Raised IntraCranial Pressure (ICP)

🔑 Key Priorities

• Maintain cerebral perfusion pressure

• Prevent secondary brain injury

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🧠 Team Actions

Role	Task
Team Leader	Direct BP and sedation targets
Airway Manager	Control CO₂, oxygenation
Circulation	Maintain MAP, avoid hypotension

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🧭 Management Algorithm

1. Elevate head 30° (neutral neck)

2. Ensure SpO₂ > 94%, PaCO₂ ~35 mmHg

3. Maintain MAP for CPP > 60 mmHg

4. Sedation ± paralysis to prevent coughing/movement

5. Osmotherapy:

   • Mannitol 0.25–1 g/kg IV OR

   • Hypertonic saline 3% (2–5 mL/kg)

6. Avoid hypo/hyperglycaemia

7. Discuss early with neurosurgery ± ICU

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🔄 Ideal Crisis Flow

       Suspected Raised ICP
              ↓
     Elevate Head, Ensure O₂/CO₂
              ↓
       Sedate + Osmotherapy PRN
              ↓
       Maintain CPP, Avoid Secondary Hits