University Hospital of Wales Paediatric Intensive Care Unit Guideline Printed on Wed 23-jul-08
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Last updated March 21, 2016 3:40 PM

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Noah's Ark Childrens Hospital for Wales
Heath Park
Cardiff
CF14 4XW
02920 747747


Head Injury

ICP and Cerebral perfusion pressure

Indications of ICP monitoring: These are suggestions only

Maintenance of Normal CPP

Cerebral perfusion pressure = Mean Arterial Pressure - ICP

Give volume if low CVP or clinically indicated
Start on noradrenaline infusion

Raised ICP

Is there an easily correctable or transient cause?

These should be excluded and corrected before proceeding with further treatment.

Emergency Management of Increased ICP

This is intended as a guide only. In some cases, it may be appropriate to tolerate higher ICP and maintain appropriate CPP rather than starting on thiopentone.


General Managment Fluid Management Suctioning