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ICP Management
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2o Mechanisms
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Cerebral Ischemia: What Happens?
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Facts about High ICP…
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Indications for ICP Monitoring
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When should treatment be initiated?
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What Else is occuring?
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PROBABLY NOT!
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Intracranial Pressure Wave Form
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Analysis
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Cerebrovascular Pressure Reactivity (PRx)
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How to measure?
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Surgical Decompression
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Massive decompressive craniectomy and duroplasty- the most effective current therapy, for high ICP…..??
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Miami Experience
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Pre vs. Post Operative ICP’s
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Time of Surgery
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Severity vs. Timing
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GCS vs. Timing
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Timing of Surgery vs. GOS
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Age vs. Outcome
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GCS 3-8 vs. GOS
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Intravascular Cooling
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NABIS:H Outcome
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Subgroup (Age≤45, Hypo on admission)
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NABIS:H II
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ICP
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Future Targets
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Conclusion