Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 16: Increased ICP Therapy with Dave Mintz
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Sep 21, 2016 AI Snips
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Trauma Case of High ICP
- Jed Wohlpaw recounts a trauma case with a baseball bat injury causing extremely high ICP.
- The patient coded immediately after dura opening but was successfully resuscitated and recovered.
Three Brain Compartments Affect ICP
- The brain consists of three compartments: brain tissue, blood, and cerebrospinal fluid.
- Increasing volume in any compartment raises ICP, so reducing volume in another compartment lowers pressure.
Hyperventilate To Reduce ICP
- Use hyperventilation early to reduce ICP by shrinking brain blood volume.
- Monitor arterial CO2 (PACO2), since the effect is temporary and reduces brain perfusion risks.