دورية أكاديمية

Contemporary Management of Increased Intraoperative Intracranial Pressure: Evidence-Based Anesthetic and Surgical Review.

التفاصيل البيبلوغرافية
العنوان: Contemporary Management of Increased Intraoperative Intracranial Pressure: Evidence-Based Anesthetic and Surgical Review.
المؤلفون: Desai VR; Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas, USA. Electronic address: vrdesai@houstonmethodist.org., Sadrameli SS; Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas, USA., Hoppe S; Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas, USA; Medical University of Gdansk, Gdansk, Poland., Lee JJ; Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas, USA., Jenson A; Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas, USA., Steele WJ 3rd; Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas, USA., Nguyen H; Departments of Anesthesiology, Neurological Surgery, and Neurology, University of Texas-Southwestern, Dallas, Texas, USA., McDonagh DL; Departments of Anesthesiology, Neurological Surgery, and Neurology, University of Texas-Southwestern, Dallas, Texas, USA., Britz GW; Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas, USA.
المصدر: World neurosurgery [World Neurosurg] 2019 Sep; Vol. 129, pp. 120-129. Date of Electronic Publication: 2019 May 31.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مواضيع طبية MeSH: Intracranial Hypertension/*therapy , Intraoperative Complications/*therapy, Evidence-Based Medicine ; Humans
مستخلص: Increased intracranial pressure (ICP) is frequently encountered in the neurosurgical setting. A multitude of tactics exists to reduce ICP, ranging from patient position and medications to cerebrospinal fluid diversion and surgical decompression. A vast amount of literature has been published regarding ICP management in the critical care setting, but studies specifically tailored toward the management of intraoperative acute increases in ICP or brain bulk are lacking. Compartmentalizing the intracranial space into blood, brain tissue, and cerebrospinal fluid and understanding the numerous techniques available to affect these individual compartments can guide the surgical team to quickly identify increased brain bulk and respond appropriately. Rapidly instituting measures for brain relaxation in the operating room is essential in optimizing patient outcomes. Knowledge of the efficacy, rapidity, feasibility, and risks of the various available interventions can aid the team to properly tailor their approach to each individual patient. In this article, we present the first evidence-based review of intraoperative management of ICP and brain bulk.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Brain bulk; Brain edema; Brain swelling; Cerebral edema; Cerebral swelling; Intracranial pressure
تواريخ الأحداث: Date Created: 20190604 Date Completed: 20200116 Latest Revision: 20200116
رمز التحديث: 20221213
DOI: 10.1016/j.wneu.2019.05.224
PMID: 31158533
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2019.05.224