Managing Intracranial Pressure Crisis.

IF 4.8 2区医学 Q1 CLINICAL NEUROLOGY Current Neurology and Neuroscience Reports Pub Date : 2024-12-19 DOI:10.1007/s11910-024-01392-5

Tanuwong Viarasilpa

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Abstract

Purpose of review: The objective of this review is to provide a comprehensive management protocol for the treatment of intracranial pressure (ICP) crises based on the latest evidence.

Recent findings: The review discusses updated information on various aspects of critical care management in patients experiencing ICP crises, including mechanical ventilation, fluid therapy, hemoglobin targets, and hypertonic saline infusion, the advantages of ICP monitoring, the critical ICP threshold, and bedside neuromonitoring. All aspects of critical care treatment, including hemodynamic and respiratory support and adjustment of ICP reduction therapy, may impact patient outcomes. ICP monitoring allows ICP values, trends, waveforms, and CPP calculation, which are helpful to guide patient care. Advanced neuromonitoring devices are available at the bedside to diagnose impaired intracranial compliance and intracranial hypertension, assess brain function, and optimize cerebral perfusion. Future research should focus on developing appropriate intervention protocols for both invasive and noninvasive neuromonitoring in managing ICP crisis patients.

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处理颅内压危象。

综述目的：本综述的目的是根据最新的证据，为颅内压（ICP）危像的治疗提供一个综合的管理方案。最近的发现：这篇综述讨论了经历ICP危重症患者的重症监护管理的各个方面的最新信息，包括机械通气、液体治疗、血红蛋白靶点和高渗盐水输注、ICP监测的优势、ICP临界阈值和床边神经监测。重症监护治疗的所有方面，包括血流动力学和呼吸支持以及ICP复位治疗的调整，都可能影响患者的预后。ICP监测允许ICP值、趋势、波形和CPP计算，这有助于指导患者护理。先进的神经监测设备可在床边诊断颅内顺应性受损和颅内高压，评估脑功能，优化脑灌注。未来的研究应侧重于制定适当的干预方案，以处理ICP危象患者的有创和无创神经监测。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Neurology and Neuroscience Reports 医学-临床神经学

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.