| From intracranial pressure to intracranial pressure wave-guided intensive care management of a patient with an aneurysmal subarachnoid haemorrhage. | |
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MedLine Citation:
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PMID: 17378790 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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P K Eide; W Sorteberg; T Meling; E Jörum; J Hald; A Stubhaug |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta anaesthesiologica Scandinavica Volume: 51 ISSN: 0001-5172 ISO Abbreviation: Acta Anaesthesiol Scand Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-03-23 Completed Date: 2007-07-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370270 Medline TA: Acta Anaesthesiol Scand Country: England |
Other Details:
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Languages: eng Pagination: 501-4 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, The National Hospital, Rikshospitalet, Oslo, Norway. per.kristian.eide@rikshospitalet.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Brain / pathology Electroencephalography / methods Evoked Potentials, Auditory Female Humans 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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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