Send us a text🧠 Core Concept:Cerebral perfusion pressure (CPP) = MAP – ICP.Normal ICP = ~10 mmHg; threshold for concern >20 mmHg.🧰 Management Strategies:Elevate head of bed (30°), ensure neck is midline.3% hypertonic saline preferred over mannitol in AKI.Short-term hyperventilation (↓ PaCO₂ → vasoconstriction).Consider sedation or decompressive craniectomy in refractory cases.External ventricular drain (EVD) for CSF removal and monitoring.🧩 Clinical Takeaway:Managing ICP is about protecting perfusion.Monitor trends closely — especially in trauma, hemorrhage, hepatic encephalopathy.

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