A child with head injury is admitted in ICU. Management of raised ICP includes all except:
- ICP should be maintained <20 mm Hg First-tier therapy for raised ICP includes: Elevation of head end of the bed, ensuring midline positioning of head and body Controlled mechanical ventilation Sedation and analgesia (i.e., benzodiazepines and narcotics) Osmolar agents like mannitol and hypeonic saline.
Mannitol, if there is no intracranial haemorrhage
Minimal use of sedation and analgesia
Controlled mechanical ventilation
Hypeonic saline may be used
Raised intracranial tension