Document Detail

From intracranial pressure to intracranial pressure wave-guided intensive care management of a patient with an aneurysmal subarachnoid haemorrhage.
MedLine Citation:
PMID:  17378790     Owner:  NLM     Status:  MEDLINE    
We report on a 65-year-old female with an aneurysmal subarachnoid hemorrhage (SAH) that was followed clinically, radiologically and electrophysiologically before and after converting from intracranial pressure (ICP)-guided to ICP wave-guided intensive care management. Intracranial pressure-guided management is aimed at keeping mean ICP < 15-20 mmHg, while ICP wave-guided management is aimed at keeping mean ICP wave amplitude < 5 mmHg. The aims of management were obtained by adjusting cerebrospinal fluid (CSF) draining volume from her external ventricular drain. No improvement was seen clinically or in cerebral magnetic resonance imaging (MRI) scans during the ICP-guided management. Clinical, MRI and neurophysiologic (electroencephalography and auditory evoked responses) improvements were obvious within 2 days after converting from ICP- to ICP wave-guided management. This case report describes how we used various ICP parameters to guide intensive care management of an aneurysmal SAH patient.
P K Eide; W Sorteberg; T Meling; E Jörum; J Hald; A Stubhaug
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  51     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-23     Completed Date:  2007-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  501-4     Citation Subset:  IM    
Department of Neurosurgery, The National Hospital, Rikshospitalet, Oslo, Norway.
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MeSH Terms
Brain / pathology
Electroencephalography / methods
Evoked Potentials, Auditory
Intensive Care / methods*
Intracranial Aneurysm / complications,  physiopathology,  therapy
Intracranial Pressure*
Magnetic Resonance Imaging / methods
Monitoring, Physiologic / methods
Recovery of Function
Subarachnoid Hemorrhage / complications,  physiopathology*,  therapy*
Time Factors
Treatment Outcome

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