Document Detail

Monitoring and intraoperative management of elevated intracranial pressure and decompressive craniectomy.
MedLine Citation:
PMID:  17884709     Owner:  NLM     Status:  MEDLINE    
There are numerous clinical scenarios wherein a critically ill patient may present with neurologic dysfunction. In a general sense these scenarios often involve ischemia, trauma, or neuroexcitation. Each of these may include a period of decreased cerebral perfusion pressure, usually due to elevated intracranial pressure (ICP), eventually compromising cerebral blood flow sufficiently to produce permanent neuronal loss, infarction, and possibly brain death. Elevated ICP is thus a common pathway for neural demise and it may arise from a variety of causes, many of which may result in a neurosurgical procedure intended to ameliorate the impact or etiology of elevated ICP.
W Andrew Kofke; Michael Stiefel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anesthesiology clinics     Volume:  25     ISSN:  1932-2275     ISO Abbreviation:  -     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-21     Completed Date:  2008-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101273663     Medline TA:  Anesthesiol Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  579-603, x     Citation Subset:  IM    
Department of Anesthesia and Critical Care, University of Pennsylvania, 3400 Spruce St., Dulles 7, Philadelphia, PA 19104, USA.
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MeSH Terms
Anesthesia, General*
Brain Diseases / physiopathology*,  surgery
Decompression, Surgical*
Intracranial Hypertension* / diagnosis,  therapy
Monitoring, Intraoperative

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