Document Detail


Management of increased intracranial pressure: a review for clinicians.
MedLine Citation:
PMID:  10431964     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Emergency physicians are frequently confronted with head-injured patients, many of whom have intracranial hypertension. Since direct correlations have been reported between increased intracranial pressure (ICP) and adverse outcome, it is important to rapidly identify and treat these patients. Furthermore, since the actual brain damage that occurs at the time of injury cannot be modified, the maximization of neurological recovery depends upon minimizing secondary insults to the brain, most notably preventing hypotension and hypoxemia. Volume resuscitation to maintain an adequate mean arterial pressure, airway control, and sedation and analgesia to prevent surges in ICP remain the cornerstone of early management. These principles and the emergency department management of the head-injured patient are reviewed in this paper.
Authors:
P Marik; K Chen; J Varon; R Fromm; G L Sternbach
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  17     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:    1999 Jul-Aug
Date Detail:
Created Date:  1999-09-09     Completed Date:  1999-09-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  711-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, Washington Hospital Center, Washington, DC, USA.
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MeSH Terms
Descriptor/Qualifier:
Brain Injuries / physiopathology*
Craniocerebral Trauma / physiopathology
Emergencies
Emergency Treatment
Humans
Hyperventilation
Intracranial Hypertension / therapy*
Monitoring, Physiologic
Neurologic Examination
Regional Blood Flow / physiology
Resuscitation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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