Intra-Cranial Pressure: Concepts and Management

Susan Yeager

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Lecture overview

Practical evaluation and evidence based management techniques for increased intracranial hypertension will be the focus of this lecture. Whether the neurologic system strikes fear in your heart or if you would describe yourself as a "neuro-nerd", this lecture will have something for you!

Pathophysiology of cerebral oedema will lay the foundation for why increased intracranial pressure might occur. Building upon that groundwork, herniation syndromes and exam findings will be reviewed, along with non-invasive exam techniques/technology which will enable early, beside identification of increased intracranial pressure. Moving beyond a basic neurologic exam, advanced brain pressure, perfusion, and oxygenation technology will be described along with review of guidelines to indicate the application of device implementation. With examination strategies reviewed, evidence based practice guidelines wil be utilised to support tier 1-5 intervention/management strategies. This information filled lecture will leave the learner with knowledge that can be applied at the beside or support protocol development to enhance care outcomes in the malignant intracranial hypertensive patient.

Learning Objectives:
By the end of this lecture, the attendee will be able to:

  1. Review the pathophysiology of intracranial hypertension. 
  2. Discuss non-invasive and invasive monitoring strategies for increased ICP.
  3. Discuss nursing strategies to minimise intracranial hypertension. 
  4. Discuss the latest guidelines for pharmacologic management of intracranial hypertension.

This lecture is equal to 1 CE Contact Hour, 1 CPD Point, and 1 AMA PRA Category 1 Credit



Additional CME Info

Release Date: February 1, 2020, Termination Date: January 31, 2023

Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: EB Medicine designates this internet enduring material for a maximum of 1 AMA PRA Category 1 Credit™ per lecture. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Commercial Support: This activity received no commercial support.

Earning Credit: In order to earn CME credit, the participant must take the pre-test, listen to the lecture, take the CME post-test, and complete the post-test evaluation.

Duration 1 hour(s).

Lecture speaker

Susan Yeager

Susan Yeager works as the Lead Neurocritical Care Nurse Practitioner at The Ohio State University Wexner Medical Center in Columbus, Ohio USA. She received her Bachelor in Science and Nursing from Capital University and her Master's in Science in Nursing from The Ohio State University. After working as a Clinical Nurse Specialist for 10 years, she got her second Master’s degree as an Acute Care Nurse Practitioner degree from Wright State University. Currently, she is enrolled in the Doctorate of Nursing Practice program at The Ohio State University College of Nursing. Throughout her career, she has worked in a variety of clinical settings which have included medical-surgical, surgical trauma step down, open heart recovery, emergency departments, cardiac/surgical/medical/trauma and interventional critical care. This experience, and her work as a flight nurse, laid the foundation for her Trauma and Neurocritical care CNS and ACNP roles. She previously served on the American Association of Critical Care Nursing Board of Directors. Currently, she serves on the World Federation of Critical Care Nurses and Neurocritical Care Society Board of Directors and is a current Fellow of the Neurocritical Care Society. She serves as clinical faculty for The Ohio State University and Wright State University Programs. She's published and presented internationally on a variety of critical care and advanced practice topics.


CME Faculty Disclosure: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME Essentials, Standards, and Guidelines, all faculty for this CME activity were asked to complete a full disclosure statement. The speaker did not report any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.