Elevate Head Of Bed To Decrease Icp

The traditional practice of elevating the head in order to lower intracranial pressure icp in head injured patients has been challenged in recent years.

Elevate head of bed to decrease icp. Whether it s caused by swelling bleeding a tumor or some other problem icp can lead to compression of brain tissue and cause permanent damage. That s why it s considered a neurological emergency that needs to be addressed as soon as possible. Increased icp in infants can be the result of injury such as falling off a bed or it can be a sign of child abuse known as shaken baby syndrome a condition in which a small child has been. Elevated intracranial pressure icp is a build up of pressure in the skull.

Elevate the head of the patient s bed 30 to 45 degrees and ensure venous outflow isn t obstructed from a kinked neck constricting tape or cervical collar. 1471 1994 mannitol 0 25 1 0 g kg in boluses lowers icp and improves cbf. However the osm 320 and na 155 requirement is not based on solid data. The effect of 0 and 30 head elevation on icp cpp cbf mean carotid pressure and other cerebral and systemic physiological parameters was studied in 22 head injured patients.

Some investigators argue that patients with intracranial hypertension should be placed in a horizontal position the rationale being that this wi.