Targets | Medical measures | Surgical measures |
---|---|---|
ICP <25 mmHg | ||
CPP >70 mmHg | ||
I | Nurse head up 10–15° | |
Mild hyperventilation (pco2 , 4.5 kPa) | ||
II | Mannitol | External ventricular drain |
Inotropes (dopamine, noradrenaline) | ||
III | Hypothermia | Decompressive craniectomy |
IV | Barbiturates (thiopentone) | Decompressive craniectomy |