Emergency neurological life support: Intracranial hypertension and herniation

Robert D. Stevens; J. Stephen Huff; Josh Duckworth; Alexander Papangelou; Scott D. Weingart; Wade S. Smith

doi:10.1007/s12028-012-9754-5

Emergency neurological life support: Intracranial hypertension and herniation

Robert D. Stevens, J. Stephen Huff, Josh Duckworth, Alexander Papangelou, Scott D. Weingart, Wade S. Smith

School of Medicine

Research output: Contribution to journal › Review article › peer-review

27 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	S60-S65
Journal	Neurocritical care
Volume	17
Issue number	SUPPL. 1
DOIs	https://doi.org/10.1007/s12028-012-9754-5
State	Published - Sep 2012

Keywords

Cerebral perfusion pressure
Hypertonic saline
ICP
Mass effect
Osmotherapy
Protocol
Ventriculostomy

ASJC Scopus subject areas

Clinical Neurology
Critical Care and Intensive Care Medicine

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10.1007/s12028-012-9754-5

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abstract = "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.",

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AU - Papangelou, Alexander

AU - Weingart, Scott D.

AU - Smith, Wade S.

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AB - 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.

KW - Cerebral perfusion pressure

KW - Hypertonic saline

KW - ICP

KW - Mass effect

KW - Osmotherapy

KW - Protocol

KW - Ventriculostomy

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Emergency neurological life support: Intracranial hypertension and herniation

Abstract

Keywords

ASJC Scopus subject areas

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