Med Ctr, Boston, MA 02111 USA

[3] Univ Hosp Cleveland, Med Ctr, Cleveland, OH 44106 USA

来源：

PHARMACOTHERAPY | 2019年 / 39卷 / 03期

关键词：

neurocritical care; blood pressure; stroke; ACUTE ISCHEMIC-STROKE; HEALTH-CARE PROFESSIONALS; INTRACEREBRAL HEMORRHAGE; CEREBRAL VASOSPASM; HYPERTENSION; THROMBECTOMY; NICARDIPINE; REDUCTION; HYPOTENSION; GUIDELINE;

D O I：

10.1002/phar.2233

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

Optimal blood pressure (BP) management is controversial in neurocritically ill patients due to conflicting concerns of worsening ischemia with decreased BP versus cerebral edema and increased intracranial pressure with elevated BP. In addition, high-quality evidence is lacking regarding optimal BP goals in patients with most of these conditions. This review summarizes guideline recommendations and examines the literature for BP management in patients with ischemic stroke, intracerebral hemorrhage, aneurysmal subarachnoid hemorrhage, traumatic brain injury, and spinal cord injury.

引用

页码：335 / 345

页数：11

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