Emergency Neurological Life Support: Intracranial Hypertension and Herniation

被引：20

作者：

Stevens, Robert D. ^{[2
,3
,4
,5
]}

Huff, J. Stephen ^{[1
]}

Duckworth, Josh ^{[2
,3
,4
,5
]}

Papangelou, Alexander ^{[2
,3
]}

Weingart, Scott D. ^{[6
]}

Smith, Wade S. ^{[7
]}

机构：

[1] Univ Virginia, Sch Med, Dept Emergency Med & Neurol, Charlottesville, VA 22908 USA

[2] Johns Hopkins Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21205 USA

[3] Johns Hopkins Univ, Sch Med, Dept Neurol, Baltimore, MD 21205 USA

[4] Johns Hopkins Univ, Sch Med, Dept Neurosurg, Baltimore, MD 21205 USA

[5] Johns Hopkins Univ, Sch Med, Dept Radiol, Baltimore, MD 21205 USA

[6] Mt Sinai Sch Med, Div ED Crit Care, New York, NY USA

[7] Univ Calif San Francisco, Dept Neurol, San Francisco, CA USA

来源：

NEUROCRITICAL CARE | 2012年 / 17卷

关键词：

ICP; Cerebral perfusion pressure; Mass effect; Ventriculostomy; Osmotherapy; hypertonic saline; Protocol; TRAUMATIC BRAIN-INJURY; SEVERE HEAD-INJURY; MIDDLE CEREBRAL-ARTERY; DECOMPRESSIVE CRANIECTOMY; MILD HYPOTHERMIA; RANDOMIZED-TRIAL; BLOOD-FLOW; CEREBELLAR INFARCTION; PERFUSION-PRESSURE; HYPERTONIC SALINE;

D O I：

10.1007/s12028-012-9754-5

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Sustained intracranial hypertension and acute brain herniation are "brain codes," signifying catastrophic neurological events that require immediate recognition and treatment to prevent irreversible injury and death. As in cardiac arrest, evidence supports the organized implementation of a stepwise management algorithm. Because there are multiple etiologies and many treatments that can potentially reverse cerebral herniation, intracranial hypertension and herniation was chosen as an Emergency Neurological Life Support (ENLS) protocol.

引用

页码：60 / 65

页数：6

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