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The Anesthetic Management of Intracranial Hypertension

  • Chapter
Neuroanesthesia

Part of the book series: Developments in Critical Care Medicine and Anesthesiology ((DCCA,volume 32))

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Abstract

Perhaps no neurologic condition occupies the attention of neuroanesthetists, neurosurgeons, and neurointensivists more than the diagnosis, monitoring, and treatment of intracranial hypertension (i.e., abnormal increases in intracranial pressure). Intracranial hypertension is of interest to clinicians for two somewhat independent reasons. First, increases in intracranial pressure independent of increases of mean arterial blood pressure may result in a diminution of blood flow to the brain. The driving force that permits blood flow through the brain tissues is the cerebral perfusion pressure. Cerebral perfusion pressure is defined by the relationship:

CPP = MAP - ICP, where CPP = cerebral perfusion pressure

MAP = mean arterial blood pressure, and

ICP = intracranial pressure (1).

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  1. William L. Lanier MD
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  1. Department of Anesthesiology, The University of Utah School of Medicine, Salt Lake City, Utah, USA

    J. O. Johnson MD, PhD , R. J. Sperry MD, PhD  & T. H. Stanley ,  & 

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Lanier, W.L. (1997). The Anesthetic Management of Intracranial Hypertension. In: Johnson, J.O., Sperry, R.J., Stanley, T.H. (eds) Neuroanesthesia. Developments in Critical Care Medicine and Anesthesiology, vol 32. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5774-2_8

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  • DOI: https://doi.org/10.1007/978-94-011-5774-2_8

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