Management of intracranial hypertension.
Indian J Pediatr
;
2009 May; 76(5): 519-529
Article
Dans Anglais
| IMSEAR
| ID: sea-142200
ABSTRACT
Raised intracranial pressure (ICP) is a life threatening condition that is common to many neurological and non-neurological illnesses. Unless recognized and treated early it may cause secondary brain injury due to reduced cerebral perfusion pressure (CPP), and progress to brain herniation and death. Management of raised ICP includes care of airway, ventilation and oxygenation, adequate sedation and analgesia, neutral neck position, head end elevation by 200 -300, and short-term hyperventilation (to achieve PCO2 32- 35 mm Hg) and hyperosmolar therapy (mannitol or hypertonic saline) in critically raised ICP. Barbiturate coma, moderate hypothermia and surgical decompression may be helpful in refractory cases. Therapies aimed directly at keeping ICP <20 mmHg have resulted in improved survival and neurological outcome. Emerging evidence suggests that cerebral perfusion pressure targeted therapy may offer better outcome than ICP targeted therapies.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Pronostic
/
Ventilation artificielle
/
Solution saline hypertonique
/
Barbituriques
/
Femelle
/
Humains
/
Mâle
/
Nouveau-né
/
Unités de soins intensifs pédiatriques
/
Pression intracrânienne
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Étude pronostique
/
Facteurs de risque
/
Étude de dépistage
Pays comme sujet:
Asie
langue:
Anglais
Texte intégral:
Indian J Pediatr
Année:
2009
Type:
Article
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