Search

Home > Emergency Medical Minute > Podcast # 484: Elevated ICP
Podcast: Emergency Medical Minute
Episode:

Podcast # 484: Elevated ICP
Category: Science & Medicine
Duration: 00:06:34
Publish Date: 2019-07-04 11:00:00
Description:

Contributor: Charleen Gnisci, PharmD

Educational Pearls:

  • Causes of increased intracranial pressure may include intracranial hemorrhage, malignancy, and trauma. 
  • While definite treatment is to remove the offending cause, there are emergency medicine  
  • Non-pharmacologic methods include elevating head of bed and removing noxious stimuli
  • Pharmacologic options include mannitol and hypertonic saline
  • Hypertonic saline is best delivered through a central line but not required
  • Both these agents benefit from adequate renal function
  • Before using mannitol, be sure to inspect the bag to ensure that it has not precipitated. If it has, try warming the bag before administration. 

References

https://pulmccm.org/critical-care-review/hyperosmolar-therapy-for-increased-intracranial-pressure-review-nejm/

Burgess S, Abu-Laban RB, Slavik RS, Vu EN, Zed PJ. A Systematic Review of Randomized Controlled Trials Comparing Hypertonic Sodium Solutions and Mannitol for Traumatic Brain Injury: Implications for Emergency Department Management. Ann Pharmacother. 2016 Apr;50(4):291-300. doi: 10.1177/1060028016628893. Epub 2016 Jan 29. Review. PubMed PMID: 26825644.

Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD
Total Play: 0

Users also like

800+ Episodes
Radioresepsj .. 700+     10+
20+ Episodes
Lung Story S .. 70+     10+