title: Management of raised intracranial pressure after severe head injury.
abstract: The mainstay of early management following severe head injury (less than 8 on the Glasgow coma scale [GCS]) remains urgent cardiopulmonary resuscitation, triage, transfer to a neurosurgical centre, emergency CT scanning and appropriate surgical intervention (Rose et al, 1977; Seelig et al, 1981; Langfitt and Gennarelli, 1982; Bricolo and Pasut, 1984). Subsequent therapy usually includes a period of intensive care with or without artificial ventilation (Becker et al, 1977; Bruce et al, 1978; Marshall et al, 1979). Intracranial pressure (ICP) monitoring is employed in many centres during the first post-traumatic week, however conservative or aggressive the management regimen is.
mesh_terms: D001463:Barbiturates / Q000627:therapeutic use; D002545:Brain Ischemia / Q000209:etiology; D006259:Craniocerebral Trauma / Q000150:complications*; D004232:Diuretics / Q000627:therapeutic use; D004322:Drainage; D006801:Humans; D006931:Hyperbaric Oxygenation; D007036:Hypothermia, Induced; D007427:Intracranial Pressure; D008353:Mannitol / Q000627:therapeutic use; D008991:Monitoring, Physiologic; D012121:Respiration, Artificial; D012306:Risk
chemical_list: D001463:Barbiturates; D004232:Diuretics; D008353:Mannitol