Increased Intracranial Pressure Management

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10 Questions

What is the purpose of using osmotic diuretics in the treatment of brain injuries?

To decrease intracranial pressure

Why are sedation and paralytic agents used in the treatment of brain injuries?

To decrease metabolism and oxygen consumption

In the context of brain injuries, what is the mechanism of action of hypertonic saline (HTS) boluses?

Supporting circulation by drawing excess water from brain tissue

Why is hyperventilation used as an intervention in brain injuries?

To decrease intracranial pressure by reducing cerebral blood volume

Based on the information provided, what is the purpose of a decompressive craniectomy in the context of brain injuries?

To reduce cerebral blood volume

Which of the following is the gold standard method for intracranial pressure (ICP) monitoring?

Intraventricular catheter

Which of the following interventions is recommended for the treatment of increased intracranial pressure (ICP)?

All of the above

In the context of brain herniation, which of the following types of herniation involves the cerebellar tonsils herniating through the foramen magnum, potentially compressing the brainstem and spinal cord?

Tonsillar herniation

Which of the following clinical signs or symptoms is most specific for brain herniation?

Loss of brainstem reflexes (e.g., pupillary reflex, gag reflex)

Which of the following diagnostic imaging modalities is most appropriate for the initial evaluation of a patient with suspected increased intracranial pressure or brain herniation?

Computed tomography (CT) scan of the head

Learn about the diagnostics, medications, surgical and other interventions for managing increased intracranial pressure. Topics include ICP monitoring, sedation, osmotic diuretics, surgical procedures, and target goals for ICP, MAP, and CPP.

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