State-of-the-art management and monitoring of brain edema and intracranial hypertension in fulminant hepatic failure. A proposed algorithm

Jaime Gasco, Leonardo Rangel-Castilla, Brodus Franklin, Philip G. Thomas, Joel Patterson

Research output: Chapter in Book/Report/Conference proceedingConference contribution

5 Citations (Scopus)

Abstract

Aim: Develop an evidence-based clinical algorithm integrating clinical decision making on intracranial pressure (ICP) monitoring and intracranial hypertension (ICH) management in the setting of fulminant hepatic failure (FHF). Material and Methods: An English-language literature review was conducted using the PubMed database in November 2007. In compiling evidence on current management trends of ICP and FHF, the paired keywords: fulminant hepatic failure and either mannitol, hypertonic saline, hyperventilation, bioartificial liver, hypothermia, indomethacin, thiopental, or propofol were used. In compiling evidence on ICP monitoring in FHF, the terms "intracranial pressure monitoring" and "liver failure" were used. Excluded references were either pertinent to animal research or irrelevant to ICP monitoring and ICH management in the setting of FHF. Results: State-of-the-art management of ICH due to brain edema in FHF includes Class I therapies such as mannitol and hypertonic saline. Bioartificial liver, hypothermia and hyperventilation are supported by Class II evidence. Indomethacin and sedation remain Class III. Monitoring ICP is supported by Class II and III evidence. A clinical algorithm was created based on the existing therapeutic armamentarium and corresponding evidence support.

Original languageEnglish (US)
Title of host publicationActa Neurochirurgica, Supplementum
Pages311-314
Number of pages4
Edition106
DOIs
StatePublished - 2009

Publication series

NameActa Neurochirurgica, Supplementum
Number106
ISSN (Print)00651419

Fingerprint

Intracranial Hypertension
Acute Liver Failure
Brain Edema
Intracranial Pressure
Artificial Liver
Hyperventilation
Mannitol
Hypothermia
Indomethacin
Thiopental
Liver Failure
Propofol
PubMed
Language
Databases
Therapeutics

Keywords

  • Brain edema
  • intracranial hypertension
  • intracranial pressure monitoring
  • liver failure

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Gasco, J., Rangel-Castilla, L., Franklin, B., Thomas, P. G., & Patterson, J. (2009). State-of-the-art management and monitoring of brain edema and intracranial hypertension in fulminant hepatic failure. A proposed algorithm. In Acta Neurochirurgica, Supplementum (106 ed., pp. 311-314). (Acta Neurochirurgica, Supplementum; No. 106). https://doi.org/10.1007/978-3-211-98811-4-58

State-of-the-art management and monitoring of brain edema and intracranial hypertension in fulminant hepatic failure. A proposed algorithm. / Gasco, Jaime; Rangel-Castilla, Leonardo; Franklin, Brodus; Thomas, Philip G.; Patterson, Joel.

Acta Neurochirurgica, Supplementum. 106. ed. 2009. p. 311-314 (Acta Neurochirurgica, Supplementum; No. 106).

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Gasco, J, Rangel-Castilla, L, Franklin, B, Thomas, PG & Patterson, J 2009, State-of-the-art management and monitoring of brain edema and intracranial hypertension in fulminant hepatic failure. A proposed algorithm. in Acta Neurochirurgica, Supplementum. 106 edn, Acta Neurochirurgica, Supplementum, no. 106, pp. 311-314. https://doi.org/10.1007/978-3-211-98811-4-58
Gasco J, Rangel-Castilla L, Franklin B, Thomas PG, Patterson J. State-of-the-art management and monitoring of brain edema and intracranial hypertension in fulminant hepatic failure. A proposed algorithm. In Acta Neurochirurgica, Supplementum. 106 ed. 2009. p. 311-314. (Acta Neurochirurgica, Supplementum; 106). https://doi.org/10.1007/978-3-211-98811-4-58
Gasco, Jaime ; Rangel-Castilla, Leonardo ; Franklin, Brodus ; Thomas, Philip G. ; Patterson, Joel. / State-of-the-art management and monitoring of brain edema and intracranial hypertension in fulminant hepatic failure. A proposed algorithm. Acta Neurochirurgica, Supplementum. 106. ed. 2009. pp. 311-314 (Acta Neurochirurgica, Supplementum; 106).
@inproceedings{da3a9405ea5144db825ac95f65523c50,
title = "State-of-the-art management and monitoring of brain edema and intracranial hypertension in fulminant hepatic failure. A proposed algorithm",
abstract = "Aim: Develop an evidence-based clinical algorithm integrating clinical decision making on intracranial pressure (ICP) monitoring and intracranial hypertension (ICH) management in the setting of fulminant hepatic failure (FHF). Material and Methods: An English-language literature review was conducted using the PubMed database in November 2007. In compiling evidence on current management trends of ICP and FHF, the paired keywords: fulminant hepatic failure and either mannitol, hypertonic saline, hyperventilation, bioartificial liver, hypothermia, indomethacin, thiopental, or propofol were used. In compiling evidence on ICP monitoring in FHF, the terms {"}intracranial pressure monitoring{"} and {"}liver failure{"} were used. Excluded references were either pertinent to animal research or irrelevant to ICP monitoring and ICH management in the setting of FHF. Results: State-of-the-art management of ICH due to brain edema in FHF includes Class I therapies such as mannitol and hypertonic saline. Bioartificial liver, hypothermia and hyperventilation are supported by Class II evidence. Indomethacin and sedation remain Class III. Monitoring ICP is supported by Class II and III evidence. A clinical algorithm was created based on the existing therapeutic armamentarium and corresponding evidence support.",
keywords = "Brain edema, intracranial hypertension, intracranial pressure monitoring, liver failure",
author = "Jaime Gasco and Leonardo Rangel-Castilla and Brodus Franklin and Thomas, {Philip G.} and Joel Patterson",
year = "2009",
doi = "10.1007/978-3-211-98811-4-58",
language = "English (US)",
isbn = "9783211987582",
series = "Acta Neurochirurgica, Supplementum",
number = "106",
pages = "311--314",
booktitle = "Acta Neurochirurgica, Supplementum",
edition = "106",

}

TY - GEN

T1 - State-of-the-art management and monitoring of brain edema and intracranial hypertension in fulminant hepatic failure. A proposed algorithm

AU - Gasco, Jaime

AU - Rangel-Castilla, Leonardo

AU - Franklin, Brodus

AU - Thomas, Philip G.

AU - Patterson, Joel

PY - 2009

Y1 - 2009

N2 - Aim: Develop an evidence-based clinical algorithm integrating clinical decision making on intracranial pressure (ICP) monitoring and intracranial hypertension (ICH) management in the setting of fulminant hepatic failure (FHF). Material and Methods: An English-language literature review was conducted using the PubMed database in November 2007. In compiling evidence on current management trends of ICP and FHF, the paired keywords: fulminant hepatic failure and either mannitol, hypertonic saline, hyperventilation, bioartificial liver, hypothermia, indomethacin, thiopental, or propofol were used. In compiling evidence on ICP monitoring in FHF, the terms "intracranial pressure monitoring" and "liver failure" were used. Excluded references were either pertinent to animal research or irrelevant to ICP monitoring and ICH management in the setting of FHF. Results: State-of-the-art management of ICH due to brain edema in FHF includes Class I therapies such as mannitol and hypertonic saline. Bioartificial liver, hypothermia and hyperventilation are supported by Class II evidence. Indomethacin and sedation remain Class III. Monitoring ICP is supported by Class II and III evidence. A clinical algorithm was created based on the existing therapeutic armamentarium and corresponding evidence support.

AB - Aim: Develop an evidence-based clinical algorithm integrating clinical decision making on intracranial pressure (ICP) monitoring and intracranial hypertension (ICH) management in the setting of fulminant hepatic failure (FHF). Material and Methods: An English-language literature review was conducted using the PubMed database in November 2007. In compiling evidence on current management trends of ICP and FHF, the paired keywords: fulminant hepatic failure and either mannitol, hypertonic saline, hyperventilation, bioartificial liver, hypothermia, indomethacin, thiopental, or propofol were used. In compiling evidence on ICP monitoring in FHF, the terms "intracranial pressure monitoring" and "liver failure" were used. Excluded references were either pertinent to animal research or irrelevant to ICP monitoring and ICH management in the setting of FHF. Results: State-of-the-art management of ICH due to brain edema in FHF includes Class I therapies such as mannitol and hypertonic saline. Bioartificial liver, hypothermia and hyperventilation are supported by Class II evidence. Indomethacin and sedation remain Class III. Monitoring ICP is supported by Class II and III evidence. A clinical algorithm was created based on the existing therapeutic armamentarium and corresponding evidence support.

KW - Brain edema

KW - intracranial hypertension

KW - intracranial pressure monitoring

KW - liver failure

UR - http://www.scopus.com/inward/record.url?scp=78649386709&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78649386709&partnerID=8YFLogxK

U2 - 10.1007/978-3-211-98811-4-58

DO - 10.1007/978-3-211-98811-4-58

M3 - Conference contribution

C2 - 19812970

AN - SCOPUS:78649386709

SN - 9783211987582

T3 - Acta Neurochirurgica, Supplementum

SP - 311

EP - 314

BT - Acta Neurochirurgica, Supplementum

ER -