Intracranial Pressure Monitoring and Management
First Things First (assess & treat for the following)
ABCs
- Maintain cerebral perfusion pressure (CPP = MAP - ICP) at 60 mmHg or higher.
- Consider monitoring intracranial pressure (ICP) with goal of < 20 mmHg
- Emergency treatment of herniation
- Elevate head of the bed to 30 degrees and ensure head is midline
- Hyperventilate to PaCO2 34-36 mmHg
- Mannitol (0.25-1 g/kg) IV
- If intravascular volume is compromised, consider instead 23.4% hypertonic saline (30 cc).
- 23% hypertonic saline must be given through central venous line.
- If intravascular volume is compromised, consider instead 23.4% hypertonic saline (30 cc).
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Last updated: April 28, 2010
Citation
"Intracranial Pressure Monitoring and Management." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534204/all/Intracranial_Pressure_Monitoring_and_Management.
Intracranial Pressure Monitoring and Management. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534204/all/Intracranial_Pressure_Monitoring_and_Management. Accessed December 11, 2024.
Intracranial Pressure Monitoring and Management. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534204/all/Intracranial_Pressure_Monitoring_and_Management
Intracranial Pressure Monitoring and Management [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 December 11]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534204/all/Intracranial_Pressure_Monitoring_and_Management.
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