Cardiff PICU
University Hospital of Wales
Heath Park
Cardiff
CF14 4XW
02920 747747

 

Last updated March 18, 2008 2:12 PM

Referrals
02920 745413

External links

PICU related
PICANET

PICS

PedsCCM

ESPNIC

ESICM
Journals
Pediatric Crit Care Med

Crit Care Med

Intensive Care Med

NEJM

Lancet

Am J Resp Crit Care Med

Thorax

BMJ
Miscellaneous
Health Comission Wales

ICTPICM

Royal College of Anaesthetists

Royal College of Paediatrics and Child Health

Fax 02920 746443

 

babyHead Injury

ICP and Cerebral perfusion pressure

< 2 years > 45-50 mmHg
2-10 years > 50-60 mmHg
10-16 years > 60-65 mmHg
> 16 years (adult) > 70 mmHg

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

Treating raised ICP

Is there an easily correctable or transient cause?

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

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