Management – Overview

The management of increased intracerebral pressure involves a multifaceted approach, including non-pharmacologic and pharmacologic interventions. The primary goals of treatment are to reduce intracranial pressure, maintain cerebral perfusion pressure, and prevent secondary brain injury. Non-pharmacologic measures include surgical decompression, hyperventilation, prophylactic hypothermia, and nutrition optimization. Pharmacotherapy plays a crucial role, with osmotic agents such as mannitol and hypertonic saline being commonly used. Additionally, anesthetics, analgesics, sedatives, and steroids may be employed to control pain, agitation, and inflammation. The choice of management strategies depends on the underlying cause, severity of symptoms, and individual patient characteristics. Close monitoring and adjustments are necessary to ensure optimal patient outcomes.