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Real-Time Monitoring of Neurocritical Patients with Diffuse Optical Spectroscopies
Published on: November 19, 2020
Acute Blood Pressure Management in Neurocritically Ill Patients
Caroline Der-Nigoghossian1, Kimberly Levasseur-Franklin2, Jason Makii3
1Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, New York.
Abstract:
Optimal blood pressure (BP) management is controversial in neurocritically ill patients due to conflicting concerns of worsening ischemia with decreased BP versus cerebral edema and increased intracranial pressure with elevated BP. In addition, high-quality evidence is lacking regarding optimal BP goals in patients with most of these conditions. This review summarizes guideline recommendations and examines the literature for BP management in patients with ischemic stroke, intracerebral hemorrhage, aneurysmal subarachnoid hemorrhage, traumatic brain injury, and spinal cord injury.
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