Treatment of intracranial hypertension and aspects on lumbar dural puncture in severe bacterial meningitis
| Autor: | Grände, Per-Olof, Myhre, Erling, Nordström, Carl-Henrik, Schliamser, Silvia |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2002 |
| Předmět: |
Adult
complications [Pneumococcal] Anesthesiology and Intensive Care Intracranial Pressure Monitoring Adolescence Middle Age diagnosis [Intracranial Hypertension] complications [Bacterial] adverse effects [Spinal Puncture] etiology [Intracranial Hypertension] prevention & control [Encephalocele] diagnosis [Bacterial] diagnosis [Pneumococcal] Meningitis Child Preschool Physiologic etiology [Encephalocele] therapy [Intracranial Hypertension] Brain Stem Human |
| Zdroj: | Acta Anaesthesiologica Scandinavica; 46(3), pp 264-270 (2002) |
| ISSN: | 0001-5172 |
| Popis: | BACKGROUND: Brain stem herniation due to raised intracranial pressure (ICP) is a common cause of mortality in severe bacterial meningitis, but continuous measurements of ICP and the effects of ICP-reducing therapy in these patients have, to our knowledge, not been described. METHODS: During a four-year period, an ICP-monitoring device was implanted in patients admitted to our hospital with severe bacterial meningitis and suspected intracranial hypertension. ICP above 20 mmHg was treated using the Lund Concept, which includes antihypertensive therapy (beta1-antagonist,alpha2-agonist), normalization of the plasma colloid osmotic pressure and the blood volume, and antistress therapy. RESULTS: ICP above 20 mmHg was found in all 12 patients studied. It was effectively reduced in all but two patients, who died. Both patients had a low cerebral perfusion pressure ( |
| Databáze: | OpenAIRE |
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