Susan Yeager: "Intra-Cranial Pressure: Concepts and Management"

Practical evaluation and evidence-based management techniques for increased intracranial hypertension will be the focus of this lecture. Whether the neurologic system strikes fear in your heart or if you would describe yourself as a "neuro nerd", this lecture will have something for you! Pathophysiology of cerebral edema will lay the foundation for why increased intracranial pressure might occur. Building upon that groundwork, herniation syndromes, and exam findings will be reviewed, along with noninvasive exam techniques/technology which will enable early, bedside identification of increased intracranial pressure (IICP). Moving beyond a basic neurologic exam, advanced brain pressure, perfusion, and oxygenation technology will be described along with a review of guidelines to indicate the application of device implementation. With examination strategies reviewed, evidence-based practice guidelines will be utilized to support tier 1-5 intervention/management strategies. This information-filled lecture will leave the learner with the knowledge that can be applied at the bedside or support protocol development to enhance care outcomes in the malignant intracranial hypertensive patient.