Summary of Recommended Practices
Serial neurologic assessments and physical examination
Continuous cardio-respiratory, ICP, and CPP monitoring, +/- cerebral metabolism monitoring adjuncts
Maximize Oxygenation and Ventilation
- Maximize oxygenation (cautious use of PEEP / keep PEEP < 10 to prevent inhibited venous return / individualize according to patient response)
- Normoventilate
- Support circulation / maximize cerebral perfusion pressure
- Maintain mean arterial blood pressure and maintain CPP (goal > 60)