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Chapter 40 - Treatment of Elevated Intracranial Pressure

from Section 3 - Neuroanesthesia

Published online by Cambridge University Press:  03 August 2023

By
Adrienne Gomez  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 19-year-old male presents to the emergency room after falling two stories from a balcony. He is confused and agitated. His blood pressure is 198/99 mm Hg and his heart rate is 110 beats/min. The emergency medical services reports that the patient had one episode of emesis during his transport to the hospital. On examination his pupils are dilated. How do you determine whether the patient’s intracranial pressure (ICP) is increased? Why is it important to know? If elevated, what steps would you take to reduce ICP?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 181 - 184
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1008–9, 1303.Google Scholar
Butterworth, JF, Mackey, DC, Wasnick, JD. Morgan & Mikhail’s Clinical Anesthesiology, 6th ed. New York: McGraw-Hill Education, 2018, pp. 601–3.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 2675–8.Google Scholar
Rakel, RE, Bope, ET. Conn’s Current Therapy. Philadelphia: Saunders, 2008, chapter 240.Google Scholar
Smith, ER, Hanjani-Amin, S. Evaluation and management of elevated intracranial pressure in adults. In UpToDate (accessed October 20, 2021).Google Scholar
Stoelting, RK, Dierdorf, SF. Anesthesia and Co-Existing Disease, 4th ed. Philadelphia: Churchill Livingstone, 2002, pp. 236–8.Google Scholar

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