Intra-Cranial Pressure: Concepts and Management

The basics of ICP pathophysiology and management

The lecture duration is 53min.

1 CPD Point, 1 CEU, 1 AMA PRA Category 1 Credit.
Accredited by CPDUK, CBRN and EB Medicine.

You can watch this lecture for free! For premium features, including a CPD/CME accredited certificate, to use time-coded note taking or get downloadable slides, you will need a fair price subscription.

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Susan Yeager
Lead Neurocritical Care Nurse Practitioner at The Ohio State University, USA
Lecture Summary

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 oedema 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 non-invasive exam techniques/technology which will enable early, bedside identification of increased intracranial pressure. 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 utilised 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 beside or support protocol development to enhance care outcomes in the malignant intracranial hypertensive patient.

Target Audience

Critical Care Nurses
Trainee Critical Care Doctors
Doctors and Nurses in Emergency Medicine

Learning Objectives:

Upon completion of this activity, you should be able to:

  • Review the pathophysiology of intracranial hypertension
  • Discuss non-invasive and invasive monitoring strategies for increased ICP
  • Discuss nursing strategies to minimise intracranial hypertension
  • Discuss the latest guidelines for pharmacologic management of intracranial hypertension

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

EB Medicine designates this internet-enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Needs Assessment

The need for this educational activity was determined by surveys of the target audience and experts in the specialty. Further assessment was provided by examining the topics of recently published evidence-based medicine reviews, national clinical guidelines, and specialty society recommendations, as well as suggestions from evaluations of previous learning programs to determine practice gaps.

CME Faculty Disclosure

It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME accreditation requirements and policies, all faculty for this CME activity were asked to complete a full disclosure statement. The speaker did not report any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.

Earning Credit

In order to earn CME credit, the participant must take the pre-test, watch the course, take the CME post-test, and complete the post-test evaluation.

Hardware/Software Requirements

Online learners will need a computer or web-enabled device to access the podcast, additional learning materials, and CME test.

Commercial Support

This activity received no commercial support.

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