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Acute Blood Pressure Management in Neurocritically Ill Patients
Author(s) -
DerNigoghossian Caroline,
LevasseurFranklin Kimberly,
Makii Jason
Publication year - 2019
Publication title -
pharmacotherapy: the journal of human pharmacology and drug therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.227
H-Index - 109
eISSN - 1875-9114
pISSN - 0277-0008
DOI - 10.1002/phar.2233
Subject(s) - medicine , guideline , subarachnoid hemorrhage , intracerebral hemorrhage , blood pressure , intracranial pressure , brain edema , stroke (engine) , anesthesia , spinal cord injury , cerebral edema , traumatic brain injury , intensive care medicine , spinal cord , mechanical engineering , pathology , psychiatry , engineering
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.