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AACN clinical issues · Apr 2005
ReviewManagement of increased intracranial pressure in the critically ill child with an acute neurological injury.
- Kelly Keefe Marcoux.
- Robert Wood Johnson Medical School, University of Medicine & Dentistry of New Jersey, Piscataway, NJ, USA. marcoukk@umdnj.edu
- AACN Clin Issues. 2005 Apr 1;16(2):212-31; quiz 270-1.
AbstractIncreased intracranial pressure reflects the presence of mass effect in the brain and is associated with a poor outcome in children with acute neurological injury. If sustained, it has a negative effect on cerebral blood flow and cerebral perfusion pressure, can cause direct compression of vital cerebral structures, and can lead to herniation. The management of the patient with increased intracranial pressure involves the maintenance of an adequate cerebral perfusion pressure, prevention of intracranial hypertension, and optimization of oxygen delivery. This article reviews the neurological assessment, pathophysiology, and management of increased intracranial pressure in the critically ill child who has sustained an acute neurological injury.
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