Cerebral edema requires prompt management to prevent harm from rising intracranial pressure. The clinical protocol outlines a structured set of adjunctive and interventional strategies directed at that primary goal.
The central objective is reduction of intracranial pressure.
ICP ReductionManagement incorporates positional measures and targeted ventilation strategies as adjuncts for controlling intracranial pressure. Interventions directed at cerebrospinal fluid dynamics may also be considered as part of the approach.
DOI: 10.1007/s12028-020-00959-7
- We suggest that elevating the head of the bed to 30 degrees (but no greater than 45 degrees) be used as a beneficial adjunct to reduce intracranial pressure (conditional recommendation, very low-quality evidence).
- We recommend that brief episodes of hyperventilation can be used for patients with acute elevations in intracranial pressure (strong recommendation, very low-quality evidence).
- We suggest that the use of CSF diversion be considered as a beneficial adjunct to reduce intracranial pressure (conditional recommendation, very low-quality evidence).
- Compared to supine positioning, ICP was consistently lower in patients at angles of 15° to as high as 90°.
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