• Pharmacotherapy · Mar 2019

    Review

    Acute Blood Pressure Management in Neurocritically Ill Patients.

    • Caroline Der-Nigoghossian, Kimberly Levasseur-Franklin, and Jason Makii.
    • Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, New York.
    • Pharmacotherapy. 2019 Mar 1; 39 (3): 335-345.

    AbstractOptimal 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.© 2019 Pharmacotherapy Publications, Inc.

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