Dr. Evie Marcolini discusses managing elevated intracranial pressure (ICP) in critical care and emergency medicine settings. She emphasizes the importance of preserving cerebral perfusion pressure (CPP) in brain injury or hemorrhage cases. The treatment follows a tiered approach, starting with a thorough assessment and simple interventions like head elevation, analgesia, and osmotic therapy with Mannitol or Hypertonic Saline. More invasive measures, such as vasoactive agents and paralytics, are considered in tier two, while tier three involves options like burst suppression with Phenobarbital or Craniectomy. Dr. Marcolini highlights the significance of understanding the underlying mechanism and choosing appropriate treatments to manage elevated ICP effectively. Watch the full video to learn more about the different treatment strategies and subscribe to the channel for more critical care and emergency medicine content.
00:11 Introduction to Intracranial Pressure (ICP) Issues
00:32 Understanding the Mechanisms of ICP
01:53 Assessment and Diagnosis of ICP
03:40 Treatment Options: Tier One
05:21 Osmotic Therapy for ICP
08:29 Fever and Hypothermia in ICP Management
09:29 Treatment Options: Tier Two
12:39 Treatment Options: Tier Three
14:08 Conclusion and Final Thoughts on ICP Management