Intracranial Pressure Monitoring and Management of Intracranial Hypertension

被引:26
|
作者
Perez-Barcena, Jon [1 ]
Antonio Llompart-Pou, Juan [2 ]
O'Phelan, Kristine H. [1 ]
机构
[1] Univ Miami, Miller Sch Med, Dept Neurol, Miami, FL 33136 USA
[2] Son Espases Hosp, Dept Intens Care, Palma De Mallorca 07010, Balearic Island, Spain
关键词
Intracranial pressure; Intracranial hypertension; Head injury; TRAUMATIC BRAIN-INJURY; CEREBRAL PERFUSION-PRESSURE; SEVERE HEAD-INJURY; INTENSIVE INSULIN THERAPY; VENTRICULOSTOMY-RELATED INFECTIONS; POSTTRAUMATIC SEIZURE PROPHYLAXIS; WAKE-UP TEST; DECOMPRESSIVE CRANIECTOMY; MODERATE HYPOTHERMIA; HYPERTONIC SALINE;
D O I
10.1016/j.ccc.2014.06.005
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Intracranial pressure (ICP) monitoring is considered the standard of care in the majority of neurosurgical centers in North America and Europe. ICP is a reflection of the relationship between alterations in craniospinal volume and the ability of the craniospinal axis to accommodate added volume. ICP cannot be reliably estimated from any specific clinical feature or CT finding and must be directly measured. This review describes methods of monitoring ICP and how monitoring technique can provide additional information and provides key points regarding the treatment of intracranial hypertension in the neuro-ICU.
引用
收藏
页码:735 / +
页数:17
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