Q: For elevated intracranial pressure (ICP), few basic strategies at bedside play huge role in overall management and outcome. Name few?


Answer: 

1. Keep head of the bed elevated at around 30 degrees
2. Avoid excessive flexion or rotation of the neck 
3. Avoid too restrictive taping around the neck 
4. Minimize endotracheal suctioning (minimize Valsalva response)

All of the above maneuvers are targeted  to maximize venous outflow from the head and to keep ICP from rising.


 Reference: 

 Rosner MJ, Coley IB. Cerebral perfusion pressure, intracranial pressure, and head elevation. J Neurosurg 1986; 65:636.