Acute Blood Pressure Management in Neurocritically Ill Patients.
Caroline Der NigoghossianKimberly Levasseur-FranklinJason MakiiPublished in: Pharmacotherapy (2019)
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.
Keyphrases
- blood pressure
- traumatic brain injury
- end stage renal disease
- spinal cord injury
- newly diagnosed
- chronic kidney disease
- systematic review
- prognostic factors
- liver failure
- type diabetes
- metabolic syndrome
- hypertensive patients
- subarachnoid hemorrhage
- acute respiratory distress syndrome
- patient reported
- blood glucose
- glycemic control