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Review
. 2019 Jun;23(Suppl 2):S129-S135.
doi: 10.5005/jp-journals-10071-23190.

Raised Intracranial Pressure Syndrome: A Stepwise Approach

Swagata Tripathy  1 , Suma Rabab Ahmad  1
Affiliations
Review

Raised Intracranial Pressure Syndrome: A Stepwise Approach

Swagata Tripathy et al. Indian J Crit Care Med. 2019 Jun.

Abstract

Raised intracranial pressure (rICP) syndrome is seen in various pathologies. Appropriate and systematic management is important for favourable patient outcome. This review describes the stepwise approach to control the raised ICP in a tiered manner, with increasing aggressiveness. The role of ICP measurement in the assessment of cerebral autoregulation and individualised management is discussed. Although a large amount of research has been undertaken for the management of raised ICP, there still remain unanswered questions. This review tries to put together the best evidence in a succinct manner.

How to cite this article: Tripathy S, Ahmad SR. Raised Intracranial Pressure Syndrome: A Stepwise Approach. Indian J Crit Care Med 2019;23(Suppl 2):S129-S135.

Keywords: Cerebrospinal fluid; Complications; Hypertonic saline; Intracranial pressure; Management; Steroids.

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Conflict of interest statement

Source of support: Nil Conflict of interest: None

Figures

Fig. 1
Fig. 1
Cerebral volume–pressure curve showing the relationship between ICP and an increase in the intracranial component volume
Fig. 2
Fig. 2
Herniation sites: 1. Subfalcine/Cingulate; 2. Central transtentorial; 3. Lateral transtentorial (Uncal); 4. Tonsillar; 5. Transcalvarial
Fig. 3
Fig. 3
Effect of cerebral autoregulation on intracranial pressure
See this image and copyright information in PMC

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