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Rajesh_Chawla_-_ICU_Protocols_A_stepwise_approa[1].pdf
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R. Senthilkumar and N. Ramakrishnan

 

 

Suggested Reading

1.Cooper DJ, Rosenfeld JV, DECRA Trial Investigators, Australian and New Zealand Intensive Care Society Clinical Trials Group. Decompressive craniectomy in diffuse traumatic brain injury. N Engl J Med. 2011;364(16):1493.

2.Latorre JG, Greer DM. Management of acute intracranial hypertension: a review. Neurologist. 2009;15(4):193–207.

3.Bhatia A, Gupta AK. Neuromonitoring in the intensive care unit. I. Intracranial pressure and cerebral blood flow monitoring. Intensive Care Med. 2007;33(7):1263–71.

Authoritative review articles on management of increased ICP.

4.Andrews PJ, Citerio G. Intracranial pressure. Part one: historical overview and basic concepts. Intensive Care Med. 2004;30(9):1730–33.

5.Citerio G, Andrews PJ. Intracranial pressure. Part two: clinical applications and technology. Intensive Care Med. 2004;30(10):1882–5.

6.Diringer MN, Zazulia AR. Osmotic therapy: fact and fiction. Neurocrit Care. 2004;219–233.

This review examines the available data on the use of osmotic agents in patients with head injury and ischemic stroke, summarizes the physiological effects of osmotic agents, and presents the leading hypotheses regarding the mechanism by which they reduce ICP.

7.Albanese J, Leone M, Alliez JR, et al. Decompressive craniectomy for severe traumatic brain injury: evaluation of the effects at 1 year. Crit Care Med. 2003;31(10):2535–8.

In 40 patients with intractable intracranial hypertension and at very high risk of brain death, decompressive craniectomy allowed 25% of patients to attain social rehabilitation at 1 year. In adults with severe diffuse traumatic brain injury and refractory intracranial hypertension, early bifrontotemporoparietal decompressive craniectomy decreased intracranial pressure and the length of stay in the ICU but was associated with more unfavorable outcomes.

Websites

1.www.avon.nhs.uk/bristolitutrainees

Use of barbiturates in managing increased ICP

2.www.yorkshire-cancer-net.org.uk Managing raised ICP in pediatrics

3.www.ihrfoundation.org

Homepage for intracranial hypertension research foundation

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