Management of ICP in patients with severe TBI (GCS score <9)

Overview of the management of ICP in patients with severe TBI. Please refer to UpToDate topics on the management of acute moderate and severe TBI for additional details and specific protocols.

BP: blood pressure; CPP: cerebral perfusion pressure; CSF: cerebrospinal fluid; EVD: external ventricular drain; GCS: Glasgow Coma Scale; HOB: head of bed; ICP: intracranial pressure; MAP: mean arterial pressure; NaCl: sodium chloride; PaCO₂: partial pressure of carbon dioxide; TBI: traumatic brain injury.

* Prolonged hyperventilation should be avoided.

¶ Alternatives when decompressive craniectomy is not possible include therapeutic hypothermia, metabolic coma, and pharmacologic paralysis.

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Management of ICP in patients with severe TBI (GCS score <9)