Erschienen in:
05.07.2018 | Editorial
Intracranial pressure thresholds in severe traumatic brain injury: we are not sure
Prudent clinical practice despite dogma or nihilism
verfasst von:
Nino Stocchetti, Daniele Poole, David O. Okonkwo
Erschienen in:
Intensive Care Medicine
|
Ausgabe 8/2018
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Excerpt
Intracranial hypertension is a dangerous, sometimes fatal, complication of traumatic brain injury (TBI). Sudden increases in intracranial pressure (ICP) may cause brain herniation; sustained ICP elevations may lower cerebral perfusion pressure and cause diffuse brain ischemia. Substantial agreement exists on the dangers of intracranial hypertension, but when this threat is translated into actual clinical thresholds for treatment, i.e., millimeters of mercury (mmHg), a range of opinions emerges. …